Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia

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 the varied clinical expression of schizophrenia. GABA interneuron deficiency is locally expre...

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Main Authors: Jesus Pujol, Nuria Pujol, Anna Mané, Gerard Martínez-Vilavella, Joan Deus, Víctor Pérez-Sola, Laura Blanco-Hinojo
Format: Article
Language:English
Published: Cambridge University Press 2023-01-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382302463X/type/journal_article
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author Jesus Pujol
Nuria Pujol
Anna Mané
Gerard Martínez-Vilavella
Joan Deus
Víctor Pérez-Sola
Laura Blanco-Hinojo
author_facet Jesus Pujol
Nuria Pujol
Anna Mané
Gerard Martínez-Vilavella
Joan Deus
Víctor Pérez-Sola
Laura Blanco-Hinojo
author_sort Jesus Pujol
collection DOAJ
description 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 the varied clinical expression of schizophrenia. GABA interneuron deficiency is locally expressed in the form of neural activity desynchronization. We mapped the functional anatomy of local synchrony in the cerebral cortex in schizophrenia using functional connectivity MRI. Methods Data from 86 patients with schizophrenia and 137 control subjects were obtained from publicly available repositories. Resting-state functional connectivity maps based on Iso-Distant Average Correlation measures across three distances were estimated detailing the local functional structure of the cerebral cortex. Results Patients with schizophrenia showed weaker local functional connectivity (i.e., lower MRI signal synchrony) in (i) prefrontal lobe areas, (ii) somatosensory, auditory, visual, and motor cortices, (iii) paralimbic system at the anterior insula and anterior cingulate cortex, and (iv) hippocampus. The distribution of the defect in cortical area synchrony largely coincided with the synchronization effect of the GABA agonist alprazolam previously observed using identical functional connectivity measures. There was also a notable resemblance between the anatomy of our findings and cortical areas showing higher density of parvalbumin (prefrontal lobe and sensory cortices) and somatostatin (anterior insula and anterior cingulate cortex) GABA interneurons in humans. Conclusions Our results thus provide detail of the functional anatomy of synchrony changes in the cerebral cortex in schizophrenia and suggest which elements of the interneuron system are affected. Such information could ultimately be relevant in the search for specific treatments.
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spelling doaj.art-ce4ac95756b443f0862bb2822eb200722023-11-07T09:33:30ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-01-016610.1192/j.eurpsy.2023.2463Mapping alterations in the local synchrony of the cerebral cortex in schizophreniaJesus Pujol0Nuria Pujol1Anna Mané2Gerard Martínez-Vilavella3https://orcid.org/0000-0001-8948-4918Joan Deus4Víctor Pérez-Sola5https://orcid.org/0000-0002-5825-2337Laura Blanco-Hinojo6MRI Research Unit, Department of Radiology, Hospital del Mar, Barcelona, Spain CIBER de Salud Mental, Instituto de Salud Carlos III, Barcelona, SpainCIBER de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain Institute of Neuropsychiatry and Addictions, Hospital del Mar Research Institute (IMIM), Barcelona, SpainCIBER de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain Institute of Neuropsychiatry and Addictions, Hospital del Mar Research Institute (IMIM), Barcelona, SpainMRI Research Unit, Department of Radiology, Hospital del Mar, Barcelona, SpainMRI Research Unit, Department of Radiology, Hospital del Mar, Barcelona, Spain Department of Clinical and Health Psychology, Autonomous University of Barcelona, Barcelona, SpainCIBER de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain Institute of Neuropsychiatry and Addictions, Hospital del Mar Research Institute (IMIM), Barcelona, Spain Pompeu Fabra University, Barcelona, SpainMRI Research Unit, Department of Radiology, Hospital del Mar, Barcelona, Spain CIBER de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain Hospital del Mar Research Institute (IMIM), Barcelona, Spain 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 the varied clinical expression of schizophrenia. GABA interneuron deficiency is locally expressed in the form of neural activity desynchronization. We mapped the functional anatomy of local synchrony in the cerebral cortex in schizophrenia using functional connectivity MRI. Methods Data from 86 patients with schizophrenia and 137 control subjects were obtained from publicly available repositories. Resting-state functional connectivity maps based on Iso-Distant Average Correlation measures across three distances were estimated detailing the local functional structure of the cerebral cortex. Results Patients with schizophrenia showed weaker local functional connectivity (i.e., lower MRI signal synchrony) in (i) prefrontal lobe areas, (ii) somatosensory, auditory, visual, and motor cortices, (iii) paralimbic system at the anterior insula and anterior cingulate cortex, and (iv) hippocampus. The distribution of the defect in cortical area synchrony largely coincided with the synchronization effect of the GABA agonist alprazolam previously observed using identical functional connectivity measures. There was also a notable resemblance between the anatomy of our findings and cortical areas showing higher density of parvalbumin (prefrontal lobe and sensory cortices) and somatostatin (anterior insula and anterior cingulate cortex) GABA interneurons in humans. Conclusions Our results thus provide detail of the functional anatomy of synchrony changes in the cerebral cortex in schizophrenia and suggest which elements of the interneuron system are affected. Such information could ultimately be relevant in the search for specific treatments. https://www.cambridge.org/core/product/identifier/S092493382302463X/type/journal_articlefunctional connectivitygamma-aminobutyric acidparvalbuminpsychosissomatostatin
spellingShingle Jesus Pujol
Nuria Pujol
Anna Mané
Gerard Martínez-Vilavella
Joan Deus
Víctor Pérez-Sola
Laura Blanco-Hinojo
Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
European Psychiatry
functional connectivity
gamma-aminobutyric acid
parvalbumin
psychosis
somatostatin
title Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
title_full Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
title_fullStr Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
title_full_unstemmed Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
title_short Mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
title_sort mapping alterations in the local synchrony of the cerebral cortex in schizophrenia
topic functional connectivity
gamma-aminobutyric acid
parvalbumin
psychosis
somatostatin
url https://www.cambridge.org/core/product/identifier/S092493382302463X/type/journal_article
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