Oxford University Press eBooks,
Journal Year:
2023,
Volume and Issue:
unknown, P. 711 - 721
Published: Nov. 23, 2023
Abstract
Abnormalities
in
thalamocortical
connectivity
are
a
robust
feature
of
schizophrenia.
These
abnormalities
reflected
by
both
reduced
between
the
thalamus
and
prefrontal
cerebellar
areas,
as
well
increased
sensory
motor
regions.
There
is
also
evidence
for
intra-thalamic
among
people
with
Thalamic
present
before
onset
full
psychotic
illness,
severity
has
been
found
to
predict
conversion
illness.
an
increasing
appreciation
thalamic
disturbances
representing
transdiagnostic
beyond
categorical
bounds
This
growing
literature
includes
deviations
those
bipolar
disorder,
major
depressive
autism
spectrum
obsessive-compulsive
disorder
(among
others).
Future
research
needed
clarify
extent
which
aspects
dysconnectivity,
their
corresponding
behavioral
clinical
correlates,
specific
schizophrenia
versus
relevant
across
psychopathologies.
Such
knowledge
can
then
inform
development
novel
treatments
aimed
at
functional
consequences
abnormalities.
JAMA Psychiatry,
Journal Year:
2023,
Volume and Issue:
80(12), P. 1246 - 1246
Published: Sept. 20, 2023
Psychotic
illness
is
associated
with
anatomically
distributed
gray
matter
reductions
that
can
worsen
progression,
but
the
mechanisms
underlying
specific
spatial
patterning
of
these
changes
unknown.
BMC Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: March 28, 2025
Negative
symptoms
in
schizophrenia
remain
a
challenge
with
limited
therapeutic
strategies.
The
novel
compound
RG7203
promotes
reward
learning
via
dopamine
D1-dependent
signaling
and
therefore
holds
promise,
especially
to
improve
the
apathy
dimension
of
negative
symptoms.
When
tested
as
add-on
antipsychotic
medication,
did
not
change
significantly
versus
placebo.
However,
response
varied
across
patients,
subset
showed
clinically
relevant
improvement
apathy.
It
remains
unclear
if
these
interindividual
differences
are
related
neurobiological
correlates.
Due
predominant
binding
striatum,
we
investigated
how
changes
cortico-striatal
connectivity
by
computing
rank
correlations
(rs).
In
post
hoc
exploratory
analysis,
focused
on
circuits
that
have
been
associated
previously
alterations
schizophrenia.
double-blind,
3-way
randomized
counterbalanced
crossover
study,
resting-state
functional
magnetic
resonance
imaging
was
acquired
from
24
individuals
following
3-week
administration
placebo,
5
mg,
or
15
mg
an
antipsychotics.
We
found
lead
significant
striatal
connectivity.
were
reflected
changes.
Apathy
vs.
placebo
increased
paracingulate
(rs
=
-
0.58,
p
0.047
for
both
doses)
anterior
cingulate
regions
0.56,
doses).
Such
associations
observed
symptom
expressive
deficits.
additionally
lower
during
linked
greater
treatment
at
doses
0.61-0.79
0.0002-0.02
These
findings
suggest
gyrus
cortex
may
be
modulation
under
treatment.
Replication
further
elaboration
larger
clinical
studies
could
help
advance
biologically
informed
personalized
options
NCT02824055,
registered
ClinicalTrials.gov
(2016-06-21).
NeuroImage,
Journal Year:
2023,
Volume and Issue:
283, P. 120417 - 120417
Published: Oct. 20, 2023
fMRI
of
the
human
brain
reveals
spatiotemporal
patterns
functional
connectivity
(FC),
forming
distinct
cortical
networks.
Lately,
subcortical
contributions
to
these
configurations
are
receiving
renewed
interest,
but
investigations
rarely
focus
explicitly
on
their
effects
cortico-cortical
FC.
Here,
we
employ
a
straightforward
multivariable
approach
and
graph-theoretic
tools
assess
impact
topological
features
Given
recent
evidence
showing
that
structures
like
thalamus
basal
ganglia
integrate
input
from
multiple
networks,
expect
increased
segregation
between
networks
after
removal
FC
patterns.
We
analyze
resting
state
data
young
healthy
participants
(male
female;
N
=
100)
connectome
project.
find
overall,
network
architecture
becomes
less
segregated,
more
integrated,
when
influences
accounted
for.
Underlying
global
following
trends:
'Transmodal'
systems
become
integrated
with
rest
network,
while
'unimodal'
show
opposite
effect.
For
single
nodes
this
hierarchical
organization
is
reflected
by
close
correspondence
spatial
layout
principal
gradient
(Margulies
et
al.,
2016).
Lastly,
limbic
system
significantly
coherent
removed.
The
findings
validated
in
(split-sample)
replication
dataset.
Our
results
provide
new
insight
regarding
interplay
subcortex
putting
integrative
context
macroscale
organization.
European Psychiatry,
Journal Year:
2023,
Volume and Issue:
66(1)
Published: Jan. 1, 2023
Abstract
Background
Observations
from
different
fields
of
research
coincide
in
indicating
that
a
defective
gamma-aminobutyric
acid
(GABA)
interneuron
system
may
be
among
the
primary
factors
accounting
for
varied
clinical
expression
schizophrenia.
GABA
deficiency
is
locally
expressed
form
neural
activity
desynchronization.
We
mapped
functional
anatomy
local
synchrony
cerebral
cortex
schizophrenia
using
connectivity
MRI.
Methods
Data
86
patients
with
and
137
control
subjects
were
obtained
publicly
available
repositories.
Resting-state
maps
based
on
Iso-Distant
Average
Correlation
measures
across
three
distances
estimated
detailing
structure
cortex.
Results
Patients
showed
weaker
(i.e.,
lower
MRI
signal
synchrony)
(i)
prefrontal
lobe
areas,
(ii)
somatosensory,
auditory,
visual,
motor
cortices,
(iii)
paralimbic
at
anterior
insula
cingulate
cortex,
(iv)
hippocampus.
The
distribution
defect
cortical
area
largely
coincided
synchronization
effect
agonist
alprazolam
previously
observed
identical
measures.
There
was
also
notable
resemblance
between
our
findings
areas
showing
higher
density
parvalbumin
(prefrontal
sensory
cortices)
somatostatin
(anterior
cortex)
interneurons
humans.
Conclusions
Our
results
thus
provide
detail
changes
suggest
which
elements
are
affected.
Such
information
could
ultimately
relevant
search
specific
treatments.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Jan. 12, 2022
Abstract
Importance
Psychotic
illness
is
associated
with
anatomically
distributed
grey
matter
reductions
that
can
worsen
progression,
but
the
mechanisms
underlying
specific
spatial
patterning
of
these
changes
unknown.
Objective
To
test
hypothesis
brain
network
architecture
constrains
cross-sectional
and
longitudinal
alterations
across
different
stages
psychotic
to
identify
whether
certain
regions
act
as
putative
epicentres
from
which
volume
loss
spreads.
Design,
Settings,
Participants
This
study
included
534
individuals
4
cohorts,
spanning
early
late
illness.
Early-stage
cohorts
patients
antipsychotic-naïve
first
episode
psychosis
(N=59)
a
group
medicated
within
3
years
onset
(N=121).
Late-stage
comprised
two
independent
samples
people
established
schizophrenia
(N=136
in
total).
Each
patient
had
corresponding
matched
control
(N=218
A
further
sample
healthy
adults
(N=346)
was
used
derive
representative
structural
functional
networks
for
modelling
network-based
spreading
processes.
We
additionally
examined
illness-related
antipsychotic-related
over
12
months
using
triple-blind
randomised
placebo-control
MRI
patients.
All
data
were
collected
between
April
2008
January
2020,
analyses
performed
March
2021
2023.
Main
Outcomes
Measures
coordinated
deformation
models
predict
extent
change
each
332
parcellated
areas
by
observed
they
structurally
or
functionally
coupled.
loss,
we
diffusion
model
simulate
spread
pathology
seed
regions.
Correlations
predicted
empirical
patterns
quantify
performance.
Results
In
both
illness,
differences
controls
more
accurately
constrained
structural,
rather
than
functional,
(.
46
<
r
.57;
p
.001).
The
same
also
robustly
related
(
>
52;
.001)
antipsychotic
exposure
.50;
Diffusion
consistently
identified,
all
four
datasets,
anterior
hippocampus
epicentre
pathological
.05).
Epicentres
apparent
posteriorly
shifted
anteriorly
prefrontal
cortex
progression.
Conclusion
Relevance
Our
findings
highlight
robust
central
role
white
fibres
conduits
mirroring
reported
neurodegenerative
conditions.
connectome
thus
represents
fundamental
constraint
on
psychosis,
regardless
are
caused
medication.
Moreover,
dysfunction
may
affect
connected
areas.
Key
points
Question
Are
continuum
loss?
Findings
Across
strongly
brain’s
axonal
pathways
identified
source
volume-loss
Meaning
White
medial
temporal
play
critical
origins
reductions.
Schizophrenia Research,
Journal Year:
2022,
Volume and Issue:
263, P. 99 - 108
Published: Oct. 13, 2022
Psychiatry
is
currently
negotiating
several
challenges
that
are
typified
by
(but
not
unique
to)
schizophrenia:
do
periodic
refinements
in
operational
diagnostic
algorithms
(a)
resolve
intricacies
and
subtleties
within
between
psychotic
non-psychotic
disorders
authentic
impactful,
or
(b)
constitute
arbitrary
porous
boundaries
should
be
complemented,
even
replaced,
dimensional-continuum
concepts
of
abnormality
dysfunction.
Critically,
these
issues
relate
only
to
apparent
diagnoses
but
also
those
'health'
'illness'.
This
article
considers
catatonia
evolving
approaches
the
description
impairment
dysfunction
among
disorders.
It
begins
considering
definition
assessment
vis-à-vis
other
disorders,
followed
its
long-standing
conjunction
with
schizophrenia,
relationship
antipsychotic
drug
treatment,
transdiagnostic
perspectives
relationships,
pathobiological
processes.
These
appear
involve
across
elements
overlapping
neural
networks
result
a
confluence
psychopathology
intrinsic
hypo-
hyperkinetic
motor
has
been
argued
while
current
can
have
utility
defining
groups
cases
closely
related,
contemporary
evidence
indicates
categorical
divisions
what
essentially
continuous
landscape.
Psychotic
diagnoses,
including
catatonia,
may
reflect
areas
around
points
intersection
orthogonal
dimensions
movement
disorder
poly-dimensional
space
characterises
this
landscape
mental
health
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Nov. 6, 2023
Although
computational
models
have
deepened
our
understanding
of
neuroscience,
it
is
still
highly
challenging
to
link
actual
low-level
physiological
activity
(spiking,
field
potentials)
and
biochemistry
(transmitters
receptors)
with
high-level
cognitive
abilities
(decision-making,
working
memory)
nor
corresponding
disorders.
We
introduce
an
anatomically-organized
multi-scale
model
directly
generating
simulated
physiology
from
which
extended
neural
phenomena
emerge.
The
produces
spiking,
fields,
phase
synchronies,
synaptic
change,
memory,
decisions,
categorization,
all
were
then
validated
on
extensive
experimental
macaque
data
the
received
zero
prior
training
any
kind.
Moreover,
simulation
uncovered
a
previously
unknown
code
specifically
predicting
upcoming
erroneous
(“incongruous”)
behaviors,
also
subsequently
confirmed
in
empirical
data.
biomimetic
thus
predictively
links
novel
decision
reinforcement
signals,
interest,
spiking
codes,
potential
behavioral
clinical
relevance.