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Updated: Apr 29, 2026

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Assessment of Stress Effects on Cognitive Flexibility using an Operant Strategy Shifting Paradigm
Published on: May 4, 2020
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Targeting insulo-frontal pathway to reduce stress-evoked cognitive rigidity
Shaorong Ma1, Kuan Hong Wang2, Yi Zuo3
1Department of Molecular, Cell and Developmental Biology, University of California Santa Cruz, Santa Cruz, CA, USA.
Nature Communications
|April 27, 2026
Summary
Chronic stress causes cognitive rigidity, impairing decision-making. Researchers found the anterior insular cortex to medial prefrontal cortex (aIC→mPFC) circuit is crucial for adaptive decisions and can be targeted to restore flexibility.
Area of Science:
- Neuroscience
- Behavioral Neuroscience
- Psychiatry
Background:
- Cognitive rigidity is a hallmark of chronic stress and stress-related psychiatric disorders.
- The neural circuits underlying stress-induced cognitive inflexibility are not well understood.
- Adaptive decision-making relies on updating based on outcomes.
Purpose of the Study:
- To investigate the neural circuit mechanisms of cognitive rigidity following chronic stress.
- To identify the role of the anterior insular cortex to medial prefrontal cortex (aIC→mPFC) pathway in adaptive decision-making and cognitive flexibility.
- To explore therapeutic potential of targeting the aIC→mPFC circuit for stress-induced cognitive impairment.
Main Methods:
- Utilized attentional set-shifting tasks (AST) in mice to assess cognitive flexibility.
- Employed optogenetics to manipulate aIC→mPFC neuronal activity.
- Recorded neural activity in the aIC→mPFC circuit during cognitive tasks.
- Induced chronic stress in mice to model stress-related psychiatric conditions.
Main Results:
- The aIC→mPFC pathway was identified as critical for adaptive decision-making.
- Heightened aIC→mPFC activity after incorrect trials enhanced medial prefrontal cortex (mPFC) updating and neural activity convergence.
- Optogenetic disruption of aIC→mPFC projections impaired cognitive flexibility.
- Chronic stress disrupted outcome-dependent aIC activity and cognitive flexibility.
- Reinforcing aIC→mPFC activity after incorrect trials restored cognitive flexibility in stressed mice.
Conclusions:
- The aIC→mPFC circuit plays a key role in linking trial outcomes to adaptive decision-making.
- This pathway is disrupted by chronic stress, contributing to cognitive rigidity.
- Targeting the aIC→mPFC circuit offers a potential therapeutic strategy for stress-induced cognitive inflexibility.

