Cited by 1,109Treatment of Major DepressionNeural and Behavioral Psychology StudiesNeurotransmitter Receptor Influence on Behavior

The DOI matches its Crossref record; 108 of the 108 references it cites were found in a registry or an index.

The Subgenual Anterior Cingulate Cortex in Mood Disorders

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Abstract

The anterior cingulate cortex (ACC) ventral to the genu of the corpus callosum has been implicated in the modulation of emotional behavior on the basis of neuroimaging studies in humans and lesion analyses in experimental animals. In a combined positron emission tomography/magnetic resonance imaging study of mood disorders, we demonstrated that the mean gray matter volume of this “subgenual” ACC (sgACC) cortex is abnormally reduced in subjects with major depressive disorder (MDD) and bipolar disorder, irrespective of mood state. Neuropathological assessments of sgACC tissue acquired postmortem from subjects with MDD or bipolar disorder confirmed the decrement in gray matter volume, and revealed that this abnormality was associated with a reduction in glia, with no equivalent loss of neurons. In positron emission tomography studies, the metabolic activity was elevated in this region in the depressed relative to the remitted phases of the same MDD subjects, and effective antidepressant treatment was associated with a reduction in sgACC activity. Other laboratories replicated and extended these findings, and the clinical importance of this treatment effect was underscored by a study showing that deep brain stimulation of the sgACC ameliorates depressive symptoms in treatment-resistant MDD. This article discusses the functional significance of these findings within the context of the preclinical literature that implicates the putative homologue of this region in the regulation of emotional behavior and stress response. In experimental animals, this region participates in an extended “visceromotor network” of structures that modulates autonomic/neuroendocrine responses and neurotransmitter transmission during the neural processing of reward, fear, and stress. These data thus hold important implications for the development of neural models of depression that can account for the abnormal motivational, neuroendocrine, autonomic, and emotional manifestations evident in human mood disorders.

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Show all 108 references

Research works printed but not linked: 8

  1. 10.1016/S0924-977X(02)00102-5 · DOI · Paper page
  2. Drevets, The New Encyclopedia of Neuroscience
  3. Drevets, 1995, Functional anatomical differences between major depressive subtypes, J Cereb Blood Flow Metab, 15, S93
  4. Moore, J Clin Psychiatry
  5. Drevets, 2004, The Neurobiological Foundation Of Mental Illness, 461
  6. Rauch, 2008, Stress-Induced and Fear Circuitry Disorders: Refining the Research Agenda for DSM-V, 235
  7. 10.1016/j.jpsychires.2006.03.006 · DOI
  8. Drevets, 2003, Neuromorphometric MRI assessments of the hippocampal subiculum in mood disorders, Biol Psychiatry, 53, 189S

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Metadata

Authors
Drevets, W. C., Savitz, J., & Trimble, M.
Affiliations
  • National Institutes of Health (US)
  • National Institute of Mental Health (US)
  • National Hospital for Neurology and Neurosurgery (GB)
Venue
CNS Spectrums
Published
2008-08
Volume
13
Issue
8
Pages
663-681
ISSN
  • 1092-8529 (ISSN-L)
  • 2165-6509
OpenAlex
W1582811168
Cited by
1,109
References
108
Citations by year
2026: 55 · 2025: 58 · 2024: 64 · 2023: 48 · 2022: 68 · 2021: 112 · 2020: 62 · 2019: 63 · 2018: 57 · 2017: 55 · 2016: 72 · 2015: 63 · 2014: 68 · 2013: 70 · 2012: 68
FWCI
4.49
Type
journal article
Language
en
Open access
Locations
  • CNS Spectrums (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Mental Health (Z01MH002790)
Topics
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
subgenual anterior cingulate cortex, mood disorders, major depressive disorder, bipolar disorder, gray matter volume, antidepressant response, deep brain stimulation, stress response, emotional behavior, neuroendocrine regulation, autonomic responses
MeSH terms
Corpus Callosum, Gyrus Cinguli, Humans, Magnetic Resonance Imaging, Mood Disorders

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