PMID- 19164577 OWN - NLM STAT- MEDLINE DCOM- 20090213 LR - 20240322 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 106 IP - 4 DP - 2009 Jan 27 TI - Hyperactivity and hyperconnectivity of the default network in schizophrenia and in first-degree relatives of persons with schizophrenia. PG - 1279-84 LID - 10.1073/pnas.0809141106 [doi] AB - We examined the status of the neural network mediating the default mode of brain function, which typically exhibits greater activation during rest than during task, in patients in the early phase of schizophrenia and in young first-degree relatives of persons with schizophrenia. During functional MRI, patients, relatives, and controls alternated between rest and performance of working memory (WM) tasks. As expected, controls exhibited task-related suppression of activation in the default network, including medial prefrontal cortex (MPFC) and posterior cingulate cortex/precuneus. Patients and relatives exhibited significantly reduced task-related suppression in MPFC, and these reductions remained after controlling for performance. Increased task-related MPFC suppression correlated with better WM performance in patients and relatives and with less psychopathology in all 3 groups. For WM task performance, patients and relatives had greater activation in right dorsolateral prefrontal cortex (DLPFC) than controls. During rest and task, patients and relatives exhibited abnormally high functional connectivity within the default network. The magnitudes of default network connectivity during rest and task correlated with psychopathology in the patients. Further, during both rest and task, patients exhibited reduced anticorrelations between MPFC and DLPFC, a region that was hyperactivated by patients and relatives during WM performance. Among patients, the magnitude of MPFC task suppression negatively correlated with default connectivity, suggesting an association between the hyperactivation and hyperconnectivity in schizophrenia. Hyperactivation (reduced task-related suppression) of default regions and hyperconnectivity of the default network may contribute to disturbances of thought in schizophrenia and risk for the illness. FAU - Whitfield-Gabrieli, Susan AU - Whitfield-Gabrieli S AD - Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, MA 02139, USA. swg@mit.edu FAU - Thermenos, Heidi W AU - Thermenos HW FAU - Milanovic, Snezana AU - Milanovic S FAU - Tsuang, Ming T AU - Tsuang MT FAU - Faraone, Stephen V AU - Faraone SV FAU - McCarley, Robert W AU - McCarley RW FAU - Shenton, Martha E AU - Shenton ME FAU - Green, Alan I AU - Green AI FAU - Nieto-Castanon, Alfonso AU - Nieto-Castanon A FAU - LaViolette, Peter AU - LaViolette P FAU - Wojcik, Joanne AU - Wojcik J FAU - Gabrieli, John D E AU - Gabrieli JD FAU - Seidman, Larry J AU - Seidman LJ LA - eng GR - R01 MH040799/MH/NIMH NIH HHS/United States GR - R01 MH043518/MH/NIMH NIH HHS/United States GR - R01 MH063951/MH/NIMH NIH HHS/United States GR - R01 MH050740/MH/NIMH NIH HHS/United States GR - R21 MH062157/MH/NIMH NIH HHS/United States GR - MH 50740/MH/NIMH NIH HHS/United States GR - P41 RR014075/RR/NCRR NIH HHS/United States GR - P41RR14075/RR/NCRR NIH HHS/United States GR - R37 MH043518/MH/NIMH NIH HHS/United States GR - MH 65562/MH/NIMH NIH HHS/United States GR - MH 40799/MH/NIMH NIH HHS/United States GR - R01 MH065562/MH/NIMH NIH HHS/United States GR - R25 MH 60485/MH/NIMH NIH HHS/United States GR - MH 62157/MH/NIMH NIH HHS/United States GR - MH 43518/MH/NIMH NIH HHS/United States GR - MH 63951/MH/NIMH NIH HHS/United States GR - R25 MH060485/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090121 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 SB - IM EIN - Proc Natl Acad Sci U S A. 2009 Mar 17;106(11):4572 MH - *Brain Mapping MH - Family/*psychology MH - Humans MH - Memory MH - Nerve Net/*physiopathology MH - Rest MH - Schizophrenia/*physiopathology MH - Schizophrenic Psychology MH - Task Performance and Analysis PMC - PMC2633557 COIS- The authors declare no conflict of interest. EDAT- 2009/01/24 09:00 MHDA- 2009/02/14 09:00 PMCR- 2009/07/27 CRDT- 2009/01/24 09:00 PHST- 2009/01/24 09:00 [entrez] PHST- 2009/01/24 09:00 [pubmed] PHST- 2009/02/14 09:00 [medline] PHST- 2009/07/27 00:00 [pmc-release] AID - 0809141106 [pii] AID - 6431 [pii] AID - 10.1073/pnas.0809141106 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2009 Jan 27;106(4):1279-84. doi: 10.1073/pnas.0809141106. Epub 2009 Jan 21.