Abstract
Background: It is still unclear which underlying mechanisms are involved in cognitive deficits of psychotic disorders. Pro-cognitive effects of muscarinic M-1 receptor agonists suggest alterations in M-1 receptor functioning may modulate these symptoms. Post mortem studies in patients with schizophrenia have shown significantly reduced M-1 receptor expression rates in the dorsolateral prefrontal cortex (DLPFC) compared to controls. To date no in-vivo examinations of M-1 receptor binding in relation to cognitive impairments have been done. As cognitive deficits have similar course and prognostic relevance across psychotic disorders, the current study assessed M-1 receptor binding in the DLPFC and hippocampus in relation to cognitive functioning. Methods: Muscarinic M-1 receptor binding potential (BPND) was measured using I-123-IDEX, single photon emission computed tomography (SPECT) in 30 medication-free subjects diagnosed with a psychotic disorder. A computerized neuropsychological test battery was used to assess cognition, and the positive and negative syndrome scale (PANSS) to assess severity of psychotic symptoms. Results: Assessment of cognitive domains showed that lower M-1 BPND in the DLPFC was related to overall lower performance in verbal learning and memory. In addition, lower M-1 BPND in the DLPFC was related to greater negative symptom severity. Lastly, lower M-1 BPND in the hippocampus was related to worse delayed recognition of verbal memory. Conclusion: This is the first study to show that variation in M-1 receptors in the DLPFC is related to cognitive and negative symptom outcome in psychotic disorders. The M-1 receptor may be an important biomarker in biological stratification of patients with psychotic disorders.
Original language | English |
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Pages (from-to) | 713-719 |
Number of pages | 7 |
Journal | NeuroImage: Clinical |
Volume | 18 |
DOIs | |
Publication status | Published - 1 Jan 2018 |
Keywords
- IN-VIVO
- SCHIZOPHRENIC-PATIENTS
- NMDA RECEPTOR
- HUMAN-BRAIN
- ACETYLCHOLINE
- MEMORY
- OLANZAPINE
- M1
- SUBTYPE
- AVAILABILITY