We found greater ventromedial prefrontal cortical gray matter thickness was associated with greater reduction of activation in the left amygdala during affect labeling, a cognitive task that has previously been shown to dampen amygdala response (
Foland et al., 2008;
Hariri et al., 2000,
2003;
Lieberman et al., 2007) and suppress negative emotional states (
Berkman and Lieberman, 2009; Lieberman et al., unpublished observations). Our findings add support to previous suggestions (
Milad et al., 2005) that the architecture of the ventromedial prefrontal cortex (vmPFC), a region to which the amygdala is both structurally (
Amaral, 1992;
Stefanacci et al, 2002) and functionally (
Likhtik et al., 2005;
Quirk et al., 2003;
Urry et al., 2006) connected, may influence activity level in the amygdala.
Numerous studies of animals involving extinction learning paradigms and extracellular recordings have previously highlighted a role for the vmPFC in the suppression of amygdala output (
Likhtik et al., 2005;
Milad and Quirk 2002;
Quirk et al., 2003;
Rosenkranz and Grace, 2002;
Sotres-Bayon et al., 2004). These findings are corroborated by studies of human subjects, that show that both vmPFC structure (
Milad et al., 2005) and vmPFC function (
Kalisch et al., 2006;
Milad et al., 2007) are positively correlated with extinction learning rate, and negatively correlated with activity level in the amygdala (
Phelps et al., 2004). Similar inverse patterns of activation between the vmPFC and amygdala have been observed in functional neuroimaging studies of humans scanned during the performance of tasks involving more complex cognition-based control of negative emotional states (
Beer et al., 2006; Delgado et al., 2006;
Urry et al., 2006). Thus, regulation of amygdala output, whether through extinction learning or higher-order cognitive processes, appears associated with evolutionarily conserved mechanisms of the vmPFC. Our data add to the existing literature to support a general role of the vmPFC in diminishing amygdala response.
Several factors may drive this structure-function correlation. First, thinner cortex may contain fewer neurons; thus, subjects with thinner cortical gray matter in ventromedial PFC may have fewer neurons available in this region to make inhibitory network connections with the amygdala. Second, prior studies have linked cortical structure to activation at the same location (
Lu et al, 2009). Decreases in vmPFC gray matter thickness may therefore lead to a reduction in activation of ventromedial PFC (e.g.
Kalisch et al., 2006;
Milad et al., 2005), and thus also to secondary decreases in the regulation of activation level in the left amygdala. Third, cortical gray matter may appear thinner as a result of increased myelination (
Sowell et al, 2003;
Bartzokis et al, 2009). This may tend to favor an increased, rather than decreased level of prefrontal-amygdala structural connectivity. However, future studies are needed to address this specific possibility.
The ventrolateral PFC is a region that, in addition to ventromedial PFC, has been implicated in functional neuroimaging studies of emotion regulation and affect labeling (
Beer et al., 2006; Delgado et al., 2006;
Foland et al., 2008;
Hariri et al., 2000,
2003;
Lieberman et al., 2007;
Ochsner et al., 2002). However, associations between thickness of the ventrolateral PFC and activity of the left amygdala were not observed here. Direct anatomical connections between these regions are sparse, and it has been posited that communication between the ventrolateral PFC and amygdala is more likely mediated via intermediary ventromedial regions of PFC (
Delgado et al., 2008;
Groenewegen et al., 1997;
Lieberman et al., 2007;
McDonald et al., 1996;
Milad and Quirk, 2002;
Stefanacci et al, 2002). In this regard, it is interesting that our group has observed significant functional deficiencies in ventrolateral PFC of patients with mood disorders (
Altshuler et al., 2005;
Foland et al., 2008; Foland-Ross, unpublished observations), and that these functional deficits do not correspond with thinning of the same overlapping ventrolateral regions, but with thinning in separate ventromedial areas of PFC (Foland-Ross et al., unpublished observations). Future investigations which more rigorously investigate network-based dysfunction of the PFC, and the impact of this dysfunction on amygdala response in mood disordered populations would be of interest.
Associations between prefrontal cortical gray matter thickness and activation of the amygdala measured during affect labeling, were the primary interest of this study. However, several other cortical regions were found to demonstrate smaller areas of correlation with the fMRI response in the left amygdala during this labeling task. Nevertheless, because these correlations did not survive correction for multiple comparisons, an interpretation of these findings is not included here. Future studies involving larger samples may be better powered to be able to assess whether other structure-function relationships exist outside the ventromedial PFC.
The structure-function correlations which we observed between ventromedial PFC thickness and amygdala activation were unique to the cognitive process of emotion labeling. The specificity of this finding, along with that of earlier investigations, which have reported a lack of a functional relationship between PFC and amygdala during emotion matching compared to emotion labeling (
Foland et al., 2008;
Hariri et al., 2000,
2003;
Lieberman et al., 2007), highlights the importance of prefrontal cortical networks in regulating amygdala response during the process of putting feelings into words. Nevertheless, robust positive correlations were observed between amygdala response during emotion matching and thickness of temporal cortex. Positive correlations in this region may point to the involvement of this cortical area in emotion perception. Gray matter reductions in the temporal cortex, for example, have been linked with impaired performance on emotion matching tasks for negative facial expressions (
Rosen et al, 2004). Thus, the degree of structure and function in this brain area may be critical specifically to the more basic processes underlying the perception and recognition of facial emotion.
Our study has several limitations. First, we interpreted the negative correlation between left amygdala and ventromedial PFC to be involved in a top-down regulatory network whereby PFC directly suppresses amygdala output. However, the methods employed here cannot resolve causality, therefore it may be argued that heightened amygdala response may result in part from deficient modulation by cortical regions outside our
a priori ROI. This seems unlikely, given research showing functional coupling between the left ventromedial PFC and left amygdala during emotion regulation tasks (
Urry et al., 2006), as well data from animal studies which show direct anatomical connections between these two regions (
Stefanacci et al, 2002). Moreover, permutation testing revealed no other areas of cortex shared significant associations with amygdala response during affect labeling. Second, cortical gray matter may appear thinner in some subjects due to an increased myelination of neurons (
Sowell et al, 2003), which would imply an increased, rather than decreased, structural connectivity between ventromedial PFC and left amygdala. As we do not have DTI data on these subjects, it is not possible to address this possibility here. However, future studies that investigate this issue would be of interest. Third, the labeling paradigm used in the current study has been previously suggested to represent a type of emotion regulation strategy; performance of this task has been previously associated with both a reduction in self-reported affect (Lieberman et al, unpublished observations) and a reduction in the physiological responses associated with negative emotions (Lieberman et al, unpublished observations). Moreover, this task has been associated with patterns of neural activity that are similar to intentional emotion regulation (
Berkman and Lieberman, 2009). Given this, it is tempting to speculate the negative correlations we observed between amygdala response and vmPFC thickness may relate to one’s ability to successfully suppress amygdala response and therefore also to one’s ability to successfully suppress negative emotional states. But, because no behavioral or physiological data on emotion arousal were collected from subjects in this study, this interpretation remains tentative. Fourth, activation of the amygdala was significantly decreased during affect labeling compared to affect matching. It remains possible that this difference may be due to a difference in the number of affective stimuli (three faces versus one). However, our group has shown in separate studies that emotion matching produces amygdala activity of a magnitude that is similar to that found during passive observation of a single negative emotional image (
Lieberman et al., 2007). Thus, we consider this possibility unlikely. Fifth, the “match forms” condition was used as an experimental control in the examination of amygdala activity during the matching and labeling of emotionally evocative stimuli. It remains possible that something peculiar about matching forms could be responsible for the amygdala activation we observed during these contrasts (i.e. there could have been a decrease in activation during the “match forms” condition, rather than an increase in activation during the “match emotion” and “label emotion” conditions). Since we do not have a separate, independent baseline, we cannot evaluate this possibility directly. However, given the extensive literature on amygdala activity in response to this task (
Foland et al., 2008;
Hariri et al., 2000,
2003;
Lieberman et al., 2007), this possibility seems unlikely. In addition, if the associations between amygdala activity and cortical thickness were due to a decrease in activation during the “match forms” task, then we would expect the correlation maps in to be highly similar, which they are not. However, future studies involving affect labeling that use an independent baseline would be of interest.
To conclude, prior studies have linked cortical structure to activation at the same location (
Lu et al, 2009;
Rasser et al, 2005), but this is the first report, to our knowledge, to demonstrate that the structural features of one brain region correlate with activity in another brain region to which it is both structurally (
Amaral, 1992;
Stefanacci et al, 2002) and functionally (
Likhtik et al., 2005;
Quirk et al., 2003;
Urry et al., 2006) connected. Future studies that examine vmPFC structure-function relationships in psychiatric populations would be of interest.