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Dynamic brain network reconfiguration as a potential schizophrenia genetic risk mechanism modulated by NMDA receptor
Urs Braun1, Axel Schäfer2, Danielle S Bassett3,4
1Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; urs.braun@zi-mannheim.de heike.tost@zi-mannheim.de.
Schizophrenia is linked to altered brain network flexibility, a measure of dynamic neural reconfiguration. This network phenotype is associated with genetic risk and N-methyl-d-aspartate (NMDA) receptor function.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Schizophrenia is increasingly viewed as a disorder of dynamic neural processes.
- Altered N-methyl-d-aspartate (NMDA) receptor signaling is implicated in schizophrenia pathophysiology.
- Understanding the genetic and molecular underpinnings of these neural dynamics is crucial.
Purpose of the Study:
- To investigate alterations in brain network flexibility in individuals with schizophrenia and their relatives.
- To examine the impact of N-methyl-d-aspartate (NMDA) receptor hypofunction on network flexibility.
- To identify a potential dynamic network intermediate phenotype for schizophrenia genetic liability.
Main Methods:
- Functional magnetic resonance imaging (fMRI) combined with dynamic network neuroscience techniques.
- Quantification of "network flexibility" during working memory tasks.
- Pharmacological challenge with dextromethorphan to antagonize NMDA receptors in healthy controls.
Main Results:
- Significant differences in network flexibility were observed across patients with schizophrenia, their relatives, and healthy controls, correlating with genetic risk.
- Network flexibility was significantly increased by NMDA receptor antagonism with dextromethorphan.
- These findings suggest a link between NMDA receptor function, network flexibility, and schizophrenia liability.
Conclusions:
- Altered brain network flexibility represents a potential intermediate phenotype for schizophrenia.
- This phenotype is influenced by N-methyl-d-aspartate (NMDA) receptor function.
- Glutamate's role in temporal neural coordination is critical in schizophrenia pathophysiology.
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