Puzzle Pieces: Neural Structure and Function in Prader-Willi Syndrome
Katherine E Manning1, Anthony J Holland2,3,4
1Department of Psychiatry, University of Cambridge, Cambridge, CB2 8AH, UK. kem60@medschl.cam.ac.uk.
Insights
Prader-Willi syndrome (PWS) involves brain abnormalities affecting reward and cognitive networks. Further research is needed to understand the neural basis of PWS and its associated behavioral challenges.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Prader-Willi syndrome (PWS) is a complex neurodevelopmental disorder characterized by genomic imprinting.
- Key features include hyperphagia, intellectual disability, behavioral issues, and psychiatric conditions.
- Existing research primarily focuses on cognitive and behavioral aspects, with less understanding of neural physiology.
Purpose of the Study:
- To systematically review existing literature on neural structure and function in PWS.
- To identify research gaps and consolidate findings on the neurobiology of PWS.
- To explore the involvement of various brain structures and networks in the disorder.
Main Methods:
- Conducted a systematic literature review of in vivo and post-mortem studies on PWS neural structure and function.
- Utilized comprehensive search terms to capture all relevant published articles.
- Analyzed findings related to both anatomical and functional brain abnormalities.
Main Results:
- Confirmed a general paucity of research, with many studies being case reports or focusing narrowly on eating behaviors.
- Identified systematic investigations implicating both subcortical and higher-order brain structures in PWS.
- Evidence suggests abnormalities in neural networks involved in reward processing, motivation, affect, and cognition.
Conclusions:
- Prader-Willi syndrome appears to involve aberrant activity across distributed neural networks.
- Both anatomical and functional brain abnormalities are indicated in PWS.
- Further systematic research and replication are warranted to fully characterize the neural basis of PWS.
Abstract:
Prader-Willi syndrome (PWS) is a neurodevelopmental disorder of genomic imprinting, presenting with a behavioural phenotype encompassing hyperphagia, intellectual disability, social and behavioural difficulties, and propensity to psychiatric illness. Research has tended to focus on the cognitive and behavioural investigation of these features, and, with the exception of eating behaviour, the neural physiology is currently less well understood. A systematic review was undertaken to explore findings relating to neural structure and function in PWS, using search terms designed to encompass all published articles concerning both in vivo and post-mortem studies of neural structure and function in PWS. This supported the general paucity of research in this area, with many articles reporting case studies and qualitative descriptions or focusing solely on the overeating behaviour, although a number of systematic investigations were also identified. Research to date implicates a combination of subcortical and higher order structures in PWS, including those involved in processing reward, motivation, affect and higher order cognitive functions, with both anatomical and functional investigations indicating abnormalities. It appears likely that PWS involves aberrant activity across distributed neural networks. The characterisation of neural structure and function warrants both replication and further systematic study.
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