Functional disconnection between the visual cortex and right fusiform face area in schizophrenia

Schizophr Res. 2019 Jul:209:72-79. doi: 10.1016/j.schres.2019.05.016. Epub 2019 May 22.

Abstract

Patients with schizophrenia show impairment in processing faces, including facial affect and face detection, but the underlying mechanisms are unknown. We used functional magnetic resonance imaging (fMRI) to characterize resting state functional connectivity between an independent component analysis (ICA)-defined early visual cortical network (corresponding to regions in V1, V2, V3) and a priori defined face-processing regions (fusiform face area [FFA], occipital face area [OFA], superior temporal sulcus [STS] and amygdala) using dual regression in 20 schizophrenia patients and 26 healthy controls. We also investigated the association between resting functional connectivity and neural responses (fMRI) elicited by a face detection paradigm in a partially overlapping sample (Maher et al., 2016) that used stimuli equated for lower-level perceptual abilities. Group differences in functional connectivity were found in right FFA only; controls showed significantly stronger functional connectivity to an early visual cortical network. Functional connectivity in right FFA was associated with (a) neural responses during face detection in controls only, and (b) perceptual detection thresholds for faces in patients only. The finding of impaired functional connectivity for right FFA (but not other queried domain-specific regions) converges with findings investigating face detection in an overlapping sample in which dysfunction was found exclusively for right FFA in schizophrenia during face detection.

Keywords: Brain connectivity; Face processing; Resting state; Schizophrenia.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Amygdala / diagnostic imaging
  • Amygdala / physiopathology
  • Case-Control Studies
  • Facial Recognition / physiology*
  • Female
  • Functional Neuroimaging
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neural Pathways / diagnostic imaging
  • Neural Pathways / physiopathology
  • Occipital Lobe / diagnostic imaging
  • Occipital Lobe / physiopathology
  • Schizophrenia / diagnostic imaging*
  • Schizophrenia / physiopathology
  • Temporal Lobe / diagnostic imaging*
  • Temporal Lobe / physiopathology
  • Visual Cortex / diagnostic imaging*
  • Visual Cortex / physiopathology
  • Young Adult