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Anterior cingulate cortex glutamate and its association with striatal functioning during cognitive control.

Jilly Naaijen1, David J Lythgoe2, Marcel P Zwiers1

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PubMed
Summary

Attention-deficit/hyperactivity disorder (ADHD) involves altered glutamate signaling in the brain. This study links lower anterior cingulate cortex (ACC) glutamate to altered striatal activity during cognitive control tasks in ADHD.

Keywords:
ADHDCognitive controlFronto-striatal circuitGlutamatefMRI

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Area of Science:

  • Neuroscience
  • Neuroimaging
  • Neurochemistry

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder linked to fronto-striatal circuit dysfunction.
  • Impaired glutamate signaling in fronto-striatal circuits is implicated in ADHD, but its direct relation to cognitive control deficits remains unclear.

Purpose of the Study:

  • To investigate the relationship between anterior cingulate cortex (ACC) glutamate levels and striatal blood-oxygen-level-dependent (BOLD) responses during cognitive control in individuals with ADHD.
  • To explore how ACC glutamate and striatal activity relate to ADHD symptoms and task performance.

Main Methods:

  • Proton magnetic resonance spectroscopy (MRS) was used to measure glutamate-to-creatine ratios in the ACC and dorsal striatum of 62 participants (ADHD probands, unaffected siblings, and controls).
  • Functional magnetic resonance imaging (fMRI) during a Stroop task was performed on 32 participants to assess neural activity during cognitive control.
  • Statistical analyses examined associations between glutamate levels, striatal BOLD responses, and clinical measures.

Main Results:

  • Individuals with ADHD exhibited reduced glutamate-to-creatine ratios in the ACC compared to controls.
  • Lower ACC glutamate levels were significantly associated with increased striatal BOLD responses during cognitive control, independent of diagnosis.
  • Increased striatal activity showed a trend towards association with more errors and higher hyperactivity/impulsivity symptoms.

Conclusions:

  • Reduced ACC glutamate may be linked to altered striatal functioning during cognitive control in ADHD.
  • These findings highlight the potential role of fronto-striatal glutamate pathways in the pathophysiology of cognitive control deficits in ADHD.