Evidence map›Paper›PMID 40879327›Full record

ArticleBrain and behavior2025

A Synergistic Examination of Excitatory-Inhibitory Balance in First-Episode Schizophrenia Merging 7-Tesla Magnetic Resonance Spectroscopic Imaging and Magnetoencephalography.

Alfredo L Sklar, Annie Blazer, Warren Snover, Fran López-Caballero, Mark Curtis, Brian A Coffman, Hoby H Hetherington, Chan-Hong Moon, Dean F Salisbury, Deepak K Sarpal

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Alfredo L SklarDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-4968-7643
Annie BlazerDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Warren SnoverDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Fran López-CaballeroDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Mark CurtisDepartment of Psychological and Brain Sciences, Washington University, St. Louis, Missouri, USA.
Brian A CoffmanDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9374-5105
Hoby H HetheringtonResonance Research Incorporated, Billerica, Massachusetts, USA.
Chan-Hong MoonDepartment of Radiology Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Dean F SalisburyDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Deepak K SarpalDepartment of Psychiatry Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Funding

Auditory Cortex Connectivity in Emerging PsychosisR01MH113533 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SALISBURY, DEAN F · 2017 to 2021
$3.4M
A Multidimensional Dissection of Antipsychotic Treatment Response in Early SchizophreniaR01MH124705 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Deepak K Sarpal · 2021 to 2026
$3.3M
Visual Network Connectivity and Perceptual Modulation in Early PsychosisK23MH127389 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Alfredo Luis Sklar · 2022 to 2026
$941k
Brain and Behavior Research Foundation Young Investigator AwardNIMH NIH HHS K23 MH127389NIMH NIH HHS R01 MH113533NIMH NIH HHS R01 MH124705
6 · The paper itself

Abstract

introductionExcitatory/inhibitory (E/I) imbalance is a proposed neural disruption in schizophrenia supported by magnetic resonance spectroscopic imaging (MRSI) evidence of altered gamma-aminobutyric acid (GABA) and glutamate (Glu) levels. However, there exists a paucity of data linking these abnormalities to impaired in vivo brain function putatively reflecting E/I imbalance. Here, associations between GABA/Glu and the evoked early auditory gamma-band response (EAGBR) were examined in first-episode schizophrenia (FESz).

methodsTwelve FESz underwent resting-state 7T-MRSI and magnetoencephalography (MEG) recorded during an auditory oddball task. MRSI spectra and source-localized MEG data were extracted from overlapping regions of left (LH) and right (RH) superior temporal sulcus. Associations between evoked EAGBR power and GABA/Glu, GABA/Cre, and Glu/Cre ratios were assessed. The Brief Psychiatric Rating Scale (BPRS) and Global Functioning: Role/Social (GF: Role/Social) scales were collected.

resultsGABA/Glu ratios were inversely correlated with EAGBR power (LH: ρ = -0.87; RH: ρ = -0.85). LH GABA/Glu ratios were also inversely correlated with BPRS scores (ρ = -0.64) and positively correlated with GF: Social (ρ = 0.64) scores while RH EAGBR power was positively correlated with BPRS scores (ρ = 0.70). Stepwise linear regressions suggest these relationships were driven primarily by GABA concentrations.

conclusionAssociations in FESz between GABA/Glu ratios, clinical ratings, and EAGBR power suggests this evoked gamma-band response reflects cortical hyperexcitability within the auditory system that is closely tied to disease debility at this early illness stage. These data highlight the potential of merging high-precision, in vivo neuro-chemical assays via 7-Tesla MRSI and physiological measures from MEG to validate established cellular models of disease.

Indexed as

BrainSchizophreniaAdultEvoked Potentials, AuditoryFemalegamma-Aminobutyric AcidGlutamic AcidHumansMagnetic Resonance SpectroscopyMagnetoencephalographyMaleYoung Adultgamma-Aminobutyric AcidGlutamic Acid7‐Tesla magnetic resonance spectroscopic imagingevoked gamma‐band responsefirst‐episode schizophreniagamma‐aminobutyric acidglutamatemagnetoencephalography

Identifiers

PMID40879327
PMCPMC12321950

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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.