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The structural integrity of an amygdala-prefrontal pathway predicts trait anxiety
Open accessAbstract
Here, we used diffusion tensor imaging (DTI) and showed that the strength of an axonal pathway identified between the amygdala and prefrontal cortex predicted individual differences in trait anxiety. A functional magnetic resonance imaging (fMRI) functional localizer that has been shown to produce reliable amygdala activation was collected in 20 psychiatrically healthy subjects. Voxelwise regression analyses using this fMRI amygdala reactivity as a regressor were performed on fractional anisotropy images derived from DTI. This analysis identified a white matter pathway between the amygdala and ventromedial prefrontal cortex. Individual differences in the structural integrity of this putative amygdala–prefrontal pathway were inversely correlated with trait anxiety levels (i.e., higher pathway strength predicted lower anxiety). More generally, this study illustrates a strategy for combining fMRI and DTI to identify individual differences in structural pathways that predict behavioral outcomes.
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“Importantly, projections to the nuclei of the amygdala reported in Ebeling and von Cramon (1992) refers to the entorhinal cortex and should not be mistaken for the amygdala proper as is often done (Schmahmann and Pandya, 2006; Kim and Whalen, 2009).”
From Cortical Terminations of the Inferior Fronto-Occipital and Uncinate Fasciculi: Anatomical Stem-Based Virtual Dissection (2016) · cites this paper as Kim and Whalen, 2009
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“These discrepancies may be due to the existence of adjacent tracts, such as the amygdalo-temporo or amygdala-prefrontal pathways (Klinger and Gloor, 1960; Kim and Whalen, 2009) which may have been sometimes misattributed to the UF.”
From Cortical Terminations of the Inferior Fronto-Occipital and Uncinate Fasciculi: Anatomical Stem-Based Virtual Dissection (2016) · cites this paper as Kim and Whalen, 2009
In the citing paper
“Furthermore, individual differences in amygdala responsivity have been associated with integrity of white matter fibers, including the uncinate fasciculus in healthy control subjects (24), suggesting a relation between frontolimbic activity and structural connectivity.”
From Relation Between Structural and Functional Connectivity in Major Depressive Disorder (2013) · cites this paper as [24]
In the citing paper
“Connectivity analyses within anterior mPFC have revealed a ventrally mediated viscerolimbic affective and self-relevance network (with connections to amygdala, insula, and nucleus accumbens) and a dorsally mediated cognitive network (with connections to dorsolateral PFC and hippocampus) (Kim & Whalen, 2009; Price, Carmichael, & Drevets, 1996; Schmitz & Johnson, 2006).”
From A Meta-analysis of Functional Neuroimaging Studies of Self- and Other Judgments Reveals a Spatial Gradient for Mentalizing in Medial Prefrontal Cortex (2012) · cites this paper as Kim & Whalen, 2009
In the citing paper
“Structural abnormalities, such as reduced grey matter volume in the mPFC and weaker integrity of the uncinate fasciculus, have been reported in adults with anxious temperament and anxiety disorders24–28.”
From Multimodal evidence for delayed threat extinction learning in adolescence and young adulthood (2019) · cites this paper as [24]
In the citing paper
“Notably, weaker structural integrity of the uncinate fasciculus has been found in populations with anxious temperament24–27,32, suggesting that this tract may play a crucial role in anxiety aetiology.”
From Multimodal evidence for delayed threat extinction learning in adolescence and young adulthood (2019) · cites this paper as [24]
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Cites
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“Second, other studies showing an inverse relationship between the amygdala and vmPFC involved clinically pathological groups (Rauch et al., 2000; Shin et al., 2005; Etkin and Wager, 2007).”
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BackgroundMethodResultInfluentialNeurons in medial prefrontal cortex signal memory for fear extinction
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“Evidence from the nonhuman animal literature indicates that the ventromedial prefrontal cortex (vmPFC), including the medial orbitofrontal cortex and ventral anterior cingulate cortex, is reciprocally connected with the amygdala, both functionally and anatomically (Amaral et al., 1992; Milad and Quirk, 2002; Ghashghae…”
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“These findings might at first seem counterintuitive since numerous studies have shown an inverse relationship between the amygdala and vmPFC (Kim et al., 2003; Shin et al., 2005; Urry et al., 2006; Hare et al., 2008).”
ResultShin, L. M., Wright, C. I., Cannistraro, P. A., Wedig, M. M., McMullin, K., Martis, B., Macklin, M. L., Lasko, N. B., Cavanagh, S. R., Krangel, T. S., et al. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.3.273 · Cited by 960 · cited 5×
“For regions about which we had no a priori prediction, a more conservative significance threshold of p 0.00001 (uncorrected, 34 mm 3) was used (Shin et al., 2005).”
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“These findings might at first seem counterintuitive since numerous studies have shown an inverse relationship between the amygdala and vmPFC (Kim et al., 2003; Shin et al., 2005; Urry et al., 2006; Hare et al., 2008).”
BackgroundResultGhashghaei, H. T., Hilgetag, C. C., & Barbas, H. (2007) · NeuroImage · doi:10.1016/j.neuroimage.2006.09.046 · Cited by 845 · cited 3×
“Evidence from the nonhuman animal literature indicates that the ventromedial prefrontal cortex (vmPFC), including the medial orbitofrontal cortex and ventral anterior cingulate cortex, is reciprocally connected with the amygdala, both functionally and anatomically (Amaral et al., 1992; Milad and Quirk, 2002; Ghashghae…”
BackgroundEtkin, A., Klemenhagen, K. C., Dudman, J. T., Rogan, M. T., Hen, R., Kandel, E. R., & Joy Hirsch, C. (2004) · Neuron · doi:10.1016/j.neuron.2004.12.006 · Cited by 679 · cited 6×
“Descriptive statistics for self-report measures are as follows: STAI-S, 32.85 7.03; STAI-T, 37.15 8.25; BDI, 3.40 3.97.”
BackgroundMethodInfluentialTrajectories of cholinergic pathways within the cerebral hemispheres of the human brain
Selden, N. (1998) · Brain · doi:10.1093/brain/121.12.2249 · Cited by 657 · cited 1×
“However, they could represent fiber tracts projecting in a lateral direction that serve to connect more medial gray matter structures (e.g., amygdala, nucleus basalis) with the UF [Selden et al. (1998), their Fig.”
BackgroundCortical and subcortical afferents to the amygdala of the rhesus monkey (Macaca mulatta)
Aggleton, J. P., Burton, M. J., & Passingham, R. E. (1980) · Brain Research · doi:10.1016/0006-8993(80)90279-6 · Cited by 610 · cited 2×
“These could potentially represent shorter, multisynaptic tracts between the amygdala and the ventral basal forebrain (Aggleton et al., 1980) and striatum (Fudge et al., 2002) and then connec-”
BackgroundJohansen-Berg, H., Gutman, D. A., Behrens, T. E. J., Matthews, P. M., Rushworth, M. F. S., Katz, E., Lozano, A. M., & Mayberg, H. S. (2008) · Cerebral Cortex · doi:10.1093/cercor/bhm167 · Cited by 561
State Anxiety Modulation of the Amygdala Response to Unattended Threat-Related Stimuli
Bishop, S. J., Duncan, J., & Lawrence, A. D. (2004) · Journal of Neuroscience · doi:10.1523/jneurosci.2550-04.2004 · Cited by 517 · cited 2×
“That said, it should be noted that some studies have reported a significant positive correlation between amygdala reactivity and measures of anxiety (Bishop et al., 2004; Etkin et al., 2004; Haas et al., 2007; Dickie and Armony, 2008).”
BackgroundCroxson, P. L., Johansen-Berg, H., Behrens, T. E. J., Robson, M. D., Pinsk, M. A., Gross, C. G., Richter, W., Richter, M. C., Kastner, S., & Rushworth, M. F. S. (2005) · The Journal of Neuroscience · doi:10.1523/jneurosci.1311-05.2005 · Cited by 410 · cited 1×
“These data converge with a previous DTI study of both human and macaque brains that identified comparable patterns of anatomical connectivity across both species, including extensive connections between the amygdala and vmPFC (Croxson et al., 2005).”
ResultCosta, P. T., & McCrae, R. R. (1997) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6801_7 · Cited by 381 · cited 2×
“For example, although conceptually similar, trait anxiety as measured by the STAI is not identical with neuroticism (Costa and McCrae, 1997) nor harm avoidance (Cloninger, 1986).”
BackgroundTuch, D. S., Salat, D. H., Wisco, J. J., Zaleta, A. K., Hevelone, N. D., & Rosas, H. D. (2005) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0407259102 · Cited by 364 · cited 2×
“effects of smoothing (Tuch et al., 2005).”
MethodInverse amygdala and medial prefrontal cortex responses to surprised faces
Kim, H., Somerville, L. H., Johnstone, T., Alexander, A. L., & Whalen, P. J. (2003) · NeuroReport · doi:10.1097/00001756-200312190-00006 · Cited by 359 · cited 2×
“These findings might at first seem counterintuitive since numerous studies have shown an inverse relationship between the amygdala and vmPFC (Kim et al., 2003; Shin et al., 2005; Urry et al., 2006; Hare et al., 2008).”
ResultSelf-citationTopography of the uncinate fascicle and adjacent temporal fiber tracts
Ebeling, U., & Cramon, D. V. (1992) · Acta Neurochirurgica · doi:10.1007/bf01406373 · Cited by 300
Haas, B. W., Omura, K., Constable, R. T., & Canli, T. (2007) · Behavioral Neuroscience · doi:10.1037/0735-7044.121.2.249 · Cited by 253 · cited 2×
“That said, it should be noted that some studies have reported a significant positive correlation between amygdala reactivity and measures of anxiety (Bishop et al., 2004; Etkin et al., 2004; Haas et al., 2007; Dickie and Armony, 2008).”
BackgroundMethodWang, F., Kalmar, J. H., He, Y., Jackowski, M., Chepenik, L. G., Edmiston, E. K., Tie, K., Gong, G., Shah, M. P., Jones, M., et al. (2009) · Biological Psychiatry · doi:10.1016/j.biopsych.2009.03.023 · Cited by 236 · cited 1×
“Indeed, a positive correlation between structural and functional connectivity between the amygdala and vmPFC has been demonstrated, such that individuals with stronger anatomical connections between these two brain regions demonstrate stronger functional connectivity (Wang et al., 2009).”
BackgroundAmygdaloid projections to ventromedial striatal subterritories in the primate
Fudge, J. L., Kunishio, K., Walsh, P., Richard, C., & Haber, S. N. (2002) · Neuroscience · doi:10.1016/s0306-4522(01)00546-2 · Cited by 226 · cited 2×
“These could potentially represent shorter, multisynaptic tracts between the amygdala and the ventral basal forebrain (Aggleton et al., 1980) and striatum (Fudge et al., 2002) and then connec-”
BackgroundHighley, J. R. (2002) · Cerebral Cortex · doi:10.1093/cercor/12.11.1218 · Cited by 207 · cited 1×
“The UF is the major fiber tract connecting the anterior temporal lobe to the inferior frontal cortex (Ebeling and von Cramon, 1992; Highley et al., 2002).”
BackgroundPacheco, J. L., Beevers, C. G., Benavides, C., McGeary, J. E., Stice, E. M., & Schnyer, D. M. (2009) · Journal of Neuroscience · doi:10.1523/jneurosci.0896-09.2009 · Cited by 131 · cited 1×
“…inverse relationship between low-expressing serotonin transporter gene (5- HTTLPR) alleles, which have been known to be associated with anxiety or depression, and FA values of the left frontal uncinate fasciculus, which overlaps with the amygdala–vmPFC pathway in our study (Pacheco et al., 2009).”
BackgroundAmygdala responses to unattended fearful faces: Interaction between sex and trait anxiety
Dickie, E. W., & Armony, J. L. (2008) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2007.08.002 · Cited by 101 · cited 2×
“That said, it should be noted that some studies have reported a significant positive correlation between amygdala reactivity and measures of anxiety (Bishop et al., 2004; Etkin et al., 2004; Haas et al., 2007; Dickie and Armony, 2008).”
Background
Research works printed but not linked: 1
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“Disruptions in its developmental trajectory are likely to alter thresholds to emotional information and contribute to psychopathology, particularly, anxiety (Tottenham and Sheridan 2010; Kim and Whalen 2009).”
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“…Copyright © 2011 the authors 0270-6474/11/3110937-11$15.00/0 Frontal lobe white matter connections are commonly implicated as underdeveloped in psychiatric disorders including schizophrenia (Kubicki et al., 2007), mood disorders (Heng et al., 2010), and anxiety (Kim and Whalen, 2009).”
BackgroundInfluentialCognitive neuroscience of self-regulation failure
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Metadata
- Authors
- Kim, M. J., & Whalen, P. J.
- Affiliations
- Dartmouth College (US)
- ORCID
- Kim, M. Justin
- Venue
- The Journal of Neuroscience
- Publisher
- Society for Neuroscience
- Published
- 2009-09-16
- Volume
- 29
- Issue
- 37
- Pages
- 11614-11618
- ISSN
- 0270-6474 (ISSN-L)
- 1529-2401
- PMC
- PMC2791525
- OpenAlex
- W2049511110
- Cited by
- 433
- References
- 36
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 7 · 2023: 18 · 2022: 21 · 2021: 19 · 2020: 35 · 2019: 29 · 2018: 32 · 2017: 25 · 2016: 35 · 2015: 20 · 2014: 39 · 2013: 49 · 2012: 33
- FWCI
- 20.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neuroscience (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH080716, R01MH080716, R56MH080716)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- trait anxiety, amygdala, ventromedial prefrontal cortex, white matter integrity, fractional anisotropy, individual differences, amygdala reactivity, structural connectivity, anxiety prediction
- MeSH terms
- Adolescent, Adult, Amygdala, Anxiety, Brain Mapping, Emotions, Facial Expression, Female, Humans, Image Processing, Computer-Assisted, Magnetic Resonance Imaging, Male, Neural Pathways, Neuropsychological Tests, Oxygen, Pattern Recognition, Visual, Photic Stimulation, Predictive Value of Tests, Regression Analysis, Prefrontal Cortex, Diffusion Magnetic Resonance Imaging, Young Adult
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