Are anticorrelated networks in the brain relevant to schizophrenia?

Most models of schizophrenia are based on basal gangliathalamocortical (BGTC) neuronal circuits or brain structures that project to them. Two new neuronal networks have been described which include many of the brain regions associated with BGTC neuronal circuits. These networks have been characterized with a new brain-imaging technique based on low-frequency fluctuations of the blood oxygen level-dependent (BOLD) signal. The new network associated with attention-demanding tasks is referred to as the task-related network and the network associated with stimulus-independent thought during the resting state is referred to as the default network. The 2 networks have been proposed to be negatively correlated or anticorrelated. This article critically reviews the rationale for these anticorrelated networks, the technique with which they are characterized, and preliminary findings in schizophrenia and other neuropsychiatric disorders. Regions associated with the default network overlap with regions important in motivation and are activated by memory retrieval, auditory hallucinations, and ketamine. Task-related networks are necessary for performance of neurocognitive tasks on which schizophrenic patients often perform poorly. It is concluded that anticorrelated networks can be viewed as complementary ways of understanding self-monitoring and task performance which extend present models of schizophrenia based on BGTC circuits. However, there are some limitations with regard the present understanding of brain structures involved in self-monitoring and the lack of asymmetry in the network which may mediate stimulus-independent thought. Further investigations of the default network assessed by low-frequency fluctuations in the BOLD signal seem warranted.