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Published on: July 16, 2015
Medial Prefrontal Cortex Dysfunction Mediates Working Memory Deficits in Patients With Schizophrenia
John C Williams1,2, Zu Jie Zheng1, Philip N Tubiolo1,2
1Department of Psychiatry and Behavioral Health, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.
Working memory deficits in schizophrenia are linked to reduced medial prefrontal cortex (mPFC) deactivation during tasks. This mPFC deactivation mediates performance and is inversely associated with dopamine release.
Area of Science:
- Neuroscience
- Psychiatry
- Cognitive Science
Background:
- Schizophrenia (SCZ) is characterized by working memory (WM) deficits, impacting functional outcomes.
- While dorsolateral prefrontal cortex (PFC) is often studied, the medial PFC (mPFC) may also play a crucial role in SCZ.
- Understanding mPFC function in SCZ is vital for developing targeted interventions.
Purpose of the Study:
- To investigate the association between task-evoked mPFC deactivation and WM performance in SCZ.
- To determine if mPFC deactivation mediates WM deficits in SCZ.
- To explore the relationship between mPFC deactivation and cortical dopamine release in SCZ.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to assess task-evoked brain activity during a visual object n-back task in patients with SCZ (n=41) and healthy controls (HCs) (n=40).
- Dopamine release capacity in the mPFC was measured using [11C]FLB457 and an amphetamine challenge in a subset of participants.
- Correlations between mPFC deactivation, WM performance, diagnosis, and dopamine release were analyzed.
Main Results:
- mPFC deactivation, but not dorsolateral PFC activation, correlated with WM task performance.
- Patients with SCZ exhibited reduced mPFC deactivation compared to HCs, and this reduction mediated the link between diagnosis and WM performance.
- A significant inverse association was found between mPFC deactivation and dopamine release capacity in HCs and across all participants, but not in patients with SCZ.
Conclusions:
- Reduced task-evoked mPFC deactivation is a key mediator of WM impairment in schizophrenia.
- These findings suggest mPFC deactivation may be a potential substrate for WM deficits in SCZ.
- Preliminary evidence indicates an inverse relationship between WM task-evoked mPFC deactivation and dopamine release capacity.
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