Table 2 Studies of anterior cingulate cortex

From: The neuropathology of bipolar disorder: systematic review and meta-analysis

Study

Sample (Con/BD)

Sub-regions investigated

Stain

Parameters measured

Key significant findings in BD

Öngür et al. (1998) [8]

A:5/4

B:11/14

Subgenual

Nissl

Volume. Neuronal and glial number, density and size.

A: Decreased glial density.

B: Decreased glial densitya. No differences in volumes or neuronal parameters.

Benes et al. (2001) [25]

12/10

Pregenual, BA24, layers I-VI

Nissl

Layer thickness. Density and size of pyramidal and non-pyramidal neurons. Density of glia.

Layer I larger (+21%), layer III smaller (−12%). Non-pyramidal neurons: density decreased in layer II (−28%), size increased in layer II (+21%) and III (+23%). Pyramidal neurons larger in layer II (+24%). No differences in glial density or pyramidal neuron density.

Bouras et al. (2001) [26]

55/21

Subgenual and supragenual (BA24a/b), layers II, III, V, VI

Nissl

Cortical and layer thickness. Neuronal density and size.

Subgenual: reduced cortical thickness (−20%), significant in layers III, V, and VI (all −15–21%). Decreased neuronal density in layer III (−31%), V (−25%) and VI (−23%). No difference in neuronal size. Supragenual: no differences.

Cotter et al. (2001) [27]

15/15

Supragenual, BA24b, layers I, II, III, Va, Vb, VI

Nissl

Neuronal and glial density. Neuronal size.

No differences.

Cotter et al. (2002b) [36]

15/15

Supragenual, BA24

CB, CR, PV

Neuronal density. Neuronal size. Clustering of neurons.

Reduced density of CB-positive neurons in layer II (−33%).b Increased clustering of PV-positive neurons. No differences in CR-positive neurons.

Chana et al. (2003) [40]

15/15

Supragenual, BA24c

Nissl

Layer thickness. Neuronal and glial density. Neuronal and glial size. Clustering of neurons and glia.

No difference in cortical layer thickness. Neuronal density increased in layer VI (+56%). Neuronal size reduced in layer IIIb and V. Reduced neuronal clustering. No glial differences.

Todtenkopf et al. (2005)c [50]

6/6

Pregenual, BA24, layers I-VI

Nissl

Density of pyramidal and non-pyramidal neurons, and glial density.

Reduced pyramidal neuron density in layer V (−12%). Reduced non-pyramidal neuron density in layers V (−12%) and VI (−21%). Reduced glial density in layers III (−35%), V (−37%) and VI (−31%).

Bielau et al. (2007) [55]

19/11

Pregenual

GAD

Neuronal density

No differences

Connor et al. (2009) [64]

45d/15

Supragenual, caudal BA24 and underlying white matter, compartments I–V

NeuN, Iba-1

Neuronal density. Neuronal size. Iba-1-positive microglial density in white matter.

Neuronal density increased (+79%) in white matter, significant in compartments II–V. Neuronal density unchanged in grey matter (n = 5 cases). No differences in neuronal size. No differences in Iba-1 immunoreactivity.

Brüne et al. (2010) [66]

22/20

Supragenual, BA24, layer Vb

Nissl

Cortical and layer thickness. Density of VENs.

No differences

Hercher et al. (2010) [68]

7/5

Supragenual, BA24, layer VI

Golgi

Dendritic branching

Fewer third-order branches

Sinka et al. (2012) [78]

7/10

Subgenual and dorsal BA24, layers III and V

Nissl, Gallyas

Cortical and layer thickness. Neuronal density. Diameter of capillaries.

No difference in cortical or layer thickness. Neuronal density increased in dorsal BA24 layers III (+29%) and V (+32.3%). Reduced capillary diameter in both layers in dorsal and subgenual ACC (overall −23%).

Mosebach et al. (2013) [81]

16/8

Pregenual, BA32, and underlying white matter

Nissl, olig1

Oligodendrocyte density

No differences

Williams et al. (2013a) [82]

19/15

Subgenual

Nissl

Cortical and layer thickness

Cortex thinner at crown (−10%). No changes in layer thicknesse

Williams et al. (2013b) [83]

19/15

Subgenual

Nissl, GFAP

Density of GFAP-positive cells. Density of oligodendrocytes

No differences

Williams et al. (2014) [86]

19/15

Subgenual

GFAP

Density of fibrillary and gemistocytic astrocytes

No differences

Krause et al. (2017) [91]

3/3

Supragenual, BA24b, layer Vb

EM

Lysosomal aggregations in VENs and pyramidal neurons

No differences

  1. aOne-tailed test used. Other analyses significant when familial BD (n = 5) considered separately (see text).
  2. bAfter Abercrombie correction; stated as non-significant when corrected for multiple testing for 6 layers.
  3. cOnly data from ‘Study D’ included.
  4. dn = 21 for Iba-1.
  5. eIn sgACC, layer V was thinner in BD in the right hemisphere, and there was a layer thickness x sex interaction with a trend (p = 0.086) reduction in layer III in male BD cases.
  6. BA: Brodmann area. CB: calbindin. CR: calretinin. EM: electron microscopy. GAD: glutamic acid decarboxylase (65 and 67 kDa forms). Iba-1: ionized calcium-binding adaptor molecule 1. NeuN: neuron-specific nuclear antigen. PV: parvalbumin. VENs: von Economo neurons.