Background
The corpus callosum (CC) has been implicated in the pathogenesis of schizophrenia and bipolar disorder. Yet, it remains unclear whether CC alterations are related to the underlying familial diathesis for psychotic disorders. We examined CC, its sub-region volumes, and their relationship to cognition, psychotic symptoms and age in subjects with schizophrenia (SZ), psychotic bipolar disorder (PBD), schizoaffective disorder (SZA), their first-degree relatives and in healthy controls.
Methods
We present findings from morphometric and neurocognitive analyses of 1429 subjects [SZ (n=224), PBD (n=190), SZA (n=142), unaffected relatives n= 483) [SZ relatives (195), PBD relatives (175), SZA relatives (113)], and Controls (n=342)]. MPRAGE T1 scans across 5 sites were obtained using 3.T magnets. Image processing was done using FreeSurfer 5.1. Neurcognitive function was measured using the Brief Assessment of Cognition in Schizophrenia (BACS).
Results
Anterior and posterior splenia volumes were significantly reduced across the groups. SZ and PBD Probands showed robust and significant reductions while relatives showed significant reductions of intermediate severity. The splenial volumes were positively but differentially correlated with aspects of cognition in the probands and their relatives. Proband groups showed a significant age-related decrease in the volume of the anterior splenium in comparison with controls. Among the psychosis groups, the anterior splenium in PBD showed a stronger correlation with psychotic symptomatology as shown by the PANSS. All five sub regions showed significantly high familiality.
Conclusions
The splenial volumes were significantly reduced across the psychosis dimension. However, this volume reduction impacts cognition and clinical manifestation of the illnesses differentially.