There were no differences in gender, age, education, IQ or 2

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Supplementary materials

Effective connectivity of AKT1-mediated dopaminergic working memory networks and pharmacogenetics of antidopaminergic treatment

Hao Yang Tan*, Anthony G Chen*, Bhaskar Kolachana*, Jose A Apud*, Venkatta S

Mattay*, Joseph H Callicott*, Qiang Chen* + , Daniel R Weinberger* +

*Clinical Brain Disorders Branch, Genes Cognition and Psychosis Program, Division of

Intramural Research Programs, National Institute of Mental Health, Bethesda, Maryland

20892, USA.

+

Lieber Institute for Brain Development, Johns Hopkins Medical Center,

855 Wolfe Street, Baltimore, Maryland 21205 Correspondence should be addressed to

H.Y.T. (haoyangtan@gmail.com) or D.R.W. (drweinberger@libd.org)

1

Supplementary materials

Supplementary Table S1: Demographic characteristics of subjects fMRI study on working memory

(n=46 healthy controls)

Pharmacogenetic study

(n=111 schizophrenia patients)

Age, yrs

Gender, % male

Education, yrs

WAIS IQ

AKT1 G-allele frequency

AKT1 A-allele frequency

DRD2 G-allele frequency

DRD2 T-allele frequency

COMT Val-allele frequency

COMT Met-allele frequency

Age of illness onset, yrs

PANSS Positive score

PANSS Negative score

PANSS General score

Antipsychotic dose, CPZ-eq

Mean

32.0

56.5

16.7

110.3

0.74

0.26

0.87

0.13

0.51

0.49

-

-

-

-

-

SD

9.57

-

2.23

9.68

-

-

-

-

-

-

-

-

-

-

-

Mean

36.7

75.5

14.1

95.7

0.76

0.24

0.87

0.13

-

-

23.0

12.3

19.0

23.9

495

SD

9.7

-

2.3

11.5

-

-

-

-

-

-

5.9

4.9

8.5

7.4

361

Premorbid IQ (WRAT) - - 104 10.4

CPZ-eq: Chlorpromazine-equivalent dose; WRAT: Wide Range Achievement Test – Reading;

PANSS: Positive and Negative Symptom Scale

2

Supplementary materials

Supplementary Table S2: Behavioral performance during working memory maintenance and manipulation in fMRI according to genotype (n=46 healthy controls).

Maintenance Manipulation

Accuracy ( AKT GG/ A)

Reaction time, sec ( AKT GG/ A)

Accuracy (DRD2 GG/GT)

Reaction time, sec (DRD2 GG/GT)

Accuracy ( COMT VV/M)

Reaction time, sec ( COMT VV/M)

Mean

0.974/ 0.955

1.183/ 1.174

0.956/ 0.967

SD

0.053/ 0.057

0.202/ 0.202

0.961/ 0.949 0.055/ 0.100

1.156/ 1.186 0.183/ 0.252

0.066/ 0.051

1.187/ 1.180 0.244/ 0.183

Mean

0.943/ 0.955

1.325/ 1.330

0.948/ 0.916

1.307/ 1.300

0.930/ 0.958

1.328/ 1.330

AKT GG: AKT1 rs1130233 G-homozygotes; A: AKT1 rs1130233 A-allele carriers; DRD2 GG:

DRD2 rs 1076560 G-homozygotes, GT: heterozygotes (no TT homozygotes); COMT VV: COMT -

Val158 homozygotes, M: COMT -Met allele carriers.

Behavioral performance differences across genotype groups were all p>0.25.

SD

0.072/ 0.056

0.252/ 0.236

0.063/ 0.161

0.221/ 0.304

0.078/ 0.057

0.302/ 0.214

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Supplementary materials

Manipulation events in working memory

DLPFC Parietal Cortex Thalamus/ Striatum

Maintenance events in working memory

DLPFC Parietal Cortex Thalamus

Supplementary Figure S1: BOLD activation in the WM maintenance and manipulation events.

Subjects robustly increased BOLD activity in the left dorsolateral prefrontal cortex, parietal cortex and subcortical brain regions (thalamus and striatum in manipulation, and thalamus in maintenance). Images were thresholded at p<0.05 corrected for false discovery rate. Color bars represent t-scores.

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Supplementary materials

Supplementary Figure S2: Working memory manipulation task performance and IQ in the imaging data.

Reaction time in the WM manipulation task was correlated with IQ (r=-0.345, p=0.007).

In similar data available on file, WM manipulation accuracy was correlated with IQ

(r=0.368, p=0.004).

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