Abstract
Some individuals are endowed with a biology that renders them more reactive to novelty and potential threat. When extreme, this anxious temperament (AT) confers elevated risk for the development of anxiety, depression and substance abuse. These disorders are highly prevalent, debilitating and can be challenging to treat. The high-risk AT phenotype is expressed similarly in children and young monkeys and mechanistic work demonstrates that the central (Ce) nucleus of the amygdala is an important substrate. Although it is widely believed that the flow of information across the structural network connecting the Ce nucleus to other brain regions underlies primates’ capacity for flexibly regulating anxiety, the functional architecture of this network has remained poorly understood. Here we used functional magnetic resonance imaging (fMRI) in anesthetized young monkeys and quietly resting children with anxiety disorders to identify an evolutionarily conserved pattern of functional connectivity relevant to early-life anxiety. Across primate species and levels of awareness, reduced functional connectivity between the dorsolateral prefrontal cortex, a region thought to play a central role in the control of cognition and emotion, and the Ce nucleus was associated with increased anxiety assessed outside the scanner. Importantly, high-resolution 18-fluorodeoxyglucose positron emission tomography imaging provided evidence that elevated Ce nucleus metabolism statistically mediates the association between prefrontal-amygdalar connectivity and elevated anxiety. These results provide new clues about the brain network underlying extreme early-life anxiety and set the stage for mechanistic work aimed at developing improved interventions for pediatric anxiety.
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References
Darwin C . The Expression of the Emotions in Man and Animals. 4th edn. Oxford University Press: NY, 1872/2009.
Kagan J, Reznick JS, Snidman N . Biological bases of childhood shyness. Science 1988; 240: 167–171.
Fox NA, Henderson HA, Marshall PJ, Nichols KE, Ghera MM . Behavioral inhibition: linking biology and behavior within a developmental framework. Annu Rev Psychol 2005; 56: 235–262.
Blackford JU, Pine DS . Neural substrates of childhood anxiety disorders: a review of neuroimaging findings. Child Adolesc Psychiatr Clin N Am 2012; 21: 501–525.
Bystritsky A . Treatment-resistant anxiety disorders. Mol Psychiatry 2006; 11: 805–814.
Kessler RC, Petukhova M, Sampson NA, Zaslavsky AM, Wittchen HU . Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. Int J Methods Psychiatr Res 2012; 21: 169–184.
Cloos JM, Ferreira V . Current use of benzodiazepines in anxiety disorders. Curr Opin Psychiatry 2009; 22: 90–95.
Collins PY, Patel V, Joestl SS, March D, Insel TR, Daar AS et al. Grand challenges in global mental health. Nature 2011; 475: 27–30.
Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. Lancet 2013; 382: 1575–1586.
Fox AS, Shelton SE, Oakes TR, Davidson RJ, Kalin NH . Trait-like brain activity during adolescence predicts anxious temperament in primates. PLoS OneNE 2008; 3: e2570.
Shackman AJ, Fox AS, Oler JA, Shelton SE, Davidson RJ, Kalin NH . Neural mechanisms underlying heterogeneity in the presentation of anxious temperament. Proc Natl Acad Sci USA 2013; 110: 6145–6150.
Oler JA, Fox AS, Shelton SE, Rogers J, Dyer TD, Davidson RJ et al. Amygdalar and hippocampal substrates of anxious temperament differ in their heritability. Nature 2010; 466: 864–868.
Fox AS, Oler JA, Shelton SE, Nanda SA, Davidson RJ, Roseboom PH et al. Central amygdala nucleus (Ce) gene expression linked to increased trait-like Ce metabolism and anxious temperament in young primates. Proc Natl Acad Sci USA 2012; 109: 18108–18113.
Kalin NH, Shelton SE, Turner JG . Effects of alprazolam on fear-related behavioral, hormonal, and catecholamine responses in infant rhesus monkeys. Life Sci 1991; 49: 2031–2044.
Kalin NH, Shelton SE . Defensive behaviors in infant rhesus monkeys: environmental cues and neurochemical regulation. Science 1989; 243: 1718–1721.
Kalin NH, Shelton SE, Davidson RJ . The role of the central nucleus of the amygdala in mediating fear and anxiety in the primate. J Neurosci 2004; 24: 5506–5515.
Feinstein JS, Adolphs R, Damasio A, Tranel D . The human amygdala and the induction and experience of fear. Curr Biol 2011; 21: 1–5.
Pare D, Duvarci S . Amygdala microcircuits mediating fear expression and extinction. Curr Opin Neurobiol 2012; 22: 717–723.
Freese JL, Amaral DG . Neuroanatomy of the primate amygdala. In: Whalen PJ, Phelps EA (eds). The human amygdala. Guilford: NY, 2009, pp 3–42.
Uhlhaas PJ, Singer W . Neuronal dynamics and neuropsychiatric disorders: toward a translational paradigm for dysfunctional large-scale networks. Neuron 2012; 75: 963–980.
Shackman AJ, Salomons TV, Slagter HA, Fox AS, Winter JJ, Davidson RJ . The integration of negative affect, pain and cognitive control in the cingulate cortex. Nat Rev Neurosci 2011; 12: 154–167.
Preuss TM . Primate brain evolution in phylogenetic context. In: Kaas JH, Preuss TM (eds). Evolution of Nervous Systems vol. 4. Elsevier: NY, 2007, pp 3–34.
Ongur D, Price JL . The organization of networks within the orbital and medial prefrontal cortex of rats, monkeys and humans. Cereb Cortex 2000; 10: 206–219.
Pessoa L . The Cognitive-Emotional Brain: From Interactions to Integration. MIT Press: Cambridge, MA, 2013.
Pessoa L . Beyond brain regions: network perspective of cognition-emotion interactions. Behav Brain Sci 2012; 35: 158–159.
Ekstrom LB, Roelfsema PR, Arsenault JT, Bonmassar G, Vanduffel W . Bottom-up dependent gating of frontal signals in early visual cortex. Science 2008; 321: 414–417.
Buckner RL, Krienen FM, Yeo BT . Opportunities and limitations of intrinsic functional connectivity MRI. Nat Neurosci 2013; 16: 832–837.
Vincent JL, Patel GH, Fox MD, Snyder AZ, Baker JT, Van Essen DC et al. Intrinsic functional architecture in the anaesthetized monkey brain. Nature 2007; 447: 83–86.
Honey CJ, Sporns O, Cammoun L, Gigandet X, Thiran JP, Meuli R et al. Predicting human resting-state functional connectivity from structural connectivity. Proc Natl Acad Sci USA 2009; 106: 2035–2040.
Dum RP, Levinthal DJ, Strick PL . The spinothalamic system targets motor and sensory areas in the cerebral cortex of monkeys. J Neurosci 2009; 29: 14223–14235.
Adachi Y, Osada T, Sporns O, Watanabe T, Matsui T, Miyamoto K et al. Functional connectivity between anatomically unconnected areas is shaped by collective network-level effects in the macaque cortex. Cereb Cortex 2012; 22: 1586–1592.
Ghashghaei HT, Barbas H . Pathways for emotion: interactions of prefrontal and anterior temporal pathways in the amygdala of the rhesus monkey. Neuroscience 2002; 115: 1261–1279.
Stefanacci L, Amaral DG . Some observations on cortical inputs to the macaque monkey amygdala: an anterograde tracing study. J Comp Neurol 2002; 451: 301–323.
Buhle JT, Silvers JA, Wager TD, Lopez R, Onyemekwu C, Kober H et al. Cognitive reappraisal of emotion: A meta-analysis of human neuroimaging studies. Cereb Cortex 2013 (in press).
Casey BJ, Craddock N, Cuthbert BN, Hyman SE, Lee FS, Ressler KJ . DSM-5 and RDoC: progress in psychiatry research? Nat Rev Neurosci 2013; 14: 810–814.
Borsook D, Becerra L, Hargreaves R . A role for fMRI in optimizing CNS drug development. Nat Rev Drug Discov 2006; 5: 411–424.
Oler JA, Birn RM, Patriat R, Fox AS, Shelton SE, Burghy CA et al. Evidence for coordinated functional activity within the extended amygdala of non-human and human primates. Neuroimage 2012; 61: 1059–1066.
Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36: 980–988.
de Bie HM, Boersma M, Wattjes MP, Adriaanse S, Vermeulen RJ, Oostrom KJ et al. Preparing children with a mock scanner training protocol results in high quality structural and functional MRI scans. Eur J Pediatr 2010; 169: 1079–1085.
Smith SM, Jenkinson M, Woolrich MW, Beckmann CF, Behrens TE, Johansen-Berg H et al. Advances in functional and structural MR image analysis and implementation as FSL. Neuroimage 2004; 23: S208–S219.
Woolrich MW, Jbabdi S, Patenaude B, Chappell M, Makni S, Behrens T et al. Bayesian analysis of neuroimaging data in FSL. Neuroimage 2009; 45: S173–S186.
Zhang Y, Brady M, Smith S . Segmentation of brain MR images through a hidden Markov random field model and the expectation-maximization algorithm. IEEE Trans Med Imaging 2001; 20: 45–57.
Herringa RJ, Birn RM, Ruttle PL, Burghy CA, Stodola DE, Davidson RJ et al. Childhood maltreatment is associated with altered fear circuitry and increased internalizing symptoms by late adolescence. Proc Natl Acad Sci USA 2013; 110: 19119–19124.
Burghy CA, Stodola DE, Ruttle PL, Molloy EK, Armstrong JM, Oler JA et al. Developmental pathways to amygdala-prefrontal function and internalizing symptoms in adolescence. Nat Neurosci 2012; 15: 1736–1741.
MacKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V . A comparison of methods to test mediation and other intervening variable effects. Psychol Methods 2002; 7: 83–104.
Baron RM, Kenny DA . The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986; 51: 1173–1182.
Lim SL, Padmala S, Pessoa L . Segregating the significant from the mundane on a moment-to-moment basis via direct and indirect amygdala contributions. Proc Natl Acad Sci USA 2009; 106: 16841–16846.
Wager TD, Davidson ML, Hughes BL, Lindquist MA, Ochsner KN . Prefrontal-subcortical pathways mediating successful emotion regulation. Neuron 2008; 59: 1037–1050.
Shackman JE, Shackman AJ, Pollak SD . Physical abuse amplifies attention to threat and increases anxiety in children. Emotion 2007; 7: 838–852.
Clogg CC, Petkova E, Shihadeh ES . Statistical methods for analyzing collapsibility in regression models. J Educ Stat 1992; 17: 51–74.
Barbas H, De Olmos J . Projections from the amygdala to basoventral and mediodorsal prefrontal regions in the rhesus monkey. J Comp Neurol 1990; 300: 549–571.
Amaral DG, Insausti R . Retrograde transport of D-[3 H]-aspartate injected into the monkey amygdaloid complex. Exp Brain Res 1992; 88: 375–388.
Amaral DG, Price JL . Amygdalo-cortical projections in the monkey (Macaca fascicularis). J Comp Neurol 1984; 230: 465–496.
Miller EK, Cohen JD . An integrative theory of prefrontal cortex function. Annu Rev Neurosci 2001; 24: 167–202.
Shackman AJ, McMenamin BW, Maxwell JS, Greischar LL, Davidson RJ . Right dorsolateral prefrontal cortical activity and behavioral inhibition. Psychol Sci 2009; 20: 1500–1506.
Koenigs M, Huey ED, Calamia M, Raymont V, Tranel D, Grafman J . Distinct regions of prefrontal cortex mediate resistance and vulnerability to depression. J Neurosci 2008; 28: 12341–12348.
Ekstrom LB, Roelfsema PR, Arsenault JT, Kolster H, Vanduffel W . Modulation of the contrast response function by electrical microstimulation of the macaque frontal eye field. J Neurosci 2009; 29: 10683–10694.
Premereur E, Janssen P, Vanduffel W . FEF-microstimulation causes task-dependent modulation of occipital fMRI activity. Neuroimage 2012; 67: 42–50.
Pezawas L, Meyer-Lindenberg A, Drabant EM, Verchinski BA, Munoz KE, Kolachana BS et al. 5-HTTLPR polymorphism impacts human cingulate-amygdala interactions: a genetic susceptibility mechanism for depression. Nat Neurosci 2005; 8: 828–834.
Kim MJ, Gee DG, Loucks RA, Davis FC, Whalen PJ . Anxiety dissociates dorsal and ventral medial prefrontal cortex functional connectivity with the amygdala at rest. Cereb Cortex 2011; 7: 1667–1673.
Akam T, Kullmann DM . Oscillatory multiplexing of population codes for selective communication in the mammalian brain. Nat Rev Neurosci 2014; 15: 111–122.
Cabral J, Kringelbach ML, Deco G . Exploring the network dynamics underlying brain activity during rest. Prog Neurobiol 2014; 114C: 102–131.
Logothetis NK . What we can do and what we cannot do with fMRI. Nature 2008; 453: 869–878.
Arnsten AF . Stress signalling pathways that impair prefrontal cortex structure and function. Nat Rev Neurosci 2009; 10: 410–422.
Shackman AJ, Maxwell JS, McMenamin BW, Greischar LL, Davidson RJ . Stress potentiates early and attenuates late stages of visual processing. J Neurosci 2011; 31: 1156–1161.
Davis M, Whalen PJ . The amygdala: vigilance and emotion. Mol Psychiatry 2001; 6: 13–34.
Fudge JL, Haber SN . The central nucleus of the amygdala projection to dopamine subpopulations in primates. Neuroscience 2000; 97: 479–494.
Fornito A, Harrison BJ, Goodby E, Dean A, Ooi C, Nathan PJ et al. Functional dysconnectivity of corticostriatal circuitry as a risk phenotype for psychosis. JAMA Psychiatry 2013; 70: 1143–1151.
Guller Y, Ferrarelli F, Shackman AJ, Sarasso S, Peterson MJ, Langheim FJ et al. Probing thalamic integrity in schizophrenia using concurrent transcranial magnetic stimulation and functional magnetic resonance imaging. Arch Gen Psychiatry 2012; 69: 662–671.
Chen AC, Oathes DJ, Chang C, Bradley T, Zhou ZW, Williams LM et al. Causal interactions between fronto-parietal central executive and default-mode networks in humans. Proc Natl Acad Sci USA 2013; 110: 19944–19949.
Bullmore E . The future of functional MRI in clinical medicine. Neuroimage 2012; 62: 1267–1271.
Button KS, Ioannidis JP, Mokrysz C, Nosek BA, Flint J, Robinson ES et al. Power failure: why small sample size undermines the reliability of neuroscience. Nat Rev Neurosci 2013; 14: 365–376.
Davidson RJ . Affective style and affective disorders: perspectives from affective neuroscience. Cogn Emot 1998; 12: 307–330.
Badre D, D'Esposito M . Is the rostro-caudal axis of the frontal lobe hierarchical? Nat Rev Neurosci 2009; 10: 659–669.
Acknowledgements
We acknowledge the assistance of E Ahlers, V Balchen, B Christian, A Converse, L Friedman, M Jesson, E Larson, K Mayer, T Oakes, M Riedel, P Roseboom, J Storey, D Tromp, N Vack, H Van Valkenberg and the staffs of the Harlow Center for Biological Psychology, HealthEmotions Research Institute (HERI), Waisman Center, Waisman Laboratory for Brain Imaging and Behavior and Wisconsin National Primate Center. We thank Julie Fudge, Luiz Pessoa, and several anonymous reviewers for critical feedback. This work was supported by the National Institutes of Health (NIH; Intramural Research Program and extramural grants HD003352, HD008352, MH018931, MH046729, MH081884, MH084051, MH090912, MH091550, OD011106 and RR000167), HERI, Meriter Hospital and the University of Maryland.
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NHK, JAO, DSP, MJS and SES designed the study. SES collected monkey data. LEW collected human data. ALA optimized imaging methods. DSP, NHK and GMR made childhood psychiatric diagnoses. RMB and ASF developed analytical tools. RMB, JAO, AJS and ASF performed data processing for monkey data. DRM, LEW, JAO, AJS and RMB performed data processing for human data. RMB, AJS, JAO and NHK analyzed monkey data. DRM, LEW, JAO, AJS, RMB and NHK analyzed human data. AJS, NHK, RMB, ASF, JAO, RJD and DSP interpreted data. AJS, ASF, NHK, JAO, LEW and RMB wrote the paper. AJS, ASF and NHK created the figures. AJS, JAO and LEW created the tables. NHK supervised the study. All authors contributed to revising the paper.
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Birn, R., Shackman, A., Oler, J. et al. Evolutionarily conserved prefrontal-amygdalar dysfunction in early-life anxiety. Mol Psychiatry 19, 915–922 (2014). https://doi.org/10.1038/mp.2014.46
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DOI: https://doi.org/10.1038/mp.2014.46
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