PMID- 27698361 OWN - NLM STAT- MEDLINE DCOM- 20180710 LR - 20181113 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Oct 4 TI - Short-term Effects of Risperidone Monotherapy on Spontaneous Brain Activity in First-episode Treatment-naive Schizophrenia Patients: A Longitudinal fMRI Study. PG - 34287 LID - 10.1038/srep34287 [doi] LID - 34287 AB - It is unclear whether abnormal spontaneous neural activation patterns found in chronic schizophrenia patients (CSP) are part of the pathogenesis of disease, consequences of chronic illness, or effects of antipsychotic treatment. We performed a longitudinal resting-state functional magnetic resonance imaging (fMRI) study in 42 treatment-naive first-episode schizophrenia patients (FESP) at baseline and then after 8-weeks of risperidone monotherapy, and compared the findings to 38 healthy volunteers. Spontaneous brain activity was quantified using the fractional amplitude of low-frequency fluctuations (fALFF) and regional homogeneity (ReHo) and compared between patients and controls. Pretreatment, patients exhibited higher fALFF in left caudate compared with controls. After treatment, patients had elevated fALFF in bilateral putamen and right caudate, and increased ReHo in right caudate and left putamen. Greater increase of fALFF in the left putamen correlated with less improvement in positive symptoms. Thus, abnormalities of spontaneous neural activity in chronic schizophrenia is at least partly due to a medication effect. The observed post-treatment increase in striatal intrinsic activity may reflect counter-therapeutic functional adaptation to dopamine D2 receptor occupancy required for medication effects on psychosis. FAU - Hu, Mao-Lin AU - Hu ML AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, USA. AD - Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders (xiangya), Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China. FAU - Zong, Xiao-Fen AU - Zong XF AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, USA. AD - Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders (xiangya), Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China. FAU - Zheng, Jun-Jie AU - Zheng JJ AD - Key Laboratory for NeuroInformation of the Ministry of Education, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China. FAU - Pantazatos, Spiro P AU - Pantazatos SP AD - Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry, Columbia University, New York, NY, USA. FAU - Miller, Jeffrey M AU - Miller JM AD - Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, USA. FAU - Li, Zong-Chang AU - Li ZC AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Liao, Yan-Hui AU - Liao YH AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience, David Geffen School of Medicine, Los Angeles, CA, USA. FAU - He, Ying AU - He Y AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Zhou, Jun AU - Zhou J AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. FAU - Sang, De-En AU - Sang DE AD - Department of Radiology, Henan Mental Hospital, the Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China. FAU - Zhao, Hong-Zeng AU - Zhao HZ AD - Department of Radiology, Henan Mental Hospital, the Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China. FAU - Lv, Lu-Xian AU - Lv LX AD - Department of Psychiatry, Henan Mental Hospital, the Second Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China. AD - Henan Key Lab of Biological Psychiatry, Henan Mental Hospital, Xinxiang Medical University, Xinxiang, Henan, China. FAU - Tang, Jin-Song AU - Tang JS AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience, David Geffen School of Medicine, Los Angeles, CA, USA. FAU - Mann, J John AU - Mann JJ AD - Division of Molecular Imaging and Neuropathology, New York State Psychiatric Institute and Departments of Psychiatry and Radiology, Columbia University, New York, NY, USA. FAU - Chen, Xiao-Gang AU - Chen XG AD - Department of Psychiatry, the Second Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - Mental Health Institute of the Second Xiangya Hospital, Central South University, Chinese National Clinical Research Center on Mental Disorders (xiangya), Chinese National Technology Institute on Mental Disorders, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan, China. LA - eng GR - K01 MH108721/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 - 20161004 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Antipsychotic Agents) RN - L6UH7ZF8HC (Risperidone) SB - IM MH - Adult MH - Antipsychotic Agents/pharmacology/*therapeutic use MH - Brain/*drug effects/physiopathology MH - Case-Control Studies MH - Female MH - Humans MH - Longitudinal Studies MH - Magnetic Resonance Imaging/*methods MH - Male MH - Risperidone/pharmacology/*therapeutic use MH - Schizophrenia/*drug therapy/physiopathology MH - Young Adult PMC - PMC5048418 EDAT- 2016/10/05 06:00 MHDA- 2018/07/11 06:00 PMCR- 2016/10/04 CRDT- 2016/10/05 06:00 PHST- 2016/06/24 00:00 [received] PHST- 2016/09/09 00:00 [accepted] PHST- 2016/10/05 06:00 [entrez] PHST- 2016/10/05 06:00 [pubmed] PHST- 2018/07/11 06:00 [medline] PHST- 2016/10/04 00:00 [pmc-release] AID - srep34287 [pii] AID - 10.1038/srep34287 [doi] PST - epublish SO - Sci Rep. 2016 Oct 4;6:34287. doi: 10.1038/srep34287.