Localized Functional Neurochemical Marker Abnormalities in Dorsolateral Prefrontal Cortex in Pediatric Obsessive-Compulsive Disorder
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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Neuroimaging studies have identified that OCD patients exhibit localised excessive neurochemical marker activity compared to healthy controls in brain regions associated with performance monitoring.
“Furthermore, neuroimaging studies have identified that OCD patients exhibit localised excessive neurochemical marker (e.g. N-acetyl-aspartate) activity compared to HCs in brain regions that are thought to be associated with performance monitoring, such as the anterior cingulate cortex, orbitofrontal cortex and the dorsolateral prefrontal cortex (DLPFC) (Carter et al., 1998; Russell et al., 2003).”
From Obsessive–compulsive disorder (OCD) is associated with increased engagement of frontal brain regions across multiple event-related potentials (2023) · cites this paper as Russell et al., 2003
Several studies have reported neuroimaging evidence of structural and neurochemical anomalies in the DLPFC in OCD.
“Additionally, several studies have reported neuroimaging evidence of structural and neurochemical anomalies in the DLPFC in OCD (De Wit et al., 2014; Russell et al., 2003).”
From Obsessive–compulsive disorder (OCD) is associated with increased engagement of frontal brain regions across multiple event-related potentials (2023) · cites this paper as Russell et al., 2003
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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
- Publisher
- SAGE Publications
- 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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