Entorhinal cortex volume in antipsychotic-naïve schizophrenia

Background: Entorhinal cortex (ERC), a multimodal sensory relay station for the hippocampus, is critically involved in learning, emotion, and novelty detection. One of the pathogenetic mechanistic bases in schizophrenia is proposed to involve aberrant information processing in the ERC. Several studi...

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Main Authors: Sam P Jose, Eesha Sharma, Janardhanan C Narayanaswamy, Vishnurajan Rajendran, Sunil V Kalmady, Naren P Rao, Ganesan Venkatasubramanian, Bangalore N Gangadhar
Format: Article
Language:English
Published: SAGE Publishing 2012-01-01
Series:Indian Journal of Psychological Medicine
Subjects:
Online Access:http://www.ijpm.info/article.asp?issn=0253-7176;year=2012;volume=34;issue=2;spage=164;epage=169;aulast=Jose
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author Sam P Jose
Eesha Sharma
Janardhanan C Narayanaswamy
Vishnurajan Rajendran
Sunil V Kalmady
Naren P Rao
Ganesan Venkatasubramanian
Bangalore N Gangadhar
author_facet Sam P Jose
Eesha Sharma
Janardhanan C Narayanaswamy
Vishnurajan Rajendran
Sunil V Kalmady
Naren P Rao
Ganesan Venkatasubramanian
Bangalore N Gangadhar
author_sort Sam P Jose
collection DOAJ
description Background: Entorhinal cortex (ERC), a multimodal sensory relay station for the hippocampus, is critically involved in learning, emotion, and novelty detection. One of the pathogenetic mechanistic bases in schizophrenia is proposed to involve aberrant information processing in the ERC. Several studies have looked at cytoarchitectural and morphometric changes in the ERC, but results have been inconsistent possibly due to the potential confounding effects of antipsychotic treatment. Materials and Methods In this study, we have examined the entorhinal cortex volume in antipsychotic-naïve schizophrenia patients (n=40; M:F=22:18) in comparison with age, sex, and handedness, matched (as a group) with healthy subjects (n=42; M:F=25:17) using a valid method. 3-Tesla MR images with 1-mm sections were used and the data was analyzed using the SPSS software. Results: Female schizophrenia patients (1.25±0.22 mL) showed significant volume deficit in the right ERC in comparison with female healthy controls (1.45±0.34 mL) (F=4.9; P=0.03), after controlling for the potential confounding effects of intracranial volume. However, male patients did not differ from male controls. The left ERC volume did not differ between patients and controls. Conclusions: Consistent with the findings of a few earlier studies we found a reduction in the right ERC volume in patients. However, this was limited to women. Contextually, our study finding supports the role for ERC deficit in schizophrenia pathogenesis - perhaps mediated through aberrant novelty detection. Sex-differential observation of ERC volume deficit in schizophrenia needs further studies.
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spelling doaj.art-62f6ac6a7a484896b55be8116e1da5b02022-12-21T22:32:55ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762012-01-0134216416910.4103/0253-7176.101787Entorhinal cortex volume in antipsychotic-naïve schizophreniaSam P JoseEesha SharmaJanardhanan C NarayanaswamyVishnurajan RajendranSunil V KalmadyNaren P RaoGanesan VenkatasubramanianBangalore N GangadharBackground: Entorhinal cortex (ERC), a multimodal sensory relay station for the hippocampus, is critically involved in learning, emotion, and novelty detection. One of the pathogenetic mechanistic bases in schizophrenia is proposed to involve aberrant information processing in the ERC. Several studies have looked at cytoarchitectural and morphometric changes in the ERC, but results have been inconsistent possibly due to the potential confounding effects of antipsychotic treatment. Materials and Methods In this study, we have examined the entorhinal cortex volume in antipsychotic-naïve schizophrenia patients (n=40; M:F=22:18) in comparison with age, sex, and handedness, matched (as a group) with healthy subjects (n=42; M:F=25:17) using a valid method. 3-Tesla MR images with 1-mm sections were used and the data was analyzed using the SPSS software. Results: Female schizophrenia patients (1.25±0.22 mL) showed significant volume deficit in the right ERC in comparison with female healthy controls (1.45±0.34 mL) (F=4.9; P=0.03), after controlling for the potential confounding effects of intracranial volume. However, male patients did not differ from male controls. The left ERC volume did not differ between patients and controls. Conclusions: Consistent with the findings of a few earlier studies we found a reduction in the right ERC volume in patients. However, this was limited to women. Contextually, our study finding supports the role for ERC deficit in schizophrenia pathogenesis - perhaps mediated through aberrant novelty detection. Sex-differential observation of ERC volume deficit in schizophrenia needs further studies.http://www.ijpm.info/article.asp?issn=0253-7176;year=2012;volume=34;issue=2;spage=164;epage=169;aulast=JoseEntorhinal cortexhippocampusschizophrenia
spellingShingle Sam P Jose
Eesha Sharma
Janardhanan C Narayanaswamy
Vishnurajan Rajendran
Sunil V Kalmady
Naren P Rao
Ganesan Venkatasubramanian
Bangalore N Gangadhar
Entorhinal cortex volume in antipsychotic-naïve schizophrenia
Indian Journal of Psychological Medicine
Entorhinal cortex
hippocampus
schizophrenia
title Entorhinal cortex volume in antipsychotic-naïve schizophrenia
title_full Entorhinal cortex volume in antipsychotic-naïve schizophrenia
title_fullStr Entorhinal cortex volume in antipsychotic-naïve schizophrenia
title_full_unstemmed Entorhinal cortex volume in antipsychotic-naïve schizophrenia
title_short Entorhinal cortex volume in antipsychotic-naïve schizophrenia
title_sort entorhinal cortex volume in antipsychotic naive schizophrenia
topic Entorhinal cortex
hippocampus
schizophrenia
url http://www.ijpm.info/article.asp?issn=0253-7176;year=2012;volume=34;issue=2;spage=164;epage=169;aulast=Jose
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