Normal aging and Parkinson's disease are associated with the functional decline of distinct frontal-striatal circuits
Open accessAbstract
Impaired ability to shift attention between stimuli (i.e. shifting attentional 'set') is a well-established part of the dysexecutive syndrome in Parkinson's Disease (PD), nevertheless cognitive and neural bases of this deficit remain unclear. In this study, an fMRI-optimised variant of a classic paradigm for assessing attentional control (Hampshire and Owen 2006) was used to contrast activity in dissociable executive circuits in early-stage PD patients and controls. The results demonstrated that the neural basis of the executive performance impairments in PD is accompanied by hypoactivation within the striatum, anterior cingulate cortex (vACC), and inferior frontal sulcus (IFS) regions. By contrast, in aging it is associated with hypoactivation of the anterior insula/inferior frontal operculum (AI/FO) and the pre-supplementary motor area (preSMA). Between group behavioural differences were also observed; whereas normally aging individuals exhibited routine-problem solving deficits, PD patients demonstrated more global task learning deficits. These findings concur with recent research demonstrating model-based reinforcement learning deficits in PD and provide evidence that the AI/FO and IFS circuits are differentially impacted by PD and normal aging.
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Deficits in flexible updating are consistently linked to fronto-striatal dysfunction in patients.
“and are consistently linked to fronto-striatal dysfunction in patients [17, 28, 31–33].”
From Linking haploinsufficiency of the autism- and schizophrenia-associated gene Cyfip1 with striatal-limbic-cortical network dysfunction and cognitive inflexibility (2024) · cites this paper as [32]
The Discussion (‘The neural basis of set-shifting deficits in PD’; page not provided) links attentional set-shifting impairments in Parkinson’s disease to reduced activity in frontal regions and the caudate nucleus. That supports a link between a form of cognitive flexibility and fronto-striatal dysfunction, but the paper does not establish the broader claim about flexible updating consistently across patients. (LLM, conf=0.83)
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References 84 · Cited by 25
Research works printed but not linked: 74
- Agid Y. Javoy-Agid F. Ruberg M. Biochemistry of neurotransmitters in Parkinson's disease Marsden C.D. Fahn S. Movement disorders Vol. 2 1987 Butterworth London 166 230
- Alexander G.E. DeLong M.R. Strick P.L. Parallel organization of functionally segregated circuits linking basal ganglia and cortex Annual Review of Neuroscience 9 1986 357 381 3085570
- Beck A.T. Steer R.A. Ball R. Ranieri W.F. Comparison of beck depression inventories-IA and-II in psychiatric outpatients Journal of Personality Assessment 67 3 1996 588 597 8991972
- Berg E.A. A simple objective technique for measuring flexibility in thinking The Journal of General Psychology 39 1 1948 15 22 18889466
- Bullmore E. Suckling J. Overmeyer S. Rabe-Hesketh S. Taylor E. Brammer M. Global, voxel, and cluster tests, by theory and permutation, for a difference between two groups of structural MR images of the brain IEEE Transactions On Medical Imaging 18 1 1999 32 42 10193695
- Chamberlain S.R. Menzies L. Hampshire A. Suckling J. Fineberg N.A. del Campo N. Orbitofrontal dysfunction in patients with obsessive-compulsive disorder and their unaffected relatives Science 321 5887 2008 421 422 18635808
- Cools R. Dopaminergic modulation of cognitive function-implications for l-DOPA treatment in Parkinson's disease Neuroscience & Biobehavioral Reviews 30 1 2006 1 23 15935475
- Cools A.R. van den Bercken J.H. Horstink M.W. van Spaendonck K.P. Berger H.J. Cognitive and motor shifting aptitude disorder in Parkinson's disease Journal of Neurology, Neurosurgery, and Psychiatry 47 5 1984 443 453 PMC1027818 6736974
- Cools R. Barker R.A. Sahakian B.J. Robbins T.W. Mechanisms of cognitive set flexibility in Parkinson’s disease Brain 124 12 2001 2503 2512 11701603
- Cools R. Clark J.C. Robbins T.W. Differential responses in human striatum and prefrontal cortex to changes in object and rule relevance Journal of Neuroscience 24 5 2004 1129 1135 14762131 PMC6793591
- Cools R. Stefanova E. Barker R.A. Robbins T.W. Owen A.M. Dopaminergic modulation of high-level cognition in Parkinson's disease: The role of the prefrontal cortex revealed by PET Brain 125 3 2002 584 594 11872615
- Cusack R. Brett M. Osswald K. An evaluation of the use of magnetic field maps to undistort echo-planar images NeuroImage 18 1 2003 127 142 12507450
- Divac I. Rosvold H.E. Szwarcbart M.K. Behavioral effects of selective ablation of the caudate nucleus Journal of Comparative and Physiological Psychology 63 2 1967 184 190 4963561
- Dove A. Pollmann S. Schubert T. Wiggins C.J. von Cramon D.Y. Prefrontal cortex activation in task switching: An event-related fMRI study Brain Research. Cognitive Brain Research 9 1 2000 103 109 10666562
- Downes J.J. Roberts A.C. Sahakian B.J. Evenden J.L. Morris R.G. Robbins T.W. Impaired extra-dimensional shift performance in medicated and unmedicated Parkinson's disease: Evidence for a specific attentional dysfunction Neuropsychologia 27 11–12 1989 1329 1343 2615934
- Duncan J. The multiple-demand (MD) system of the primate brain: Mental programs for intelligent behaviour Trends in Cognitive Sciences 14 4 2010 172 179 20171926
- Ekman U. Eriksson J. Forsgren L. Mo S.J. Riklund K. Nyberg L. Functional brain activity and presynaptic dopamine uptake in patients with Parkinson's disease and mild cognitive impairment: A cross-sectional study The Lancet Neurology 11 8 2012 679 687 22742929
- Fallon S.J. Hampshire A. Barker R.A. Owen A.M. Learning to be inflexible: Enhanced attentional biases in Parkinson's disease Cortex 82 2016 24 34 27318659
- Fallon S.J. Hampshire A. Williams-Gray C.H. Barker R.A. Owen A.M. Putative cortical dopamine levels affect cortical recruitment during planning Neuropsychologia 51 11 2013 2194 2201 23911779 PMC3808120
- Fallon S.J. Smulders K. Esselink R.A. van de Warrenburg B.P. Bloem B.R. Cools R. Differential optimal dopamine levels for set-shifting and working memory in Parkinson's disease Neuropsychologia 77 2015 42 51 26239947
- Fallon S.J. Williams-Gray C.H. Barker R.A. Owen A.M. Hampshire A. Prefrontal dopamine levels determine the balance between cognitive stability and flexibility Cerebral Cortex 23 2 2013 361 369 22351648
- Foltynie T. Brayne C.E.G. Robbins T.W. Barker R.A. The cognitive ability of an incident cohort of Parkinson's patients in the UK. The CamPaIGN study Brain 127 3 2004 550 560 14691062
- Gauntlett-Gilbert J. Roberts R.C. Brown V.J. Mechanisms underlying attentional set-shifting in Parkinson's disease Neuropsychologia 37 5 1999 605 616 10340319
- Gerrits N.J.H.M. van der Werf Y.D. Verhoef K.M.W. Veltman D.J. Groenewegen H.J. Berendse H.W. Compensatory fronto-parietal hyperactivation during set-shifting in unmedicated patients with Parkinson's disease Neuropsychologia 68 2015 107 116 25576907
- Gibb W.R. Lees A.J. The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson's disease Journal of Neurology, Neurosurgery & Psychiatry 51 6 1988 745 752 PMC1033142 2841426
- Gotham A.M. Brown R.G. Marsden C.D. ‘Frontal’ cognitive function in patients with Parkinson's disease ‘on’ and ‘off’ levodopa Brain 111 2 1988 299 321 3378138
- Grahn J.A. Parkinson J.A. Owen A.M. The cognitive functions of the caudate nucleus Progress in Neurobiology 86 3 2008 141 155 18824075
- Grossman M. Crino P. Reivich M. Stern M.B. Hurtig H.I. Attention and sentence processing deficits in Parkinson's disease: The role of anterior cingulate cortex Cerebral Cortex (New York, N.Y.: 1991) 2 6 1992 513 525 1477527
- Hampshire A. Chaudhry A.M. Owen A.M. Roberts A.C. Dissociable roles for lateral orbitofrontal cortex and lateral prefrontal cortex during preference driven reversal learning NeuroImage 59 4 2012 4102 4112 22075266 PMC3391678
- Hampshire A. Gruszka A. Fallon S.J. Owen A.M. Inefficiency in self-organized attentional switching in the normal aging population is associated with decreased activity in the ventrolateral prefrontal cortex Journal of Cognitive Neuroscience 20 9 2008 1670 1686 18345987 PMC2846688
- Hampshire A. Hellyer P.J. Parkin B. Hiebert N. MacDonald P. Owen A.M. Network mechanisms of intentional learning NeuroImage 127 2016 123 134 26658925 PMC4758826
- Hampshire A. Highfield R.R. Parkin B.L. Owen A.M. Fractionating human intelligence Neuron 76 6 2012 1225 1237 23259956
- Hayes A.E. Davidson M.C. Keele S.W. Rafal R.D. Toward a functional analysis of the basal ganglia Journal of Cognitive Neuroscience 10 2 1998 178 198 9555106
- Hoehn M.M. Yahr M.D. Parkinsonism: Onset, progression and mortality Neurology 17 5 1967 427 442 6067254
- Hughes L.E. Barker R.A. Owen A.M. Rowe J.B. Parkinson's disease and healthy aging: Independent and interacting effects on action selection Human Brain Mapping 31 12 2010 1886 1899 20162604 PMC3353319
- Jellinger K.A. Pathology of Parkinson's disease. Changes other than the nigrostriatal pathway Molecular and Chemical Neuropathology 14 3 1991 153 197 Sponsored by the International Society for Neurochemistry and the World Federation of Neurology and Research Groups on Neurochemistry and Cerebrospinal Fluid 1958262
- Jellinger K.A. Post mortem studies in Parkinson's disease–is it possible to detect brain areas for specific symptoms? Journal of Neural Transmission. Supplementum 56 1999 1 29 10370901
- Kehagia A.A. Barker R.A. Robbins T.W. Neuropsychological and clinical heterogeneity of cognitive impairment and dementia in patients with Parkinson's disease The Lancet Neurology 9 12 2010 1200 1213 20880750
- Kwak Y. Muller M.L.T.M. Bohnen N.I. Dayalu P. Seidler R.D. Effect of dopaminergic medications on the time course of explicit motor sequence learning in Parkinson's disease Journal of Neurophysiology 103 2 2010 942 949 20018839
- Lange K.W. Robbins T.W. Marsden C.D. James M. Owen A.M. Paul G.M. L-dopa withdrawal in Parkinson's disease selectively impairs cognitive performance in tests sensitive to frontal lobe dysfunction Psychopharmacology 107 2–3 1992 394 404 1615139
- Lawrence A.D. Sahakian B.J. Hodges J.R. Rosser A.E. Lange K.W. Robbins T.W. Executive and mnemonic functions in early Huntington's disease Brain 119 5 1996 1633 1645 8931586
- Lees A.J. Smith E. Cognitive deficits in the early stages of Parkinson's disease Brain: a Journal of Neurology 106 Pt 2 1983 257 270 6850270
- Lewis S.J.G. Cools R. Robbins T.W. Dove A. Barker R.A. Owen A.M. Using executive heterogeneity to explore the nature of working memory deficits in Parkinson's disease Neuropsychologia 41 6 2003 645 654 12591022
- Lewis S.J.G. Slabosz A. Robbins T.W. Barker R.A. Owen A.M. Dopaminergic basis for deficits in working memory but not attentional set-shifting in Parkinson's disease Neuropsychologia 43 6 2005 823 832 15716155
- MacDonald P.A. MacDonald A.A. Seergobin K.N. Tamjeedi R. Ganjavi H. Provost J.-S. The effect of dopamine therapy on ventral and dorsal striatum-mediated cognition in Parkinson's disease: Support from functional MRI Brain 134 5 2011 1447 1463 21596772
- MacDonald P.A. Monchi O. Differential effects of dopaminergic therapies on dorsal and ventral striatum in Parkinson's Disease: Implications for cognitive function Parkinson's Disease 2011 2011 1 18 PMC3062097 21437185
- Mackintosh N.J. Conditioning and associative learning 1983 Clarendon Oxford
- Marié R.M. Barré L. Dupuy B. Viader F. Defer G. Baron J.C. Relationships between striatal dopamine denervation and frontal executive tests in Parkinson's disease Neuroscience Letters 260 2 1999 77 80 10025703
- Mattay V.S. Tessitore A. Callicott J.H. Bertolino A. Goldberg T.E. Chase T.N. Dopaminergic modulation of cortical function in patients with Parkinson's disease Annals of Neurology 51 2 2002 156 164 11835371
- Monchi O. Petrides M. Doyon J. Postuma R.B. Worsley K. Dagher A. Neural bases of set-shifting deficits in Parkinson's disease Journal of Neuroscience 24 3 2004 702 710 14736856 PMC6729250
- Monchi O. Petrides M. Mejia-Constain B. Strafella A.P. Cortical activity in Parkinson's disease during executive processing depends on striatal involvement Brain: a Journal of Neurology 130 Pt 1 2007 233 244 17121746 PMC3714298
- Monchi O. Petrides M. Strafella A.P. Worsley K.J. Doyon J. Functional role of the basal ganglia in the planning and execution of actions Annals of Neurology 59 2 2006 257 264 16437582
- Morris R.G. Downes J.J. Sahakian B.J. Evenden J.L. Heald A. Robbins T.W. Planning and spatial working memory in Parkinson's disease Journal of Neurology, Neurosurgery, and Psychiatry 51 6 1988 757 766 PMC1033144 3404183
- Nagano-Saito A. Habak C. Mejía-Constaín B. Degroot C. Monetta L. Jubault T. Effect of mild cognitive impairment on the patterns of neural activity in early Parkinson's disease Neurobiology of Aging 35 1 2014 223 231 23932879
- Owen A.M. Doyon J. Dagher A. Sadikot A. Evans A.C. Abnormal basal ganglia outflow in Parkinson's disease identified with PET. Implications for higher cortical functions Brain: a Journal of Neurology 121 Pt 5 1998 949 965 9619196
- Owen A.M. James M. Leigh P.N. Summers B.A. Marsden C.D. Quinn N.P. Fronto-striatal cognitive deficits at different stages of Parkinson's disease Brain 115 6 1992 1727 1751 1486458
- Owen A.M. Roberts A.C. Hodges J.R. Summers B.A. Polkey C.E. Robbins T.W. Contrasting mechanisms of impaired attentional set-shifting in patients with frontal lobe damage or Parkinson's disease Brain: a Journal of Neurology 116 Pt 5 1993 1159 1175 8221053
- Owen A.M. Roberts A.C. Polkey C.E. Sahakian B.J. Robbins T.W. Extra-dimensional versus intra-dimensional set shifting performance following frontal lobe excisions, temporal lobe excisions or amygdalo-hippocampectomy in man Neuropsychologia 29 10 1991 993 1006 1762678
- O'Doherty J.P. Dissociable roles of ventral and dorsal striatum in instrumental conditioning Science 304 5669 2004 452 454 15087550
- O'Doherty J.P. Hampton A. Kim H. Model-based fMRI and its application to reward learning and decision making Annals of the New York Academy of Sciences 1104 1 2007 35 53 17416921
- Ravizza S.M. Ciranni M.A. Contributions of the prefrontal cortex and basal ganglia to set shifting Journal of Cognitive Neuroscience 14 3 2002 472 483 11970806
- Roberts A.C. Robbins T.W. Everitt B.J. The effects of intradimensional and extradimensional shifts on visual discrimination learning in humans and non-human primates The Quarterly Journal of Experimental Psychology. B, Comparative and Physiological Psychology 40 4 1988 321 341 3145534
- Roberts A.C. Wallis J.D. Inhibitory control and affective processing in the prefrontal cortex: Neuropsychological studies in the common marmoset Cerebral Cortex (New York, N.Y.: 1991) 10 3 2000 252 262 10731220
- Rogers R.D. Andrews T.C. Grasby P.M. Brooks D.J. Robbins T.W. Contrasting cortical and subcortical activations produced by attentional-set shifting and reversal learning in humans Journal of Cognitive Neuroscience 12 1 2000 142 162 10769312
- Rogers R.D. Sahakian B.J. Hodges J.R. Polkey C.E. Kennard C. Robbins T.W. Dissociating executive mechanisms of task control following frontal lobe damage and Parkinson's disease Brain 121 5 1998 815 842 9619187
- Scatton B. Javoy-Agid F. Rouquier L. Dubois B. Agid Y. Reduction of cortical dopamine, noradrenaline, serotonin and their metabolites in Parkinson's disease Brain Research 275 2 1983 321 328 6626985
- Sharp M.E. Foerde K. Daw N.D. Shohamy D. Dopamine selectively remediates ‘model-based’ reward learning: A computational approach Brain 139 2 2016 355 364 26685155 PMC5868097
- Slabosz A. Lewis S.J.G. Smigasiewicz K. Szymura B. Barker R.A. Owen A.M. The role of learned irrelevance in attentional set-shifting impairments in Parkinson's disease Neuropsychology 20 5 2006 578 588 16938020
- Van Spaendonck K.P. Berger H.J. Horstink M.W. Buytenhuijs E.L. Cools A.R. Executive functions and disease characteristics in Parkinson's disease Neuropsychologia 34 7 1996 617 626 8783214
- Stewart L. Meyer B. Frith U. Rothwell J. Left posterior BA37 is involved in object recognition: A TMS study Neuropsychologia 39 1 2001 1 6 11115651
- Taylor A.E. Saint-Cyr J.A. Lang A.E. Frontal lobe dysfunction in Parkinson's disease. The cortical focus of neostriatal outflow Brain: a Journal of Neurology 109 Pt 5 1986 845 883 3779372
- Williams-Gray C.H. Hampshire A. Barker R.A. Owen A.M. Attentional control in Parkinson's disease is dependent on COMT val 158 met genotype Brain: a Journal of Neurology 131 Pt 2 2008 397 408 18178571
- de Wit S. Standing H.R. DeVito E.E. Robinson O.J. Ridderinkhof K.R. Robbins T.W. Reliance on habits at the expense of goal-directed control following dopamine precursor depletion Psychopharmacology 219 2 2012 621 631 22134475 PMC3249188
- Witt S.T. Stevens M.C. fMRI task parameters influence hemodynamic activity in regions implicated in mental set switching NeuroImage 65 2013 139 151 23079572 PMC3523276
- Authors
- Gruszka, A., Hampshire, A., Barker, R. A., & Owen, A. M.
- Affiliations
- Jagiellonian University (PL)
- Imperial College London (GB)
- University of Cambridge (GB)
- Western University (CA)
- Corresponding author
- Gruszka, Aleksandra
- Venue
- Cortex
- Publisher
- Elsevier BV
- Published
- 2017-08
- Volume
- 93
- Pages
- 178-192
- ISSN
- 0010-9452 (ISSN-L)
- PMC
- PMC5542042
- OpenAlex
- W2620571758
- Cited by
- 25
- References
- 84
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Cortex (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Jagiellonian University Repository (Jagiellonian University) (submittedVersion, other-oa)
- Scholarship@Western (Western University) (submittedVersion)
- Apollo (University of Cambridge) (submittedVersion, cc-by)
- Apollo (cc-by)
- Funders
- Wellcome Trust (WT072378MA)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, normal aging, executive function, set-shifting, frontostriatal circuits, anterior insula, inferior frontal sulcus, anterior cingulate cortex, pre-supplementary motor area, model-based reinforcement learning
- MeSH terms
- Adult, Aged, Aging, Attention, Cognition Disorders, Female, Frontal Lobe, Humans, Learning, Male, Middle Aged, Parkinson Disease, Neostriatum
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