PMID- 23778975 OWN - NLM STAT- MEDLINE DCOM- 20141231 LR - 20211021 IS - 1745-1701 (Electronic) IS - 0586-7614 (Print) IS - 0586-7614 (Linking) VI - 40 IP - 3 DP - 2014 May TI - Prefrontal brain network connectivity indicates degree of both schizophrenia risk and cognitive dysfunction. PG - 653-64 LID - 10.1093/schbul/sbt077 [doi] AB - OBJECTIVE: Cognitive dysfunction is a core feature of schizophrenia, and persons at risk for schizophrenia may show subtle deficits in attention and working memory. In this study, we investigated the relationship between integrity of functional brain networks and performance in attention and working memory tasks as well as schizophrenia risk. METHODS: A total of 235 adults representing 3 levels of risk (102 outpatients with schizophrenia, 70 unaffected first-degree relatives of persons with schizophrenia, and 63 unrelated healthy controls [HCs]) completed resting-state functional magnetic resonance imaging and a battery of attention and working memory tasks (Brief Test of Attention, Hopkins Verbal Learning Test, and Brief Visuospatial Memory Test) on the same day. Functional networks were defined based on coupling with seeds in the dorsal anterior cingulate cortex, dorsolateral prefrontal cortex (DLPFC), medial prefrontal cortex (MPFC), and primary visual cortex. Networks were then dissected into regional clusters of connectivity that were used to generate individual interaction matrices representing functional connectivity within each network. RESULTS: Both patients with schizophrenia and their first-degree relatives showed cognitive dysfunction compared with HCs. First canonicals indicated an inverse relationship between cognitive performance and connectivity within the DLPFC and MPFC networks. Multivariate analysis of variance revealed multivariate main effects of higher schizophrenia risk status on increased connectivity within the DLPFC and MPFC networks. CONCLUSIONS: These data suggest that excessive connectivity within brain networks coupled to the DLPFC and MPFC, respectively, accompany cognitive deficits in persons at risk for schizophrenia. This might reflect compensatory reactions in neural systems required for cognitive processing of attention and working memory tasks to brain changes associated with schizophrenia. FAU - Unschuld, Paul G AU - Unschuld PG AD - *To whom correspondence should be addressed; Division of Psychiatry Research and Psychogeriatric Medicine, University of Zurich, Minervastrasse 145, CH-8032 Zurich, Switzerland; tel: +41-44-3891-453, fax: +41-44-3891-447, e-mail: paul.unschuld@uzh.ch. FAU - Buchholz, Alison S AU - Buchholz AS FAU - Varvaris, Mark AU - Varvaris M FAU - van Zijl, Peter C M AU - van Zijl PC FAU - Ross, Christopher A AU - Ross CA FAU - Pekar, James J AU - Pekar JJ FAU - Hock, Christoph AU - Hock C FAU - Sweeney, John A AU - Sweeney JA FAU - Tamminga, Carol A AU - Tamminga CA FAU - Keshavan, Matcheri S AU - Keshavan MS FAU - Pearlson, Godfrey D AU - Pearlson GD FAU - Thaker, Gunvant K AU - Thaker GK FAU - Schretlen, David J AU - Schretlen DJ LA - eng GR - R01 MH096913/MH/NIMH NIH HHS/United States GR - P41-EB015909/EB/NIBIB NIH HHS/United States GR - R01 MH077852/MH/NIMH NIH HHS/United States GR - T32MH015330/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 - 20130618 PL - United States TA - Schizophr Bull JT - Schizophrenia bulletin JID - 0236760 SB - IM MH - Adult MH - Analysis of Variance MH - Attention/physiology MH - Case-Control Studies MH - Cognition Disorders/genetics/*physiopathology/psychology MH - *Family MH - Female MH - Functional Neuroimaging MH - Gyrus Cinguli/*physiopathology MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Memory, Short-Term/physiology MH - Middle Aged MH - Multivariate Analysis MH - Neural Pathways/*physiopathology MH - Prefrontal Cortex/*physiopathology MH - Risk MH - Schizophrenia/genetics/*physiopathology MH - *Schizophrenic Psychology MH - Visual Cortex/*physiopathology PMC - PMC3984516 OTO - NOTNLM OT - attention OT - default-mode network OT - fMRI OT - resting state OT - working memory EDAT- 2013/06/20 06:00 MHDA- 2015/01/01 06:00 PMCR- 2015/05/01 CRDT- 2013/06/20 06:00 PHST- 2013/06/20 06:00 [entrez] PHST- 2013/06/20 06:00 [pubmed] PHST- 2015/01/01 06:00 [medline] PHST- 2015/05/01 00:00 [pmc-release] AID - sbt077 [pii] AID - 10.1093/schbul/sbt077 [doi] PST - ppublish SO - Schizophr Bull. 2014 May;40(3):653-64. doi: 10.1093/schbul/sbt077. Epub 2013 Jun 18.