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Childhood maltreatment (CM) plays an important role in the development of major depressive disorder (MDD). The aim of this study was to examine whether CM severity and type are associated with MDD-related brain alterations, and how they interact with sex and age.
Within the ENIGMA-MDD network, severity and subtypes of CM using the Childhood Trauma Questionnaire were assessed and structural magnetic resonance imaging data from patients with MDD and healthy controls were analyzed in a mega-analysis comprising a total of 3872 participants aged between 13 and 89 years. Cortical thickness and surface area were extracted at each site using FreeSurfer.
CM severity was associated with reduced cortical thickness in the banks of the superior temporal sulcus and supramarginal gyrus as well as with reduced surface area of the middle temporal lobe. Participants reporting both childhood neglect and abuse had a lower cortical thickness in the inferior parietal lobe, middle temporal lobe, and precuneus compared to participants not exposed to CM. In males only, regardless of diagnosis, CM severity was associated with higher cortical thickness of the rostral anterior cingulate cortex. Finally, a significant interaction between CM and age in predicting thickness was seen across several prefrontal, temporal, and temporo-parietal regions.
Severity and type of CM may impact cortical thickness and surface area. Importantly, CM may influence age-dependent brain maturation, particularly in regions related to the default mode network, perception, and theory of mind.
Hurricane Katrina and its effects are often talked about in terms of what has been made visible, as if the hurricane swept through and stripped away our structural blinders along with the levees, revealing social disparities within. Here, we focus instead on whom and what Katrina and its aftermath have rendered invisible. We are concerned with how the seen and the not seen have influenced the ways the purported tabula rasa of New Orleans has been (re)constructed and marked since 2005. We engage with recent debates in political science about power, agency, structure, and culpability, arguing that efforts to prioritize the pursuit of culpability over critique in power analyses, such as the approach advocated by Steven Lukes, risk perpetuating structural violence. We employ the concepts of an ocular ethic and social triage to understand why the storm of the century that was supposed to reveal all has in the end left much concealed, with shocking levels of human devastation unaddressed. Only through careful excavation of the ruins can we begin to comprehend the sedimented inequality and layers of vulnerability that structure violence.
Introduction
Precursors of the marrow stromal system
The cell types comprising the stromal tissue of the bone marrow (BM) include reticular cells, smooth muscle cells, adipocytes, osteoblasts and various different populations of vascular endothelial cells (Lichtman, 1981; Tavassoli & Friedenstein, 1983; Dexter et al., 1984; Allen, Dexter & Simmons, 1990). A similarly diverse population of stromal cells develops in vitro when BM cells are explanted under appropriate conditions, as originally described by Dexter and colleagues. This well-documented heterogeneity of marrow stromal cells has complicated attempts to characterise the biological properties of each cellular component, a problem compounded by the paucity of monoclonal antibody reagents which might facilitate precise identification and isolation of each cell type.
Studies in rodents and humans have shown that the bone marrow stroma has the ability to regenerate either following physical disruption of the marrow cavity or following high dose chemotherapy or radiation (Patt & Maloney, 1975; Simmons et al., 1987; Testa, Hendry & Molineux, 1988). Given the heterogeneity of the stromal cell population within the bone marrow microenvironment (BMME), it is not known whether all of the different stromal cell lineages have the capacity for self-renewal or, alternatively, whether each stromal cell type arises from the proliferation and differentiation of a common stromal stem cell pool. Putative BM stromal precursor cells (SPC) have been identified in a number of species, including humans, by their ability to generate colonies of cells morphologically resembling fibroblasts when single cell suspensions of BM are explanted at appropriate densities in liquid culture (Fig. 3.1).
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