Evidence map›Paper›PMID 26404712›Full record

ReviewNature neuroscience2015

Stress weakens prefrontal networks: molecular insults to higher cognition.

Amy F T Arnsten

Abstract readReview
In one paragraph

Review in Nature neuroscience, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 376 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
376citing papers in PubMed, 1 pooled it
20.0field-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

376 citing papers in PubMed, 1 synthesis or guideline pooled it, 705 citations in OpenAlex.

  1. Pooled it
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  5. Prefrontal cortex stimulation prevents stress-induced HPA axis reactivity in people at familial risk of schizophrenia.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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  12. Cognitive Framework for Aircraft Piloting: A Core Cognition Set.Behavioral sciences (Basel, Switzerland) · 2026
    Review
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316 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 University School of Medicine, New Haven, Connecticut, USA.
Yale University · US

Funding

Highly evolved brain circuits in primates: molecular vulnerabilities for diseaseDP1AG047744 · NIA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 2013 to 2017
$4.1M
Potential mGluR treatment of age-related cognitive declineR01AG043430 · NIA · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 2013 to 2017
$3.2M
mGluR2/3 influences in primate prefrontal cortex: potential for therapeuticsR01MH100064 · NIMH · YALE UNIVERSITY · PI ARNSTEN, AMY F.T. · 2014 to 2016
$1.5M
NIA NIH HHS DP1 AG047744NIA NIH HHS DP1AG047744-01NIA NIH HHS R01 AG043430NIA NIH HHS R01AG043430-01A1NIMH NIH HHS R01 MH100064NIMH NIH HHS R01MH100064-01A1
6 · The paper itself

Abstract

A variety of cognitive disorders are worsened by stress exposure and involve dysfunction of the newly evolved prefrontal cortex (PFC). Exposure to acute, uncontrollable stress increases catecholamine release in PFC, reducing neuronal firing and impairing cognitive abilities. High levels of noradrenergic α1-adrenoceptor and dopaminergic D1 receptor stimulation activate feedforward calcium-protein kinase C and cyclic AMP-protein kinase A signaling, which open potassium channels to weaken synaptic efficacy in spines. In contrast, high levels of catecholamines strengthen the primary sensory cortices, amygdala and striatum, rapidly flipping the brain from reflective to reflexive control of behavior. These mechanisms are exaggerated by chronic stress exposure, where architectural changes lead to persistent loss of PFC function. Understanding these mechanisms has led to the successful translation of prazosin and guanfacine for treating stress-related disorders. Dysregulation of stress signaling pathways by genetic insults likely contributes to PFC deficits in schizophrenia, while age-related insults initiate interacting vicious cycles that increase vulnerability to Alzheimer's degeneration.

Indexed as

AnimalsCognition DisordersHumansNeural PathwaysPrefrontal CortexStress, Psychological

Identifiers

PMID26404712
PMCPMC4816215
OpenAlexW2221733689

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.