2020
DOI: 10.1038/s41467-020-18033-3
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Reduced serial dependence suggests deficits in synaptic potentiation in anti-NMDAR encephalitis and schizophrenia

Abstract: A mechanistic understanding of core cognitive processes, such as working memory, is crucial to addressing psychiatric symptoms in brain disorders. We propose a combined psychophysical and biophysical account of two symptomatologically related diseases, both linked to hypofunctional NMDARs: schizophrenia and autoimmune anti-NMDAR encephalitis. We first quantified shared working memory alterations in a delayed-response task. In both patient groups, we report a markedly reduced influence of previous stimuli on wo… Show more

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Cited by 56 publications
(76 citation statements)
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References 72 publications
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“…To improve power, we ‘folded’ our response data such that, when examining bias at 30° we included values from 22°− 38° as well as responses from −22°− (−38°) by inverting both the responses and probe offsets (δθ) for the negative values of Δθ. This procedure removes any systematic responses biases (e.g., favoring CW responses) and, as a result, the figures presenting serial dependence have rotational symmetry across the origin 34,58 .…”
Section: Methodsmentioning
confidence: 99%
“…To improve power, we ‘folded’ our response data such that, when examining bias at 30° we included values from 22°− 38° as well as responses from −22°− (−38°) by inverting both the responses and probe offsets (δθ) for the negative values of Δθ. This procedure removes any systematic responses biases (e.g., favoring CW responses) and, as a result, the figures presenting serial dependence have rotational symmetry across the origin 34,58 .…”
Section: Methodsmentioning
confidence: 99%
“…Our results show a notable convergence with recent studies in patients with schizophrenia reporting a similarly marked shift in state preference [11] as well as increased overall transition frequencies [34], and altered modular network structure. [30] Given the considerable overlap in psychiatric symptoms in patients with schizophrenia and NMDARE [35,36] and the glutamate hypothesis positing NMDA receptor dysfunction as pathophysiological basis for cognitive and psychiatric symptoms in schizophrenia, [37,38] our findings raise the interesting possibility that the transdiagnostic psychopathological profile of both diseases [39] could be paralleled by a common set of dynamic network alterations. This should be addressed in comparative studies of NMDARE and schizophrenia that use the same MRI acquisition and analysis protocols.…”
Section: Relation To Schizophreniamentioning
confidence: 76%
“…given cortical synaptic gain is decreased (e.g. reduced function of NMDA 1,2,5 , dopamine 1 9 and muscarinic 10 receptors), and inhibitory interneurons downregulated 4,7 , then the simplest interpretation of increases and decreases in pyramidal self-inhibition are diminished pyramidal synaptic gain 28,45 and decreased interneuron function, respectively.…”
Section: Discussionmentioning
confidence: 99%