Abstract

The prefrontal cortex (PFC), seat of the highest-order cognitive functions, constitutes a conglomerate of highly specialized brain areas and has been implicated to have a role in the onset and installation of various neurodevelopmental disorders. The development of a properly functioning PFC is directed by transcription factors, guidance cues and other regulatory molecules and requires the intricate and temporal orchestration of a number of developmental processes. Disturbance or failure of any of these processes causing neurodevelopmental abnormalities within the PFC may contribute to several of the cognitive deficits seen in patients with neurodevelopmental disorders. In this review, we elaborate on the specific processes underlying prefrontal development, such as induction and patterning of the prefrontal area, proliferation, migration and axonal guidance of medial prefrontal progenitors, and their eventual efferent and afferent connections. We furthermore integrate for the first time the available knowledge from genome-wide studies that have revealed genes linked to neurodevelopmental disorders with experimental molecular evidence in rodents. The integrated data suggest that the pathogenic variants in the neurodevelopmental disorder-associated genes induce prefrontal cytoarchitectonical impairments. This enhances our understanding of the molecular mechanisms of prefrontal (mis)development underlying the four major neurodevelopmental disorders in humans, that is, intellectual disability, autism spectrum disorders, attention deficit hyperactivity disorder and schizophrenia, and may thus provide clues for the development of novel therapies.

Highlights

  • Neurodevelopmental disorders affect a large percentage of the population worldwide

  • A wealth of data indicates that the prefrontal cortex (PFC) contributes to the cognitive deficits or endophenotypes of many, if not all, neurodevelopmental disorders.[3,4,5,6,7,8,9,10,11,12]

  • As a conglomerate of individually unique subareas, the PFC has a key role in the execution of higher-order cognitive functions, for example, language comprehension and cognitive functions involved in decision making such as planning and reasoning.[13,14,15,16]

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Summary

EXPERT REVIEW

The prefrontal cortex (PFC), seat of the highest-order cognitive functions, constitutes a conglomerate of highly specialized brain areas and has been implicated to have a role in the onset and installation of various neurodevelopmental disorders. The development of a properly functioning PFC is directed by transcription factors, guidance cues and other regulatory molecules and requires the intricate and temporal orchestration of a number of developmental processes. The integrated data suggest that the pathogenic variants in the neurodevelopmental disorder-associated genes induce prefrontal cytoarchitectonical impairments. This enhances our understanding of the molecular mechanisms of prefrontal (mis)development underlying the four major neurodevelopmental disorders in humans, that is, intellectual disability, autism spectrum disorders, attention deficit hyperactivity disorder and schizophrenia, and may provide clues for the development of novel therapies. Molecular Psychiatry (2015) 20, 795–809; doi:10.1038/mp.2014.147; published online 2 December 2014

THE PREFRONTAL CORTEX IN NEURODEVELOPMENTAL DISORDERS
RODENT MODELS OF NEURODEVELOPMENTAL DISORDERS
DEVELOPMENTAL ASPECTS OF PFC FORMATION
Regional identity of the PFC through intrinsic patterning
Proliferation and migration of PFC neurons
Migration of GABAergic interneurons towards the PFC
Induction of prefrontal boundaries
Migration of GABAergic interneurons into the PFC
PFC connectivity
Findings
803 ACKNOWLEDGMENTS
Full Text
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