31 results on '"RAUCH S"'
Search Results
2. ALTERED DEFAULT MODE NETWORK (DMN) RESTING STATE FUNCTIONAL CONNECTIVITY FOLLOWING A MINDFULNESS-BASED EXPOSURE THERAPY FOR POSTTRAUMATIC STRESS DISORDER (PTSD) IN COMBAT VETERANS OF AFGHANISTAN AND IRAQ.
- Author
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King AP, Block SR, Sripada RK, Rauch S, Giardino N, Favorite T, Angstadt M, Kessler D, Welsh R, and Liberzon I
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- Adult, Afghanistan, Humans, Iraq, Magnetic Resonance Imaging, Male, Psychotherapy, Group methods, Rest, Veterans statistics & numerical data, Brain physiopathology, Implosive Therapy methods, Mindfulness methods, Stress Disorders, Post-Traumatic physiopathology, Stress Disorders, Post-Traumatic therapy, Veterans psychology
- Abstract
Background: Recent studies suggest that mindfulness may be an effective component for posttraumatic stress disorder (PTSD) treatment. Mindfulness involves practice in volitional shifting of attention from "mind wandering" to present-moment attention to sensations, and cultivating acceptance. We examined potential neural correlates of mindfulness training using a novel group therapy (mindfulness-based exposure therapy (MBET)) in combat veterans with PTSD deployed to Afghanistan (OEF) and/or Iraq (OIF)., Methods: Twenty-three male OEF/OIF combat veterans with PTSD were treated with a mindfulness-based intervention (N = 14) or an active control group therapy (present-centered group therapy (PCGT), N = 9). Pre-post therapy functional magnetic resonance imaging (fMRI, 3 T) examined resting-state functional connectivity (rsFC) in default mode network (DMN) using posterior cingulate cortex (PCC) and ventral medial prefrontal cortex (vmPFC) seeds, and salience network (SN) with anatomical amygdala seeds. PTSD symptoms were assessed at pre- and posttherapy with Clinician Administered PTSD Scale (CAPS)., Results: Patients treated with MBET had reduced PTSD symptoms (effect size d = 0.92) but effect was not significantly different from PCGT (d = 0.46). Increased DMN rsFC (PCC seed) with dorsolateral dorsolateral prefrontal cortex (DLPFC) regions and dorsal anterior cingulate cortex (ACC) regions associated with executive control was seen following MBET. A group × time interaction found MBET showed increased connectivity with DLPFC and dorsal ACC following therapy; PCC-DLPFC connectivity was correlated with improvement in PTSD avoidant and hyperarousal symptoms., Conclusions: Increased connectivity between DMN and executive control regions following mindfulness training could underlie increased capacity for volitional shifting of attention. The increased PCC-DLPFC rsFC following MBET was related to PTSD symptom improvement, pointing to a potential therapeutic mechanism of mindfulness-based therapies., (© 2016 Wiley Periodicals, Inc.)
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- 2016
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3. Clinical application of brain imaging for the diagnosis of mood disorders: the current state of play.
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Savitz JB, Rauch SL, and Drevets WC
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- Biomarkers metabolism, Brain diagnostic imaging, Evidence-Based Medicine, Humans, Radionuclide Imaging, Reproducibility of Results, United States, United States Food and Drug Administration, Brain pathology, Mood Disorders diagnosis, Neuroimaging methods, Neuroimaging standards
- Abstract
In response to queries about whether brain imaging technology has reached the point where it is useful for making a clinical diagnosis and for helping to guide treatment selection, the American Psychiatric Association (APA) has recently written a position paper on the Clinical Application of Brain Imaging in Psychiatry. The following perspective piece is based on our contribution to this APA position paper, which specifically emphasized the application of neuroimaging in mood disorders. We present an introductory overview of the challenges faced by researchers in developing valid and reliable biomarkers for psychiatric disorders, followed by a synopsis of the extant neuroimaging findings in mood disorders, and an evidence-based review of the current research on brain imaging biomarkers in adult mood disorders. Although there are a number of promising results, by the standards proposed below, we argue that there are currently no brain imaging biomarkers that are clinically useful for establishing diagnosis or predicting treatment outcome in mood disorders.
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- 2013
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4. Cognitive and affective probes of the HPA axis: a SPECT study.
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Ottowitz WE, Dougherty DD, Sirota AD, Niaura R, Rauch SL, and Brown WA
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- Adolescent, Adrenocorticotropic Hormone metabolism, Adult, Cerebrovascular Circulation physiology, Female, Humans, Neuropsychological Tests, Affect physiology, Brain blood supply, Brain metabolism, Cognition physiology, Hydrocortisone metabolism, Hypothalamo-Hypophyseal System metabolism, Pituitary-Adrenal System metabolism, Tomography, Emission-Computed, Single-Photon
- Published
- 2004
5. Neural substrates of anorexia nervosa: a behavioral challenge study with positron emission tomography.
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Gordon CM, Dougherty DD, Fischman AJ, Emans SJ, Grace E, Lamm R, Alpert NM, Majzoub JA, and Rauch SL
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- Adult, Anorexia Nervosa physiopathology, Brain physiopathology, Case-Control Studies, Cerebral Cortex physiopathology, Cerebrovascular Circulation, Female, Food, Heart Rate, Humans, Radionuclide Imaging, Anorexia Nervosa diagnostic imaging, Anorexia Nervosa psychology, Brain diagnostic imaging
- Abstract
Objective: To delineate functional brain abnormalities associated with anorexia nervosa (AN)., Study Design: Positron emission tomographic measurements of regional cerebral blood flow (rCBF) were performed on 8 female patients with AN and 8 healthy female control subjects during exposure to 3 types of stimuli: high-calorie foods, low-calorie foods, and non-food items. Heart rate and internal state analog scale scores were also obtained. Stereotactic transformation and statistical parametric mapping techniques were used to analyze imaging data., Results: During the high-calorie condition, control subjects reported a significant desire to eat, whereas subjects with AN reported elevated anxiety and exhibited increases in heart rate. Patients with AN had elevated bilateral medial temporal lobe rCBF compared with control subjects. Planned comparisons for group-by-condition interactions demonstrated greater activation within left occipital cortex and right temporo-occipital cortex for the high-calorie versus low-calorie contrast in patients with AN compared with control subjects., Conclusions: Our finding of elevated rCBF within bilateral medial temporal lobes is similar to published results in patients with psychotic disorders and may be related to the body image distortion common to AN. The high-calorie food phobia exhibited by patients with AN appears to be associated with exaggerated responses in visual association cortex, as has been previously observed in studies of specific phobias.
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- 2001
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6. Investigating the pathogenesis of posttraumatic stress disorder with neuroimaging.
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Pitman RK, Shin LM, and Rauch SL
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- Brain blood supply, Brain physiopathology, Functional Laterality physiology, Hippocampus anatomy & histology, Hippocampus physiopathology, Humans, Regional Blood Flow physiology, Stress Disorders, Post-Traumatic physiopathology, Brain anatomy & histology, Magnetic Resonance Imaging methods, Magnetic Resonance Spectroscopy methods, Stress Disorders, Post-Traumatic diagnosis, Stress Disorders, Post-Traumatic etiology, Tomography, Emission-Computed methods, Tomography, Emission-Computed, Single-Photon methods
- Abstract
Rapidly evolving brain neuroimaging techniques such as magnetic resonance imaging (MRI) and positron emission tomography (PET) are proving fruitful in exploring the pathogenesis and pathophysiology of posttraumatic stress disorder (PTSD). Structural abnormalities in PTSD found with MRI include nonspecific white matter lesions and decreased hippocampal volume. These abnormalities may reflect pretrauma vulnerability to develop PTSD, or they may be a consequence of traumatic exposure, PTSD, and/or PTSD sequelae. Functional neuroimaging symptom provocation and cognitive activation paradigms using PET measurement of regional cerebral blood flow have revealed greater activation of the amygdala and anterior paralimbic structures (which are known to be involved in processing negative emotions such as fear), greater deactivation of Broca's region (motor speech) and other nonlimbic cortical regions, and failure of activation of the cingulate cortex (which possibly plays an inhibitory role) in response to trauma-related stimuli in individuals with PTSD. Functional MRI research has shown the amygdala to be hyperresponsive to fear-related stimuli in this disorder. Research with PET suggests that cortical, notably hippocampal, metabolism is suppressed to a greater extent by pharmacologic stimulation of the noradrenergic system in persons with PTSD. The growth of knowledge concerning the anatomical and neurochemical basis of this important mental disorder will hopefully eventually lead to rational psychological and pharmacologic treatments.
- Published
- 2001
7. Functional neuroimaging and the neuroanatomy of obsessive-compulsive disorder.
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Saxena S and Rauch SL
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- Brain diagnostic imaging, Brain metabolism, Brain pathology, Humans, Magnetic Resonance Spectroscopy, Models, Neurological, Brain physiopathology, Magnetic Resonance Imaging, Nerve Net physiopathology, Obsessive-Compulsive Disorder diagnostic imaging, Obsessive-Compulsive Disorder metabolism, Obsessive-Compulsive Disorder pathology, Tomography, Emission-Computed, Tomography, Emission-Computed, Single-Photon
- Abstract
Functional neuroimaging studies have advanced the understanding of the brain mediation of OCD by orbitofrontal-subcortical circuitry, but much is still unknown. Phenotypic heterogeneity could account for many of the inconsistencies among previous neuroimaging studies of OCD. Current studies are seeking to find the neurobiological basis of OCD symptom subtypes and predictors of treatment response. Future studies combining genetics and basic neuroanatomic research with neuroimaging may clarify the cause and pathophysiology of OCD. Although many lines of evidence point to dysfunction of orbitofrontal-subcortical circuitry in patients with OCD, many questions remain unanswered. Some have suggested that orbitofrontal-subcortical hyperactivity in OCD may be the result of abnormal neuroanatomic development of these structures or a failure of pruning of neuronal connections between them, as occurs in normal development, but no postmortem neuroanatomic studies of OCD exist to delineate its pathophysiology. Interventions that directly alter the indirect-direct pathway balance within frontal-subcortical circuits will allow for direct testing of the pathophysiologic hypotheses presented here. The roles of various neurochemical systems in OCD are similarly unclear. Although an abundance of indirect evidence suggests serotonergic abnormalities in patients with OCD, no direct evidence demonstrates what those abnormalities are or whether they are primary or secondary phenomena in patients with OCD. Ongoing studies of 5-HT synthesis in the brains of patients with OCD may shed light on this question.
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- 2000
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8. Neural activation during sexual and competitive arousal in healthy men.
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Rauch SL, Shin LM, Dougherty DD, Alpert NM, Orr SP, Lasko M, Macklin ML, Fischman AJ, and Pitman RK
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- Adult, Brain diagnostic imaging, Cerebral Cortex physiology, Cerebrovascular Circulation physiology, Globus Pallidus physiology, Gyrus Cinguli physiology, Humans, Imagination physiology, Limbic System physiology, Male, Neural Pathways physiology, Tomography, Emission-Computed, Aggression physiology, Arousal physiology, Brain physiology, Brain Mapping methods, Libido physiology
- Abstract
To investigate the mediating neuroanatomy of positively valenced arousal, we used script-driven imagery in conjunction with positron emission tomography to measure relative regional cerebral blood flow (rCBF) during sexual and competitive arousal, as well as neutral comparison states. Subjects were eight healthy right-handed men. Psychophysiologic responses and subjective ratings confirmed that the desired state manipulations were achieved. Statistical parametric mapping revealed similar patterns of rCBF changes for both positively valenced arousal conditions: increases were found within anterior cingulate and anterior temporal cortex as well as the ventral globus pallidus; decreases were found within widespread heteromodal association areas. These results complement findings from studies of other normal and pathological emotional states, and provide new insights regarding the neural substrates of pleasurable arousal in healthy men.
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- 1999
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9. Regional cerebral blood flow during script-driven imagery in childhood sexual abuse-related PTSD: A PET investigation.
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Shin LM, McNally RJ, Kosslyn SM, Thompson WL, Rauch SL, Alpert NM, Metzger LJ, Lasko NB, Orr SP, and Pitman RK
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- Adult, Brain diagnostic imaging, Carbon Dioxide, Child, Child Abuse, Sexual psychology, Comorbidity, Female, Humans, Limbic System blood supply, Limbic System diagnostic imaging, Middle Aged, Oxygen Radioisotopes, Regional Blood Flow, Stress Disorders, Post-Traumatic diagnostic imaging, Stress Disorders, Post-Traumatic psychology, Verbal Behavior physiology, Brain blood supply, Child Abuse, Sexual statistics & numerical data, Imagination physiology, Stress Disorders, Post-Traumatic diagnosis, Tomography, Emission-Computed
- Abstract
Objective: The purpose of this study was to determine whether anterior limbic and paralimbic regions of the brain are differentially activated during the recollection and imagery of traumatic events in trauma-exposed individuals with and without posttraumatic stress disorder (PTSD)., Method: Positron emission tomography (PET) was used to measure normalized regional cerebral blood flow (CBF) in 16 women with histories of childhood sexual abuse: eight with current PTSD and eight without current PTSD. In separate script-driven imagery conditions, participants recalled and imagined traumatic and neutral autobiographical events. Psychophysiologic responses and subjective ratings of emotional state were measured for each condition., Results: In the traumatic condition versus the neutral control conditions, both groups exhibited regional CBF increases in orbitofrontal cortex and anterior temporal poles; however, these increases were greater in the PTSD group than in the comparison group. The comparison group exhibited regional CBF increases in insular cortex and anterior cingulate gyrus; increases in anterior cingulate gyrus were greater in the comparison group than in the PTSD group. Regional CBF decreases in bilateral anterior frontal regions were greater in the PTSD group than in the comparison group, and only the PTSD group exhibited regional CBF decreases in left inferior frontal gyrus., Conclusions: The recollection and imagery of traumatic events versus neutral events was accompanied by regional CBF increases in anterior paralimbic regions of the brain in trauma-exposed individuals with and without PTSD. However, the PTSD group had greater increases in orbitofrontal cortex and anterior temporal pole, whereas the comparison group had greater increases in anterior cingulate gyrus.
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- 1999
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10. A method for assessing the accuracy of intersubject registration of the human brain using anatomic landmarks.
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Grachev ID, Berdichevsky D, Rauch SL, Heckers S, Kennedy DN, Caviness VS, and Alpert NM
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- Adolescent, Adult, Algorithms, Brain Mapping methods, Female, Humans, Male, Observer Variation, Reproducibility of Results, Brain anatomy & histology, Image Processing, Computer-Assisted statistics & numerical data, Magnetic Resonance Imaging statistics & numerical data
- Abstract
Several groups have developed methods for registering an individual's 3D MRI by deforming a standard template. This achievement leads to many possibilities for segmentation and morphology that will impact nuclear medical research in areas such as activation and receptor studies. Accordingly, there is a need for methods that can assess the accuracy of intersubject registration. We have developed a method based on a set of 128 anatomic landmarks per hemisphere, both cortical and subcortical, that allows assessment of both global and local transformation accuracy. We applied our method to compare the accuracy of two standard methods of intersubject registration, AIR 3.0 with fifth-order polynomial warping and the Talairach stereotaxic transformation (Talairach and Tournoux, 1988). SPGR MRI's (256 x 256 x 160) of six normal subjects (age 18-24 years) were derformed to match a standard template volume. To assess registration accuracy the landmarks were located on both the template volume and the transformed volumes by an experienced neuroanatomist. The resulting list of coordinates was analyzed graphically and by ANOVA to compare the accuracy of the two methods and the results of the manual analysis. ANOVA performed over all 128 landmarks showed that the Woods method was more accurate than Talairach (left hemisphere F = 2.8, P < 0.001 and right hemisphere F =2.4, P < 0.006). The Woods method provided a better brain surface transformation than did Talairach (F = 18.0, P < 0.0001), but as expected there was a smaller difference for subcortical structures and both had an accuracy <1 mm for the majority of subcortical landmarks. Overall, both the Woods and Talairach method located about 70% of landmarks with an error of 3 mm or less. More striking differences were noted for landmark accuracy =1 mm, where the Woods method located about 40% and Talairach about 23%. These results demonstrate that this anatomically based assessment method can help evaluate new methods of intersubject registration and should be a helpful tool in appreciating regional differences in accuracy. Consistent with expectation, we confirmed that the Woods nonlinear registration method was more accurate than Talairach. Landmark-based anatomic analyses of intersubject registration accuracy offer opportunities to explore the relationship among structure, function and architectonic boundaries in the human brain., (Copyright 1999 Academic Press.)
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- 1999
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11. Differences in cerebral activation during smooth pursuit and saccadic eye movements using positron-emission tomography.
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O'Driscoll GA, Strakowski SM, Alpert NM, Matthysse SW, Rauch SL, Levy DL, and Holzman PS
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- Adolescent, Adult, Carbon Radioisotopes, Humans, Male, Middle Aged, Tomography, Emission-Computed, Brain diagnostic imaging, Brain physiology, Pursuit, Smooth physiology, Saccades physiology
- Abstract
Background: Abnormalities of smooth pursuit eye movements occur commonly in schizophrenia, but the pathophysiological significance of these abnormalities is unknown. To address this, the authors conducted a pilot study in which we examined differences in regional cerebral activation using positron-emission tomography (PET) in normal volunteers as they performed two types of eye movements., Methods: Cerebral activation in 10 normal volunteers was studied using C15O2 PET while subjects tracked a visual target using smooth pursuit and saccadic eye movements. A left-hand movement comparison task provided a physiologic landmark for verification of the location of the frontal eye fields (FEFs)., Results: Subjects exhibited FEF activation during both smooth pursuit and saccadic eye movements, which was greater in the latter. During smooth pursuit, subjects also exhibited increased cerebral activation in the left temporal-occipital border and left superior frontal cortex and decreased activation in medial superior parietal and insular regions relative to saccades. Other cortical visual and eye-movement brain regions also demonstrated differences in activation between the two visual tasks., Conclusions: Significant fEF activation appears to underlie both smooth pursuit and saccadic eye movements but may be more critical in the former. Dysfunction of the frontal lobe, and possibly of other areas in the pursuit pathway such as the temporo-occipital motion area, may contribute to observed eye-movement abnormalities in patients with schizophrenia.
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- 1998
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12. The counting Stroop: an interference task specialized for functional neuroimaging--validation study with functional MRI.
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Bush G, Whalen PJ, Rosen BR, Jenike MA, McInerney SC, and Rauch SL
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- Adult, Female, Humans, Language, Magnetic Resonance Imaging methods, Male, Motor Cortex physiology, Online Systems, Parietal Lobe physiology, Reproducibility of Results, Semantics, Brain physiology, Brain Mapping methods, Cognition physiology, Color Perception, Gyrus Cinguli physiology, Reaction Time physiology
- Abstract
The anterior cingulate cortex has been activated by color Stroop tasks, supporting the hypothesis that it is recruited to mediate response selection or allocate attentional resources when confronted with competing information-processing streams. The current study used the newly developed "Counting Stroop" to identify the mediating neural substrate of cognitive interference. The Counting Stroop, a Stroop variant allowing on-line response time measurements while obviating speech, was created because speaking produces head movements that can exceed those tolerated by functional magnetic resonance imaging (fMRI), preventing the collection of vital performance data. During this task, subjects report by button-press the number of words (1-4) on the screen, regardless of word meaning. Interference trials contain number words that are incongruent with the correct response (e.g., "two" written three times), while neutral trials contain single semantic category common animals (e.g., "bird"). Nine normal right-handed adult volunteers underwent fMRI while performing the Counting Stroop. Group fMRI data revealed significant (P < or = 10(-4) activity in the cognitive division of anterior cingulate cortex when contrasting the interference vs. neutral conditions. On-line performance data showed 1) longer reaction times for interference blocks than for neutral ones, and 2) decreasing reaction times with practice during interference trials (diminished interference effects), indicating that learning occurred. The performance data proved to be a useful guide in analyzing the image data. The relative difference in anterior cingulate activity between the interference and neutral conditions decreased as subjects learned the task. These findings have ramifications for attentional, cognitive interference, learning, and motor control mechanism theories.
- Published
- 1998
13. Functional neuroimaging studies in posttraumatic stress disorder.
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Rauch SL and Shin LM
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- Cognition, Emotions, Humans, Magnetic Resonance Spectroscopy, Obsessive-Compulsive Disorder metabolism, Panic Disorder metabolism, Phobic Disorders metabolism, Brain metabolism, Glucose metabolism, Magnetic Resonance Imaging, Stress Disorders, Post-Traumatic metabolism, Stress Disorders, Post-Traumatic psychology, Tomography, Emission-Computed, Tomography, Emission-Computed, Single-Photon
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- 1997
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14. A positron emission tomographic study of symptom provocation in PTSD.
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Shin LM, McNally RJ, Kosslyn SM, Thompson WL, Rauch SL, Alpert NM, Metzger LJ, Lasko NB, Orr SP, and Pitman RK
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- Child, Child, Preschool, Emotions, Female, Humans, Stress Disorders, Post-Traumatic psychology, Brain diagnostic imaging, Child Abuse, Sexual, Stress Disorders, Post-Traumatic diagnostic imaging, Tomography, Emission-Computed
- Published
- 1997
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15. Recent developments in neurobiology of obsessive-compulsive disorder.
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Jenike MA, Rauch SL, Cummings JL, Savage CR, and Goodman WK
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- Adult, Basal Ganglia Diseases physiopathology, Basal Ganglia Diseases psychology, Brain pathology, Child, Female, Humans, Magnetic Resonance Imaging, Male, Neurologic Examination, Neuropsychological Tests, Neurotransmitter Agents physiology, Obsessive-Compulsive Disorder diagnosis, Obsessive-Compulsive Disorder psychology, Selective Serotonin Reuptake Inhibitors therapeutic use, Brain physiopathology, Obsessive-Compulsive Disorder physiopathology
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- 1996
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16. Neural effects of visualizing and perceiving aversive stimuli: a PET investigation.
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Kosslyn SM, Shin LM, Thompson WL, McNally RJ, Rauch SL, Pitman RK, and Alpert NM
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- Emotions physiology, Humans, Male, Middle Aged, Photic Stimulation, Task Performance and Analysis, Tomography, Emission-Computed, Brain diagnostic imaging, Cerebrovascular Circulation physiology, Form Perception physiology
- Abstract
Cerebral blood flow was recorded (using positron emission tomography) while middle-aged subjects viewed or visualized pictures of neutral or aversive stimuli, and then determined whether auditorily presented statements correctly described the stimuli. Visualizing aversive stimuli enhanced cerebral blood flow, relative to visualizing neutral stimuli, in areas 17 (right) and 18 (bilateral), as well as the anterior insula (bilateral) and middle frontal cortex (left). Areas 17 and 18 have been identified as supporting the representations that underlie the experience of imagery, and the anterior insula is a major cortical recipient of input from the autonomic nervous system. Perceiving aversive stimuli enhanced cerebral blood flow, relative to neutral stimuli, in area 46, the angular gyrus and area 19, area 47, and the middle temporal gyrus (all in the left hemisphere). All of these areas have previously been implicated in visual object identification. It is striking that negative emotion did not modulate activation in any areas in the same way during imagery and perception.
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- 1996
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17. Functional magnetic resonance imaging of symptom provocation in obsessive-compulsive disorder.
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Breiter HC, Rauch SL, Kwong KK, Baker JR, Weisskoff RM, Kennedy DN, Kendrick AD, Davis TL, Jiang A, Cohen MS, Stern CE, Belliveau JW, Baer L, O'Sullivan RL, Savage CR, Jenike MA, and Rosen BR
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- Adult, Affect physiology, Brain blood supply, Brain physiology, Humans, Limbic System blood supply, Limbic System physiology, Magnetic Resonance Angiography statistics & numerical data, Models, Statistical, Obsessive-Compulsive Disorder etiology, Obsessive-Compulsive Disorder psychology, Regional Blood Flow, Statistics as Topic, Tomography, Emission-Computed, Tomography, Emission-Computed, Single-Photon, Brain anatomy & histology, Magnetic Resonance Imaging statistics & numerical data, Obsessive-Compulsive Disorder diagnosis
- Abstract
Background: The new technique of functional magnetic resonance imaging was used to investigate the mediating neuroanatomy of obsessive-compulsive disorder symptoms., Methods: Ten patients with obsessive-compulsive disorder and 5 normal subjects were studied via functional magnetic resonance imaging during control and provoked conditions. Data analysis entailed parametric and nonparametric statistical mapping., Results: Statistical maps (nonparametric; P < 10(-3)) showed activation for 70% or more of patients with obsessive-compulsive disorder in medial orbitofrontal, lateral frontal, anterior temporal, anterior cingulate, and insular cortex, as well as caudate, lenticulate, and amygdala. No normal subjects exhibited activation in any brain region., Conclusions: Results of functional magnetic resonance imaging were consistent with past studies of obsessive-compulsive disorder that used other functional neuroimaging modalities. However, paralimbic and limbic activations were more prominent in the present study.
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- 1996
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18. Cerebral structural abnormalities in obsessive-compulsive disorder. A quantitative morphometric magnetic resonance imaging study.
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Jenike MA, Breiter HC, Baer L, Kennedy DN, Savage CR, Olivares MJ, O'Sullivan RL, Shera DM, Rauch SL, Keuthen N, Rosen BR, Caviness VS, and Filipek PA
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- Adult, Caudate Nucleus anatomy & histology, Corpus Callosum anatomy & histology, Female, Functional Laterality, Humans, Neuropsychological Tests, Psychiatric Status Rating Scales, Severity of Illness Index, Brain anatomy & histology, Magnetic Resonance Imaging, Obsessive-Compulsive Disorder diagnosis
- Abstract
Background: A previous pilot study of only posterior brain regions found lower white-matter volume in patients with obsessive-compulsive disorder than in normal control subjects. We used new cohorts of patients and matched normal control subjects to study whole-brain volume differences between these groups with magnetic resonance imaging-based morphometry., Methods: Ten female patients with obsessive-compulsive disorder and 10 female control subjects, matched for handedness, age, weight, education, and verbal IQ, underwent magnetic resonance imaging with a 3-dimensional volumetric protocol. Scans were blindly normalized and segmented by means of well-characterized semiautomated intensity contour mapping and differential intensity contour algorithms. Brain structures investigated included the cerebral hemispheres, cerebral cortex, diencephalon, caudate, putamen, globus pallidus, hippocampus amygdala, third and fourth ventricles, corpus callosum, operculum, cerebellum, and brain stem. Anterior to posterior neocortical regions, including precallosum, anterior pericallosum, posterior pericallosum, and retrocallosum, with adjacent white matter were also measured. Volumes found different between groups were correlated with Yale-Brown Obsessive Compulsive Scale score and Rey-Osterieth Complex Figure Test measures., Results: Confirming results of our earlier pilot study and expanding the findings to the whole brain, patients with obsessive-compulsive disorder had significantly less total white matter but, in addition, significantly greater total cortex and opercular volumes. Severity of obsessive-compulsive disorder and nonverbal immediate memory correlated with opercular volume., Conclusions: Replication of volumetric white-matter differences suggests a widely distributed structural brain abnormality in obsessive-compulsive disorder. Whereas determining the etiogenesis may require research at a microscopic level, understanding its functional significance can be further explored via functional neuroimaging and neuropsychological studies.
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- 1996
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19. A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script-driven imagery.
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Rauch SL, van der Kolk BA, Fisler RE, Alpert NM, Orr SP, Savage CR, Fischman AJ, Jenike MA, and Pitman RK
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- Adult, Brain diagnostic imaging, Emotions physiology, Female, Frontal Lobe blood supply, Frontal Lobe physiology, Functional Laterality physiology, Heart Rate physiology, Humans, Life Change Events, Limbic System blood supply, Limbic System physiology, Male, Middle Aged, Regional Blood Flow physiology, Stress Disorders, Post-Traumatic diagnostic imaging, Stress Disorders, Post-Traumatic psychology, Visual Cortex blood supply, Visual Cortex physiology, Brain physiology, Cerebrovascular Circulation, Imagination physiology, Memory physiology, Stress Disorders, Post-Traumatic diagnosis, Tomography, Emission-Computed
- Abstract
Background: Previous studies have used symptom provocation and positron emission tomography to delineate the brain systems that mediate various anxiety states. Using an analogous approach, the goal of this study was to measure regional cerebral blood flow changes associated with posttraumatic stress disorder (PTSD) symptoms., Methods: Eight patients with PTSD, screened as physiologically responsive to a script-driven imagery symptom provocation paradigm, were exposed sequentially to audiotaped traumatic and neutral scripts in conjunction with positron emission tomography. Heart rate and subjective measures of emotional state were obtained for each condition. Statistical mapping techniques were used to determine locations of significant brain activation., Results: Increases in normalized blood flow were found for the traumatic as compared with control conditions in right-sided limbic, paralimbic, and visual areas; decreases were found in left inferior frontal and middle temporal cortex., Conclusions: The results suggest that emotions associated with the PTSD symptomatic state are mediated by the limbic and paralimbic systems within the right hemisphere. Activation of visual cortex may correspond to the visual component of PTSD reexperiencing phenomena.
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- 1996
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20. Neuroimaging: issues of design, resolution, and interpretation.
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Gollub RL and Rauch SL
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- Brain physiopathology, Humans, Mental Disorders physiopathology, Research, Brain pathology, Magnetic Resonance Imaging methods, Mental Disorders pathology, Psychiatry, Tomography, Emission-Computed methods
- Published
- 1996
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21. Neurosurgical treatment of Tourette's syndrome: a critical review.
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Rauch SL, Baer L, Cosgrove GR, and Jenike MA
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- Cerebellum surgery, Frontal Lobe surgery, Gyrus Cinguli surgery, Humans, Limbic System surgery, Thalamus surgery, Brain surgery, Tourette Syndrome surgery
- Abstract
Some patients with Tourette's syndrome (TS) remain disabled despite conventional treatment. Recently, neurosurgical procedures have been reported to be potentially effective interventions for such intractable cases. Clinicians are now being asked to make recommendations to patients about these candidate operations. This review explores the reported experience with neurosurgical treatment of TS to assess critically the evidence regarding risks and benefits. Toward that end, the rationale for the various procedures and the relevant neuroanatomy are outlined and recommendations for patient selection and management of future cases are discussed. We reviewed all available published reports on this subject and two unpublished cases, totaling 36 patients. Although a variety of operations have been used to treat TS, there is limited evidence pertaining to the risks or benefits of any surgical procedure. Neurosurgical treatment of TS remains experimental, since there is only anecdotal experience with these operations. Furthermore, there is no compelling evidence that any neurosurgical procedure is superior to all others. If these experimental neurosurgeries are to continue, guidelines should be developed regarding patient and operation selection, and interdisciplinary assessment committees should implement such guidelines at institutions where these operations are performed. Moreover, future cases should be prospectively studied using contemporary technologies to assess lesion placement and size and validated clinical instruments to characterize patients and assess outcome, including adverse effects.
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- 1995
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22. Functional neuroanatomy of antisaccade eye movements investigated with positron emission tomography.
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O'Driscoll GA, Alpert NM, Matthysse SW, Levy DL, Rauch SL, and Holzman PS
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- Adult, Animals, Brain blood supply, Brain diagnostic imaging, Brain Mapping, Cerebrovascular Circulation, Female, Humans, Male, Prefrontal Cortex blood supply, Prefrontal Cortex diagnostic imaging, Saccades physiology, Tomography, Emission-Computed, Brain physiology, Eye Movements physiology, Prefrontal Cortex physiology
- Abstract
Increasing interest in the role of the frontal lobe in relation to psychiatric and neurologic disorders has popularized tests of frontal function. One of these is the antisaccade task, in which both frontal lobe patients and schizophrenics are impaired despite normal performance on (pro)saccadic tasks. We used position emission tomography to examine the cerebral blood flow changes associated with the performance of antisaccades in normal individuals. We found that the areas of the brain that were more active during antisaccades than saccades were highly consistent with the oculomotor circuit, including frontal eye fields (FEFs), supplementary motor area, thalamus, and putamen. Superior parietal lobe and primary visual cortex were also significantly more active. In contrast, prefrontal areas 46 and 9 were not more active during antisaccades than during saccades. Performance of some frontal patients on the antisaccade task has been likened to a bradykinesia, or the inability to initiate a willed movement. It is the necessity to will the movement and inhibit competing responses that intuitively linked this task to the dorsolateral prefrontal cortex in frontal patients. Our data suggest that it is the FEFs in prefrontal cortex that differentiate between conditions in which the required oculomotor response changes while the stimulus remains the same, rather than areas 46 and 9, which, in human studies, have been linked to the performance of complex cognitive tasks. Such a conclusion is consistent with single-unit studies of nonhuman primates that have found that the FEFs, the executive portion of the oculomotor circuit, can trigger, inhibit, and set the target of saccades.
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- 1995
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23. Psychosurgery.
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Cosgrove GR and Rauch SL
- Subjects
- Chronic Disease, Humans, Patient Selection, Brain surgery, Mental Disorders surgery, Psychosurgery methods
- Abstract
Surgical treatment of psychiatric disease can be helpful in certain patients with severe, disabling and treatment refractory major affective disorders, obsessive compulsive disorders, and chronic anxiety states. Psychosurgical treatment should be carried out by an expert multidisciplinary team with experience in these disorders. Surgery should be considered as one part of an entire treatment plan and must be followed by an appropriate psychiatric rehabilitation program.
- Published
- 1995
24. A positron emission tomographic study of simple phobic symptom provocation.
- Author
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Rauch SL, Savage CR, Alpert NM, Miguel EC, Baer L, Breiter HC, Fischman AJ, Manzo PA, Moretti C, and Jenike MA
- Subjects
- Adult, Cerebral Cortex blood supply, Cerebral Cortex diagnostic imaging, Female, Gyrus Cinguli blood supply, Gyrus Cinguli diagnostic imaging, Humans, Male, Middle Aged, Oxygen Radioisotopes, Phobic Disorders diagnosis, Phobic Disorders psychology, Somatosensory Cortex blood supply, Somatosensory Cortex diagnostic imaging, Thalamus blood supply, Thalamus diagnostic imaging, Touch physiology, Brain diagnostic imaging, Cerebrovascular Circulation, Phobic Disorders diagnostic imaging, Tomography, Emission-Computed
- Abstract
Background: The goal of this study was to determine the mediating neuroanatomy of simple phobic symptoms., Methods: Positron emission tomography and oxygen 15 were used to measure normalized regional cerebral blood flow in seven subjects with simple phobia during control and provoked states. Stereotactic transformation and statistical parametric mapping techniques were employed to determine the locations of significant activation., Results: Statistical parametric maps demonstrated significant increases in normalized regional blood flow for the symptomatic state compared with the control state in the anterior cingulate cortex, the insular cortex, the anterior temporal cortex, the somatosensory cortex, the posterior medial orbitofrontal cortex, and the thalamus., Conclusions: The results suggest that anxiety associated with the simple phobic symptomatic state is mediated by paralimbic structures. Moreover, activation of somatosensory cortex may reflect tactile imagery as one component of the phobic symptomatic condition.
- Published
- 1995
- Full Text
- View/download PDF
25. Identifying objects seen from different viewpoints. A PET investigation.
- Author
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Kosslyn SM, Alpert NM, Thompson WL, Chabris CF, Rauch SL, and Anderson AK
- Subjects
- Adolescent, Adult, Humans, Male, Memory, Mental Processes, Brain diagnostic imaging, Brain physiopathology, Tomography, Emission-Computed, Visual Perception physiology
- Abstract
Positron emission tomography scans were acquired when subjects performed three tasks, each in a separate block of trials. They decided whether words named pictures of objects viewed from a canonical perspective, decided whether words named pictures of objects viewed from a non-canonical (unusual) perspective or saw random patterns of lines and pressed a pedal when they heard the word (this was a baseline condition). The dorsolateral prefrontal region was activated when subjects identified objects seen from non-canonical perspectives, as expected if the frontal lobes are involved in top-down perceptual processing. In addition, several areas in the occipital, temporal and parietal lobes were selectively activated when subjects identified objects seen from non-canonical perspectives, as specifically predicted by a recent theory. Overall, the pattern of results supported the view that the human brain identifies objects by using a system of areas similar to that suggested by studies of other primates.
- Published
- 1994
- Full Text
- View/download PDF
26. Regional cerebral blood flow measured during symptom provocation in obsessive-compulsive disorder using oxygen 15-labeled carbon dioxide and positron emission tomography.
- Author
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Rauch SL, Jenike MA, Alpert NM, Baer L, Breiter HC, Savage CR, and Fischman AJ
- Subjects
- Adult, Brain physiopathology, Caudate Nucleus blood supply, Female, Frontal Lobe blood supply, Gyrus Cinguli blood supply, Humans, Male, Obsessive-Compulsive Disorder diagnosis, Obsessive-Compulsive Disorder physiopathology, Thalamus blood supply, Brain diagnostic imaging, Carbon Dioxide, Cerebrovascular Circulation, Obsessive-Compulsive Disorder diagnostic imaging, Oxygen Radioisotopes, Tomography, Emission-Computed
- Abstract
Background: The study was designed to determine the mediating neuroanatomy of obsessive-compulsive disorder (OCD)., Methods: The short half-life tracer oxygen 15-labeled carbon dioxide was used to allow for repeated positron emission tomographic determinations of regional cerebral blood flow on each of eight patients with OCD during a resting and a provoked (symptomatic) state., Results: Individually tailored provocative stimuli were successful in provoking OCD symptoms, in comparison with paired innocuous stimuli, as measured by self-report on OCD analogue scales (P = .002). Omnibus subtraction images demonstrated a statistically significant increase in relative regional cerebral blood flow during the OCD symptomatic state vs the resting state in right caudate nucleus (P < .006), left anterior cingulate cortex (P < .045), and bilateral orbitofrontal cortex (P < .008); increases in the left thalamus approached but did not reach statistical significance (P = .07)., Conclusions: These findings are consistent with results of previous functional neuroimaging studies and contemporary neurocircuitry models of OCD. The data further implicate orbitofrontal cortex, caudate nucleus, and anterior cingulate cortex in the pathophysiology of OCD and in mediating OCD symptoms.
- Published
- 1994
- Full Text
- View/download PDF
27. Neurobiological models of obsessive-compulsive disorder.
- Author
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Rauch SL and Jenike MA
- Subjects
- Brain drug effects, Brain metabolism, Cerebral Cortex drug effects, Cerebral Cortex physiopathology, Clonazepam therapeutic use, Female, Humans, Limbic System, Male, Monoamine Oxidase Inhibitors therapeutic use, Neuropharmacology, Obsessive-Compulsive Disorder drug therapy, Selective Serotonin Reuptake Inhibitors pharmacokinetics, Selective Serotonin Reuptake Inhibitors therapeutic use, Brain physiopathology, Obsessive-Compulsive Disorder physiopathology
- Abstract
The authors review current neurobiological models of obsessive-compulsive disorder (OCD). The rationale for anatomically based models is outlined and selected brain regions of interest are discussed. The authors conclude that there is abundant evidence to implicate multiple brain regions as sites of abnormality in OCD. A review of neuropharmacological concepts related to the serotonergic (5-HT) hypothesis of OCD is also presented. The authors conclude that anti-obsessional agents may well have therapeutic effects via the 5-HT system, yet there is little unequivocal evidence to suggest an underlying abnormality in the 5-HT system. A comprehensive neurobiological model of OCD must acknowledge the interrelationship between multiple transmitter systems and integrate anatomical with neuropharmacological concepts.
- Published
- 1993
- Full Text
- View/download PDF
28. Neuropathological changes in transgenic mice carrying copies of a transcriptionally activated Mos protooncogene.
- Author
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Propst F, Rosenberg MP, Cork LC, Kovatch RM, Rauch S, Westphal H, Khillan J, Schulz NT, Vande Woude GF, and Neumann PE
- Subjects
- Animals, Female, Hair Cells, Auditory pathology, Inflammation, Mice, Mice, Inbred Strains, Mice, Transgenic, Nervous System Diseases pathology, Neurons pathology, Protein-Tyrosine Kinases genetics, Proto-Oncogene Proteins c-mos, RNA genetics, RNA isolation & purification, Brain pathology, Nervous System Diseases genetics, Proto-Oncogene Proteins genetics, Proto-Oncogenes, Transcription, Genetic
- Abstract
Independent transgenic mouse lines carrying the mouse Mos protooncogene linked to a retroviral transcriptional control sequence display behavioral abnormalities including circling, head tilting, and head bobbing. This dominant phenotype shows various degrees of penetrance in different transgenic founder animals and lines. Neuronal and axonal degeneration, gliosis, and inflammatory infiltrates are found in all transgenic mouse lines in which behavioral traits are present. Recordings of auditory-evoked potentials in mice of one of these lines demonstrate that transgenic mice are deaf; in these mice spiral ganglia degenerate and most of the cochlear hair cells are absent. By using an S1 nuclease protection assay, we have detected RNA expression of the transgene in all tissues examined and, in particular, at high levels in brain. In situ hybridization experiments show that Mos expression can be detected in specific areas of the central nervous system. Lesions are present in areas with demonstrable overexpression of Mos.
- Published
- 1990
- Full Text
- View/download PDF
29. Prenatal phenytoin exposure decreases neuronal membrane order in rat offspring hippocampus.
- Author
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Vorhees CV, Rauch SL, and Hitzemann RJ
- Subjects
- Aging, Animals, Brain drug effects, Cell Membrane drug effects, Cerebellum drug effects, Cerebellum growth & development, Cerebral Cortex drug effects, Cerebral Cortex growth & development, Diphenylhexatriene, Female, Hippocampus drug effects, Hippocampus ultrastructure, Male, Maternal-Fetal Exchange, Neurons ultrastructure, Pregnancy, Rats, Rats, Inbred Strains, Reference Values, Brain growth & development, Hippocampus growth & development, Neurons drug effects, Phenytoin pharmacology
- Abstract
Pregnant Sprague-Dawley CD rats were administered 0 or 200 mg/kg of phenytoin by gavage on days 7-18 of gestation, with controls pair-fed to the phenytoin exposed dams. At birth, litter sizes were standardized to 10, balancing for sex, and were reared by their biological dams until either day 3 or 28. At each of these ages half of the litters from each group were used to determine synaptic plasma membrane order in selected brain regions (cerebellum, cortex, hippocampus) by fluorescence polarization using the probe 1,6-diphenyl-1,3,5-hexatriene (DPH). No significant differences in membrane anisotropy were noted in 3-day-old phenytoin offspring, but a reduction in anisotropy in 28-day-old phenytoin offspring hippocampal regions was observed. The effect was specific in that no changes were found in the cerebellum or cortex at this age. The magnitude of the change corresponded to an approximately 3-5 degrees C increase in temperature and to changes produced by other known membrane disordering agents, such as ethanol. The data, together with previous findings of memory impairments in phenytoin offspring, support an association between the hippocampal membrane disordering effect and functional impairments produced by prenatal phenytoin exposure.
- Published
- 1990
- Full Text
- View/download PDF
30. Effects of short-term prenatal alcohol exposure on neuronal membrane order in rats.
- Author
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Vorhees CV, Rauch S, and Hitzemann R
- Subjects
- Animals, Diphenylhexatriene, Female, Fluorescence Polarization, Membrane Lipids metabolism, Pregnancy, Rats, Subcellular Fractions, Brain drug effects, Cell Membrane drug effects, Ethanol toxicity, Prenatal Exposure Delayed Effects
- Abstract
Long-Evans rat dams were treated with ethanol (4 g/kg, twice daily) by gavage on gestational days 10-14. This dosage schedule has been shown to produce significant behavioral and ponderal teratogenicity. Pair-fed dams were gavaged with isocaloric amounts of sucrose. All offspring were reared by untreated, surrogate dams. Pups were sacrificed on days 3 and 28, and whole brain neuronal plasma membranes were prepared for analysis by a fluorescence polarization technique using 1,6-diphenyl-1,3,5-hexatriene as the membrane probe. On day 3, steady-state anisotropy was significantly decreased in the ethanol-treated pups. Arrhenius plots revealed that this difference was associated with a change on both membrane entropy and enthalpy. By day 28, the differences between groups disappeared. These data would be consistent with the view that the brief gestational ethanol exposure delays neuronal maturation.
- Published
- 1988
- Full Text
- View/download PDF
31. Developmental changes in synaptic membrane order: a comparison of regions in the rat brain.
- Author
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Rauch SL and Hitzemann RJ
- Subjects
- Animals, Brain Stem growth & development, Cerebellum growth & development, Diencephalon growth & development, Fluorescence Polarization, Rats, Rats, Inbred Strains, Telencephalon growth & development, Temperature, Thermodynamics, Brain growth & development, Synaptic Membranes physiology
- Abstract
Developmental changes in synaptic membrane order were followed in 5 regions of the rat brain, the cortex (Cx), cerebellum (Cb), brainstem (BS), lateral subcortex (LSCx) and midline subcortex (MSCx). Membrane order was assessed by the fluorescence polarization technique, using 1,6-diphenyl-1,3,5-hexatriene (DPH) as the probe. The results illustrate that the developmental increase in membrane order proceeds from caudal to rostral brain regions. Thus, at the earliest time point examined (day 3) steady-state anisotropy (rs) in the BS was significantly higher than in the Cx and reached adult values by day 14 while the Cx values were still significantly less than the adult value even at day 30. The thermotropic behavior of the membranes was investigated over the range of 20-37 degrees C. The Arrhenius slopes among the Cx, BS, LSCx and MSCx were similar across all ages studied, suggesting that the developmental increase in order primarily results from a change in entropy. In contrast, the Arrhenius slopes for the Cb increase greater than 100% during development, suggesting that a change in enthalpy is important for the increase in membrane order. Multilamellar liposomes prepared from membrane lipid extracts generally showed the same developmental changes in order as the intact membranes. These data indicate that the increase in membrane order results from a marked change in bulk lipid composition rather than a secondary lipid matrix change (e.g. in membrane asymmetry) and/or from the developmental increase in the protein/lipid ratio.
- Published
- 1986
- Full Text
- View/download PDF
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