Cited by 63Obsessive-Compulsive Spectrum DisordersPsychoanalysis and Psychopathology ResearchSchizophrenia research and treatment

Localized Functional Neurochemical Marker Abnormalities in Dorsolateral Prefrontal Cortex in Pediatric Obsessive-Compulsive Disorder

Russell, Aileen, Cortese, Bernadette, Lorch, Elisa, Ivey, Jennifer, Banerjee, S. Preeya, Moore, Gregory J., Rosenberg, David R.·2003·Journal of Child and Adolescent Psychopharmacology

Abstract

Background Neurobiological abnormalities in the prefrontal cortex have been implicated in the pathogenesis of obsessive-compulsive disorder (OCD). Although OCD commonly arises during childhood and adolescence, to our knowledge, no prior study has examined prefrontal cortex neurochemistry in pediatric patients with OCD. Methods A multislice spectroscopic imaging sequence with validated phantom replacement methodology was used to measure N-acetyl-aspartate (NAA), a putative neuronal marker; choline compounds (Cho); and creatine/phosphocreatine (Cr) in right and left dorsolateral prefrontal cortex (DLPFC) of 15 treatment-naïve OCD patients, 8-15 years of age, and 15 case-matched healthy comparison subjects. Results A significant increase (21% higher) in NAA was observed in left but not right DLPFC in OCD patients versus control subjects. No significant differences in Cho or Cr were observed between groups in left or right DLPFC. Conclusions These results provide new evidence of localized functional neurochemical marker alterations in left DLPFC in pediatric OCD. Increased left DLPFC NAA may represent neuronal hypertrophy or hyperplasia, glial hypoplasia, and/or abnormal pruning of neural brain elements in DLPFC.

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Crossref · 10.1089/104454603322126322

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Authors
Russell, A., Cortese, B., Lorch, E., Ivey, J., Banerjee, S. P., Moore, G. J., & Rosenberg, D. R.
Affiliations
Wayne State University (US)
Venue
Journal of Child and Adolescent Psychopharmacology
Published
2003-07
Volume
13
Issue
supplement 1
Pages
31-38
ISSN
  • 1044-5463 (ISSN-L)
  • 1557-8992
OpenAlex
W2003562319
Cited by
63
References
0
Citations by year
2025: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 5 · 2013: 2 · 2012: 5
FWCI
5.70
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Child and Adolescent Psychopharmacology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Wayne State University
  • Michigan State University
  • Johns Hopkins University
  • National Institute of Mental Health (MH-65122, R01MH065122, MH 02037, MH-59299, R01MH059299)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
pediatric obsessive-compulsive disorder, dorsolateral prefrontal cortex, N-acetylaspartate, choline-containing compounds, creatine/phosphocreatine, neurochemical markers, neuronal hypertrophy, hemispheric lateralization
MeSH terms
Adolescent, Aspartic Acid, Child, Choline, Creatine, Female, Humans, Image Interpretation, Computer-Assisted, Magnetic Resonance Imaging, Male, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Biomarkers, Prefrontal Cortex

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