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Evidence for Schizophrenia-Specific Pathophysiology of Nicotine Dependence

Bibliographic Data

ID15520072
AuthorsHeather Burrell Ward (0000-0003-2901-8004, Beth Israel Deaconess Medical Center, corresponding author), Adam Beermann (Beth Israel Deaconess Medical Center), Uzma Nawaz (Beth Israel Deaconess Medical Center), Mark A Halko (0000-0002-7427-0789, Harvard University), Amy C Janes (0000-0002-3749-5006, Harvard University), Lauren V Moran (0000-0002-5185-1767, Harvard University), Roscoe O Brady (0000-0002-2692-6755, Harvard University)
Year2022
Volume13
Pages804055-804055
Publication date2022-01-27
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2022.804055
PMID35153877
OpenAlexW4225365117
LanguageEN
Citations received2
References cited44

Tobacco use is the top preventable cause of early mortality in schizophrenia. Over 60% of people with schizophrenia smoke, three times the general prevalence. The biological basis of this increased risk is not understood, and existing interventions do not target schizophrenia-specific pathology. We therefore used a connectome-wide analysis to identify schizophrenia-specific circuits of nicotine addiction. We reanalyzed data from two studies: In Cohort 1, 35 smokers (18 schizophrenia, 17 control) underwent resting-state fMRI and clinical characterization. A multivariate pattern analysis of whole-connectome data was used to identify the strongest links between cigarette use and functional connectivity. In Cohort 2, 12 schizophrenia participants and 12 controls were enrolled in a randomized, controlled crossover study of nicotine patch with resting-state fMRI. We correlated change in network functional connectivity with nicotine dose. In Cohort 1, the strongest ( p R = -0.50; 95% CI -0.75 to -0.12, p p < 0.05). Nicotine administration normalized DMN hyperconnectivity in schizophrenia. We here provide direct evidence that the biological basis of nicotine dependence is different in schizophrenia and in non-schizophrenia populations. Our results suggest the high prevalence of nicotine use in schizophrenia may be an attempt to correct a network deficit known to interfere with cognition

Nicotine · Nicotine dependence · Pathophysiology · Psychiatry · Schizophrenia (object-oriented programming · Clinical Psychology · Functional Brain Connectivity Studies · Medicine · Neuroscience · Nicotinic Acetylcholine Receptors Study · Psychology · Tryptophan and brain disorders · Internal Medicine

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Citations per year2
Citation span2026 - 2026 (1)
Highly citedNo

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