PMID- 17222539 OWN - NLM STAT- MEDLINE DCOM- 20070530 LR - 20220330 IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 90 IP - 1-3 DP - 2007 Feb TI - Functional disconnections in the direct and indirect amygdala pathways for fear processing in schizophrenia. PG - 284-94 AB - BACKGROUND: Schizophrenia patients show reduced neural activity, relative to controls, in the amygdala and its projection to the medial prefrontal cortex (MPFC) in response to fear perception. In this study we tested the hypothesis that schizophrenia is characterized by abnormal functional connectivity in the amygdala network underlying fear perception. METHODS: Functional MRI images were acquired from 14 schizophrenia patients and 14 matched healthy control subjects during an emotion perception task, in which fearful and neutral facial expression stimuli were presented pseudorandomly under nonconscious (using masking) and conscious conditions. Both subtraction and functional connectivity analyses were undertaken using a region of interest approach. RESULTS: In response to fearful facial expressions, schizophrenia patients displayed reduced amygdala activity, compared to controls, in both the conscious and nonconscious conditions. The amygdala displayed a reversal of the normal pattern of connectivity with the brainstem, visual cortex, and also with the dorsal and ventral divisions of the MPFC in the schizophrenia patients. CONCLUSIONS: The presence of functional disconnections in amygdala pathways suggests that schizophrenia patients have a failure in coordinating their automatic orienting to salient signals and the associated prefrontal monitoring of these signals. FAU - Das, Pritha AU - Das P AD - Neuroscience Institute of Schizophrenia and Allied Disorders, Darlinghurst, NSW 2010, Australia. prithad@psych.usyd.edu.au FAU - Kemp, Andrew H AU - Kemp AH FAU - Flynn, Gary AU - Flynn G FAU - Harris, Anthony W F AU - Harris AW FAU - Liddell, Belinda J AU - Liddell BJ FAU - Whitford, Thomas J AU - Whitford TJ FAU - Peduto, Anthony AU - Peduto A FAU - Gordon, Evian AU - Gordon E FAU - Williams, Leanne M AU - Williams LM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070110 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adult MH - Amygdala/*physiopathology MH - Awareness/physiology MH - Brain Stem/physiopathology MH - Dominance, Cerebral/*physiology MH - Fear/*physiology MH - Female MH - Humans MH - *Image Processing, Computer-Assisted MH - *Imaging, Three-Dimensional MH - *Magnetic Resonance Imaging MH - Male MH - Neural Pathways/physiopathology MH - Prefrontal Cortex/*physiopathology MH - Schizophrenia/diagnosis/*physiopathology MH - *Schizophrenic Psychology MH - Superior Colliculi/physiopathology MH - Visual Cortex/physiopathology EDAT- 2007/01/16 09:00 MHDA- 2007/05/31 09:00 CRDT- 2007/01/16 09:00 PHST- 2006/08/18 00:00 [received] PHST- 2006/11/20 00:00 [revised] PHST- 2006/11/25 00:00 [accepted] PHST- 2007/01/16 09:00 [pubmed] PHST- 2007/05/31 09:00 [medline] PHST- 2007/01/16 09:00 [entrez] AID - S0920-9964(06)00494-4 [pii] AID - 10.1016/j.schres.2006.11.023 [doi] PST - ppublish SO - Schizophr Res. 2007 Feb;90(1-3):284-94. doi: 10.1016/j.schres.2006.11.023. Epub 2007 Jan 10.