title: Effective connectivity of AKT1-mediated dopaminergic working memory networks and pharmacogenetics of anti-dopaminergic treatment.
abstract: Working memory is a limited capacity system that integrates and manipulates information across brief periods of time, engaging a network of prefrontal, parietal and subcortical brain regions. Genetic control of these heritable brain processes have been suggested by functional genetic variations influencing dopamine signalling, which affect prefrontal activity during complex working memory tasks. However, less is known about genetic control over component working memory cortical-subcortical networks in humans, and the pharmacogenetic implications of dopamine-related genes on cognition in patients receiving anti-dopaminergic drugs. Here, we examined predictions from basic models of dopaminergic signalling in cortical and cortical-subcortical circuitries implicated in dissociable working memory maintenance and manipulation processes. We also examined pharmacogenetic effects on cognition in the context of anti-dopaminergic drug therapy. Using dynamic causal models of functional magnetic resonance imaging in normal subjects (n = 46), we identified differentiated effects of functional polymorphisms in COMT, DRD2 and AKT1 genes on prefrontal-parietal and prefrontal-striatal circuits engaged during maintenance and manipulation, respectively. Cortical synaptic dopamine monitored by the COMT Val158Met polymorphism influenced prefrontal control of both parietal processing in working memory maintenance and striatal processing in working memory manipulation. DRD2 and AKT1 polymorphisms implicated in DRD2 signalling influenced only the prefrontal-striatal network associated with manipulation. In the context of anti-psychotic drugs, the DRD2 and AKT1 polymorphisms altered dose-response effects of anti-psychotic drugs on cognition in schizophrenia (n = 111). Thus, we suggest that genetic modulation of DRD2-AKT1-related prefrontal-subcortical circuits could at least in part influence cognitive dysfunction in psychosis and its treatment.
authors.affiliation: Clinical Brain Disorders Branch, Genes Cognition and Psychosis Program, Division of Intramural Research Programs, National Institute of Mental Health, Bethesda, MD 20892, USA. haoyangtan@gmail.com
authors.forename: Hao Yang
authors.initials: HY
authors.lastname: Tan
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Chen
authors.forename: Bhaskar
authors.initials: B
authors.lastname: Kolachana
authors.forename: Jose A
authors.initials: JA
authors.lastname: Apud
authors.forename: Venkata S
authors.initials: VS
authors.lastname: Mattay
authors.forename: Joseph H
authors.initials: JH
authors.lastname: Callicott
authors.forename: Qiang
authors.initials: Q
authors.lastname: Chen
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Weinberger
mesh_terms: D000293:Adolescent; D000328:Adult; D001921:Brain / Q000098:blood supply / Q000187:drug effects / Q000473:pathology*; D002394:Catechol O-Methyltransferase / Q000235:genetics; D015259:Dopamine Agents / Q000494:pharmacology / Q000627:therapeutic use*; D005260:Female; D005838:Genotype; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007361:Intelligence Tests; D008279:Magnetic Resonance Imaging; D008297:Male; D008569:Memory Disorders / Q000209:etiology / Q000235:genetics* / Q000473:pathology; D008570:Memory, Short-Term / Q000187:drug effects / Q000502:physiology*; D008875:Middle Aged; D008954:Models, Biological; D009434:Neural Pathways / Q000098:blood supply / Q000473:pathology; D009483:Neuropsychological Tests; D017711:Nonlinear Dynamics; D010100:Oxygen / Q000097:blood; D010597:Pharmacogenetics; D020641:Polymorphism, Single Nucleotide / Q000235:genetics*; D051057:Proto-Oncogene Proteins c-akt / Q000378:metabolism*; D017448:Receptors, Dopamine D2 / Q000235:genetics; D012559:Schizophrenia / Q000150:complications / Q000235:genetics; D015398:Signal Transduction / Q000235:genetics / Q000502:physiology; D055815:Young Adult
chemical_list: D015259:Dopamine Agents; D017448:Receptors, Dopamine D2; D002394:Catechol O-Methyltransferase; D051057:Proto-Oncogene Proteins c-akt; D010100:Oxygen