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Prefrontal Syndrome

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Keywords: Prefrontal cortex, Hippocampus, depression, Alzheimer?s disease, cognitive dysfunction, optogenetics, connectomics, imaging
The Hippocampal-Prefrontal ensemble connectivity in cognitive dysfunction of neuropsychiatric disorders
Abstract
Cognitive dysfunction is a hallmark feature in neuropsychiatric disorders. Especially, domains including working memory, executive function, attention and information processing are defective.Deficits are observed in multiple domains, including working memory, executive function, attention and information processing. Disability caused by cognitive dysfunction are is frequently as debilitating as the prominent emotional disturbances. Interactions between the hippocampus and the prefrontal cortex are …show more content…

Network topology analyses revealed a reduction in network strength, efficiency and regional connectivity in frontal cortex structures, collectively indicating disruption of white matter integrity 73. In a study on adolescent patients with depression, both structural and functional connectivity in the PFC-hippocampal circuit were found to be abnormal 74. In patients with first episode of untreated depression, white mater abnormalities can be a potential biomarker of pathophysiology74. If compromised white matter integrity and function is indeed a precipitating factor in depression, it would be important to examine the role of antidepressants in rescuing, or reversing these deficits. Ketamine has attracted much attention in recent years due to its rapid acting antidepressant properties 75. Its psychomimetic effects and abuse potential can however interfere with its use as a mainstream antidepressant in the clinic. Understanding its precise antidepressant mechanism is therefore a high priority to develop next generation compounds that do not carry undesirable side effects. A recent study on the role of ketamine in MDD patients demonstrated its ability to normalize dysconnectivity between the PFC and the rest of the brain, suggesting that actions on white matter could be involved in its antidepressant mechanism 76. Although this conveys that impaired …show more content…

Hoover WB, Vertes RP. Anatomical analysis of afferent projections to the medial prefrontal cortex in the rat. Brain Struct Funct. 2007;212(2):149-179.
10. Jay TM, Glowinski J, Thierry AM. Selectivity of the hippocampal projection to the prelimbic area of the prefrontal cortex in the rat. Brain Res. 1989;505(2):337-340.
11. Russo SJ, Nestler EJ. The brain reward circuitry in mood disorders. Nat Rev Neurosci. 2013;14(9):609-625.
12. Maren S. Seeking a spotless mind: extinction, deconsolidation, and erasure of fear memory. Neuron. 2011;70(5):830-845.
13. Wolff M, Alcaraz F, Marchand AR, Coutureau E. Functional heterogeneity of the limbic thalamus: From hippocampal to cortical functions. Neurosci Biobehav Rev. 2015;54:120-130.
14. Floresco SB, Seamans JK, Phillips AG. Selective roles for hippocampal, prefrontal cortical, and ventral striatal circuits in radial-arm maze tasks with or without a delay. J Neurosci. 1997;17(5):1880-1890.
15. Broersen LM, Uylings HB. Visual attention task performance in Wistar and Lister hooded rats: response inhibition deficits after medial prefrontal cortex lesions. Neuroscience. 1999;94(1):47-57.
16. Godsil BP, Kiss JP, Spedding M, Jay TM. The hippocampal-prefrontal pathway: the weak link in psychiatric disorders? Eur Neuropsychopharmacol.

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