Increased BOLD Signals Elicited by High Gamma Auditory Stimulation of the Left Auditory Cortex in Acute State Schizophrenia.

Increased BOLD Signals Elicited by High Gamma Auditory Stimulation of the Left Auditory Cortex in Acute State Schizophrenia.
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DOI:
10.1016/j.ebiom.2016.09.008
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发表时间:
2016-10
期刊:
影响因子:
11.1
通讯作者:
Ueno T
Ueno T
中科院分区:
医学1区
文献类型:
--
作者:
Kuga H;Onitsuka T;Hirano Y;Nakamura I;Oribe N;Mizuhara H;Kanai R;Kanba S;Ueno T

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Recent MRI studies have shown that schizophrenia is characterized by reductions in brain gray matter, which progress in the acute state of the disease. Cortical circuitry abnormalities in gamma oscillations, such as deficits in the auditory steady state response (ASSR) to gamma frequency (> 30-Hz) stimulation, have also been reported in schizophrenia patients. In the current study, we investigated neural responses during click stimulation by BOLD signals. We acquired BOLD responses elicited by click trains of 20, 30, 40 and 80-Hz frequencies from 15 patients with acute episode schizophrenia (AESZ), 14 symptom-severity-matched patients with non-acute episode schizophrenia (NASZ), and 24 healthy controls (HC), assessed via a standard general linear-model-based analysis. The AESZ group showed significantly increased ASSR-BOLD signals to 80-Hz stimuli in the left auditory cortex compared with the HC and NASZ groups. In addition, enhanced 80-Hz ASSR-BOLD signals were associated with more severe auditory hallucination experiences in AESZ participants. The present results indicate that neural over activation occurs during 80-Hz auditory stimulation of the left auditory cortex in individuals with acute state schizophrenia. Given the possible association between abnormal gamma activity and increased glutamate levels, our data may reflect glutamate toxicity in the auditory cortex in the acute state of schizophrenia, which might lead to progressive changes in the left transverse temporal gyrus. We investigated neural responses during click stimulation by BOLD signals. We evaluated patients with acute and non-acute schizophrenia, and healthy controls. 80-Hz auditory stimulation activated the left auditory cortex in acute schizophrenia. Our data may reflect left auditory cortex glutamate toxicity in acute schizophrenia. Recent MRI studies show that schizophrenia is characterized by reduced brain gray matter, which deteriorates in the acute state of the disease. Periodic auditory click trains elicit auditory steady-state responses (ASSRs), and ASSR abnormalities are reported in schizophrenia. We investigated neural responses during click stimulation using BOLD signals, which may reflect glutamate toxicity. Compared with non-acute schizophrenia patients and healthy controls, acute episode schizophrenia patients showed significantly increased ASSR-BOLD to 80-Hz stimuli in the left auditory cortex. Our data demonstrate neuronal over activation in terms of the BOLD pattern in acute state schizophrenia, which might reflect progressive volume reduction in the left superior temporal cortex by glutamate toxicity during the acute phase of schizophrenia.
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