Evidence map›Paper›PMID 31433843›Full record

ArticleSchizophrenia bulletin2020

Anterior Hippocampal-Cortical Functional Connectivity Distinguishes Antipsychotic Naïve First-Episode Psychosis Patients From Controls and May Predict Response to Second-Generation Antipsychotic Treatment.

Esther M Blessing, Vishnu P Murty, Botao Zeng, Jijun Wang, Lila Davachi, Donald C Goff

Open access · bronzeAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 9% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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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

6 authors at 5 institutions in 2 countries.

Esther M BlessingDepartment of Psychiatry, New York University Langone Medical Center, New York, NY.
Vishnu P MurtyDepartment of Neuroscience, Temple University, Philadelphia, PA.
Botao ZengDepartment of Psychiatry, Qingdao Mental Health Center, Qingdao, China.
Jijun WangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Lila DavachiDepartment of Psychology, Columbia University, New York, NY.
Donald C GoffDepartment of Psychiatry, New York University Langone Medical Center, New York, NY.
Nathan Kline Institute for Psychiatric Research · USNYU Langone Health · USQingdao Mental Health Center · CNShanghai Jiao Tong University · CNTemple University · US

Funding

Citalopram in First Episode SchizophreniaR01MH084900 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GOFF, DONALD C. · 2009 to 2013
$2.9M
6 · The paper itself

Abstract

backgroundConverging evidence implicates the anterior hippocampus in the proximal pathophysiology of schizophrenia. Although resting state functional connectivity (FC) holds promise for characterizing anterior hippocampal circuit abnormalities and their relationship to treatment response, this technique has not yet been used in first-episode psychosis (FEP) patients in a manner that distinguishes the anterior from posterior hippocampus.

methodsWe used masked-hippocampal-group-independent component analysis with dual regression to contrast subregional hippocampal-whole brain FC between healthy controls (HCs) and antipsychotic naïve FEP patients (N = 61, 36 female). In a subsample of FEP patients (N = 27, 15 female), we repeated this analysis following 8 weeks of second-generation antipsychotic treatment and explored whether baseline FC predicted treatment response using random forest.

resultsRelative to HC, untreated FEP subjects displayed reproducibly lower FC between the left anteromedial hippocampus and cortical regions including the anterior cingulate and insular cortex (P < .05, corrected). Anteromedial hippocampal FC increased in FEP patients following treatment (P < .005), and no longer differed from HC. Random forest analysis showed baseline anteromedial hippocampal FC with four brain regions, namely the insular-opercular cortex, superior frontal gyrus, precentral gyrus, and postcentral gyrus predicted treatment response (area under the curve = 0.95).

conclusionsAntipsychotic naïve FEP is associated with lower FC between the anterior hippocampus and cortical regions previously implicated in schizophrenia. Preliminary analysis suggests that random forest models based on hippocampal FC may predict treatment response in FEP patients, and hence could be a useful biomarker for treatment development.

Indexed as

ConnectomeAdultAntipsychotic AgentsCerebral CortexFemaleGyrus CinguliHippocampusHumansMagnetic Resonance ImagingMaleOutcome Assessment, Health CarePsychotic DisordersYoung AdultAntipsychotic Agentsantipsychoticcingulatefirst-episode psychosishippocampusinsularesting state

Identifiers

PMID31433843
PMCPMC7147586
OpenAlexW2969371434

What OpenQuestion holds

Textmetadata
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.