Cited by 294Functional Brain Connectivity StudiesNeural and Behavioral Psychology StudiesTreatment of Major Depression

Medial reward and lateral non-reward orbitofrontal cortex circuits change in opposite directions in depression

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Cheng, Wei, Rolls, Edmund T., Qiu, Jiang, Liu, Wei, Tang, Yanqing, Huang, Chu-Chung, Wang, XinFa, Zhang, Jie +9 more·2016·Brain

Abstract

The first brain-wide voxel-level resting state functional connectivity neuroimaging analysis of depression is reported, with 421 patients with major depressive disorder and 488 control subjects. Resting state functional connectivity between different voxels reflects correlations of activity between those voxels and is a fundamental tool in helping to understand the brain regions with altered connectivity and function in depression. One major circuit with altered functional connectivity involved the medial orbitofrontal cortex Brodmann area 13, which is implicated in reward, and which had reduced functional connectivity in depression with memory systems in the parahippocampal gyrus and medial temporal lobe, especially involving the perirhinal cortex Brodmann area 36 and entorhinal cortex Brodmann area 28. The Hamilton Depression Rating Scale scores were correlated with weakened functional connectivity of the medial orbitofrontal cortex Brodmann area 13. Thus in depression there is decreased reward-related and memory system functional connectivity, and this is related to the depressed symptoms. The lateral orbitofrontal cortex Brodmann area 47/12, involved in non-reward and punishing events, did not have this reduced functional connectivity with memory systems. Second, the lateral orbitofrontal cortex Brodmann area 47/12 had increased functional connectivity with the precuneus, the angular gyrus, and the temporal visual cortex Brodmann area 21. This enhanced functional connectivity of the non-reward/punishment system (Brodmann area 47/12) with the precuneus (involved in the sense of self and agency), and the angular gyrus (involved in language) is thus related to the explicit affectively negative sense of the self, and of self-esteem, in depression. A comparison of the functional connectivity in 185 depressed patients not receiving medication and 182 patients receiving medication showed that the functional connectivity of the lateral orbitofrontal cortex Brodmann area 47/12 with these three brain areas was lower in the medicated than the unmedicated patients. This is consistent with the hypothesis that the increased functional connectivity of the lateral orbitofrontal cortex Brodmann area 47/12 is related to depression. Relating the changes in cortical connectivity to our understanding of the functions of different parts of the orbitofrontal cortex in emotion helps to provide new insight into the brain changes related to depression.

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  • In a sample of 421 individuals with major depressive disorder and 488 healthy controls, reduced resting state functional connectivity emerged between the central orbitofrontal cortex and memory-related regions, with increasingly weaker connectivity correlating with higher depression severity.

    “In a sample of 421 individuals with MDD and 488 healthy controls, reduced rsFC emerged in MDD between the central OFC (BA13) and memory-related regions (e.g., parahippocampal gyrus), with increasingly weaker rsFC correlating with higher depression severity [71].”

    From Prefrontal cortex and depression (2022) · cites this paper as [71]

  • Human prefrontal activity increases more for happy stimuli than for sad stimuli.

    “Activity in the human PFC is increased by 'happy' stimuli to a greater extent than it is for 'sad' stimuli and these responses are altered in depressed and anhedonic patients [180-182], consistent with alterations in PFC circuit function.”
  • Prefrontal responses to happy and sad stimuli are altered in depressed and anhedonic patients.

    “Activity in the human PFC is increased by 'happy' stimuli to a greater extent than it is for 'sad' stimuli and these responses are altered in depressed and anhedonic patients [180-182], consistent with alterations in PFC circuit function.”
  • These altered prefrontal responses are consistent with altered prefrontal circuit function.

    “Activity in the human PFC is increased by 'happy' stimuli to a greater extent than it is for 'sad' stimuli and these responses are altered in depressed and anhedonic patients [180-182], consistent with alterations in PFC circuit function.”
  • In large cohort, significant reduction in functional connectivity of medial OFC, BA 13, in MDD vs controls.

    “A recent investigation in a large cohort of 421 MDD patients and 488 controls using a “brain-wide” voxel level analysis found a significant reduction in functional connectivity of the medial OFC, BA 13, which is known to be linked to reward processing (Cheng et al., 2016).”

    From Circuit Mechanisms of Reward, Anhedonia, and Depression (2019) · cites this paper as Cheng et al., 2016

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Research works printed but not linked: 4

  1. [3]3. Beck AT. Cognitive therapy of depression. New York: Guilford Press; 1979.
  2. [25]25. Hamilton JP, Etkin A, Furman DJ, Lemus MG, Johnson RF, Gotlib IH. Functional neuroimaging of MDD: a meta-analysis and new integration of base line activation and neural response data. Am J Psychiatry 2012; 169: 693-703.
  3. [26]26. Hamilton JP, Chen MC, Gotlib IH. Neural systems approaches to understanding MDD: an intrinsic functional organization perspec- tive. Neurobiol Dis 2013; 52: 4-11.
  4. [40]40. Lorenzetti V, Allen NB, Fornito A, Yucel M. Structural brain abnorm- alities in MDD: a selective review of recent MRI studies. J Affect Disord 2009; 117: 1-17.

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Authors
Cheng, W., Rolls, E. T., Qiu, J., Liu, W., Tang, Y., Huang, C.-C., Wang, X., Zhang, J., Lin, W., Zheng, L., Pu, J., Tsai, S.-J., Yang, A. C., Lin, C.-P., Wang, F., Xie, P., & Feng, J.
Affiliations
  • Fudan University (CN)
  • University of Warwick (GB)
  • Southwest University (CN)
  • First Hospital of China Medical University (CN)
  • National Yang Ming University (TW)
  • The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
  • Taipei Veterans General Hospital (TW)
Corresponding author
Feng, Jianfeng
Venue
Brain
Published
2016-10-14
Volume
139
Issue
12
Pages
3296-3309
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2526989977
Cited by
294
References
66
Citations by year
2026: 18 · 2025: 30 · 2024: 29 · 2023: 29 · 2022: 40 · 2021: 38 · 2020: 32 · 2019: 24 · 2018: 31 · 2017: 18 · 2016: 5
FWCI
16.55
Type
journal article
Language
en
Open access
Locations
  • Brain (publishedVersion)
  • PubMed (publishedVersion)
  • Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • National Natural Science Foundation of China (81571311,, 61273014, 71661167002, NSFC 61104143, 31470981, 31271189, 81271499, 81571331, 31271087; 31470981; 31571137; 31500885, 31571137, 31271087; 31470981, 11322111, 31500885, 31271087, 61573107, 91230201, 11101429, 61104143, 11471081)
  • National Science Council
  • Academia Sinica (31500885, 31470981, 31571137, 31271087, AS-104-TP-B10)
  • Chinese Academy of Sciences (91230201)
  • China Postdoctoral Science Foundation (2015M572423)
  • Ministry of Science and Technology, Taiwan (MOST104-2633-B400-001, MOST104-2221-E010-013)
  • National Health Research Institutes
  • Natural Science Foundation of Chongqing (cstc2015j-cyjA10106)
  • Fundamental Research Funds for the Central Universities (SWU1509383, 31271087, 31500885, 31571137)
  • National Center for Mathematics and Interdisciplinary Sciences, Chinese Academy of Sciences
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
major depressive disorder, resting-state functional connectivity, orbitofrontal cortex, medial orbitofrontal cortex, lateral orbitofrontal cortex, reward processing, memory systems, precuneus, angular gyrus, antidepressants, self-esteem
MeSH terms
Adult, Major Depressive Disorder, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Parietal Lobe, Reward, Self Concept, Cohort Studies, Prefrontal Cortex, Connectome

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