統合失調症患者は矛盾する情報に直面したとき、異なる脳活動を示す(People with Schizophrenia Show Distinct Brain Activity When Faced with Conflicting Information)

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2024-11-07 タフツ大学

タフツ大学とヴァンダービルト大学の研究者は、統合失調症患者が矛盾する情報に直面した際、脳の特定の領域で独特の活動パターンを示すことを発見しました。この研究では、被験者が曖昧な課題を行う際の脳細胞の活動を測定し、前頭前皮質と視床の間の通信が不十分であることが、柔軟な思考の欠如や結論を急ぐ傾向と関連していると示唆しています。この発見は、治療の効果を評価するための新たな生物学的指標として活用できる可能性があります。

<関連情報>

統合失調症における葛藤に関連した実行機能障害の前頭葉視床皮質前葉の読み出し A prefrontal thalamocortical readout for conflict-related executive dysfunction in schizophrenia

Anna S. Huang∙ Ralf D. Wimmer∙ Norman H. Lam∙ … ∙ Burkhard Pleger∙ Michael M. Halassa∙ Neil D. Woodward
Cell Reports Medicine  Published:November 7, 2024
DOI:https://doi.org/10.1016/j.xcrm.2024.101802

Graphical abstract

統合失調症患者は矛盾する情報に直面したとき、異なる脳活動を示す(People with Schizophrenia Show Distinct Brain Activity When Faced with Conflicting Information)

Highlights

•Developed a task to interrogate allocating attention with conflicting inputs
•People with schizophrenia are more susceptible to conflicting inputs
•Right MD-dlPFC functional connectivity as readout for conflict-related executive deficit

Summary

Executive dysfunction is a prominent feature of schizophrenia and may drive core symptoms. Dorsolateral prefrontal cortex (dlPFC) deficits have been linked to schizophrenia executive dysfunction, but mechanistic details critical for treatment development remain unclear. Here, capitalizing on recent animal circuit studies, we develop a task predicted to engage human dlPFC and its interactions with the mediodorsal thalamus (MD). We find that individuals with schizophrenia exhibit selective performance deficits when attention is guided by conflicting cues. Task performance correlates with lateralized MD-dlPFC functional connectivity, identifying a neural readout that predicts susceptibility to conflict during working memory in a larger independent schizophrenia cohort. In healthy subjects performing a probabilistic reversal task, this MD-dlPFC network predicts switching behavior. Overall, our three independent experiments introduce putative biomarkers for executive function in schizophrenia and highlight animal circuit studies as inspiration for the development of clinically relevant readouts.

医療・健康
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