Volume 95, Issue 1, Pages e4 (July 2017)

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Volume 95, Issue 1, Pages 221-231.e4 (July 2017) Disrupted Prefrontal Regulation of Striatal Subjective Value Signals in Psychopathy  Jay G. Hosking, Erik K. Kastman, Hayley M. Dorfman, Gregory R. Samanez-Larkin, Arielle Baskin-Sommers, Kent A. Kiehl, Joseph P. Newman, Joshua W. Buckholtz  Neuron  Volume 95, Issue 1, Pages 221-231.e4 (July 2017) DOI: 10.1016/j.neuron.2017.06.030 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 Subjective Value-Related BOLD Activity in the NAcc Tracks Psychopathy Scores (A) The main effect of subjective value across all participants (yellow shading) is overlaid on the nucleus accumbens (NAcc) region of interest (ROI; red shading) used to extract BOLD signal estimates for individual difference analyses (Choi et al., 2012). Small-volume corrected cluster (with bilateral NAcc ROI): pFWE(peak-level) = 0.043, peak t value = 3.55, peak MNI coordinate: 12, 12, −6. Whole-brain cluster: peak MNI coordinate: 4, 12, 0; peak t value = 5.94, k = 304, pFWE(peak-level) = 0.029. (B) Scatterplot illustrates the significant positive correlation between psychopathy and subjective value-related BOLD signal within right NAcc. Neuron 2017 95, 221-231.e4DOI: (10.1016/j.neuron.2017.06.030) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 Psychopathy Is Associated with Weaker Intrinsic Connectivity between NAcc and vmPFC (A) SPM depicts regions demonstrating significant main effect of functional connectivity with right NAcc seed across all participants (pFDR < 0.05; seed region shown in inset box; see Table S1 and Figure S3). (B) SPM depicts regions where the magnitude of functional connectivity to right NAcc (inset box) differed as a function of PCL-R total scores. Specifically, higher psychopathy scores were associated with weaker NAcc connectivity to vmPFC (pFDR < 0.05; blue shading). (C) Scatterplot illustrates the negative correlation between psychopathy scores and NAcc functional connectivity with the vmPFC cluster identified in (B). Neuron 2017 95, 221-231.e4DOI: (10.1016/j.neuron.2017.06.030) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 3 Cortico-striatal Connectivity as a Putative Regulator of Striatal Subjective Value-Related Activity Scatterplot illustrates the significant negative correlation between NAcc-vmPFC functional connectivity and NAcc subjective value BOLD signal. Note: correlation remains significant after excluding high-influence data points. Neuron 2017 95, 221-231.e4DOI: (10.1016/j.neuron.2017.06.030) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 4 Psychopathy Moderates the Relationship between Cortico-striatal Connectivity and Value-Related BOLD Signal (A) Schematic illustrates that PCL-R total scores significantly moderate the negative relationship between NAcc-vmPFC functional connectivity and SV-related NAcc BOLD signal. (B and C) Johnson-Neyman p and t statistic values for the moderation regression analysis. At low psychopathy scores, NAcc-vmPFC connectivity strength was a negative predictor of NAcc BOLD responses to subjective value. Neuron 2017 95, 221-231.e4DOI: (10.1016/j.neuron.2017.06.030) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 5 Stronger SV-Related BOLD Signal and Weaker NAcc-VMPFC rsFC Predict Higher levels of Criminal Behavior (A) Scatterplot depicts the positive correlation between NAcc SV-related BOLD signal and total number of convicted crimes. (B) Scatterplot depicts the negative correlation between NAcc-vmPFC functional connectivity and total number of convicted crimes. Neuron 2017 95, 221-231.e4DOI: (10.1016/j.neuron.2017.06.030) Copyright © 2017 Elsevier Inc. Terms and Conditions