Evidence map›Paper›PMID 38944141›Full record

ReviewBiological psychiatry2025

Stress and Inflammation Target Dorsolateral Prefrontal Cortex Function: Neural Mechanisms Underlying Weakened Cognitive Control.

Mary Kate P Joyce, Stacy Uchendu, Amy F T Arnsten

Abstract readReview
In one paragraph

Review in Biological psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Epigenetic Mechanisms of Suicidal Behavior Formation: A Review.Medical journal of the Islamic Republic of Iran · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mary Kate P JoyceDepartment of Neuroscience, Yale Medical School, New Haven, Connecticut.
Stacy UchenduDepartment of Neuroscience, Yale Medical School, New Haven, Connecticut.
Amy F T ArnstenDepartment of Neuroscience, Yale Medical School, New Haven, Connecticut. Electronic address: amy.arnsten@yale.edu.

Funding

Prefrontal impairment with stress- NE receptor subtype mechanisms.R01MH130538 · NIMH · YALE UNIVERSITY · PI AMY F.T. ARNSTEN · 2023 to 2026
$3.3M
Role of kynurenic acid in higher cognitive deficits: Mechanism and treatment strategiesRF1AG083090 · NIA · YALE UNIVERSITY · PI WANG, MIN · 2023 to 2023
$2.2M
Role of kynurenic acid in higher cognitive deficits: Mechanism and treatment strategiesR01AG083090 · NIA · YALE UNIVERSITY · PI MIN WANG · 2026 to 2026
$718k
NIA NIH HHS R01 AG083090NIA NIH HHS RF1 AG083090NIMH NIH HHS R01 MH130538
6 · The paper itself

Abstract

Most mental disorders involve dysfunction of the dorsolateral prefrontal cortex (dlPFC), a recently evolved brain region that subserves working memory, abstraction, and the thoughtful regulation of attention, action, and emotion. For example, schizophrenia, depression, long COVID, and Alzheimer's disease are all associated with dlPFC dysfunction, with neuropathology often being focused in layer III. The dlPFC has extensive top-down projections, e.g., to the posterior association cortices to regulate attention and to the subgenual cingulate cortex via the rostral and medial PFC to regulate emotional responses. However, the dlPFC is particularly dependent on arousal state and is very vulnerable to stress and inflammation, which are etiological and/or exacerbating factors for most mental disorders. The cellular mechanisms by which stress and inflammation impact the dlPFC are a topic of current research and are summarized in this review. For example, the layer III dlPFC circuits that generate working memory-related neuronal firing have unusual neurotransmission, depending on NMDA receptor and nicotinic α7 receptor actions that are blocked under inflammatory conditions by kynurenic acid. These circuits also have unusual neuromodulation, with the molecular machinery to magnify calcium signaling in spines needed to support persistent firing, which must be tightly regulated to prevent toxic calcium actions. Stress rapidly weakens layer III connectivity by driving feedforward calcium-cAMP (cyclic adenosine monophosphate) opening of potassium channels on spines. This is regulated by postsynaptic noradrenergic α

Indexed as

Dorsolateral Prefrontal CortexInflammationPrefrontal CortexStress, PsychologicalAnimalsHumansMemory, Short-TermAcetylcholineCatecholaminesGlutamate-carboxypeptidase-IIKynurenic acidSubgenual cingulateWorking memory

Identifiers

PMID38944141
PMCPMC11671620

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.