Evidence map›Paper›PMID 27528671›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Motor, cognitive, and affective areas of the cerebral cortex influence the adrenal medulla.

Richard P Dum, David J Levinthal, Peter L Strick

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07024875 (Precision Neuroimaging of Parkinson's Disease), which is not on this map. Cited by 92 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 3 pooled it
19.2field-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.

NCT07024875 recruitingnot on this mapstarted 2025, after this paper: background citation

Precision Neuroimaging of Parkinson's Disease

Typeobservational_patient_registrySponsorWashington University School of MedicineRan2025 to 2031Enrolled120ConditionsParkinsons Disease (PD)
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 3 syntheses or guidelines pooled it, 188 citations in OpenAlex.

  1. Pooled it
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  9. Beyond the Homunculus-SCAN-AMN as a Shared Action-Oriented Neural Substrate across Movement Disorders.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
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  20. The brain's action-mode network.Nature reviews. Neuroscience · 2025
    Review

32 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

3 authors at 1 institution in 1 country.

Richard P DumUniversity of Pittsburgh Brain Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Systems Neuroscience Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261;
David J LevinthalUniversity of Pittsburgh Brain Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Systems Neuroscience Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261.
Peter L StrickUniversity of Pittsburgh Brain Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Systems Neuroscience Institute, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261; strickp@pitt.edu.
Center for the Neural Basis of Cognition · US

Funding

ResourceP40OD010996 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STRICK, PETER · 2012 to 2024
$11.0M
PREMOTOR AREAS IN THE FRONTAL LOBER01NS024328 · NINDS · UPSTATE MEDICAL UNIVERSITY · PI STRICK, PETER · 1987 to 2015
$8.9M
Digestive Diseases Training ProgramT32DK063922 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ARTEEL, GAVIN E, YADAV, DHIRAJ · 2003 to 2022
$5.2M
Surgery Core - NINDS Institutional Core Grants to Support Neuroscience ResearchP30NS076405 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STRICK, PETER · 2012 to 2016
$1.8M
Cerebral cortical influences on the stomachK08DK101756 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEVINTHAL, DAVID J · 2014 to 2018
$767k
NIDDK NIH HHS K08 DK101756NIDDK NIH HHS T32 DK063922NIH HHS P40 OD010996NINDS NIH HHS P30 NS076405NINDS NIH HHS R01 NS024328
6 · The paper itself

Abstract

Modern medicine has generally viewed the concept of "psychosomatic" disease with suspicion. This view arose partly because no neural networks were known for the mind, conceptually associated with the cerebral cortex, to influence autonomic and endocrine systems that control internal organs. Here, we used transneuronal transport of rabies virus to identify the areas of the primate cerebral cortex that communicate through multisynaptic connections with a major sympathetic effector, the adrenal medulla. We demonstrate that two broad networks in the cerebral cortex have access to the adrenal medulla. The larger network includes all of the cortical motor areas in the frontal lobe and portions of somatosensory cortex. A major component of this network originates from the supplementary motor area and the cingulate motor areas on the medial wall of the hemisphere. These cortical areas are involved in all aspects of skeletomotor control from response selection to motor preparation and movement execution. The second, smaller network originates in regions of medial prefrontal cortex, including a major contribution from pregenual and subgenual regions of anterior cingulate cortex. These cortical areas are involved in higher-order aspects of cognition and affect. These results indicate that specific multisynaptic circuits exist to link movement, cognition, and affect to the function of the adrenal medulla. This circuitry may mediate the effects of internal states like chronic stress and depression on organ function and, thus, provide a concrete neural substrate for some psychosomatic illness.

Indexed as

Adrenal MedullaAnimalsBiological TransportCebusCerebral CortexCognitionFemaleGyrus CinguliHumansMaleMotor CortexMovementNerve NetNeural PathwaysPrefrontal CortexRabiescerebral cortexpsychosomaticrabies virussympathetic

Identifiers

PMID27528671
PMCPMC5024624
OpenAlexW2512266290

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.