Clinical trial NCT02653235: Impact of Immune Challenge on Triple Network Connectivity in Humans
Official title: Exploring the Impact of Peripheral Immune Challenge on the "Triple Network" and "Dorsal Nexus" Functional Connectivity in Humans
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Major Depression
Lead sponsor: NHS Greater Glasgow and Clyde
Sponsor class: OTHER
Collaborators: name: University of Glasgow
First posted: 2016-01-12
Enrollment: 20
Sex: MALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: BASIC_SCIENCE

Brief summary: Acquiring, processing and utilising "information" is crucial to any mental function -including seemingly simple daily functions. Collectively called 'cognitive functions', these processes are a result of different regions of the brain acting together.

Disruption of these cognitive functions increases the risk of development of mental health problem. Recently it has been proposed that inflammatory pathways may contribute to disorders of cognition and behaviour like depression.

This is largely due to research showing that those with inflammatory conditions like arthritis are more likely to develop mental health problems like depression. Conversely, those who suffer from mental health problems (even in the absence of inflammatory conditions) have large amounts of inflammatory molecules in the blood. Studies in animals suggest that inflammation outside the brain can reach and affect the brain in a number of ways. So, does inflammation play a role in the development of cognitive and behavioural symptoms? What are the pathways involved?

The current project tries to address this question. Specifically, the investigators intend to use modern scanning techniques to examine the effect of inducing a low grade inflammation (using a commonly used typhoid vaccine) to see how the inflammation affects how different regions of the act together to perform cognitive functions.


Eligibility criteria: Inclusion Criteria:

1. Written informed consent
2. Aged 18 - 50 years old
3. Male

Exclusion Criteria:

1. Female
2. History/family history of medical or/and Axis I DSM IV condition
3. Received typhoid vaccination within the last 3 years
4. Taken oral antibiotics/antiinflammatory agents within the previous 2 weeks
5. Current Smokers
6. Contraindication for MRI scans
7. Contraindication for Salmonella typhi vaccination
8. Known hypersensitivity to a Vi antigen containing vaccine.

Primary outcomes:
measure: Functional connectivity measured using resting state functional MRI BOLD time series cross correlations between the network nodes.
timeFrame: 6 hours
Secondary outcomes:
measure: Correlation of functional connectivity measures with circulating serum cytokines and POMS/ BDI scores using multivariate general linear models
timeFrame: 6 hours
Other outcomes:
Locations:
Study officials:
References:
citation: Stefanov K, McLean J, McColl A, Basu N, Cavanagh J, Krishnadas R. Mild Inflammation in Healthy Males Induces Fatigue Mediated by Changes in Effective Connectivity Within the Insula. Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 Sep;5(9):865-874. doi: 10.1016/j.bpsc.2020.04.005. Epub 2020 Apr 22.