Orbital and Medial Prefrontal Cortex Functional Connectivity of Major Depression Vulnerability and Disease
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Background Pathophysiology models of major depression (MD) center on the dysfunction of various cortical areas within the orbital and medial prefrontal cortex. While independent structural and functional abnormalities in these areas are consistent findings in MD, the complex interactions among them and the rest of the cortex remain largely unexplored. Methods We used resting-state functional magnetic resonance imaging connectivity to systematically map alterations in the communication between orbital and medial prefrontal cortex fields and the rest of the brain in MD. Functional connectivity (FC) maps from participants with current MD (n = 35), unaffected first-degree relatives (n = 36), and healthy control subjects (n = 38) were subjected to conjunction analyses to distinguish FC markers of MD vulnerability and FC markers of MD disease. Results FC abnormalities in MD vulnerability were found for dorsal medial wall regions and the anterior insula and concerned altered communication of these areas with the inferior parietal cortex and dorsal posterior cingulate, occipital areas and the brainstem. FC aberrations in current MD included the anterior insula, rostral and dorsal anterior cingulate cortex, and lateral orbitofrontal areas and concerned altered communication with the dorsal striatum, the cerebellum, the precuneus, the anterior prefrontal cortex, somatomotor cortex, dorsolateral prefrontal cortex, and visual areas in the occipital and inferior temporal lobes. Conclusions Functionally delineated parcellation maps can be used to identify putative connectivity markers in extended cortical regions such as the orbital and medial prefrontal cortex. The anterior insula and the rostral anterior cingulate cortex play a central role in the pathophysiology of MD, being consistently implicated both in the MD vulnerability and MD disease states.
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Current major depressive disorder was uniquely characterized by abnormal resting state functional connectivity between various orbital and medial prefrontal cortex sub-regions and prefrontal, subcortical, and cortical regions.
“However, current MDD was uniquely characterized by abnormal rsFC between various orbital and mPFC sub-regions (pgACC, dACC, lateral and central OFC) and PFC (dlPFC), subcortical (e.g., dorsal striatum), as well as cortical (e.g., precuneus, inferior temporal lobes) regions.”
From Prefrontal cortex and depression (2022) · cites this paper as [73]
Current major depressive disorder and increased risk for major depressive disorder shared several abnormalities, including dysregulated coupling involving the perigenual anterior cingulate cortex, dorsomedial prefrontal cortex, and dorsal anterior cingulate cortex to other cortical regions.
“Current MDD and increased risk for MDD shared several abnormalities, including dysregulated coupling involving the pgACC, dmPFC and dorsal ACC (dACC) to other cortical regions (Fig. 4a).”
From Prefrontal cortex and depression (2022) · cites this paper as [73]
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- Authors
- Samara, Z., Evers, E. A. T., Peeters, F., Uylings, H. B. M., Rajkowska, G., Ramaekers, J. G., & Stiers, P.
- Affiliations
- Maastricht University (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Samara, Zoe
- Venue
- Biological Psychiatry: Cognitive Neuroscience and Neuroimaging
- Publisher
- Elsevier BV
- Published
- 2018-04
- Volume
- 3
- Issue
- 4
- Pages
- 348-357
- ISSN
- 2451-9022 (ISSN-L)
- PMC
- PMC5894884
- OpenAlex
- W2786176443
- Cited by
- 40
- References
- 90
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 7 · 2023: 1 · 2022: 8 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 3
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Biological Psychiatry Cognitive Neuroscience and Neuroimaging (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- Netherlands Initiative Brain and Cognition (056-13-012)
- National Institutes of Health (5P30GM103328)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- major depressive disorder, orbitofrontal cortex, medial prefrontal cortex, functional connectivity, depression vulnerability, depression pathophysiology, anterior insula, rostral anterior cingulate cortex, resting-state functional connectivity, first-degree relatives, brain parcellation
- MeSH terms
- Adult, Cerebral Cortex, Depression, Major Depressive Disorder, Depressive Disorder, Major, Female, Gyrus Cinguli, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Parietal Lobe, Temporal Lobe, Prefrontal Cortex
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