Differences in Brain Connections and Structures Michelle Deng, Ph.D., Postdoctoral Scholar Cognitive Analysis & Brain imaging Laboratory MIND Institute University of California, Davis ymdeng@ucdavis.edu Chromosome 22q11.2 Deletion Syndrome Family Meeting April 15, 2012 Monday, April 16, 2012 Atypical brains in children with 22q11.2DS Und erst a nd DIFF the ERE NCE S Monday, April 16, 2012 • Atypical brains in children with 22q11.2DS Some brain structures enlarged or reduced compared to TD Middle of the brain • • • differences in neural connectivity reduce gyrification & cortical thickness ... Karayiorgou et al. (2010) Nature Reviews Srivastava et al. (2011) Human Brain Mapping Monday, April 16, 2012 Limbic System & Hippocampus • Important structure in the limbic system, involved in: ! ! ! • Hippocampus memory spatial processing emotional processing Linked to general intelligent level in children Schumann, C. M. et al. (2007) Hippocampus • Hippocampal – prefrontal functional connectivity impairments in 22q11.2DS mice model Sigurdsson et. al. (2010) Nature Courtesy, Dr. Arthur W. Toga, Laboratory of Neuro Imaging at UCLA Monday, April 16, 2012 Limbic System & Hippocampus the primary output of connections from Fornix hippocampus How can we measure it in the brain ?? How about the structural connectivity? Courtesy, Dr. Arthur W. Toga, Laboratory of Neuro Imaging at UCLA Monday, April 16, 2012 Diffusion Tensor Imaging H2 O free movement Monday, April 16, 2012 directional movement “see” the tracts ! Diffusion Tensor Imaging DTI color-map Front-Back Left-Right Top-Bottom DTI - measure the movement of water molecules, an indirect way to “see” the brain white matter fibers Monday, April 16, 2012 Define Fornix in Individual Brain Front back Draw a front seed AA Monday, April 16, 2012 Draw a back seed B Find the Fornix Connections Front • Calculated the most likely 100,000 connections between the front-back seeds. • Picked the top most likely 1,000 connections (1%) back A C Monday, April 16, 2012 D Front back Fornix - Connections Left Fornix Type1 Type2 from the Front Seed from the Back Seed “perfectly” connected connecting the front-back seeds Monday, April 16, 2012 “tangled” with neighbor fibers Fornix - Connections Type2 Type1 L R TD (n=38) 22q (n=45) TD (n=38) 22q (n=45) Monday, April 16, 2012 28 (74%) 8 (21%) 2 (5%) 21 (47%) 12 (27%) 6 (13%) 24 (63%) 13 (34%) 1 (3%) 22 (49%) 9 (20%) < 50% < 30% 12 (27%) How well the fibers are organized ? • How can we “see” and measure it in the brain ? fractional anisotropy FA RD radial diffusivity directional movement Monday, April 16, 2012 “see” and measure the integrity ! Averaged Fractional Anisotropy 0.6 22q n=39(L),n=43(R) 0.4 0.3 0.1 0.0 RD Right Left 1.6 22q n=39(L),n=43(R) TD-Type1 TD-Type2 22q-Type1 22q-Type2 1.0 Averaged Radial Diffusivity 1.2 Less organized fibers 0.6 0.6 0.8 0.8 1.0 1.2 1.4 TD (n=38) Right Averaged Radial Diffusivity Averaged Radial Diffusivity 1.4 1.6 22q-Type1 22q-Type2 0.2 Averaged Fractional Anisotropy 0.4 0.3 0.2 0.0 0.1 Mean FA across the tract Left Mean RD across the tract TD-Type1 TD-Type2 0.5 TD (n=38) Averaged Fractional Anisotropy 0.5 0.6 FA Fornix - Less organized in children with 22q11.2DS Left Monday, April 16, 2012 Right Left Right Which specific regions ? • Can we “zoom in” to examine in detail which area less organized? • front to back walk along the tract cut into 45 pieces Front Monday, April 16, 2012 Back A B Fractional Anisotropy Along the Trajectory Fractional Anisotropy Along the Trajectory Left Fornix (Anterior to Posterior) 0.8 0.7 Right Fornix (Anterior to Posterior) TD (n=37) 0.8 22q (n=38) Back Front FA value (weighted) FA value (weighted) 0.6 0.5 0.4 0.3 0.5 0.4 0.3 0.2 0.2 0.1 0.1 5 10 15 20 25 30 35 40 0 45 5 10 15 steps along the trajectory (A->P) C 20 25 30 35 40 45 steps along the trajectory (A->P) D Radial Diffusivity Along the Trajectory Radial Diffusivity Along the Trajectory Left Fornix (Anterior to Posterior) 2.5 Right Fornix (Anterior to Posterior) TD (n=37) 2.5 22q (n=38) 2.0 TD (n=38) 22q (n=43) 2.0 RD um2/msec (weighted) RD um2/msec (weighted) 22q (n=43) 0.7 0.6 0 TD (n=38) 1.5 1.0 1.5 1.0 0.5 0.5 5 10 15 20 25 30 steps along the trajectory (A->P) Monday, April 16, 2012 35 40 45 5 10 15 20 25 30 steps along the trajectory (A->P) 35 40 45 Atypical Midline Structures Cavum Septum Pellucidum (CSP) Beaton et al., 2010 Monday, April 16, 2012 Atypical Midline Structures Cavum Septum Pellucidum (CSP) A C !"#$%&'()*$+'$,,-../,0"$1'2345$ )$"'$%& Cavum Septum Pellucidum Volume TD (n=72) 22q (n=79) TD_M (n=33) 22q_M (n=43) TD_F (n=39) 22q_F (n=36) 4 *"*$%& ,+"-)%& #..& B )/'..& !/$..& (/)#..& )+0..& !"#$%&'()*$+'$,-$.'/012$ 1 )("*+%& 2 !"#$%& 3 +'"#!%& log CSP Volume (in mm^3) '!"!(%& +"$)%& #*",+%& !"#$%& 0 ''"'(%& !"#$%& -..& #/!..& '/(..& $/#-..& Beaton et al., 2010 Monday, April 16, 2012 #)0..& All Male Female *** ** * significant level: *** p<0.001; **p<0.01; * p<0.05 Atypical Midline Structures Lateral Ventricles 5.0 5.5 Lateral Ventricular Volume TD (n=74) 22q (n=80) *** TD_M (n=34) 22q_M (n=45) TD_F (n=40) 22q_F (n=35) *** * 4.5 4.0 3.5 2.5 3.0 log Ventricular Volume (in mm^3) *** All Male Female significant level: *** p<0.001; **p<0.01; * p<0.05 Monday, April 16, 2012 Enlarged Ventricles with Age Lateral Ventricle Volume and Age 45000 TD (n=72) 22q (n=78) TD Male (n=32) 22q Male (n=44) TD Female (n=39) 22q Female (n=33) 40000 35000 3 Ventricle Volume (in mm ) 30000 25000 20000 15000 10000 5000 0 80 100 120 140 Age in month Monday, April 16, 2012 160 180 200 80 100 120 140 160 180 200 80 100 120 140 Age in month Age in month Boys Girls 160 180 • Summary Atypical hippocampal connections in children with 22q11.2DS ! ! ! • Atypical midline structures ! ! ! ! • less organized fornix especially at the area connecting to hippocampus varies a lot between children with 22q11.2DS It d epe nds enlarged CSP ... enlarged lateral ventricles varies a lot between children with 22q11.2DS may influence the hippocampal connections Not yet found strong functional implications from any single component, BUT each of them has been commonly reported in patients with schizophrenia. Do these brain differences matter ?? Monday, April 16, 2012 Thanks ! All participants and their families!! Tony Simon & the CABIL team Brian A. Wandell Naomi Goodrich-Hunsaker Robert F. Dougherty Margarita Cabaral Michael Perry David G. Amaral Danielle Harvey Kristopher Kalish Owen Carmichael Son Nguyen Yuen Ting Chan, Erica Monday, April 16, 2012 & the Stanford University Vista Lab http://white.stanford.edu/index.php