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Neural primacy of the salience processing system in schizophrenia

Palaniyappan, Lena; Simmonite, M.; White, T.P.; Liddle, E.B.; Liddle, P.F.

Authors

Lena Palaniyappan

M. Simmonite

T.P. White

E.B. Liddle

P.F. Liddle

Abstract

For effective information processing, two large-scale distributed neural networks appear to be critical: a multimodal executive system anchored on the dorsolateral prefrontal cortex (DLPFC) and a salience system anchored on the anterior insula. Aberrant interaction among distributed networks is a feature of psychiatric disorders such as schizophrenia. We used whole-brain Granger causal modeling using resting fMRI and observed a significant failure of both the feedforward and reciprocal influence between the insula and the DLPFC in schizophrenia. Further, a significant failure of directed influence from bilateral visual cortices to the insula was also seen in patients. These findings provide compelling evidence for a breakdown of the salience-execution loop in the clinical expression of psychosis. In addition, this offers a parsimonious explanation for the often-observed “frontal inefficiency,” the failure to recruit prefrontal system when salient or novel information becomes available in patients with schizophrenia.

Journal Article Type Article
Publication Date Aug 21, 2013
Journal Neuron
Print ISSN 0896-6273
Electronic ISSN 0896-6273
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 79
Issue 4
Institution Citation Palaniyappan, L., Simmonite, M., White, T., Liddle, E., & Liddle, P. (2013). Neural primacy of the salience processing system in schizophrenia. Neuron, 79(4), doi:10.1016/j.neuron.2013.06.027
DOI https://doi.org/10.1016/j.neuron.2013.06.027
Publisher URL http://www.sciencedirect.com/science/article/pii/S0896627313005436#
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0




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