Morphometric methods for studying the prefrontal cortex in suicide victims and psychiatric patients
Abstract
Abstract Neurochemical studies demonstrate altered numbers of monoaminergic receptors in the prefrontal cortex in suicide and depression victims, implicating dysfunction of the prefrontal cortex in the neuropathology of suicide and psychiatric disorders. Neuroimaging studies in vivo have revealed an altered pattern of cortical metabolism and reductions in frontal lobe volume in patients with schizophrenia (SCZ) or depression. However, the precise morphopathology underlying these abnormalities and thier reelevance to suicide are unknown. Our recent three‐dimensional cell counting of dorsolateral prefrontal cortex from 16 postmortem SCZ brains (10 suicide completers) revealed cellular changes (increased neuronal density, and reduced laminar width and neuronal size) that may be associated with neuroimaging observations. Evaluation of the same morphometric parameters in the prefrontal cortex in seven bipolar brains (three committed suicide) revealed similarities (decreased cortical and laminar thickness) and differences (unchanged overall neuronal density and laminar densities) between morphopathology of SCZ and bipolar disorder. In another population of suicide victims with major depression (nonpsychotic), further morphopathological differences from SCZ and similarities to bipolar disorder were observed in the prefrontal cortex. From these data we can conclude that the morphopathology observed in brain tissue from suicide victims appears to vary based on psychiatric symptomatology. In order to confirm this hypothesis and to establish the specificity of morphometric findings in relation to psychiatric disorders and suicide, additional studies are warranted in nonsuicide subjects with SCZ, major depression, or bipolar disorder.
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Depressed patients show reductions in cortical volume and thickness in several frontal cortex regions, most reliably in PFo area 11, sulcal area 47, and subgenual frontal cortex.
“Furthermore, reductions of cortical volume and thickness occur in several parts of the frontal cortex in depressed patients, with the most reliable and best characterized of these abnormalities occurring in PFo area 11 (44), the sulcal part of area 47 (45, 46), and the subgenual frontal cortex (47–50).”
From Localization of Dysfunction in Major Depressive Disorder: Prefrontal Cortex and Amygdala (2011) · cites this paper as [44]
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- Authors
- RAJKOWSKA, G.
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 1997-12
- Volume
- 836
- Issue
- 1
- Pages
- 253-268
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W2073073414
- Cited by
- 78
- References
- 59
- Citations by year
- 2024: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 2 · 2013: 5 · 2012: 1
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- suicide, prefrontal cortex, morphometrics, dorsolateral prefrontal cortex, schizophrenia, bipolar disorder, major depressive disorder, neuronal density, postmortem brain, monoaminergic receptors
- MeSH terms
- Mental Disorders, Humans, Suicide, Tomography, Prefrontal Cortex
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