Progressive white matter microstructure damage in male chronic heroin dependent individuals: a DTI and TBSS study
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BACKGROUND: To investigate the WM microstructure deficits in heroin dependent individuals (HDIs) with different length of heroin dependence, and to investigate whether these WM deficits can be related to the duration of heroin use and to decision-making deficits in HDIs. METHODOLOGY/PRINCIPAL FINDINGS: Thirty-six HDIs [including eighteen sHDIs (duration of heroin dependent is less than 10 years) and eighteen lHDIs (duration of dependent is between 10:20 years)] and sixteen healthy controls participated in this study. Whole brain voxel-wise analysis of fractional anisotropy (FA), mean diffusivity (MD), axial diffusivity (Da) and radial diffusivity (Dr) were performed by tract-based spatial statistics (TBSS) to localize abnormal WM regions among groups. TBSS demonstrated that sHDIs had significantly lower FA than controls in right orbito-frontal WM, bilateral temporal WM and right parietal WM. The lHDIs had significantly lower FA throughout the brain compared with the controls and sHDIs. The lHDIs had significantly lower Da than controls in bilateral inferior frontaloccipital fasciculus, bilateral splenium of corpus callosum, left inferior longitudinal fasciculus, and had significantly higher Dr than controls in bilateral uncinatus fasciculus, bilateral inferior frontaloccipital fasciculus and bilateral cortical spinal fasciculus. Volume-of-interest (VOI) analyses detect the changes of diffusivity indices in the regions with FA abnormalities revealed by control vs sHDIs. In most VOIs, FA reductions were caused by the increase in Dr as well as the decrease in Da. Correlation analysis was used to assess the relationship between FA and behavioral measures in HDIs and controls available. Significantly positively correlations were found between the FA values in the right orbital-frontal WM, right parietal WM and IGT performance. CONCLUSIONS: The extent and severity of WM integrity deficits in HDIs was associated with the length of heroin dependent. Furthermore, abnormal WM microstructure may correlate with decision-making impairments in HDIs.
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Among opiate users, FA reliably distinguishes short-term from long-term users, with long-term users having significantly lower FA.
“Within opiate users, FA has also been shown to reliably dissociate short- and long-term users, with the latter having significantly lower FA (Qiu et al., 2013).”
From Substance abuse and white matter: Findings, limitations, and future of diffusion tensor imaging research (2019) · cites this paper as Qiu et al., 2013
Opiate-abusing people consistently show lower FA and lower AD than non-using controls.
“Relative to non-using controls, opiate-abusing individuals consistently exhibit both lower FA (Bora et al., 2012; Fu et al., 2008; Li et al., 2013; Qiu et al., 2013; Wang et al., 2011) and lower AD (Bora et al., 2012; Qiu et al., 2013).”
From Substance abuse and white matter: Findings, limitations, and future of diffusion tensor imaging research (2019) · cites this paper as Qiu et al., 2013
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Yanagawa, Y., Nagasawa, H., Torizawa, N., & Takeuchi, I. (2024) · Internal Medicine · doi:10.2169/internalmedicine.3002-23 · Cited by 2 · see citing works
Mahoney, J. J., Bryant, K. R., & Haut, M. W. (2019) · Springer eBooks · doi:10.1007/978-3-030-14895-9_32 · Cited by 2 · see citing works
Brain Imaging and Substance Use Disorders: Focus on White Matter Microstructural Integrity
Rossetti, M. G., Crisanti, C., Brambilla, P., & Lorenzetti, V. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819641-0.00117-1 · Cited by 2 · see citing works
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Differences Between Those Engaged in Heroin Use and Non-Prescribed Opioid Use
Schepis, T. S., Duncan, B., & Vrotsos, K. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197618431.013.36 · Cited by 1 · see citing works
Heroin and its Effects on the Brain
Krishnan, J. (2024) · BENTHAM SCIENCE PUBLISHERS eBooks · doi:10.2174/9789815223828124010003
Investigating the association between heroin dose, genetics, and personality disorders
Uludağ, K., Su, H., Jiang, H., Du, J., Zhong, N., & Zhao, M. (2024) · Heroin addiction and related clinical problems · doi:10.62401/2531-4122-2024-62
Self-citationNeuroimaging in Drug and Substance Abuse
Morales, H., Fayed, N. M., & Fayed, A. (2024) · Springer eBooks · doi:10.1007/978-3-031-72219-6_44
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- Authors
- Qiu, Y., Jiang, G., Su, H., Lv, X., Zhang, X., Tian, J., & Zhuo, F.
- Affiliations
- Guangdong Provincial People's Hospital (CN)
- Sun Yat-sen University (CN)
- Corresponding author
- Qiu, Yingwei
- Tian, Junzhang
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-05-01
- Volume
- 8
- Issue
- 5
- Pages
- e63212
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3641135
- OpenAlex
- W2150187417
- Cited by
- 58
- References
- 38
- Citations by year
- 2026: 1 · 2024: 6 · 2023: 3 · 2022: 5 · 2021: 3 · 2020: 6 · 2019: 7 · 2018: 3 · 2017: 1 · 2016: 9 · 2015: 7 · 2014: 6 · 2013: 1
- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Kentucky
- Sun Yat-sen University
- South China Normal University
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- heroin addiction, white matter microstructure, fractional anisotropy, axial and radial diffusivity, decision-making impairment, Iowa Gambling Task, inferior fronto-occipital fasciculus, corpus callosum, inferior longitudinal fasciculus
- MeSH terms
- Adult, Cerebral Cortex, Data Interpretation, Statistical, Heroin, Games, Experimental, Heroin Dependence, Humans, Male, Narcotics, Neuropsychological Tests, Case-Control Studies, Anisotropy, Diffusion Tensor Imaging, Neuroimaging
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