Journal
JOURNAL OF AFFECTIVE DISORDERS
Volume 292, Issue -, Pages 319-327Publisher
ELSEVIER
DOI: 10.1016/j.jad.2021.05.086
Keywords
Brain networks; Major depressive disorder; Bipolar i disorder; Omega-3 polyunsaturated fatty acids; Emotional regulation
Categories
Funding
- R34 NIH/NIMH grant [MH083924]
- National Natural Science Foundation [81621003, 81820108018]
- Program for Changjiang Scholars and Innovative Research Team in University (PCSIRT) of China [IRT16R52]
- Functional and Molecular Imaging Key Laboratory of Sichuan Province (FMIKLSP) [2019JDS0044]
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The study revealed that medication-free depressed adolescent bipolar offspring had lower erythrocyte EPA+DHA levels and abnormalities in brain network organization compared to healthy controls. Fish oil supplementation increased EPA+DHA levels and improved brain network organization, suggesting potential benefits for emotional regulation in high-risk youth.
Introduction: Mood disorders are associated with fronto-limbic structural and functional abnormalities and deficits in omega-3 polyunsaturated fatty acids including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Emerging evidence also suggests that n-3 PUFA, which are enriched in fish oil, promote cortical plasticity and connectivity. The present study performed a graph-based connectome analysis to investigate the role of n-3 PUFA in emotion-related network organization in medication-free depressed adolescent bipolar offspring. Methods: At baseline patients (n = 53) were compared with healthy controls (n = 53), and patients were then randomized to 12-week double-blind treatment with placebo or fish oil. At baseline and endpoint, erythrocyte EPA+DHA levels were measured and fMRI scans (4 Tesla) were obtained while performing a continuous performance task with emotional and neutral distractors (CPT-END). Graph-based analysis was used to characterize topological properties of large-scale brain network organization. Results: Compared with healthy controls, patients exhibited lower erythrocyte EPA+DHA levels (p = 0.0001), lower network clustering coefficients (p = 0.029), global efficiency (p = 0.042), and lower node centrality and connectivity strengths in frontal-limbic regions (p<0.05). Compared with placebo, 12-week fish oil supplementation increased erythrocyte EPA+DHA levels (p<0.001), network clustering coefficient (p = 0.005), global (p = 0.047) and local (p = 0.023) efficiency, and node centralities mainly in temporal regions (p<0.05). Limitations: The duration of fish oil supplementation was relatively short and the sample size was relatively small. Conclusions: These findings provide preliminary evidence that abnormalities in emotion-related network organization observed in depressed high-risk youth may be amenable to modification through fish oil supplementation.
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