Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia

IntroductionThe locus coeruleus-noradrenaline (LC-NA) system is involved in a wide range of cognitive functions and may be altered in schizophrenia. A non-invasive method to indirectly measure LC activity is task-evoked pupillary response. Individuals with schizophrenia present reduced pupil dilatio...

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Main Authors: Ana Pelegrino, Anna Luiza Guimaraes, Walter Sena, Nwabunwanne Emele, Linda Scoriels, Rogerio Panizzutti
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1190329/full
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author Ana Pelegrino
Ana Pelegrino
Anna Luiza Guimaraes
Anna Luiza Guimaraes
Walter Sena
Walter Sena
Nwabunwanne Emele
Nwabunwanne Emele
Linda Scoriels
Linda Scoriels
Rogerio Panizzutti
Rogerio Panizzutti
author_facet Ana Pelegrino
Ana Pelegrino
Anna Luiza Guimaraes
Anna Luiza Guimaraes
Walter Sena
Walter Sena
Nwabunwanne Emele
Nwabunwanne Emele
Linda Scoriels
Linda Scoriels
Rogerio Panizzutti
Rogerio Panizzutti
author_sort Ana Pelegrino
collection DOAJ
description IntroductionThe locus coeruleus-noradrenaline (LC-NA) system is involved in a wide range of cognitive functions and may be altered in schizophrenia. A non-invasive method to indirectly measure LC activity is task-evoked pupillary response. Individuals with schizophrenia present reduced pupil dilation compared to healthy subjects, particularly when task demand increases. However, the extent to which alteration in LC activity contributes to schizophrenia symptomatology remains largely unexplored. We aimed to investigate the association between symptomatology, cognition, and noradrenergic response in individuals with schizophrenia.MethodsWe assessed task-evoked pupil dilation during a pro- and antisaccade task in 23 individuals with schizophrenia and 28 healthy subjects.ResultsBoth groups showed similar preparatory pupil dilation during prosaccade trials, but individuals with schizophrenia showed significantly lower pupil dilation compared to healthy subjects in antisaccade trials. Importantly, reduced preparatory pupil dilation for antisaccade trials was associated with worse general symptomatology in individuals with schizophrenia.DiscussionOur findings suggest that changes in LC-NA activity – measured by task-evoked pupil dilation – when task demand increases is associated with schizophrenia symptoms. Interventions targeting the modulation of noradrenergic responses may be suitable candidates to reduce schizophrenia symptomatology.
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spelling doaj.art-79b2aab05cb042bbb341ad1249e4392f2023-11-07T07:32:05ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-11-011410.3389/fpsyt.2023.11903291190329Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophreniaAna Pelegrino0Ana Pelegrino1Anna Luiza Guimaraes2Anna Luiza Guimaraes3Walter Sena4Walter Sena5Nwabunwanne Emele6Nwabunwanne Emele7Linda Scoriels8Linda Scoriels9Rogerio Panizzutti10Rogerio Panizzutti11Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilUniversité Paris Cité, Institut de Psychiatrie et Neurosciences de Paris, Inserm, Paris, FranceInstituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilInstituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, BrazilIntroductionThe locus coeruleus-noradrenaline (LC-NA) system is involved in a wide range of cognitive functions and may be altered in schizophrenia. A non-invasive method to indirectly measure LC activity is task-evoked pupillary response. Individuals with schizophrenia present reduced pupil dilation compared to healthy subjects, particularly when task demand increases. However, the extent to which alteration in LC activity contributes to schizophrenia symptomatology remains largely unexplored. We aimed to investigate the association between symptomatology, cognition, and noradrenergic response in individuals with schizophrenia.MethodsWe assessed task-evoked pupil dilation during a pro- and antisaccade task in 23 individuals with schizophrenia and 28 healthy subjects.ResultsBoth groups showed similar preparatory pupil dilation during prosaccade trials, but individuals with schizophrenia showed significantly lower pupil dilation compared to healthy subjects in antisaccade trials. Importantly, reduced preparatory pupil dilation for antisaccade trials was associated with worse general symptomatology in individuals with schizophrenia.DiscussionOur findings suggest that changes in LC-NA activity – measured by task-evoked pupil dilation – when task demand increases is associated with schizophrenia symptoms. Interventions targeting the modulation of noradrenergic responses may be suitable candidates to reduce schizophrenia symptomatology.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1190329/fullschizophreniacognitionsymptom severitylocus coeruleusnoradrenergic responsepupil dilation
spellingShingle Ana Pelegrino
Ana Pelegrino
Anna Luiza Guimaraes
Anna Luiza Guimaraes
Walter Sena
Walter Sena
Nwabunwanne Emele
Nwabunwanne Emele
Linda Scoriels
Linda Scoriels
Rogerio Panizzutti
Rogerio Panizzutti
Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
Frontiers in Psychiatry
schizophrenia
cognition
symptom severity
locus coeruleus
noradrenergic response
pupil dilation
title Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
title_full Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
title_fullStr Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
title_full_unstemmed Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
title_short Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
title_sort dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia
topic schizophrenia
cognition
symptom severity
locus coeruleus
noradrenergic response
pupil dilation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1190329/full
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