Evidence map›Paper›PMID 41616782›Full record

ArticleCell2026

Human orbitofrontal neural activity is linked to obsessive-compulsive behavioral dynamics.

Young-Hoon Nho, Liming Qiu, Robert L Seilheimer, Gustavo Campos, Andrew Chang, Zhengjia Wang, John F Magnotti, Michael S Beauchamp, Daniel A N Barbosa, Andreas Horn and 9 more

Abstract read
In one paragraph

Article in Cell, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Young-Hoon NhoDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Liming QiuDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Robert L SeilheimerDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Gustavo CamposDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Andrew ChangDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Zhengjia WangDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
John F MagnottiDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Michael S BeauchampDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Daniel A N BarbosaDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Departments of Neurology, Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Andreas HornInstitute for Network Stimulation, Department of Stereotactic and Functional Neurosurgery, University Hospital Cologne, Cologne, Germany.
Nolan R WilliamsDepartment of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, CA, USA.
Lily A BrownDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Taneeta M GangulyDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Mario CristanchoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Bijan PesaranDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA; Department of Neuroscience, University of Pennsylvania, Philadelphia, PA, USA.
Desmond J OathesDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kai J MillerDepartment of Neurosurgery, Mayo Clinic, Rochester, MN, USA.
Katherine W ScangosDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: katherine.scangos@Pennmedicine.upenn.edu.
Casey H HalpernDepartment of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA; Department of Surgery, Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA. Electronic address: casey.halpern@pennmedicine.upenn.edu.

Funding

BRAIN CONNECTS: The center for Large-scale Imaging of Neural Circuits (LINC)UM1NS132358 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI Suzanne N Haber, Elizabeth M. C. Hillman · 2023 to 2026
$17.5M
Clinical Translation of Ultrasonic Ketamine Uncaging for Non-Opioid Therapy of Chronic PainUG3NS115637 · NINDS · STANFORD UNIVERSITY · PI Raag D Airan, Boris Dov Heifets · 2019 to 2026
$8.0M
Using human brain connectivity to identify the causal neuroanatomical substrate of depression symptomsR01MH113929 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2017 to 2026
$6.9M
Efficacy of biomarker-guided rTMS for treatment resistant depressionR01MH118388 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BHATI, MAHENDRA T, GUNNING, FAITH M · 2019 to 2025
$6.2M
Neurostimulation and Recording of Real World Spatial Navigation in HumansU01NS117838 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUTHANA, NANTHIA A · 2020 to 2024
$5.3M
T32 Translational Addiction Research Fellowship ProgramT32DA028874 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI Julie A Blendy, Anna Rose Childress · 2010 to 2026
$5.0M
Responsive Neurostimulation for Loss of Control EatingUH3NS103446 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI GOLD, JOSHUA I, HALPERN, CASEY HARRISON · 2019 to 2025
$4.8M
Toward Connectomic Deep Brain Stimulation in Obsessive Compulsive DisorderR01MH130666 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.9M
A translational approach for novel mechanisms of epigenetic regulation in treatment responses: toward a precision medicine modelR01MH128311 · NIMH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Carla Nasca · 2022 to 2026
$3.6M
Using Brain Lesions and Deep Brain Stimulation to Identify an Epilepsy CircuitR01NS127892 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI MICHAEL D FOX · 2022 to 2026
$3.4M
Remapping neurology through translation and innovationT32NS091008 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI AGUIRRE, GEOFFREY KARL, JENSEN, FRANCES E · 2015 to 2024
$3.0M
Utilizing changes in human brain connectivity to establish a dose-response relationship involved in the therapeutic actions of prefrontal brain stimulation on depression symptomsR01MH122754 · NIMH · STANFORD UNIVERSITY · PI WILLIAMS, NOLAN R. · 2020 to 2024
$2.7M
NIDA NIH HHS T32 DA028874NIMH NIH HHS R01 MH113929NIMH NIH HHS R01 MH118388NIMH NIH HHS R01 MH122754NIMH NIH HHS R01 MH124760NIMH NIH HHS R01 MH128311NIMH NIH HHS R01 MH130666NIMH NIH HHS R01 MH133717NIMH NIH HHS R25 MH119043NINDS NIH HHS R01 NS127892NINDS NIH HHS T32 NS091008NINDS NIH HHS U01 NS117838NINDS NIH HHS UG3 NS115637NINDS NIH HHS UH3 NS103446NINDS NIH HHS UM1 NS132358Wellcome Trust
6 · The paper itself

Abstract

Biomarkers of obsessive-compulsive disorder (OCD) symptom dynamics and related behavior could advance personalized interventions. Aberrant activity in the orbitofrontal cortex (OFC) has been implicated in symptom exacerbation in OCD. We conducted an intracranial monitoring assay to identify high-resolution neurophysiologic correlates of OCD symptoms in the human OFC. We found that low-gamma power in the anteromedial OFC was consistently elevated during high symptom states in a symptom provocation task. Furthermore, electrical stimulation of the ventral basal ganglia that reduced OCD symptoms also reduced anteromedial OFC gamma power. These results link OFC gamma activity to moment-to-moment expression of OCD symptoms, providing mechanistic insights to guide therapeutic strategies such as deep brain stimulation.

Indexed as

Obsessive-Compulsive DisorderPrefrontal CortexAdultBasal GangliaDeep Brain StimulationElectroencephalographyFemaleHumansMaleYoung AdultDBSdeep brain stimulationintracranial monitoringobsessive-compulsive disorderOCDOFCorbitofrontal cortexsEEGstereo-electroencephalography

Identifiers

PMID41616782
PMCPMC13382196

What OpenQuestion holds

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Registered trials

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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.