Abstract
Functional and structural brain imaging has identified neural and neurotransmitter systems involved in schizophrenia and their link to cognitive and behavioural disturbances such as psychosis. Mapping such abnormalities in patients, however, cannot fully capture the strong neurodevelopmental component of schizophrenia that pre-dates manifest illness. A recent strategy to address this issue has been to focus on mechanisms of disease risk. Imaging genetics techniques have made it possible to define neural systems that mediate heritable risk linked to candidate and genome-wide-supported common variants, and mechanisms for environmental risk and gene–environment interactions are emerging. Characterizing the neural risk architecture of schizophrenia provides a translational research strategy for future treatments.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 51 print issues and online access
$199.00 per year
only $3.90 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Editorial A decade for psychiatric disorders. Nature 463, 9 (2010)
Weinberger, D. R. Implications of normal brain development for the pathogenesis of schizophrenia. Arch. Gen. Psychiatry 44, 660–669 (1987)A landmark conceptualization of schizophrenia as a neurodevelopmental disorder.
Ellison-Wright, I., Glahn, D. C., Laird, A. R., Thelen, S. M. & Bullmore, E. The anatomy of first-episode and chronic schizophrenia: an anatomical likelihood estimation meta-analysis. Am. J. Psychiatry 165, 1015–1023 (2008)
Boos, H. B., Aleman, A., Cahn, W., Hulshoff Pol, H. & Kahn, R. S. Brain volumes in relatives of patients with schizophrenia: a meta-analysis. Arch. Gen. Psychiatry 64, 297–304 (2007)
Goldman, A. L. et al. Heritability of brain morphology related to schizophrenia: a large-scale automated magnetic resonance imaging segmentation study. Biol. Psychiatry 63, 475–483 (2008)
Lewis, D. A. & Sweet, R. A. Schizophrenia from a neural circuitry perspective: advancing toward rational pharmacological therapies. J. Clin. Invest. 119, 706–716 (2009)
Selemon, L. D. & Goldman-Rakic, P. S. The reduced neuropil hypothesis: a circuit based model of schizophrenia. Biol. Psychiatry 45, 17–25 (1999)
Hashimoto, T. et al. Gene expression deficits in a subclass of GABA neurons in the prefrontal cortex of subjects with schizophrenia. J. Neurosci. 23, 6315–6326 (2003)
Byne, W., Hazlett, E. A., Buchsbaum, M. S. & Kemether, E. The thalamus and schizophrenia: current status of research. Acta Neuropathol. 117, 347–368 (2009)
Goldman-Rakic, P. S. Cellular basis of working memory. Neuron 14, 477–485 (1995)
Goldman-Rakic, P. S. Working memory dysfunction in schizophrenia. J. Neuropsychiatry Clin. Neurosci. 6, 348–357 (1994)
Callicott, J. H. et al. Physiological dysfunction of the dorsolateral prefrontal cortex in schizophrenia revisited. Cereb. Cortex 10, 1078–1092 (2000)
Tan, H. Y. et al. Dysfunctional prefrontal regional specialization and compensation in schizophrenia. Am. J. Psychiatry 163, 1969–1977 (2006)
Fusar-Poli, P. et al. Neurofunctional correlates of vulnerability to psychosis: a systematic review and meta-analysis. Neurosci. Biobehav. Rev. 31, 465–484 (2007)
Achim, A. M. & Lepage, M. Episodic memory-related activation in schizophrenia: meta-analysis. Br. J. Psychiatry 187, 500–509 (2005)
Murray, G. K. et al. Substantia nigra/ventral tegmental reward prediction error disruption in psychosis. Mol. Psychiatry 13, 267–276 (2008)Evidence for abnormal salience processing in midbrain in schizophrenia.
Juckel, G. et al. Dysfunction of ventral striatal reward prediction in schizophrenia. Neuroimage 29, 409–416 (2006)
Simon, J. J. et al. Neural correlates of reward processing in schizophrenia—Relationship to apathy and depression. Schizophr. Res. 118, 154–161 (2009)
Aleman, A. & Kahn, R. S. Strange feelings: do amygdala abnormalities dysregulate the emotional brain in schizophrenia? Prog. Neurobiol. 77, 283–298 (2005)
Rasetti, R. et al. Evidence that altered amygdala activity in schizophrenia is related to clinical state and not genetic risk. Am. J. Psychiatry 166, 216–225 (2009)
Gur, R. E. et al. Limbic activation associated with misidentification of fearful faces and flat affect in schizophrenia. Arch. Gen. Psychiatry 64, 1356–1366 (2007)
Brunet-Gouet, E. & Decety, J. Social brain dysfunctions in schizophrenia: a review of neuroimaging studies. Psychiatry Res. 148, 75–92 (2006)
Walter, H. Dysfunction of the social brain is modulated by intention type: an FMRI study. Soc. Cogn. Affect. Neurosci. 4, 166–176 (2009)
Dierks, T. et al. Activation of Heschl’s gyrus during auditory hallucinations. Neuron 22, 615–621 (1999)
Hubl, D. et al. Pathways that make voices: white matter changes in auditory hallucinations. Arch. Gen. Psychiatry 61, 658–668 (2004)
Wolf, R. C. et al. Temporally anticorrelated brain networks during working memory performance reveal aberrant prefrontal and hippocampal connectivity in patients with schizophrenia. Prog. Neuropsychopharmacol. Biol. Psychiatry 33, 1467–1473 (2009)
Whitfield-Gabrieli, S. et al. Hyperactivity and hyperconnectivity of the default network in schizophrenia and in first-degree relatives of persons with schizophrenia. Proc. Natl Acad. Sci. USA 106, 1279–1284 (2009)
Meyer-Lindenberg, A. S. et al. Regionally specific disturbance of dorsolateral prefrontal-hippocampal functional connectivity in schizophrenia. Arch. Gen. Psychiatry 62, 379–386 (2005)
Crossley, N. A. et al. Superior temporal lobe dysfunction and frontotemporal dysconnectivity in subjects at risk of psychosis and in first-episode psychosis. Hum. Brain Mapp. 30, 4129–4137 (2009)
Meyer-Lindenberg, A. et al. Evidence for abnormal cortical functional connectivity during working memory in schizophrenia. Am. J. Psychiatry 158, 1809–1817 (2001)
Friston, K. J., Frith, C. D., Fletcher, P., Liddle, P. F. & Frackowiak, R. S. Functional topography: multidimensional scaling and functional connectivity in the brain. Cereb. Cortex 6, 156–164 (1996)
Bullmore, E. & Sporns, O. Complex brain networks: graph theoretical analysis of structural and functional systems. Nature Rev. Neurosci. 10, 186–198 (2009)
Bassett, D. S. et al. Hierarchical organization of human cortical networks in health and schizophrenia. J. Neurosci. 28, 9239–9248 (2008)
Bertolino, A. et al. Altered development of prefrontal neurons in rhesus monkeys with neonatal mesial temporo-limbic lesions: a proton magnetic resonance spectroscopic imaging study. Cereb. Cortex 7, 740–748 (1997)
Braff, D. L. & Geyer, M. A. Sensorimotor gating and schizophrenia. Human and animal model studies. Arch. Gen. Psychiatry 47, 181–188 (1990)
Jaskiw, G. E., Karoum, F. K. & Weinberger, D. R. Persistent elevations in dopamine and its metabolites in the nucleus accumbens after mild subchronic stress in rats with ibotenic acid lesions of the medial prefrontal cortex. Brain Res. 534, 321–323 (1990)
Seeman, P. & Lee, T. Antipsychotic drugs: direct correlation between clinical potency and presynaptic action on dopamine neurons. Science 188, 1217–1219 (1975)
Davis, K. L., Kahn, R. S., Ko, G. & Davidson, M. Dopamine in schizophrenia: a review and reconceptualization. Am. J. Psychiatry 148, 1474–1486 (1991)
Laruelle, M. Imaging dopamine transmission in schizophrenia. A review and meta-analysis. Q. J. Nucl. Med. 42, 211–221 (1998)
Howes, O. D. et al. Elevated striatal dopamine function linked to prodromal signs of schizophrenia. Arch. Gen. Psychiatry 66, 13–20 (2009)
Meyer-Lindenberg, A. et al. Reduced prefrontal activity predicts exaggerated striatal dopaminergic function in schizophrenia. Nature Neurosci. 5, 267–271 (2002)
Fusar-Poli, P. et al. Abnormal prefrontal activation directly related to pre-synaptic striatal dopamine dysfunction in people at clinical high risk for psychosis. Mol. Psychiatry 10.1038/mp.2009.108 (1 December 2009)Striatal dopamine dysfunction correlates with prefrontal activation abnormalities in high-risk subjects.
Kapur, S. Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. Am. J. Psychiatry 160, 13–23 (2003)An important conceptualization of psychosis linking it to dopamine-related salience signalling.
Munafo, M. R., Brown, S. M. & Hariri, A. R. Serotonin transporter (5-HTTLPR) genotype and amygdala activation: a meta-analysis. Biol. Psychiatry 63, 852–857 (2008)
Mier, D., Kirsch, P. & Meyer-Lindenberg, A. Neural substrates of pleiotropic action of genetic variation in COMT: a meta-analysis. Mol . Psychiatry 15, 918–927 (2010)
Purcell, S. M. et al. Common polygenic variation contributes to risk of schizophrenia and bipolar disorder. Nature 460, 748–752 (2009)One of three large GWAS of schizophrenia in 2009, this paper also provides evidence for multiple common variants contributing to risk for schizophrenia that overlap with bipolar disorder.
Nicodemus, K. K. et al. Evidence of statistical epistasis between DISC1, CIT and NDEL1 impacting risk for schizophrenia: biological validation with functional neuroimaging. Hum. Genet. 127, 441–452 (2010)
Liu, J. et al. Combining fMRI and SNP data to investigate connections between brain function and genetics using parallel ICA. Hum. Brain Mapp. 30, 241–255 (2009)
Gottesman, I. I. & Gould, T. D. The endophenotype concept in psychiatry: etymology and strategic intentions. Am. J. Psychiatry 160, 636–645 (2003)
Fan, J. B. et al. Catechol-O-methyltransferase gene Val/Met functional polymorphism and risk of schizophrenia: a large-scale association study plus meta-analysis. Biol. Psychiatry 57, 139–144 (2005)
Stefansson, H. et al. Common variants conferring risk of schizophrenia. Nature 460, 744–747 (2009)
Shi, J. et al. Common variants on chromosome 6p22.1 are associated with schizophrenia. Nature 460, 753–757 (2009)
Egan, M. F. et al. Effect of COMT Val108/158 Met genotype on frontal lobe function and risk for schizophrenia. Proc. Natl Acad. Sci. USA 98, 6917–6922 (2001)
Gogos, J. A. et al. Catechol-O-methyltransferase-deficient mice exhibit sexually dimorphic changes in catecholamine levels and behavior. Proc. Natl Acad. Sci. USA 95, 9991–9996 (1998)
Chen, J. et al. Functional analysis of genetic variation in catechol-O-methyltransferase (COMT): effects on mRNA, protein, and enzyme activity in postmortem human brain. Am. J. Hum. Genet. 75, 807–821 (2004)
Honea, R. et al. Impact of interacting functional variants in COMT on regional gray matter volume in human brain. Neuroimage 45, 44–51 (2009)
Meyer-Lindenberg, A. et al. Midbrain dopamine and prefrontal function in humans: interaction and modulation by COMT genotype. Nature Neurosci. 8, 594–596 (2005)
Stefansson, H. et al. Neuregulin 1 and susceptibility to schizophrenia. Am. J. Hum. Genet. 71, 877–892 (2002)
Barros, C. S. et al. Impaired maturation of dendritic spines without disorganization of cortical cell layers in mice lacking NRG1/ErbB signaling in the central nervous system. Proc. Natl Acad. Sci. USA 106, 4507–4512 (2009)
Mei, L. & Xiong, W. C. Neuregulin 1 in neural development, synaptic plasticity and schizophrenia. Nature Rev. Neurosci. 9, 437–452 (2008)
Hall, J. et al. A neuregulin 1 variant associated with abnormal cortical function and psychotic symptoms. Nature Neurosci. 9, 1477–1478 (2006)
Gruber, O. et al. Neuregulin-1 haplotype HAP(ICE) is associated with lower hippocampal volumes in schizophrenic patients and in non-affected family members. J. Psychiatr. Res. 43, 1–6 (2008)
Mata, I. et al. A neuregulin 1 variant is associated with increased lateral ventricle volume in patients with first-episode schizophrenia. Biol. Psychiatry 65, 535–540 (2009)
McIntosh, A. M. et al. The effects of a neuregulin 1 variant on white matter density and integrity. Mol. Psychiatry 13, 1054–1059 (2008)
Millar, J. K. et al. Disruption of two novel genes by a translocation co-segregating with schizophrenia. Hum. Mol. Genet. 9, 1415–1423 (2000)
Ishizuka, K., Paek, M., Kamiya, A. & Sawa, A. A review of Disrupted-In-Schizophrenia-1 (DISC1): neurodevelopment, cognition, and mental conditions. Biol. Psychiatry 59, 1189–1197 (2006)
Callicott, J. H. et al. Variation in DISC1 affects hippocampal structure and function and increases risk for schizophrenia. Proc. Natl Acad. Sci. USA 102, 8627–8632 (2005)
Prata, D. P. et al. Effect of disrupted-in-schizophrenia-1 on pre-frontal cortical function. Mol. Psychiatry 13, 915–917 (2008)
Di Giorgio, A. et al. Association of the SerCys DISC1 polymorphism with human hippocampal formation gray matter and function during memory encoding. Eur. J. Neurosci. 28, 2129–2136 (2008)
Cannon, T. D. et al. Association of DISC1/TRAX haplotypes with schizophrenia, reduced prefrontal gray matter, and impaired short- and long-term memory. Arch. Gen. Psychiatry 62, 1205–1213 (2005)
Nicodemus, K. K. et al. Evidence for statistical epistasis between catechol-O-methyltransferase (COMT) and polymorphisms in RGS4, G72 (DAOA), GRM3, and DISC1: influence on risk of schizophrenia. Hum. Genet. 120, 889–906 (2007)
Harrison, P. J. & Weinberger, D. R. Schizophrenia genes, gene expression, and neuropathology: on the matter of their convergence. Mol. Psychiatry 10, 40–68 (2005)
Garcia, R. A., Vasudevan, K. & Buonanno, A. The neuregulin receptor ErbB-4 interacts with PDZ-containing proteins at neuronal synapses. Proc. Natl Acad. Sci. USA 97, 3596–3601 (2000)
Mata, I. et al. Additive effect of NRG1 and DISC1 genes on lateral ventricle enlargement in first episode schizophrenia. Neuroimage 53, 1016–1022 (2009)
O’Donovan, M. C. et al. Identification of loci associated with schizophrenia by genome-wide association and follow-up. Nature Genet. 40, 1053–1055 (2008)Identification of the ZNF804A variant with genome-wide support.
Esslinger, C. et al. Neural mechanisms of a genome-wide supported psychosis variant. Science 324, 605 (2009)The first imaging genetics study on a genome-wide significant variant, showing effects on dorsolateral prefrontal cortex connectivity mirroring those in patients with schizophrenia.
Walters, J. T. et al. Psychosis susceptibility gene ZNF804A and cognitive performance in schizophrenia. Arch. Gen. Psychiatry 67, 692–700 (2010)
Lencz, T. et al. A schizophrenia risk gene, ZNF804A, influences neuroanatomical and neurocognitive phenotypes. Neuropsychopharmacology 35, 2284–2291 (2010)
Walter, H. et al. Effects of a genome-wide supported psychosis risk variant on neural activation during a theory-of-mind task. Mol. Psychiatry 10.1038/mp.2010.18 (16 March 2010)
Ferreira, M. A. et al. Collaborative genome-wide association analysis supports a role for ANK3 and CACNA1C in bipolar disorder. Nature Genet. 40, 1056–1058 (2008)
Erk, S. et al. Brain function in carriers of a genome-wide supported bipolar disorder variant. Arch. Gen. Psychiatry 67, 803–811 (2010)
Wessa, M. et al. The CACNA1C risk variant for bipolar disorder influences limbic activity. Mol. Psychiatry 10.1038/mp.2009.103 (30 March 2010)
Ben-Shachar, S. et al. Microdeletion 15q13.3: a locus with incomplete penetrance for autism, mental retardation, and psychiatric disorders. J. Med. Genet. 46, 382–388 (2009)
Karayiorgou, M., Simon, T. J. & Gogos, J. A. 22q11.2 microdeletions: linking DNA structural variation to brain dysfunction and schizophrenia. Nature Rev. Neurosci. 11, 402–416 (2010)
Meechan, D. W., Maynard, T. M., Gopalakrishna, D., Wu, Y. & LaMantia, A. S. When half is not enough: gene expression and dosage in the 22q11 deletion syndrome. Gene Expr. 13, 299–310 (2007)
Kempf, L. et al. Functional polymorphisms in PRODH are associated with risk and protection for schizophrenia and fronto-striatal structure and function. PLoS Genet. 4, e1000252 (2008)
Lieberman, J. A., Sheitman, B. B. & Kinon, B. J. Neurochemical sensitization in the pathophysiology of schizophrenia: deficits and dysfunction in neuronal regulation and plasticity. Neuropsychopharmacology 17, 205–229 (1997)
Selten, J. P. & Cantor-Graae, E. Social defeat: risk factor for schizophrenia? Br. J. Psychiatry 187, 101–102 (2005)
Pruessner, J. C., Champagne, F., Meaney, M. J. & Dagher, A. Dopamine release in response to a psychological stress in humans and its relationship to early life maternal care: a positron emission tomography study using [11C]raclopride. J. Neurosci. 24, 2825–2831 (2004)
Soliman, A. et al. Stress-induced dopamine release in humans at risk of psychosis: a [11C]raclopride PET study. Neuropsychopharmacology 33, 2033–2041 (2008)
Zink, C. F. et al. Know your place: neural processing of social hierarchy in humans. Neuron 58, 273–283 (2008)An environmental stressor (unstable hierarchy) impacts on circuitry for regulation of negative affect.
Caspi, A. et al. Moderation of the effect of adolescent-onset cannabis use on adult psychosis by a functional polymorphism in the catechol-O-methyltransferase gene: longitudinal evidence of a gene × environment interaction. Biol. Psychiatry 57, 1117–1127 (2005)
Stokes, P. R. et al. Significant decreases in frontal and temporal [11C]-raclopride binding after THC challenge. Neuroimage 52, 1521–1527 (2010)
Insel, T. R. & Scolnick, E. M. Cure therapeutics and strategic prevention: raising the bar for mental health research. Mol. Psychiatry 11, 11–17 (2006)
Durstewitz, D. & Seamans, J. K. The dual-state theory of prefrontal cortex dopamine function with relevance to catechol-o-methyltransferase genotypes and schizophrenia. Biol. Psychiatry 64, 739–749 (2008)
Apud, J. A. et al. Tolcapone improves cognition and cortical information processing in normal human subjects. Neuropsychopharmacology 32, 1011–1020 (2007)Proof of principle of genotype-directed personalized therapy guided by neuroimaging mechanisms in psychiatry.
Bertolino, A. et al. Interaction of COMT (Val(108/158)Met) genotype and olanzapine treatment on prefrontal cortical function in patients with schizophrenia. Am. J. Psychiatry 161, 1798–1805 (2004)
Sigurdsson, T., Stark, K. L., Karayiorgou, M., Gogos, J. A. & Gordon, J. A. Impaired hippocampal-prefrontal synchrony in a genetic mouse model of schizophrenia. Nature 464, 763–767 (2010)A mouse model of a genetic high-risk microdeletion for schizophrenia exhibits a prefrontal-hippocampal connectivity phenotype.
Tost, H. et al. Acute D2 receptor blockade induces rapid, reversible remodeling in human cortical-striatal circuits. Nature Neurosci. 13, 920–922 (2010)
Buzsaki, G. & Draguhn, A. Neuronal oscillations in cortical networks. Science 304, 1926–1929 (2004)
Sohal, V. S., Zhang, F., Yizhar, O. & Deisseroth, K. Parvalbumin neurons and gamma rhythms enhance cortical circuit performance. Nature 459, 698–702 (2009)
von Stein, A., Chiang, C. & Konig, P. Top-down processing mediated by interareal synchronization. Proc. Natl Acad. Sci. USA 97, 14748–14753 (2000)
Lisman, J. & Buzsaki, G. A neural coding scheme formed by the combined function of gamma and theta oscillations. Schizophr. Bull. 34, 974–980 (2008)
Sirota, A. et al. Entrainment of neocortical neurons and gamma oscillations by the hippocampal theta rhythm. Neuron 60, 683–697 (2008)
Homayoun, H. & Moghaddam, B. NMDA receptor hypofunction produces opposite effects on prefrontal cortex interneurons and pyramidal neurons. J. Neurosci. 27, 11496–11500 (2007)
Ito, H. T. & Schuman, E. M. Frequency-dependent gating of synaptic transmission and plasticity by dopamine. Front Neural Circuits 1, 1 (2007)
Cho, R. Y., Konecky, R. O. & Carter, C. S. Impairments in frontal cortical gamma synchrony and cognitive control in schizophrenia. Proc. Natl Acad. Sci. USA 103, 19878–19883 (2006)
Hong, L. E. et al. Sensory gating endophenotype based on its neural oscillatory pattern and heritability estimate. Arch. Gen. Psychiatry 65, 1008–1016 (2008)
Markram, H., Lubke, J., Frotscher, M. & Sakmann, B. Regulation of synaptic efficacy by coincidence of postsynaptic APs and EPSPs. Science 275, 213–215 (1997)
Gurden, H., Tassin, J. P. & Jay, T. M. Integrity of the mesocortical dopaminergic system is necessary for complete expression of in vivo hippocampal-prefrontal cortex long-term potentiation. Neuroscience 94, 1019–1027 (1999)
Uhlhaas, P. J. et al. The development of neural synchrony reflects late maturation and restructuring of functional networks in humans. Proc. Natl Acad. Sci. USA 106, 9866–9871 (2009)
Giorgio, A. et al. Longitudinal changes in grey and white matter during adolescence. Neuroimage 49, 94–103 (2010)
Acknowledgements
I acknowledge grant support by Deutsche Forschungsgemeinschaft (SFB 636), BMBF (NGFN-MooDs, Bernstein-Programme), EU (NEWMEDS, OPTIMIZE, EU-GEI) and NARSAD (Distinguished Investigator Award) during the preparation of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The author declares no competing financial interests.
Rights and permissions
About this article
Cite this article
Meyer-Lindenberg, A. From maps to mechanisms through neuroimaging of schizophrenia. Nature 468, 194–202 (2010). https://doi.org/10.1038/nature09569
Published:
Issue Date:
DOI: https://doi.org/10.1038/nature09569
This article is cited by
-
Graph neural network and machine learning analysis of functional neuroimaging for understanding schizophrenia
BMC Neuroscience (2024)
-
Transcriptional signatures of the whole-brain voxel-wise resting-state functional network centrality alterations in schizophrenia
Schizophrenia (2023)
-
Machine Learning algorithm unveils glutamatergic alterations in the post-mortem schizophrenia brain
Schizophrenia (2022)
-
Thalamocortical dysrhythmia in patients with schizophrenia spectrum disorder and individuals at clinical high risk for psychosis
Neuropsychopharmacology (2022)
-
Impact of schizophrenia GWAS loci converge onto distinct pathways in cortical interneurons vs glutamatergic neurons during development
Molecular Psychiatry (2022)
Comments
By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.