Evidence map›Paper›PMID 21345366›Full record

ReviewInternational journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience2011

Prefrontal cortical network connections: key site of vulnerability in stress and schizophrenia.

Amy F T Arnsten

Open access · bronzeAbstract readReview
In one paragraph

Review in International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
8.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 172 citations in OpenAlex.

  1. Pooled it
  2. Effects of clonidine on MMN and P3a amplitude in schizophrenia patients on stable medication.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2019
    Trial
  3. Sex differences in guanfacine effects on drug craving and stress arousal in cocaine-dependent individuals.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2014
    Trial
  4. Article
  5. Article
  6. Article
  7. Peripheral CD4Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Review
  9. Altered excitatory and inhibitory ionotropic receptor subunit expression in the cortical visuospatial working memory network in schizophrenia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Sliding Scale Theory of Attention and Consciousness/Unconsciousness.Behavioral sciences (Basel, Switzerland) · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Amy F T ArnstenDepartment of Neurobiology, Yale Medical School, 333 Cedar St., New Haven, CT 06510, USA. amy.arnsten@yale.edu
Yale University · US

Funding

PHARMACOLOGICAL PROTECTION OF AGING PREFRONTAL CORTICAL NETWORKSP01AG030004 · NIA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 2008 to 2012
$9.0M
COGNITIVE LOSS WITH AGE--ROLE OF CORTICAL CATECHOLAMINESR37AG006036 · NIA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 1998 to 2007
$3.0M
Ionic and Second Messanger Basis of Stress-Induced Prefrontal Dysfunction (#2 ofRL1AA017536 · NIAAA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 2007 to 2011
$1.8M
COGNITIVE LOSS WITH AGE: ROLE OF CORTICAL CATECHOLAMINESR01AG006036 · NIA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 1986 to 1997
–
NCRR NIH HHS U54RR024350NIAAA NIH HHS 1RL1AA017536NIAAA NIH HHS RL1 AA017536NIA NIH HHS AG06036NIA NIH HHS P01 AG030004NIA NIH HHS R01 AG006036NIA NIH HHS R37 AG006036
6 · The paper itself

Abstract

The symptoms of schizophrenia involve profound dysfunction of the prefrontal cortex (PFC). PFC networks create our "mental sketch pad", and PFC dysfunction contributes to symptoms such as cognitive deficits, thought disorder, delusions and hallucinations. Neuropathological studies of schizophrenia have shown marked loss of dendritic spines in deep layer III, the sublayer where PFC microcircuits reside. The microcircuits consist of recurrent excitatory pyramidal cell networks that interconnect on spines, and excite each other via NMDA receptor signaling. The pyramidal cell persistent firing is sculpted by lateral inhibition from GABAergic basket and chandelier cells, thus creating tuned, persistent firing needed for accurate representational knowledge (i.e., working memory). The strength of pyramidal cell network connections is markedly and flexibly altered by intracellular signaling pathways in dendritic spines, a process called dynamic network connectivity (DNC). DNC proteins such as HCN channels are concentrated on dendritic spines in deep layer III. Under optimal conditions, network inputs to pyramidal cells are strengthened by noradrenergic alpha-2A inhibition of cAMP-HCN channel signaling, and sculpted by dopamine D1-cAMP-HCN channel weakening of inappropriate inputs. However, with stress exposure, high levels of cAMP-HCN channel signaling produces a collapse in network firing. With chronic stress exposure, spines reduce in size and are lost, and this process involves increased PKC signaling. Importantly, molecules that normally strengthen PFC networks connections and/or reverse the stress response, are often genetically altered in schizophrenia. As exposure to stress is a key factor in the precipitation of schizophrenic symptoms, these dysregulated signaling pathways in deep layer III may interact with already vulnerable circuitry to cause spine loss and the descent into illness.

Indexed as

Dendritic SpinesDopamineHumansNerve NetPrefrontal CortexReceptors, Dopamine D1SchizophreniaSignal TransductionStress, PsychologicalDopamineReceptors, Dopamine D1

Identifiers

PMID21345366
PMCPMC3115784
OpenAlexW2072691099

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.