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1.
Hum Brain Mapp ; 43(18): 5421-5431, 2022 12 15.
Article in English | MEDLINE | ID: mdl-35866384

ABSTRACT

To examine selective atrophy patterns and resting-state functional connectivity (FC) alterations in the amygdala at different stages of amyotrophic lateral sclerosis (ALS), and to explore any correlations between amygdala abnormalities and neuropsychiatric symptoms. We used the King's clinical staging system for ALS to divide 83 consecutive patients with ALS into comparable subgroups at different disease stages. We explored the pattern of selective amygdala subnucleus atrophy and amygdala-based whole-brain FC alteration in these patients and 94 healthy controls (HCs). Cognitive and emotional functions were also evaluated using a neuropsychological test battery. There were no significant differences between ALS patients at King's stage 1 and HCs for any amygdala subnucleus volumes. Compared with HCs, ALS patients at King's stage 2 had significantly lower left accessory basal nucleus and cortico-amygdaloid transition volumes. Furthermore, ALS patients at King's stage 3 demonstrated significant reductions in most amygdala subnucleus volumes and global amygdala volumes compared with HCs. Notably, amygdala-cuneus FC was increased in ALS patients at King's stage 3. Specific subnucleus volumes were significantly associated with Mini-Mental State Examination scores and Hamilton Anxiety Rating Scale scores in ALS patients. In conclusions, our study provides a comprehensive profile of amygdala abnormalities in ALS patients. The pattern of amygdala abnormalities in ALS patients differed greatly across King's clinical disease stages, and amygdala abnormalities are an important feature of patients with ALS at relatively advanced stages. Moreover, our findings suggest that amygdala volume may play an important role in anxiety and cognitive dysfunction in ALS patients.


Subject(s)
Amygdala , Amyotrophic Lateral Sclerosis , Humans , Amygdala/abnormalities , Amygdala/diagnostic imaging , Amyotrophic Lateral Sclerosis/diagnostic imaging , Amyotrophic Lateral Sclerosis/complications , Atrophy , Neuropsychological Tests , Case-Control Studies
2.
Harv Rev Psychiatry ; 27(3): 150-164, 2019.
Article in English | MEDLINE | ID: mdl-31082993

ABSTRACT

Frequently implicated in psychotic spectrum disorders, the amygdala serves as an important hub for elucidating the convergent and divergent neural substrates in schizophrenia and bipolar disorder, the two most studied groups of psychotic spectrum conditions. A systematic search of electronic databases through December 2017 was conducted to identify neuroimaging studies of the amygdala in schizophrenia and bipolar disorder, focusing on structural MRI, diffusion tensor imaging (DTI), and resting-state functional connectivity studies, with an emphasis on cross-diagnostic studies. Ninety-four independent studies were selected for the present review (49 structural MRI, 27 DTI, and 18 resting-state functional MRI studies). Also selected, and analyzed in a separate meta-analysis, were 33 volumetric studies with the amygdala as the region-of-interest. Reduced left, right, and total amygdala volumes were found in schizophrenia, relative to both healthy controls and bipolar subjects, even when restricted to cohorts in the early stages of illness. No volume abnormalities were observed in bipolar subjects relative to healthy controls. Shape morphometry studies showed either amygdala deformity or no differences in schizophrenia, and no abnormalities in bipolar disorder. In contrast to the volumetric findings, DTI studies of the uncinate fasciculus tract (connecting the amygdala with the medial- and orbitofrontal cortices) largely showed reduced fractional anisotropy (a marker of white matter microstructure abnormality) in both schizophrenia and bipolar patients, with no cross-diagnostic differences. While decreased amygdalar-orbitofrontal functional connectivity was generally observed in schizophrenia, varying patterns of amygdalar-orbitofrontal connectivity in bipolar disorder were found. Future studies can consider adopting longitudinal approaches with multimodal imaging and more extensive clinical subtyping to probe amygdalar subregional changes and their relationship to the sequelae of psychotic disorders.


Subject(s)
Amygdala/abnormalities , Amygdala/diagnostic imaging , Bipolar Disorder/pathology , Schizophrenia/pathology , Anisotropy , Bipolar Disorder/diagnostic imaging , Diffusion Tensor Imaging , Humans , Magnetic Resonance Imaging , Nerve Net/physiopathology , Schizophrenia/diagnostic imaging
3.
Eur Child Adolesc Psychiatry ; 27(1): 57-64, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28667426

ABSTRACT

Depression during pregnancy is highly prevalent and has a multitude of potential risks of the offspring. Among confirmed consequences is a higher risk of psychopathology. However, it is unknown how maternal depression may impact the child's brain to mediate this vulnerability. Here we studied amygdala functioning, using task-based functional MRI, in children aged 6-9 years as a function of prenatal maternal depressive symptoms selected from a prospective population-based sample (The Generation R Study). We show that children exposed to clinically relevant maternal depressive symptoms during pregnancy (N = 19) have increased amygdala responses to negative emotional faces compared to control children (N = 20) [F(1,36) 7.02, p = 0.022]. Strikingly, postnatal maternal depressive symptoms, obtained at 3 years after birth, did not explain this relation. Our findings are in line with a model in which prenatal depressive symptoms of the mother are associated with amygdala hyperresponsivity in her offspring, which may represent a risk factor for later-life psychopathology.


Subject(s)
Amygdala/abnormalities , Depression/psychology , Emotions/physiology , Magnetic Resonance Imaging/methods , Mothers/psychology , Child , Female , Humans , Male , Pregnancy , Prospective Studies , Risk Factors
4.
Dev Cogn Neurosci ; 25: 145-159, 2017 06.
Article in English | MEDLINE | ID: mdl-28254197

ABSTRACT

Animals, including humans, require a highly coordinated and flexible system of social behavior and threat evaluation. However, trauma can disrupt this system, with the amygdala implicated as a mediator of these impairments in behavior. Recent evidence has further highlighted the context of infant trauma as a critical variable in determining its immediate and enduring consequences, with trauma experienced from an attachment figure, such as occurs in cases of caregiver-child maltreatment, as particularly detrimental. This review focuses on the unique role of caregiver presence during early-life trauma in programming deficits in social behavior and threat processing. Using data primarily from rodent models, we describe the interaction between trauma and attachment during a sensitive period in early life, which highlights the role of the caregiver's presence in engagement of attachment brain circuitry and suppressing threat processing by the amygdala. These data suggest that trauma experienced directly from an abusive caregiver and trauma experienced in the presence of caregiver cues produce similar neurobehavioral deficits, which are unique from those resulting from trauma alone. We go on to integrate this information into social experience throughout the lifespan, including consequences for complex scenarios, such as dominance hierarchy formation and maintenance.


Subject(s)
Amygdala/abnormalities , Social Behavior , Animals , Brain , Caregivers , Child , Humans , Infant
5.
JAMA Psychiatry ; 73(8): 815-825, 2016 Aug 01.
Article in English | MEDLINE | ID: mdl-27276220

ABSTRACT

IMPORTANCE: Patients with attention-deficit/hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD) share impaired inhibitory control. However, it is unknown whether impairments are mediated by shared or disorder-specific neurostructural and neurofunctional abnormalities. OBJECTIVE: To establish shared and disorder-specific structural, functional, and overlapping multimodal abnormalities in these 2 disorders through a voxel-based meta-analytic comparison of whole-brain gray matter volume (GMV) and functional magnetic resonance imaging (fMRI) studies of inhibition in patients with ADHD and OCD. DATA SOURCES: Literature search using PubMed, ScienceDirect, Web of Knowledge, and Scopus up to September 30, 2015. STUDY SELECTION: Whole-brain voxel-based morphometry (VBM) or fMRI studies during inhibitory control comparing children and adults with ADHD or OCD with controls. DATA EXTRACTION AND SYNTHESIS: Voxel-wise meta-analyses of GMV or fMRI differences were performed using Seed-based d-Mapping. Regional structure and function abnormalities were assessed within each patient group and then a quantitative comparison was performed of abnormalities (relative to controls) between ADHD and OCD. MAIN OUTCOMES AND MEASURES: Meta-analytic disorder-specific and shared abnormalities in GMV, in inhibitory fMRI, and in multimodal functional and structural measures. RESULTS: The search revealed 27 ADHD VBM data sets (including 931 patients with ADHD and 822 controls), 30 OCD VBM data sets (928 patients with OCD and 942 controls), 33 ADHD fMRI data sets (489 patients with ADHD and 591 controls), and 18 OCD fMRI data sets (287 patients with OCD and 284 controls). Patients with ADHD showed disorder-contrasting multimodal structural (left z = 1.904, P < .001; right z = 1.738, P < .001) and functional (left z = 1.447, P < .001; right z = 1.229, P < .001) abnormalities in bilateral basal ganglia/insula, which were decreased in GMV and function in patients with ADHD relative to those with OCD (and controls). In OCD patients, they were enhanced relative to controls. Patients with OCD showed disorder-specific reduced function and structure in rostral and dorsal anterior cingulate/medial prefrontal cortex (fMRI z = 2.113, P < .001; VBM z = 1.622, P < .001), whereas patients with ADHD showed disorder-specific underactivation predominantly in the right ventrolateral prefrontal cortex (z = 1.229, P < .001). Ventromedial prefrontal GMV reduction was shared in both disorders relative to controls. CONCLUSIONS AND RELEVANCE: Shared impairments in inhibitory control, rather than representing a transdiagnostic endophenotype in ADHD and OCD, were associated with disorder-differential functional and structural abnormalities. Patients with ADHD showed smaller and underfunctioning ventrolateral prefrontal/insular-striatal regions whereas patients with OCD showed larger and hyperfunctioning insular-striatal regions that may be poorly controlled by smaller and underfunctioning rostro/dorsal medial prefrontal regions.


Subject(s)
Attention Deficit Disorder with Hyperactivity/diagnosis , Attention Deficit Disorder with Hyperactivity/physiopathology , Brain/abnormalities , Brain/physiopathology , Magnetic Resonance Imaging , Obsessive-Compulsive Disorder/diagnosis , Obsessive-Compulsive Disorder/physiopathology , Adult , Amygdala/abnormalities , Amygdala/physiopathology , Attention Deficit Disorder with Hyperactivity/psychology , Basal Ganglia/abnormalities , Basal Ganglia/physiopathology , Case-Control Studies , Cerebral Cortex/abnormalities , Cerebral Cortex/physiopathology , Child , Dominance, Cerebral/physiology , Female , Gyrus Cinguli/abnormalities , Gyrus Cinguli/physiopathology , Humans , Male , Neural Inhibition/physiology , Prefrontal Cortex/abnormalities , Prefrontal Cortex/physiopathology , Reference Values
6.
Article in Russian | MEDLINE | ID: mdl-28635939

ABSTRACT

This review covers the literature of the last 25 years on the impact of childhood maltreatment on the mental health throughout the individual's life. Child abuse increases the risk of many mental disorders including depression, suicidal ideation and suicidal behavior, anxiety-related disorders, psychoses as well as alcohol and other drug abuse. The impact of child trauma on the mental health is largely due to structural and functional changes in the hippocampus, amygdala and prefrontal cortex. Early preventive interventions play a great role in the prevention of mental disorders associated with childhood adversities.


Subject(s)
Child Abuse , Mental Disorders/etiology , Mental Health , Adult , Amygdala/abnormalities , Anxiety Disorders , Child , Depressive Disorder , Female , Hippocampus/abnormalities , Humans , Male , Prefrontal Cortex/abnormalities , Risk , Substance-Related Disorders , Suicidal Ideation
7.
Handb Clin Neurol ; 132: 317-22, 2015.
Article in English | MEDLINE | ID: mdl-26564090

ABSTRACT

Lipoid proteinosis is a rare autosomal recessive disorder caused by mutations in ECM1, encoding extracellular matrix protein 1, a glycoprotein expressed in many organs and which has important protein-protein interactions in tissue homeostasis. Although the disease usually presents clinically with warty infiltration of the skin and mucous membranes and a hoarse voice, neuropsychological and neuropsychiatric abnormalities are often prominent features. There may be bean- or comma-shaped intracranial calcifications, often selectively affecting the amygdala. Patients with lipoid proteinosis therefore have been used as models for demonstrating physiologic and pathologic abnormalities of the amygdala with respect to fear processing, affect and cognition, anxiety and memory. Clinically, patients may also have epilepsy, especially involving the temporal lobes. Less common or rare disease associations are headache (including migraine), ataxia, dizziness, schizophrenia, generalized dystonia, transient brachiofacial paralysis, and intracerebral hemorrhage. Beyond the foci of calcification, the cause of the neurologic abnormalities in lipoid proteinosis is unknown, although the ECM1 protein can normally bind to various extracellular matrix proteins and glycosaminoglycans as well as certain enzymes, including matrix metalloproteinase 9. Loss of key protein-protein interactions may underscore some of the disease pathophysiology. There is currently no effective treatment for lipoid proteinosis and clinical care is largely supportive.


Subject(s)
Extracellular Matrix Proteins/genetics , Lipoid Proteinosis of Urbach and Wiethe/physiopathology , Mutation/genetics , Amygdala/abnormalities , History, 17th Century , Humans , Lipoid Proteinosis of Urbach and Wiethe/diagnosis , Lipoid Proteinosis of Urbach and Wiethe/epidemiology , Lipoid Proteinosis of Urbach and Wiethe/history , Memory Disorders/etiology , Panic Disorder/etiology
8.
JAMA Psychiatry ; 72(5): 456-65, 2015 May.
Article in English | MEDLINE | ID: mdl-25785510

ABSTRACT

IMPORTANCE: The continuum view of the psychosis spectrum (PS) implies that, in population-based samples, PS symptoms should be associated with neural abnormalities similar to those found in help-seeking clinical risk individuals and in schizophrenia. To our knowledge, functional neuroimaging has not previously been applied in large population-based PS samples and can help us understand the neural architecture of psychosis more broadly and identify brain phenotypes beyond symptoms that are associated with the extended psychosis phenotype. OBJECTIVE: To examine the categorical and dimensional relationships of PS symptoms to prefrontal hypoactivation during working memory and to amygdala hyperactivation during threat emotion processing. DESIGN, SETTING, AND PARTICIPANTS: The Philadelphia Neurodevelopmental Cohort is a genotyped, prospectively accrued, population-based sample of almost 10,000 youths who received a structured psychiatric evaluation and a computerized neurocognitive battery. The study was conducted at an academic and children's hospital health care network, between November 1, 2009 to November 30, 2011. A subsample of 1445 youths underwent neuroimaging, including functional magnetic resonance imaging tasks examined herein. Participants were youth aged 11 to 22 years old identified through structured interview as having PS features (PS group) (n = 260) and typically developing (TD) comparison youth without significant psychopathology (TD group) (n = 220). MAIN OUTCOMES AND MEASURES: Two functional magnetic resonance imaging paradigms were used: a fractal n-back working memory task probing executive system function and an emotion identification task probing amygdala responses to threatening faces. RESULTS: In the n-back task, working memory evoked lower activation in the PS group than the TD group throughout the executive control circuitry, including dorsolateral prefrontal cortex (cluster-corrected P < .05). Within the PS group, dorsolateral prefrontal cortex activation correlated with cognitive deficits (r = .32, P < .001), but no correlation was found with positive symptom severity. During emotion identification, PS demonstrated elevated responses to threatening facial expressions in amygdala, as well as left fusiform cortex and right middle frontal gyrus (cluster-corrected P < .05). The response in the amygdala correlated with positive symptom severity (r = .16, P = .01) but not with cognitive deficits. CONCLUSIONS AND RELEVANCE: The pattern of functional abnormalities observed in the PS group is similar to that previously found in schizophrenia and help-seeking risk samples. Specific circuit dysfunction during cognitive and emotion-processing tasks is present early in the development of psychopathology and herein could not be attributed to chronic illness or medication confounds. Hypoactivation in executive circuitry and limbic hyperactivation to threat could reflect partly independent risk factors for PS symptoms, with the former relating to cognitive deficits that increase the risk for developing psychotic symptoms and the latter contributing directly to positive psychotic symptoms.


Subject(s)
Amygdala/abnormalities , Amygdala/physiopathology , Cerebral Cortex/abnormalities , Cerebral Cortex/physiopathology , Executive Function , Facial Expression , Functional Neuroimaging/methods , Memory, Short-Term , Pattern Recognition, Visual , Psychotic Disorders/physiopathology , Psychotic Disorders/psychology , Adolescent , Child , Cognition , Emotions , Female , Humans , Interview, Psychological , Magnetic Resonance Imaging , Male , Neuropsychological Tests , Phenotype , Prefrontal Cortex/abnormalities , Prefrontal Cortex/physiopathology , Prospective Studies , Psychiatric Status Rating Scales , Psychotic Disorders/pathology , Schizophrenia/physiopathology , Schizophrenic Psychology , Severity of Illness Index , Task Performance and Analysis , Young Adult
9.
Eur Neurol ; 71(5-6): 242-6, 2014.
Article in English | MEDLINE | ID: mdl-24557332

ABSTRACT

The history and the behavioral profile of 2 patients with brain abnormalities in the region of the left amygdaloidal complex might suggest that the dysfunction of the neural pathways related to the left amygdala has to occur at an early developmental stage to result in impaired emotional judgments of facial expressions. This is in line with the hypothesis that emotional information processing is based on a distributed neural network which, during ontogenesis, gradually expands from the amygdala and the amygdaloidal complex to further components of the limbic system.


Subject(s)
Amygdala/abnormalities , Amygdala/physiopathology , Emotions , Facial Expression , Pattern Recognition, Visual/physiology , Adult , Aged , Amygdala/growth & development , Amygdala/pathology , Brain Neoplasms/pathology , Brain Neoplasms/physiopathology , Brain Neoplasms/surgery , Central Nervous System Cysts/pathology , Central Nervous System Cysts/physiopathology , Cues , Female , Hemangioma, Cavernous, Central Nervous System/pathology , Hemangioma, Cavernous, Central Nervous System/physiopathology , Hemangioma, Cavernous, Central Nervous System/surgery , Humans , Magnetic Resonance Imaging , Male , Neural Pathways/growth & development , Neural Pathways/physiopathology , Neuropsychological Tests
10.
Mol Cell ; 50(2): 172-84, 2013 Apr 25.
Article in English | MEDLINE | ID: mdl-23499007

ABSTRACT

The Uba6 (E1)-Use1 (E2) ubiquitin transfer cascade is a poorly understood alternative arm of the ubiquitin proteasome system (UPS) and is required for mouse embryonic development, independent of the canonical Uba1-E2-E3 pathway. Loss of neuronal Uba6 during embryonic development results in altered patterning of neurons in the hippocampus and the amygdala, decreased dendritic spine density, and numerous behavioral disorders. The levels of the E3 ubiquitin ligase Ube3a (E6-AP) and Shank3, both linked with dendritic spine function, are elevated in the amygdala of Uba6-deficient mice, while levels of the Ube3a substrate Arc are reduced. Uba6 and Use1 promote proteasomal turnover of Ube3a in mouse embryo fibroblasts (MEFs) and catalyze Ube3a ubiquitylation in vitro. These activities occur in parallel with an independent pathway involving Uba1-UbcH7, but in a spatially distinct manner in MEFs. These data reveal an unanticipated role for Uba6 in neuronal development, spine architecture, mouse behavior, and turnover of Ube3a.


Subject(s)
Amygdala/abnormalities , CA3 Region, Hippocampal/abnormalities , Qc-SNARE Proteins/deficiency , Ubiquitin-Activating Enzymes/deficiency , Ubiquitination , Amygdala/enzymology , Amygdala/pathology , Animals , Body Weight , CA3 Region, Hippocampal/enzymology , CA3 Region, Hippocampal/pathology , Cells, Cultured , Dendritic Spines/pathology , Embryonic Development , Energy Metabolism , Female , Genes, Lethal , Learning Disabilities/metabolism , Locomotion , Male , Memory Disorders/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , Microfilament Proteins , Nerve Tissue Proteins/metabolism , Oxygen Consumption , Protein Stability , Protein Structure, Tertiary , Qc-SNARE Proteins/genetics , Qc-SNARE Proteins/physiology , SNARE Proteins , Social Behavior , Ubiquitin-Activating Enzymes/genetics , Ubiquitin-Activating Enzymes/physiology , Ubiquitin-Protein Ligases/metabolism , Vesicular Transport Proteins
11.
Rev. neurol. (Ed. impr.) ; 55(3): 148-155, 1 ago., 2012. tab, ilus
Article in Spanish | IBECS | ID: ibc-101783

ABSTRACT

Introducción. La malformación de Chiari tipo I (MC-I) es una entidad de baja prevalencia, cuya clínica es muy variada dependiendo del cortejo malformativo asociado, y en la que pueden existir síntomas ansiosodepresivos y una pérdida nodefinida de la calidad de vida de los pacientes. El objetivo principal de este estudio es determinar la repercusión de la MC-I en la calidad de vida, así como la presencia de ansiedad y depresión en estos pacientes. Pacientes y métodos. Estudio prospectivo de una cohorte de 67 pacientes afectos de MC-I en los que se valoraron la calidadde vida, la presencia de ansiedad y síntomas depresivos mediante las escalas Sickness Impact Profile, inventario de ansiedad estado-rasgo e inventario de depresión de Beck, respectivamente. En cada paciente se registró la presencia de siringomielia o hidrocefalia, así como el grado de ectopia de las amígdalas del cerebelo. Resultados. El impacto de la MC-I en la calidad de vida fue nulo en seis pacientes (9%), leve en 36 (53,7%), moderado en 17 (25,4%) y grave en ocho (11,9%). El área de actividad más afectada fue el trabajo. El 86,6% de los pacientes presentóun nivel de ansiedad moderado o elevado. En el 25,4% de los pacientes también se constataron síntomas depresivos moderados o graves. Conclusiones. La gran mayoría de los pacientes con una MC-I considera que su enfermedad implica una pérdida de calidadde vida que, en muchos casos, se asocia a una alta ansiedad y a síntomas depresivos (AU)


Introduction. The Chiari type I malformation (CM-I) is a low prevalence disorder whose manifestations vary highly, depending on the associated malformative complex. The people with a CM-I can suffer anxiety, depression symptoms and an undefined loss of quality of life. The main purpose of this study is to establish the impact of CM-I on quality of life, as well as the presence of anxiety and depression in these patients. Patients and methods. Prospective study of a cohort of 67 patients suffering from CM-I who undergo an evaluation bymeans of the SIP scale (Sickness Impact Profile), STAI (State-Trait Anxiety Inventory) and BDI (Beck’s Depression Inventory) of their quality of life and of the presence of anxiety and depressive symptoms respectively. For every patient the degree of cerebellar tonsillar ectopia and the presence of syringomyelia and/or hydrocephalus were registered.Results. The impact of the CM-I on the quality of life was none for 6 patients (9%), mild for 36 (53.7%), moderate for 17 (25.4%) and severe for 8 (11.9%). The most affected area of activity was work. A total of 86.6% of the patients presented a moderate or high anxiety level. In 25.4% of the patients moderate or severe depressive symptoms were also acknowledged. Conclusions. The great majority of patients with a CM-I consider that their disorder implies a loss of their quality of lifewhich, in many cases, is associated with high anxiety and depressive symptoms (AU)


Subject(s)
Humans , Arnold-Chiari Malformation/psychology , Anxiety/epidemiology , Depression/epidemiology , Quality of Life , Hydrocephalus/epidemiology , Syringomyelia/epidemiology , Amygdala/abnormalities , Prospective Studies
13.
PLoS One ; 6(12): e28794, 2011.
Article in English | MEDLINE | ID: mdl-22174900

ABSTRACT

BACKGROUND: Shared neuropathological features between schizophrenic patients and their first-degree relatives have potential as indicators of genetic vulnerability to schizophrenia. We sought to explore genetic influences on brain morphology and function in schizophrenic patients and their relatives. METHODS: Using a multimodal imaging strategy, we studied 33 schizophrenic patients, 55 of their unaffected parents, 30 healthy controls for patients, and 29 healthy controls for parents with voxel-based morphometry of structural MRI scans and functional connectivity analysis of resting-state functional MRI data. RESULTS: Schizophrenic patients showed widespread gray matter reductions in the bilateral frontal cortices, bilateral insulae, bilateral occipital cortices, left amygdala and right thalamus, whereas their parents showed more localized reductions in the left amygdala, left thalamus and right orbitofrontal cortex. Patients and their parents shared gray matter loss in the left amygdala. Further investigation of the resting-state functional connectivity of the amygdala in the patients showed abnormal functional connectivity with the bilateral orbitofrontal cortices, bilateral precunei, bilateral dorsolateral frontal cortices and right insula. Their parents showed slightly less, but similar changes in the pattern in the amygdala connectivity. Co-occurrences of abnormal connectivity of the left amygdala with the left orbitofrontal cortex, right dorsolateral frontal cortex and right precuneus were observed in schizophrenic patients and their parents. CONCLUSIONS: Our findings suggest a potential genetic influence on structural and functional abnormalities of the amygdala in schizophrenia. Such information could help future efforts to identify the endophenotypes that characterize the complex disorder of schizophrenia.


Subject(s)
Amygdala/abnormalities , Family , Magnetic Resonance Imaging/methods , Schizophrenia/pathology , Amygdala/physiopathology , Case-Control Studies , Demography , Female , Humans , Male , Middle Aged , Nerve Net/physiopathology , Schizophrenia/physiopathology , Young Adult
14.
Psychopharmacology (Berl) ; 218(3): 503-12, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21603892

ABSTRACT

RATIONALE: Impaired emotion processing in schizophrenia predicts broader social dysfunction and has been related to negative symptom severity and amygdala dysfunction. Pharmacological modulation of emotion-processing deficits and related neural abnormalities may provide useful phenotypes for pathophysiological investigation. OBJECTIVES: We used an acute benzodiazepine challenge to identify and modulate potential emotion-processing abnormalities in 20 unaffected first-degree relatives of individuals with schizophrenia, compared to 25 control subjects without a family history of psychosis. METHODS: An oral 1 mg dose of the short-acting anxiolytic benzodiazepine alprazolam was administered in a balanced crossover placebo-controlled double-blind design, preceding identical 3 T fMRI sessions approximately 1 week apart. Primary outcomes included fMRI activity in amygdala and related regions during two facial emotion-processing tasks: emotion identification and emotion memory. RESULTS: Family members exhibited abnormally strong alprazolam-induced reduction in amygdala and hippocampus activation during emotion identification, compared to equal reduction in both groups for the emotion memory task. CONCLUSIONS: GABAergic modulation with alprazolam produced differential responses in family members vs. controls, perhaps by unmasking underlying amygdalar and/or GABAergic abnormalities. Such pharmacological fMRI paradigms could prove useful for developing drugs targeting specific neural circuits to treat or prevent schizophrenia.


Subject(s)
Alprazolam/pharmacology , Amygdala/abnormalities , Anti-Anxiety Agents/pharmacology , Emotions/drug effects , Adult , Amygdala/drug effects , Case-Control Studies , Cross-Over Studies , Double-Blind Method , Family , Female , Hippocampus/drug effects , Hippocampus/metabolism , Humans , Male , Memory/drug effects , Middle Aged , Schizophrenia/epidemiology , Young Adult , gamma-Aminobutyric Acid/metabolism
15.
J Comp Neurol ; 519(11): 2061-89, 2011 Aug 01.
Article in English | MEDLINE | ID: mdl-21491433

ABSTRACT

The disrupted cortical lamination phenotype in reeler mice and subsequent identification of the Reelin signaling pathway have strongly informed models of cortical development. We describe here a marker-based phenotyping approach to reexamine the cytoarchitectural consequences of Reelin deficiency, using high-throughput histology and newly identified panels of highly specific molecular markers. The resulting cell-type-level cytoarchitectural analysis revealed novel features of abnormal patterning in the male reeler mouse not obvious with less specific markers or histology. The reeler cortex has been described as a rough laminar inversion, but the data presented here are not compatible with this model. The reeler cortex is disrupted in a more complex fashion, with some regions showing a mirror-image laminar phenotype. Major rostrocaudal and cell-type-specific differences in the laminar phenotype between cortical areas are detailed. These and similar findings in hippocampus and amygdala have implications for mechanisms of normal brain development and abnormalities in neurodevelopmental disorders.


Subject(s)
Amygdala/cytology , Cell Adhesion Molecules, Neuronal/deficiency , Extracellular Matrix Proteins/deficiency , Hippocampus/cytology , Neocortex/cytology , Nerve Tissue Proteins/deficiency , Serine Endopeptidases/deficiency , Amygdala/abnormalities , Amygdala/growth & development , Amygdala/metabolism , Animals , Biomarkers/metabolism , Cell Adhesion Molecules, Neuronal/genetics , Extracellular Matrix Proteins/genetics , Hippocampus/abnormalities , Hippocampus/growth & development , Hippocampus/metabolism , In Situ Hybridization , Male , Mice , Mice, Neurologic Mutants , Neocortex/abnormalities , Neocortex/growth & development , Neocortex/metabolism , Nerve Tissue Proteins/genetics , Phenotype , Reelin Protein , Serine Endopeptidases/genetics , Signal Transduction/physiology
16.
Neuropsychologia ; 49(4): 745-59, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20950634

ABSTRACT

The amygdala, perhaps more than any other brain region, has been implicated in numerous neuropsychiatric and neurodevelopmental disorders. It is part of a system initially evolved to detect dangers in the environment and modulate subsequent responses, which can profoundly influence human behavior. If its threshold is set too low, normally benign aspects of the environment are perceived as dangers, interactions are limited, and anxiety may arise. If set too high, risk taking increases and inappropriate sociality may occur. Given that many neurodevelopmental disorders involve too little or too much anxiety or too little of too much social interaction, it is not surprising that the amygdala has been implicated in many of them. In this chapter, we begin by providing a brief overview of the phylogeny, ontogeny, and function of the amygdala and then appraise data from neurodevelopmental disorders which suggest amygdala dysregulation. We focus on neurodevelopmental disorders where there is evidence of amygdala dysregulation from postmortem studies, structural MRI analyses or functional MRI. However, the results are often disparate and it is not totally clear whether this is due to inherent heterogeneity or differences in methodology. Nonetheless, the amygdala is a common site for neuropathology in neurodevelopmental disorders and is therefore a potential target for therapeutics to alleviate associated symptoms.


Subject(s)
Amygdala/abnormalities , Brain Diseases/pathology , Developmental Disabilities/physiopathology , Mental Disorders/pathology , Adolescent , Amygdala/growth & development , Amygdala/pathology , Amygdala/physiopathology , Brain Diseases/physiopathology , Child , Child, Preschool , Developmental Disabilities/pathology , Humans , Mental Disorders/physiopathology , Young Adult
17.
Epilepsy Behav ; 16(3): 436-41, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19766541

ABSTRACT

Abnormal amygdala volumes in pediatric mood-anxiety disorders and attention deficit hyperactivity disorder (ADHD), as well as high rates of these diagnoses in childhood absence epilepsy (CAE), prompted this study of amygdala volume in CAE. Twenty-six children with CAE and 23 normal children, aged 6.6-15.8 years, underwent MRI at 1.5 T. The tissue imaged with MRI was segmented, and amygdala volumes were obtained by manual tracings. There were no significant amygdala volume differences between the CAE and normal groups. Within the CAE group, however, the children with ADHD had significantly smaller amygdala volumes than the subjects with CAE with no psychopathology and those with mood/anxiety diagnoses. There was also a significant relationship between higher seizure frequency and greater amygdala asymmetry in the epilepsy group. Given ongoing development of the amygdala during late childhood and adolescence, despite the lack of significant group differences in amygdala volumes, the association of amygdala volume abnormalities with ADHD and seizure frequency implies a possible impact of the disorder on amygdala development and CAE-associated comorbidities, such as ADHD.


Subject(s)
Amygdala/abnormalities , Amygdala/pathology , Epilepsy, Absence/pathology , Adolescent , Attention Deficit Disorder with Hyperactivity/pathology , Brain Mapping , Checklist/methods , Child , Female , Functional Laterality , Humans , Imaging, Three-Dimensional/methods , Magnetic Resonance Imaging/methods , Male , Psychiatric Status Rating Scales , Severity of Illness Index , Wechsler Scales
18.
J Neurosci ; 28(32): 8074-85, 2008 Aug 06.
Article in English | MEDLINE | ID: mdl-18685032

ABSTRACT

Fear extinction is a form of new learning that results in the inhibition of conditioned fear. Trait deficits in fear extinction are a risk factor for anxiety disorders. There are few examples of naturally occurring animal models of impaired extinction. The present study compared fear extinction in a panel of inbred mouse strains. This strain survey revealed an impairment in fear extinction in 129/SvImJ (129S1). The phenotypic specificity of this deficit was evaluated by comparing 129S1 and C57BL/6J for one-trial and multitrial fear conditioning, nociception, and extinction of conditioned taste aversion and an appetitive instrumental response. 129S1 were tested for sensitivity to the extinction-facilitating effects of extended training, as well as d-cycloserine and yohimbine treatment. To elucidate the neural basis of impaired 129S1 fear extinction, c-Fos and Zif268 expression was mapped after extinction recall. Results showed that impaired fear extinction in 129S1 was unrelated to altered fear conditioning or nociception, and was dissociable from intact appetitive extinction. Yohimbine treatment facilitated extinction in 129S1, but neither extended extinction training nor d-cycloserine treatment improved 129S1 extinction. After extinction recall, 129S1 showed reduced c-Fos and Zif268 expression in the infralimbic cortex and basolateral amygdala, and elevated c-Fos or Zif268 expression in central nucleus of the amygdala and medial paracapsular intercalated cell mass, relative to C57BL/6J. Collectively, these data demonstrate a deficit in fear extinction in 129S1 associated with a failure to properly engage corticolimbic extinction circuitry. This common inbred strain provides a novel model for studying impaired fear extinction in anxiety disorders.


Subject(s)
Amygdala/abnormalities , Extinction, Psychological , Fear , Learning , Nervous System Malformations/psychology , Prefrontal Cortex/abnormalities , Animals , Avoidance Learning , Behavior, Animal , Conditioning, Psychological , Cycloserine/pharmacology , Early Growth Response Protein 1/metabolism , Fear/drug effects , Interneurons/metabolism , Male , Mental Recall , Mice , Mice, Inbred C57BL , Mice, Inbred Strains , Nervous System Malformations/genetics , Nervous System Malformations/metabolism , Nervous System Malformations/physiopathology , Neural Pathways/abnormalities , Nociceptors , Proto-Oncogene Proteins c-fos/metabolism , Taste , Yohimbine/pharmacology
19.
Genes Brain Behav ; 7(7): 786-95, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18616608

ABSTRACT

P311 is an 8-kDa protein that is expressed in many brain regions, particularly the hippocampus, cerebellum and olfactory lobes, and is under stringent regulation by developmental, mitogenic and other physiological stimuli. P311 is thought to be involved in the transformation and motility of neural cells; however, its role in normal brain physiology is undefined. To address this point, P311-deficient mice were developed through gene targeting and their behaviors were characterized. Mutants displayed no overt abnormalities, bred normally and had normal survival rates. Additionally, no deficiencies were noted in motor co-ordination, balance, hearing or olfactory discrimination. Nevertheless, P311-deficient mice showed altered behavioral responses in learning and memory. These included impaired responses in social transmission of food preference, Morris water maze and contextual fear conditioning. Additionally, mutants displayed altered emotional responses as indicated by decreased freezing in contextual and cued fear conditioning and reduced fear-potentiated startle. Together, these data establish P311 as playing an important role in learning and memory processes and emotional responses.


Subject(s)
Behavior, Animal/physiology , Nerve Tissue Proteins/genetics , Amygdala/abnormalities , Amygdala/physiopathology , Animals , Blotting, Northern , Cerebellum/abnormalities , Cerebellum/physiopathology , Conditioning, Psychological/physiology , Electroshock , Fear/physiology , Female , Food Preferences/physiology , Food Preferences/psychology , Gene Targeting , Hippocampus/abnormalities , Hippocampus/physiopathology , Male , Maze Learning/physiology , Memory/physiology , Mice , Mice, Knockout , Reflex, Startle/physiology , Reverse Transcriptase Polymerase Chain Reaction , Seizures/physiopathology , Social Environment
20.
Psychiatry Res ; 162(2): 101-11, 2008 Feb 28.
Article in English | MEDLINE | ID: mdl-18226506

ABSTRACT

Abnormal neurodevelopment in midline structures such as the adhesio interthalamica (AI) has been reported in schizophrenia, but not consistently replicated. We investigated the prevalence and anterior-posterior length of the AI in 62 schizophrenia patients (32 males, 30 females) and 63 healthy controls (35 males, 28 females) using magnetic resonance imaging. We also explored the relation between the AI and volumetric measurements for the third ventricle, medial temporal structures (amygdala, hippocampus, and parahippocampal gyrus), superior temporal sub-regions, and frontal lobe regions (prefrontal area and anterior cingulate gyrus). The AI was absent in 24.2% (15/62) of the schizophrenia patients and in 9.5% (6/63) of the controls, showing a significant group difference. For the length of the AI, schizophrenia patients had a shorter AI than controls, and males had a shorter AI than females. The subjects without an AI had a significantly larger third ventricle and smaller parahippocampal gyrus than the subjects with an AI for both groups. We found a significant diagnosis-by-AI interaction for the amygdala. The schizophrenia patients without an AI had a smaller bilateral amygdala than those with an AI, whereas the AI was not associated with the volume of the amygdala in the control subjects. These findings suggest that the absence of AI in schizophrenia could be a marker of developmental abnormalities in the neural network including the thalamus and connected amygdaloid regions, which may play an important role in the pathogenesis of schizophrenia.


Subject(s)
Amygdala/abnormalities , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Nervous System Malformations/pathology , Schizophrenia/pathology , Thalamus/abnormalities , Adult , Amygdala/pathology , Dominance, Cerebral/physiology , Female , Gyrus Cinguli/pathology , Hippocampus/pathology , Humans , Male , Neural Pathways/pathology , Neuroglia/pathology , Parahippocampal Gyrus/pathology , Prefrontal Cortex/pathology , Temporal Lobe/pathology , Thalamus/pathology , Third Ventricle/pathology
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