Antipsychotic Drugs Alter Functional Connectivity between the Medial Frontal Cortex, Hippocampus, and Nucleus Accumbens as Measured by H215O PET
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To evaluate changes in functional connectivity as a result of treatment with antipsychotic drugs (APDs) in subjects with schizophrenia (SZ), we identified a limited number of regions that have been implicated in the mechanism of action of APDs and that are part of a neuronal network known to be modulated by dopamine (DA). These regions consisted of the nucleus accumbens (NAcc), the hippocampus (Hip), and the medial frontal cortex (MFC). SZ participants were blindly randomized into a haloperidol treatment group (n = 12) and an olanzapine treatment group (n = 17). Using PET with 15O, we evaluated changes in functional connectivity between these regions during rest and task performance at three treatment time points: (1) at baseline, after withdrawal of all psychotropic medication (2 weeks), (2) after 1 week on medication, and (3) after 6 weeks on medication. Results from the two treatment groups were combined during analysis to investigate the common effects of APDs on functional connectivity. We found that the functional connectivity between MFC and NAcc significantly increased at week one, and then significantly decreased from week one to week 6. The functional connectivity between MFC and Hip significantly decreased at week one and week 6 relative to baseline. Critically, the strength of the functional connectivity between the MFC and Hip after 1 week of treatment was predictive of treatment response. This pattern of changes may represent an important biomarker for indexing treatment response. The regulation by APDs of the balance between prefrontal and limbic inputs to the striatum may be crucial to restoring adaptive behavior.
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Cortico-striatal synchrony is disrupted by treatment with phencyclidine.
“Moreover, cortico-striatal synchrony is disrupted by treatment with phencyclidine [96], and anti-psychotic drugs that act on dopamine also alter the functional connectivity between these regions and the hippocampus [97].”
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Variability of structurally constrained and unconstrained functional connectivity in schizophrenia
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Luo, L., Dimitrovski, M., Wise, T., & Iniesta, R. (2025) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2025.106309 · Cited by 10 · see citing works
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Haddon, J. E., Titherage, D., Heckenast, J. R., Carter, J., Owen, M. J., Hall, J., Wilkinson, L. S., & Jones, M. W. (2024) · Translational Psychiatry · doi:10.1038/s41398-024-02969-x · Cited by 6 · see citing works
“Moreover, cortico-striatal synchrony is disrupted by treatment with phencyclidine [96], and anti-psychotic drugs that act on dopamine also alter the functional connectivity between these regions and the hippocampus [97].”
BackgroundAnterior hippocampal dysfunction in early psychosis: a 2-year follow-up study
McHugo, M., Avery, S. N., Armstrong, K., Rogers, B. P., Vandekar, S., Woodward, N. D., Blackford, J. U., & Heckers, S. (2021) · Psychological Medicine · doi:10.1017/s0033291721001318 · Cited by 5 · see citing works
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Discovery of early schizophrenia through neuroimaging
Lahti, A. C. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114993 · Cited by 5 · see citing works
Self-citationMolecular connectivity studies of cerebral glucose metabolism and blood flow: A scoping review
Cavaliere, C., Galli, A., Meneghini, C., Severino, M., Peretti, D. E., Nørgaard, M., Tang, C., Martini, A. L., Bardiau, M., Doyen, M., et al. (2026) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2026.106623 · Cited by 4 · see citing works
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Non-invasive measurement of oxygen metabolism. Part 1: Historical review and state of the art
Postnov, A. A., Kalaeva, D. B., Balakhonov, A. B., & Pronin, I. (2023) · Medical Visualization · doi:10.24835/1607-0763-1297
- Authors
- Bolding, M. S., White, D. M., Hadley, J. A., Weiler, M., Holcomb, H. H., & Lahti, A. C.
- Affiliations
- University of Alabama at Birmingham (US)
- University of Maryland, Baltimore (US)
- Corresponding author
- Lahti, Adrienne C.
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2012
- Volume
- 3
- Pages
- 105-105
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC3515723
- OpenAlex
- W1967938101
- Cited by
- 41
- References
- 64
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 1
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Mental Health (R01MH102951, R01MH057971)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- antipsychotic drugs, schizophrenia, functional connectivity, medial frontal cortex, hippocampus, nucleus accumbens, haloperidol, olanzapine, treatment response prediction, treatment response biomarkers, dopamine
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