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This work presents an integrated modelling study of fast-proton distributions generated by ion cyclotron range of frequency (ICRF) minority heating in the Experimental Advanced Superconducting Tokamak (EAST). Using a series of high-confinement (H-mode) discharges with increasing ICRF power levels from 0.8 to 2.4 MW, fast protons were produced via minority heating mechanisms and analysed through simulations using the ASCOT code. The results reveal that the fast protons are primarily concentrated near the fundamental cyclotron resonance layer and exhibit strong power-dependent behaviour in both real-space (R–Z) distribution and velocity space, where R is the major radius and Z is the vertical coordinate. As the ICRF power increases, the energetic proton population shows significant spatial broadening and energy enhancement, reaching up to 1 MeV. The fast-ion pitch-angle distribution becomes increasingly anisotropic, with high-energy ions concentrated around $|\textit{v}_{\|}/\textit{v}| \lt 0.5$, where $\nu$ is the magnitude (speed) of the full velocity vector of the particle. Furthermore, the energy density of fast ions aligns well with the ICRF power deposition profile, confirming efficient central-core heating. These findings, which provide insight into fast-ion behaviour and ICRF heating characteristics in EAST plasmas, also support future fast-ion diagnostics and performance control strategies in EAST and similar experimental conditions.
To identify associations between hemoglobin (Hb) concentration in different trimesters, Hb changes and Hb trajectories during pregnancy with risk of preterm birth (PTB) and low birth weight (LBW). A retrospective cohort study was conducted based on 18,980 participants from Haidian District Maternal and Child Health Care Hospital between January 2018 and December 2021. Maternal Hb concentrations were measured at first (0-12weeks), second (13-27weeks), and third trimesters (≥28weeks). Hb was categorized into four groups (<110, 110-119, 120-129, and ≥130 g/L), and Hb changes across different trimesters were calculated. The Latent class growth mixed model was employed to estimate Hb trajectories. Association assessment and dose-response relationship were estimated using multivariate logistic regression and restricted cubic spline. Compared with Hb 110-119 g/L, women with Hb ≥130 g/L significantly increased odds of PTB(OR:1.74,95%CI:1.29,2.31) and LBW(OR:2.31,95%CI:1.65,3.20) during the second trimester. In the third trimester, women with Hb 120-129 g/L showed 26% (OR:1.26,95%CI:1.04,1.51) increased odds of PTB and 72%(OR:1.72,95%CI:1.36, 2.17) increased odds of LBW, while the OR of Hb ≥130 g/L for PTB and LBW were 1.45(95%CI:1.12,1.86) and 2.60(95%CI:1.96,3.43), respectively. Furthermore, Hb changes across different trimesters exhibited a linear increase in odds of PTB and LBW. Women with a decline-sharp-rise trajectory during pregnancy had a 1.48-fold odds of PTB(OR:1.48,95%CI:1.26,1.75), compared to those with a decline-gradual-rise trajectory. In conclusion, elevated Hb (≥120 g/L) in mid-to-late gestation as well as insufficient Hb decline or abnormal Hb trajectory, were associated with increased odds of PTB and LBW. These findings underscore the importance of monitoring Hb during pregnancy.
White matter (WM) abnormalities are implicated in major depressive disorder (MDD), yet the organization of white matter morphometric similarity networks (WM-MSNs) – which capture interregional similarity in voxel-wise WM morphology – and the transcriptional mechanisms associated with their disruption remain insufficiently understood.
Methods
Using T1-weighted MRI from a large multisite sample (1,154 individuals with MDD and 1,026 healthy controls), we constructed individualized WM-MSNs. Group differences were assessed at the edge, global, and nodal levels. To identify molecular pathways underlying these alterations, nodal abnormalities were linked to regional gene expression profiles from the Allen Human Brain Atlas using spatially informed transcriptomic association, followed by functional, cell-type-specific, and developmental enrichment analyses.
Results
MDD showed distributed but selective reorganization of WM-MSNs. Network-based statistics revealed two significant components, with 118 edges exhibiting increased morphometric similarity and 45 showing decreased similarity. Globally, MDD demonstrated higher small-worldness, clustering coefficient, global efficiency, and local efficiency, together with shorter characteristic path length. Nodal disruptions were concentrated in major commissural and association tracts – including the corpus callosum, cingulum, uncinate fasciculus, and tapetum. Transcriptomic integration indicated enrichment for gene signatures related to oligodendrocyte function, myelination, lipid metabolism, axonal organization, and cellular stress-related molecular processes, with implicated genes showing broad developmental-stage expression.
Conclusions
MDD is associated with robust alterations in individualized WM-MSNs that converge with transcriptional signatures linked to myelination, metabolic processes, axonal structure, and cellular stress, linking macroscale network disruption to underlying molecular architecture and providing cross-scale insights into WM pathology in depression.
Environmental insecticide residues are a growing concern in the management of disease-vector mosquitoes, such as Aedes albopictus (Diptera: Culicidae). While deltamethrin is extensively utilised in mosquito vector control, localised or intermittent sublethal exposure to this insecticide may influence mosquito population dynamics. To investigate the role of environmental residual deltamethrin in inducing transgenerational fitness costs in Ae. albopictus, this study established three different concentrations of deltamethrin solution based on its half-lethal concentration (0.002275 mg/L) for long-term exposure. And four consecutive generations were reared under these conditions. We monitored macroscopic growth and developmental data, reproductive capacity, and expression levels of yolk protein genes (vitellogenin) in each generation. Results showed that sublethal multigenerational deltamethrin exposure significantly prolonged the developmental period of Ae. albopictus; however, it did not have a significant impact on pupation or eclosion rates. In terms of fecundity, exposure to deltamethrin reduced the relative expression levels of vitellogenin-A1 and vitellogenin-C in Ae. albopictus, which was correlated with reduced reproductive output. Furthermore, there was a reduction observed in both single female oviposition rates and egg hatching success among exposed individuals. These findings highlight sublethal responses that may impact population dynamics and reproductive success in the field, underscoring the importance of considering chronic, low-dose insecticide effects in integrated vector management strategies.
Individuals with high trait anxiety (HA) exhibit maladaptive goal-directed behaviors, which are associated with dysfunctional counterfactual-thinking during decision-making. While lesion studies suggest the causal role of the ventromedial prefrontal cortex (vmPFC) in counterfactual-thinking, its modulatory role in anxiety-related counterfactual decision-making remains uncharacterized. Here, we bridge this gap by examining the characteristics of decision-making (forward counterfactual) and emotion responses (backward counterfactual) in trait anxiety, as well as its underlying modulatory mechanisms by targeting at the vmPFC.
Methods
A counterfactual-thinking paradigm was employed to identify the patterns of goal-directed choice and emotional responses in trait anxiety in experiment 1. In all, 107 participants with varied levels of trait anxiety were recruited and counterfactual indices were modeled. In experiment 2, the high-definition transcranial direct current stimulation (HD-tDCS) was applied to modulate forward and backward counterfactual responses targeting at the vmPFC in HA. Based on the exploratory results of experiment 1, 61 participants with HA were randomly assigned to cathodal or sham stimulation.
Results
High level of anxiety was associated with stronger emotional responses to backward counterfactuals, more anticipations of regret to forward counterfactuals, higher value-expectations to potential rewards, and more risk-taking behaviors. Related to sham, cathodal HD-tDCS over the vmPFC in HA showed normalized sensitivity to anticipated regret, which leads to less risk-taking behaviors during goal-directed decision-making.
Conclusions
The findings provide evidences of disrupted forward and backward counterfactual processing in anxious individuals, wherein the vmPFC plays a modulatory role. Targeting vmPFC with noninvasive stimulation may normalize maladaptive decision patterns in anxiety and anxiety disorders.
Bees, as vital pollinators, are currently confronting numerous survival threats. Balanced amino acid nutrient have a positive impact on helping bees to resist pathogens and pesticides. This study aims to explore the interaction between leucine (Leu) and isoleucine (Ile) on key physiological parameters of Apis mellifera ligustica (Apidae: Hymenoptera) colony. The experiment was designed into four distinct dietary groups, including control diet (CK): 6.8 g/kg Leu + 3.9 g/kg Ile; high Ile diet: 6.8 g/kg Leu + 21.9 g/kg Ile; high Leu diet: 43.8 g/kg Leu + 3.9 g/kg Ile; diet with both high L-I: 43.8 g/kg Leu + 21.9 g/kg Ile. The results showed that Leu and Ile, to a considerable extent, promote the growth and vitality of the bee colony, with Ile mitigating Leu-induced absorption inhibition. Leu and Ile synergistically reduced haemolymph triglyceride via upregulated activities of fatty acid synthase and acetyl-CoA carboxylase, and expression of Lipase 1 and adipokinetic hormone receptor compared with CK. Furthermore, L-I treatment increased key activities of immune enzymes like phenol oxidase, lysozyme, glucose oxidase, and altered expression of antimicrobial peptides (abaecin, apidaecin, and defensin 1), indicating coordinated immunomodulation. In conclusion, within the context of this study, 43.8 g/kg Leu and 21.9 g/kg Ile in the artificial pollen substitute feed prove to be beneficial for the nutrient deposition and immunity of individual bees. This work provides a framework for optimising artificial pollen diets, offering experimental guidance towards more effective strategies in sustainable beekeeping.
Body composition and fat distribution were found to display differential effects on the incidence and mortality of chronic disease. However, it remained unclear whether there is an interaction between lifestyle factors and genetic susceptibility on body composition and fat distribution. This study investigated the associations of lifestyle and genetic factors with body composition and fat distribution among 121 664 women from the UK Biobank cohort study. Women with a favourable lifestyle had lower BMI (BMI, –7·72 % (95 % CI: −7·93 %, −7·51 %)), fat mass index (FMI, −15·70 % (95 % CI: −16·09 %, −15·30 %)), fat-free mass index (FFMI, −2·86 % (95 % CI: −2·98 %, −2·74 %)), arm fat ratio (AFR, −5·19 %, (95 % CI: −5·38 %, −5·00 %)) and trunk fat ratio (TFR, −0·73 %, (95 % CI: −0·84 %, −0·62 %)) but higher leg fat ratio (LFR, 2·30 % (95 % CI: 2·16 %, 2·44 %)) than those with an unfavourable lifestyle. Significant interactions between lifestyle factors and genetic susceptibility on BMI, FMI and AFR were observed (Pinteraction < 0·05). Among women with a high genetic susceptibility to body composition or fat distribution, those with a healthy lifestyle still had a lower BMI, FMI, FFMI, AFR and TFR and higher LFR (Ptrend < 0·001). Women who adhere to a favourable lifestyle tend to have healthy body composition and fat distribution, and this association is consistent across all strata of genetic risk.
Eco-anxiety is an emerging mental health concern among adolescents, particularly in regions affected by climate-related disasters. Following the 2023 wildfires in Canada’s Northwest Territories (NWT), this study examined associations between wildfire exposure severity, socio-ecological factors, and eco-anxiety among adolescents in the NWT. We conducted a cross-sectional survey with 290 adolescents aged 13–18 years across NWT secondary schools during the 2023–2024 school year. Structural equation modelling examined pathways linking social factors (gender, sexual orientation, Indigenous identity), living conditions (rural residence, caregiver status), structural conditions (food insecurity, wildfire exposure severity) and eco-anxiety. Self-esteem was examined as a moderator. Participants had a mean age of 13.7 years; most identifyied as Indigenous and lived in rural communities. Greater wildfire exposure severity and food insecurity were associated with higher eco-anxiety. Girls, LGBQ+ youth and rural youth reported higher eco-anxiety. Indigenous identity was indirectly associated with eco-anxiety through food insecurity and wildfire exposure severity. Higher self-esteem was associated with lower eco-anxiety and buffered the relationship between wildfire exposure and eco-anxiety. Findings suggest that eco-anxiety among NWT adolescents is shaped by climate-related disruption and social conditions. Interventions can address psychosocial resources and material conditions to support NWT youth mental health following climate-related disasters such as wildfires.
Inconsistent findings persist across resting-state functional imaging studies of regional brain alterations in postpartum depression (PPD), while connections to transcriptional profiles and neurotransmitter systems remain largely uncharacterized.
Methods
We performed a whole-brain voxel-wise meta-analysis of resting-state functional imaging studies comparing PPD patients and healthy controls using SDM-PSI software. JuSpace toolbox analyzed atlas-based nuclear imaging-derived neurotransmitter maps, and transcriptional data were sourced from the Allen Human Brain Atlas.
Results
Our systematic review identified 12 functional imaging studies (475 PPD patients, 504 controls). Patients with PPD displayed increased resting-state functional activity in the left inferior occipital gyrus and left precuneus as well as decreased resting-state functional activity in the right amygdala and left precentral gyrus. These functional alterations spatially overlapped with serotonergic, dopaminergic, and VAChT systems. Transcriptional analysis revealed PPD-related gene enrichments in ion channel function (transmembrane transport, gated/passive channels) and channel complexes.
Conclusions
The meta-analysis revealed functional alterations within the DMN, limbic, and primary sensorimotor systems in PPD patients. These changes were linked to neurotransmitter alterations and genetic modulations underlying brain dysfunction. Collectively, these findings advance mechanistic understanding of PPD pathophysiology.
Increasing evidences show that inflammation might be involved in bipolar disorder (BD), but the association between abnormal brain function and inflammation in BD is still unclear. In this study, we tried to explore the disrupted brain functional network topology, peripheral inflammatory cytokine levels, and their correlations in unmedicated bipolar II depression (BDII-D).
Methods
In this study, 65 individuals with unmedicated BDII-D and 50 healthy controls (HCs) underwent resting-state magnetic resonance imaging scans. Graph theory analysis was performed to investigate the topological properties of the whole-brain functional connectome at both global and nodal levels. Besides, serum levels of 17 inflammatory cytokines were measured in both BDII-D and HCs. Correlations between topological properties, clinical variables, and peripheral inflammatory cytokine levels in BDII-D were calculated.
Results
Compared with HCs, at the global level, BDII-D showed significantly higher $ \lambda $, decreased $ \gamma $, $ \sigma $, Eglo, and Eloc; at the nodal level, BDII-D showed decreased Enodal in the right olfactory cortex, left pallidum, and vermis. Besides, BDII-D showed higher levels of interleukin-8 (IL-8), interleukin-10 (IL-10), and granulocyte colony-stimulating factor (G-CSF) compared with the HCs. In BDII-D, $ \gamma $ and $ \sigma $ were significantly negatively correlated with the Hamilton Depression Rating Scale (HDRS) scores and number of episodes. Also, IL-8 level showed significant negative correlation with $ \gamma $, $ \sigma $, and Enodal of the left pallidum in BDII-D.
Conclusions
Reduced information segregation and integration, and lower nodal efficiency in the left pallidum were associated with proinflammatory cytokine IL-8 level and might contribute to severe depressive symptoms in unmedicated BDII-D.
Overestimation of turnout has long been an issue in election surveys, with nonresponse bias or voter overrepresentation identified as major sources of bias. However, adjusting for nonignorable nonresponse bias is substantially challenging. Based on the ANES Non-Response Follow-Up study concerning the 2020 U.S. presidential election, we investigate the role of callback data, that is, records of contact attempts in the survey course, in adjusting for nonresponse bias in the estimation of turnout. We propose a stableness of resistance assumption to account for nonignorable missingness in the outcome, which states that the impact of the missing outcome on the response propensity is stable in the first two call attempts. Under this assumption and by integrating with covariate information from the census data, we establish identifiability and develop estimation methods for turnout. Our methods produce estimates very close to the official turnout and successfully capture the trend of declining willingness to vote as response reluctance increases. This work highlights the importance of adjusting for nonignorable nonresponse bias and demonstrates the potential of widely available callback data for political surveys.
Depression as a mental illness is commonly observed to co-occur with various somatic diseases, such as gastrointestinal diseases. However, previous studies have primarily focused on the risk of mental disorders following physical illnesses. Our study took depression as a risk factor, attempting to explore its relationship with gastrointestinal diseases.
Methods
A total of 457,940 participants (aged 37–73 years) in the UK Biobank were included. The Cox proportional hazards model was used to assess the relationship between depression and gastrointestinal diseases. Mendelian randomization assessed the causal link between depression and gastrointestinal disorders, and seven machine learning algorithms (including LightGBM, XGBoost, and Random Forest) were trained in the total population to develop predictive models for incident gastrointestinal diseases, with model performance evaluated using the area under the receiver operating characteristic curve (AUC).
Results
During a median follow-up period of 13.7 years, 9563 esophagitis events, 36,420 gastroesophageal reflux disease events, 5469 gastric ulcer events, 3096 duodenal ulcer events, 37,225 gastritis and duodenitis events, and 9153 dyspepsia events were recorded. After adjusting for covariates, depression was associated with increased risk of all six diseases. Two-sample MR analysis supported a causal association. Machine learning models demonstrated good discrimination, with the highest predictive accuracy observed for duodenal ulcer (AUC = 0.76) and gastric ulcer (AUC = 0.75).
Conclusions
Addressing depression as a modifiable risk factor may reduce gastrointestinal disease risk, especially in disadvantaged populations, by integrating mental health care into primary care and using predictive models for early intervention.
Empathy involves communicating and understanding others’ emotion in multisensory contexts, including visual and auditory modalities. Schizophrenia (SCZ) patients have impaired empathy, but whether the impact of visual/auditory context would be altered in SCZ patients and people with high social anhedonia (HSoA) remained unclear.
Methods
We administered the modified Chinese version of the Empathic Accuracy Task (EAT) to clinical (50 SCZ patients and 50 healthy controls) and subclinical samples (59 HSoA and 60 low social anhedonia [LSoA] participants). The EAT employed audio-only, audiovisual, and audioavatar visual conditions to assess the impact of multimodal information on empathy during positive and negative emotional events.
Results
In positive-valenced context, SCZ patients performed worse than controls in cognitive and affective empathy. The Modality-by-Group interaction on empathic accuracy was significant, that is, SCZ patients performed worse than controls in both audiovisual and audioavatar visual conditions, but comparable to controls in audio-only condition. In negative-valenced context, SCZ patients performed worse than controls in cognitive empathy. The Modality-by-Group interaction on empathic accuracy was significant, that is, SCZ patients performed worse than controls in audio-only and audiovisual conditions. Moreover, HSoA participants exhibited lower cognitive empathy than controls in positive-valenced context; and lower cognitive empathy and empathic motivation in negative-valenced context. No significant Modality-by-Group interaction was found in the HSoA–LSoA sample.
Conclusions
SCZ patients have generalized impairments of cognitive and affective empathy across positive and negative contexts, particularly in multimodal conditions. HSoA individuals are primarily impaired in cognitive empathy and empathic motivation.
For regular reflection (RR) and Mach reflection (MR), the critical parameter of the trailing-edge height ($H_{R,min }$), at which the reflected shock grazes the trailing edge, is the critical condition for stable and unstable reflection. A proof of the statement that $H_{R,min }$ for MR is larger than $H_{R,min }$ for RR, within some region in the dual-solution domain, is important for confirming the existence of a dual-solution stability gap, within which RR is stable while MR is unstable. This proof is accomplished here by transitivity, with the intermediate value corresponding to the minimum height of the Mach stem. By establishing a bridge between the evaluation of $H_{R,min }$ for MR and that of the linear coefficients for Mach stem height variation with the trailing-edge height, we overcome the difficulty of quantifying $H_{R,min }$ exactly, and show that the difference between $H_{R,min }$ for MR and $H_{R,min }$ for RR is significant, meaning that there is a large enough dual-solution stability gap. The confirmation of this gap has further impact on shock transition, suggesting a new transition scenario: stable to unstable dynamic transition, i.e., within the dual-solution stability gap, a stable RR can undergo a dynamic transition to an unstable MR state (unstart flow) under suitable disturbance of the flow parameters. This dynamic transition is demonstrated here numerically. The time history of dynamic transitions displays (i) direct transitions from RR to MR to unstart flow, with complex flow structures such as hybrid MR–type VI shock interference and double MR–MR reflections, and (ii) inverted transitions, in which RR first shifts to MR and then returns back to RR.
Subthreshold depression (StD) is considered a prodromal stage of major depressive disorder (MDD). This study aims to investigate the neurobiological mechanisms of StD by analyzing functional connectivity (FC) and cognitive function in comparison to MDD.
Methods
A total of 153 StD individuals, 188 MDD patients, and 110 healthy controls (HCs) were studied using resting-state functional magnetic resonance imaging (fMRI). Whole-brain FC was calculated using seeds from the default mode network (DMN), salience network (SN), executive control network, and affective network (AN). Cognitive function was assessed across seven domains.
Results
StD showed only a deficit in social cognition, while MDD exhibited multidomain cognitive impairments compared to HCs. Both MDD and StD exhibited reduced FC between the right anterior insula (AI) and the left inferior frontal gyrus (IFG), and increased FC between the right subcallosal cingulate cortex and the left posterior cingulate cortex (PCC), key areas of the SN and AN, compared to HCs. MDD particularly showed decreased connectivity between the left PCC and the left middle temporal gyrus, and within the left PCC, while no abnormal FC of the DMN was found in StD. Altered AI-IFG FC was positively correlated with social cognition in StD.
Conclusions
Abnormal connectivity patterns of the SN and AN may contribute to the development of depressive symptoms in StD and MDD, while altered FC of the DMN may be involved in the onset of the disease. A social cognition deficit appeared first in StD, relating to the abnormal connectivity of the SN.
The studies on the association between maternal gestational weight gain (GWG) and spontaneous preterm birth (SPTB) in twin pregnancies are limited and inconsistent. There are no standardized guidelines for GWG in twin pregnancies in China. This retrospective cohort study included 1510 women who delivered living twins from January 1, 2015 to December 31, 2019. The basic demographics and outcomes of mothers and neonates were listed, and logistic regression was used to analyze the relationship between GWG and SPTB in the total population and different subgroups. In the overall population, 464 (30.7%) women had inadequate GWG, and 316 (20.9%) women had excess GWG. Compared to women with adequate GWG, women with inadequate GWG had a significantly higher risk of SPTB (adjusted odds ratio [aOR]: 2.46, 95% CI [1.92, 3.15]), while women with excess GWG also had a significantly higher risk of SPTB (aOR: 1.48, 95% CI [1.12, 1.95]). Both inadequate GWG and excess GWG had a significantly higher risk of SPTB in normal-weight women and women with dichorionic diamniotic twins. Only IGWG was significantly associated with SPTB in women with monochorionic diamniotic twins and underweight women. Our findings indicate that inadequate GWG and excess GWG were significantly associated with a higher risk of SPTB, providing an empirical basis for establishing weight gain guidelines for women with twin pregnancies in China.
A general asymptotic theory is established for sample cross moments of nonstationary time series, allowing for long-range dependence and local unit roots. The theory provides a substantial extension of earlier results on nonparametric regression that include near-cointegrated nonparametric regression as well as spurious nonparametric regression. Many new models are covered by the limit theory, among which are functional coefficient regressions in which both regressors and the functional covariate are nonstationary. Simulations show finite sample performance matching well with the asymptotic theory and having broad relevance to applications, while revealing how dual nonstationarity in regressors and covariates raises sensitivity to bandwidth choice and the impact of dimensionality in nonparametric regression. An empirical example is provided involving climate data regression to assess Earth’s climate sensitivity to CO$_2$, where nonstationarity is a prominent feature of both the regressors and covariates in the model. To our knowledge, this application is the first nonparametric empirical analysis to assess potential nonlinear impacts of CO$_2$ on Earth’s climate while allowing for nonstationarity in both the regressors and covariates.
Charitable assistance from nonprofits and charities plays an important role in helping vulnerable population relieve burdens, but current research provides limited evidence on the factors explaining the receipt of charitable assistance. This study constructs a conceptual framework and empirically tests three groups of factors—from the need, capital, and contextual perspectives—as the antecedents of charitable assistance using data from China. Multilevel logistic regression results show that having needs lays a foundation for charitable assistance, but capital and contextual factors are also important. Higher financial and social capital are associated with higher charitable assistance. Political and social capital strengthen the positive relationship between needs and charitable assistance. Economic development has a positive relationship with charitable assistance, while the relationship between government spending and charitable assistance is negative. This study suggests the inequality of receiving charitable assistance among the disadvantaged groups.
Antidepressants are the primary treatment for major depressive disorder (MDD), yet their precise neurobiological mechanisms remain incompletely understood. This study aimed to elucidate neural differences between medicated and unmedicated MDD patients by analyzing resting-state functional magnetic resonance imaging data.
Methods
We conducted a coordinate-based meta-analysis, complemented by behavioral, genetic, and neurotransmitter-level evaluations to identify potential therapeutic targets and diagnostic biomarkers. Using seed-based d-mapping with permutation of subject images (SDM-PSI), we assessed brain activation changes associated with antidepressant treatment. The identified regions were further characterized using large-scale molecular and functional brain databases.
Results
A total of 59 studies on unmedicated MDD (2,618 patients, 2,486 controls) and 15 studies on medicated MDD (541 patients, 483 controls) were included. The meta-analysis revealed significantly increased activation in the left striatum among medicated patients, a region linked to cognitive functions such as memory and perception. Gene expression analysis highlighted SLC5A7 and prolactin (PRL) as key genes in this region, while neurotransmitter mapping showed associations with serotonin (5-HT1a, 5-HT2a) and dopamine (D1, D2) receptors. Additionally, reduced activation in the left middle occipital gyrus (MOG) was observed across both medicated and unmedicated groups. This region, implicated in recognition and face processing, showed high expression of TFAP2B and PRL and was associated with serotonin and norepinephrine transporter distributions.
Conclusions
These findings suggest that the left striatum may represent a core neurofunctional target of antidepressant treatment, while the left MOG may serve as a stable neurobiological marker for MDD diagnosis, independent of pharmacological status.