Evidence map›Paper›PMID 27547505›Full record

ArticleBrain and behavior2016

Organizational topology of brain and its relationship to ADHD in adolescents with d-transposition of the great arteries.

Vincent J Schmithorst, Ashok Panigrahy, J William Gaynor, Christopher G Watson, Vince Lee, David C Bellinger, Michael J Rivkin, Jane W Newburger

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Article in Brain and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

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0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Cognitive impairment in adult CHD survivors: A pilot study.International journal of cardiology. Congenital heart disease · 2021
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Vincent J SchmithorstDepartment of Pediatric Radiology Childrens Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania.
Ashok PanigrahyDepartment of Pediatric Radiology Childrens Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania; Department of Radiology and Bioinformatics University of Pittsburgh Pittsburgh Pennsylvania; Department of Radiology Children's Hospital Los Angeles Los Angeles California; Brain and Creativity Institute University of Southern California Los Angeles California.
J William GaynorDepartment of Cardiothoracic Surgery Children's Hospital of Philadelphia Philadelphia Pennsylvania.
Christopher G WatsonDepartment of Neurology Boston Children's Hospital Boston Massachusetts; Graduate Program for Neuroscience Boston University Boston Massachusetts.
Vince LeeDepartment of Pediatric Radiology Childrens Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania.
David C BellingerDepartment of Neurology Boston Children's Hospital Boston Massachusetts.
Michael J RivkinDepartment of Neurology Boston Children's Hospital Boston Massachusetts; Department of Psychiatry Boston Children's Hospital Boston Massachusetts; Department of Radiology Boston Children's Hospital Boston Massachusetts; Department of Neurology Harvard Medical School Boston Massachusetts.
Jane W NewburgerDepartment of Cardiology Boston Children's Hospital Boston Massachusetts; Department of Pediatrics Harvard Medical School Boston Massachusetts.

Funding

Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI STEVENS, BETH ANN · 2016 to 2020
$5.2M
Outcomes in Adolescence after Repair of d-TGAR01HL077681 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEWBURGER, JANE W. · 2004 to 2008
$3.1M
NHLBI NIH HHS R01 HL077681NICHD NIH HHS U54 HD090255
6 · The paper itself

Abstract

objectiveLittle is currently known about the impact of congenital heart disease (CHD) on the organization of large-scale brain networks in relation to neurobehavioral outcome. We investigated whether CHD might impact ADHD symptoms via changes in brain structural network topology in a cohort of adolescents with d-transposition of the great arteries (d-TGA) repaired with the arterial switch operation in early infancy and referent subjects. We also explored whether these effects might be modified by apolipoprotein E (APOE) genotype, as the APOE ε2 allele has been associated with worse neurodevelopmental outcomes after repair of d-TGA in infancy.

methodsWe applied graph analysis techniques to diffusion tensor imaging (DTI) data obtained from 47 d-TGA adolescents and 29 healthy referents to construct measures of structural topology at the global and regional levels. We developed statistical mediation models revealing the respective contributions of d-TGA, APOE genotype, and structural network topology on ADHD outcome as measured by the Connors ADHD/DSM-IV Scales (CADS).

resultsChanges in overall network connectivity, integration, and segregation mediated worse ADHD outcomes in d-TGA patients compared to healthy referents; these changes were predominantly in the left and right intrahemispheric regional subnetworks. Exploratory analysis revealed that network topology also mediated detrimental effects of the APOE ε4 allele but improved neurobehavioral outcomes for the APOE ε2 allele.

conclusionOur results suggest that disruption of organization of large-scale networks may contribute to neurobehavioral dysfunction in adolescents with CHD and that this effect may interact with APOE genotype.

Indexed as

Attention Deficit Disorder with HyperactivityAdolescentApolipoprotein E2Apolipoprotein E4BrainDiffusion Tensor ImagingFemaleHumansMaleNerve NetTransposition of Great VesselsApolipoprotein E2Apolipoprotein E4Congenital heart diseased‐TGAfractional anisotropygraph theoryMRIneurodevelopmenttractography

Identifiers

PMID27547505
PMCPMC4980474

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.