Evidence map›Paper›PMID 30242220›Full record

ArticleNature communications2018

Cerebello-thalamo-cortical hyperconnectivity as a state-independent functional neural signature for psychosis prediction and characterization.

Hengyi Cao, Oliver Y Chén, Yoonho Chung, Jennifer K Forsyth, Sarah C McEwen, Dylan G Gee, Carrie E Bearden, Jean Addington, Bradley Goodyear, Kristin S Cadenhead and 16 more

Abstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

132 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  16. Microstructural Alterations of the Cerebellum-Ventral Tegmental Area Pathways in First-Episode Psychosis.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
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72 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

26 authors.

Hengyi CaoDepartment of Psychology, Yale University, New Haven, CT, 06511, USA. hengyi.cao@yale.edu.
Oliver Y ChénDepartment of Psychology, Yale University, New Haven, CT, 06511, USA.
Yoonho ChungDepartment of Psychology, Yale University, New Haven, CT, 06511, USA.
Jennifer K ForsythDepartment of Psychology, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Sarah C McEwenDepartment of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Dylan G GeeDepartment of Psychology, Yale University, New Haven, CT, 06511, USA.
Carrie E BeardenDepartment of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, Los Angeles, CA, 90095, USA.
Jean AddingtonDepartment of Psychiatry, University of Calgary, Calgary, T2N 1N4, Canada.ORCID http://orcid.org/0000-0002-8298-0756
Bradley GoodyearDepartments of Radiology, Clinical Neuroscience and Psychiatry, University of Calgary, Calgary, T2N 1N4, Canada.
Kristin S CadenheadDepartment of Psychiatry, University of California San Diego, San Diego, CA, 92093, USA.
Heline MirzakhanianDepartment of Psychiatry, University of California San Diego, San Diego, CA, 92093, USA.
Barbara A CornblattDepartment of Psychiatry Research, Zucker Hillside Hospital, Glen Oaks, NY, 11004, USA.
Ricardo E CarriónDepartment of Psychiatry Research, Zucker Hillside Hospital, Glen Oaks, NY, 11004, USA.
Daniel H MathalonDepartment of Psychiatry, University of California San Francisco, San Francisco, CA, 94143, USA.
Thomas H McGlashanDepartment of Psychiatry, Yale University, New Haven, CT, 06510, USA.
Diana O PerkinsDepartment of Psychiatry, University of North Carolina, Chapel Hill, NC, 27599, USA.
Aysenil BelgerDepartment of Psychiatry, University of North Carolina, Chapel Hill, NC, 27599, USA.
Larry J SeidmanDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02115, USA.
Heidi ThermenosDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, 02115, USA.
Ming T TsuangDepartment of Psychiatry, University of California San Diego, San Diego, CA, 92093, USA.
Theo G M van ErpDepartment of Psychiatry and Human Behavior, University of California Irvine, Irvine, CA, 92697, USA.ORCID http://orcid.org/0000-0002-2465-2797
Elaine F WalkerDepartment of Psychology, Emory University, Atlanta, GA, 30322, USA.
Stephan HamannDepartment of Psychology, Emory University, Atlanta, GA, 30322, USA.
Alan AnticevicDepartment of Psychiatry, Yale University, New Haven, CT, 06510, USA.
Scott W WoodsDepartment of Psychiatry, Yale University, New Haven, CT, 06510, USA.
Tyrone D CannonDepartment of Psychology, Yale University, New Haven, CT, 06511, USA. tyrone.cannon@yale.edu.

Funding

Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
STRESS AND EMOTIONAL REACTIVITYP50MH066286 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NUECHTERLEIN, KEITH H · 2003 to 2014
$18.6M
1/9 Predictors and Mechanisms of Conversion to PsychosisU01MH081902 · NIMH · YALE UNIVERSITY · PI CANNON, TYRONE D · 2008 to 2018
$12.4M
Administrative Supplement Harmonization of At Risk Multisite Observational Networks for Youth(HARMONY)U01MH081928 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STONE, WILLIAM SETH · 2008 to 2018
$7.1M
4/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081857 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORNBLATT, BARBARA A. · 2008 to 2018
$6.2M
8/9 Predictors and Mechanisms of Conversion to PsychosisU01MH082022 · NIMH · YALE UNIVERSITY · PI WOODS, SCOTT W · 2008 to 2018
$6.0M
2/9 - Predictors and Mechanisms of Conversion to PsychosisU01MH081988 · NIMH · EMORY UNIVERSITY · PI WALKER, ELAINE FRAN · 2008 to 2018
$5.4M
6/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081944 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CADENHEAD, KRISTIN S. · 2008 to 2018
$4.9M
Functional Brain Abnormalities in the Schizophrenia ProdromeR01MH076989 · NIMH · YALE UNIVERSITY · PI MATHALON, DANIEL H · 2007 to 2014
$2.3M
Enhancing the Prospective Prediction of PsychosisU01MH066134 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI ADDINGTON, JEAN M · 2003 to 2007
$869k
Biological Mechanisms of Enhanced Neuroplasticity in First-Episode SchizophreniaK01MH099431 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MCEWEN, SARAH CHRISTINE · 2012 to 2016
$829k
Brain and Behavior Research Foundation (Brain & Behavior Research Foundation) 27068NCATS NIH HHS UL1 TR000170NIMH NIH HHS K01 MH099431NIMH NIH HHS P50 MH066286NIMH NIH HHS R01 MH076989NIMH NIH HHS U01 MH066134NIMH NIH HHS U01 MH081857NIMH NIH HHS U01 MH081902NIMH NIH HHS U01 MH081928NIMH NIH HHS U01 MH081944NIMH NIH HHS U01 MH081988U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01 U01 MH066069U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) U01 MH82022
6 · The paper itself

Abstract

Understanding the fundamental alterations in brain functioning that lead to psychotic disorders remains a major challenge in clinical neuroscience. In particular, it is unknown whether any state-independent biomarkers can potentially predict the onset of psychosis and distinguish patients from healthy controls, regardless of paradigm. Here, using multi-paradigm fMRI data from the North American Prodrome Longitudinal Study consortium, we show that individuals at clinical high risk for psychosis display an intrinsic "trait-like" abnormality in brain architecture characterized as increased connectivity in the cerebello-thalamo-cortical circuitry, a pattern that is significantly more pronounced among converters compared with non-converters. This alteration is significantly correlated with disorganization symptoms and predictive of time to conversion to psychosis. Moreover, using an independent clinical sample, we demonstrate that this hyperconnectivity pattern is reliably detected and specifically present in patients with schizophrenia. These findings implicate cerebello-thalamo-cortical hyperconnectivity as a robust state-independent neural signature for psychosis prediction and characterization.

Indexed as

ConnectomeBrainCase-Control StudiesCohort StudiesHumansMagnetic Resonance ImagingPrincipal Component AnalysisPsychotic DisordersSchizophrenia

Identifiers

PMID30242220
PMCPMC6155100

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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.