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Background Neurological softs signs (NSS) are defined as subtle neurological abnormalities with manifestations of motor coordination, sensory integration and disinhibition. Evidence has suggested NSS as one of the most promising endophenotypes for schizophrenia spectrum disorders. Moreover, accumulating evidence also suggest that NSS may be associated with specific functional connectivity. The present study aimed to examine the cerebellar-cerebral resting-state functional connectivity (rsFC) of NSS in patients with first-episode schizophrenia (FES) and their unaffected siblings (SB). Methods We administered the abridge version of the Cambridge Neurological Inventory (CNI) to 51 FES patients, 20 unaffected SB, and 50 healthy controls (HC) to assess the severity of NSS. All the participants also underwent a resting-state functional magnetic resonance imaging (MRI) scan. Ten regions of interest (ROIs) in the cerebellum were selected to represent cerebellar motor network (MN) and cerebellar executive control network (EN), which corresponded to the “sensorimotor-cognitive” dichotomy of NSS. rsFC between each ROI and the whole brain voxels were constructed, and the linear regression analysis was conducted to examine the cerebellar-cerebral rsFC patterns of NSS in each group. Results Regarding the cerebellar MN, there were positive correlations observed between the rsFC of the cerebellar MN with the default mode network (DMN) and NSS in FES patients group (CNI total score and the motor coordination subscale) and the SB group (CNI total score and the motor coordination and sensory integration subscales). The rsFC of the cerebellar MN and the sensorimotor network were significantly and positively correlated with NSS (CNI total score and the motor coordination and sensory integration subscales) in the SB group. Regarding the cerebellar EN, we found that both the FES and the SB groups exhibited significantly negative correlations between NSS (CNI total score and the motor coordination subscale) and the rsFC of the cerebellar EN with the DMN. Moreover, the rsFC between the cerebellar EN and the sensorimotor network was positively correlated with NSS (CNI total score and the motor coordination and disinhibition subscales) in the SB group. Discussion We found inverse correlations between NSS and the rsFC of the cerebellar EN/MN and the DMN in both FES patients and their unaffected SB, suggesting that altered cerebellar-cerebral rsFC between these networks is correlated with the NSS. Moreover, the SB group exhibited a unique correlational pattern that NSS were correlated with the cerebellar-sensorimotor network rsFC, suggesting that such a network connectivity may serve as a potential biomarker for schizophrenia.

schizophrenia bulletin

M158. ASSOCIATIONS OF NEUROLOGICAL SOFT SIGNS AND CEREBELLAR-CEREBRAL FUNCTIONAL CONNECTIVITY IN PATIENTS WITH FIRST-EPISODE SCHIZOPHRENIA AND THEIR UNAFFECTED SIBLINGS