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Nx4 Modulated Resting-State Functional Connectivity Between Amygdala and Prefrontal Cortex in a Placebo-Controlled, Crossover Trial.
Chand, Tara; Alizadeh, Sarah; Li, Meng; Fan, Yan; Jamalabadi, Hamidreza; Danyeli, Lena; Nanni-Zepeda, Melanni; Herrmann, Luisa; Van der Meer, Johan; Vester, Johannes C; Schultz, Myron; Naschold, Britta; Walter, Martin.
Afiliación
  • Chand T; Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.
  • Alizadeh S; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
  • Li M; Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.
  • Fan Y; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
  • Jamalabadi H; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
  • Danyeli L; Department Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors at the TU Dortmund (IfADo), Dortmund, Germany.
  • Nanni-Zepeda M; Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.
  • Herrmann L; Department of Psychiatry and Psychotherapy, Philipps-Universität Marburg, Marburg, Germany.
  • Van der Meer J; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
  • Vester JC; Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.
  • Schultz M; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
  • Naschold B; Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.
  • Walter M; Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany.
Brain Connect ; 12(9): 812-822, 2022 Nov.
Article en En | MEDLINE | ID: mdl-35438535
Background: The basic functional organization of the resting brain, assessed as resting-state functional connectivity (rsFC), can be affected by previous stress experience and it represents the basis on which subsequent stress experience develops. Notably, the rsFC between the amygdala and the cortical regions associated with emotion regulation and anxiety are affected during stress. The multicomponent drug Neurexan® (Nx4) has previously demonstrated a reduction in amygdala activation in an emotional face matching task and it ameliorated stress-related symptoms. We, thus, investigated the effect of Nx4 on rsFC of the amygdala before stress induction compared with baseline in mildly to moderately stressed participants. Methods: In a randomized, placebo-controlled, double-blind, crossover trial 39 participants received a single dose of placebo or Nx4. Resting-state functional magnetic resonance imaging scans were performed pre-dose and 40 to 60 min post-dose, before any stress induction. First, highly connected functional hubs were identified by global functional connectivity density (gFCD) analysis. Second, by using a seed-based approach, rsFC maps of the left centromedial amygdala (CeMA) were created. The effect of Nx4 on both was evaluated. Results: The medial prefrontal cortex was identified as a relevant functional hub affected by Nx4 in an explorative whole brain gFCD analysis. Using the seed-based approach, we then demonstrated that Nx4 significantly enhanced the negative connectivity between the left CeMA and two cortical regions: the dorsolateral and medial prefrontal cortices. Conclusions: In a resting-state condition, Nx4 reduced the prefrontal cortex gFCD and strengthened the functional coupling between the amygdala and the prefrontal cortex that is relevant for emotion regulation and the stress response. Further studies should elaborate whether this mechanism represents enhanced regulatory control of the amygdala at rest and, consequently, to a diminished susceptibility to stress. ClinicalTrials.gov ID: NCT02602275.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encéfalo / Amígdala del Cerebelo Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: Brain Connect Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encéfalo / Amígdala del Cerebelo Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: Brain Connect Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos