Evidence map›Paper›PMID 32236540›Full record

ArticleBrain : a journal of neurology2020

Impaired theta phase coupling underlies frontotemporal dysconnectivity in schizophrenia.

Rick A Adams, Daniel Bush, Fanfan Zheng, Sofie S Meyer, Raphael Kaplan, Stelios Orfanos, Tiago Reis Marques, Oliver D Howes, Neil Burgess

Abstract read
In one paragraph

Article in Brain : a journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The hippocampus as a generative model.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2026
    Review
  3. Human hippocampal theta-gamma coupling coordinates sequential planning during navigation.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Review
  5. Review
  6. Development of Prefrontal Circuits and Cognitive Abilities.Cold Spring Harbor perspectives in biology · 2024
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Reduced grid-like theta modulation in schizophrenia.Brain : a journal of neurology · 2023
    Article
  12. Review
  13. Psychosis spectrum illnesses as disorders of prefrontal critical period plasticity.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Decoding cognition from spontaneous neural activity.Nature reviews. Neuroscience · 2022
    Review
  19. Article
  20. Review
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

9 authors.

Rick A AdamsInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London, WC1N 3AZ, UK.
Daniel BushInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London, WC1N 3AZ, UK.
Fanfan ZhengInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London, WC1N 3AZ, UK.
Sofie S MeyerInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London, WC1N 3AZ, UK.
Raphael KaplanWellcome Centre for Human Neuroimaging, University College London, 12 Queen Square, London, WC1N 3BG, UK.
Stelios OrfanosSouth West London and St George's Mental Health NHS Trust, Springfield University Hospital, 61 Glenburnie Rd, London SW17 7DJ, UK.
Tiago Reis MarquesInstitute of Clinical Sciences, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, W12 0NN, UK.
Oliver D HowesInstitute of Clinical Sciences, Faculty of Medicine, Imperial College London, Hammersmith Hospital, London, W12 0NN, UK.
Neil BurgessInstitute of Cognitive Neuroscience, University College London, 17 Queen Square, London, WC1N 3AZ, UK.

Funding

Medical Research Council MC_U120097115Medical Research Council MR/S007806/1Wellcome Trust 094849/Z/10/Z
6 · The paper itself

Abstract

Frontotemporal dysconnectivity is a key pathology in schizophrenia. The specific nature of this dysconnectivity is unknown, but animal models imply dysfunctional theta phase coupling between hippocampus and medial prefrontal cortex (mPFC). We tested this hypothesis by examining neural dynamics in 18 participants with a schizophrenia diagnosis, both medicated and unmedicated; and 26 age, sex and IQ matched control subjects. All participants completed two tasks known to elicit hippocampal-prefrontal theta coupling: a spatial memory task (during magnetoencephalography) and a memory integration task. In addition, an overlapping group of 33 schizophrenia and 29 control subjects underwent PET to measure the availability of GABAARs expressing the α5 subunit (concentrated on hippocampal somatostatin interneurons). We demonstrate-in the spatial memory task, during memory recall-that theta power increases in left medial temporal lobe (mTL) are impaired in schizophrenia, as is theta phase coupling between mPFC and mTL. Importantly, the latter cannot be explained by theta power changes, head movement, antipsychotics, cannabis use, or IQ, and is not found in other frequency bands. Moreover, mPFC-mTL theta coupling correlated strongly with performance in controls, but not in subjects with schizophrenia, who were mildly impaired at the spatial memory task and no better than chance on the memory integration task. Finally, mTL regions showing reduced phase coupling in schizophrenia magnetoencephalography participants overlapped substantially with areas of diminished α5-GABAAR availability in the wider schizophrenia PET sample. These results indicate that mPFC-mTL dysconnectivity in schizophrenia is due to a loss of theta phase coupling, and imply α5-GABAARs (and the cells that express them) have a role in this process.

Indexed as

AdultFemaleHumansMagnetoencephalographyMaleNeural PathwaysPositron-Emission TomographyPrefrontal CortexReceptors, GABA-ASchizophreniaTemporal LobeTheta RhythmReceptors, GABA-Ahippocampusprefrontal cortexschizophreniaspatial memorytheta

Identifiers

PMID32236540
PMCPMC7174039

What OpenQuestion holds

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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.