Mesocortical pathway

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Overview

The mesocortical pathway is one of the major dopaminergic pathways in the brain. It is primarily involved in the regulation of cognition, emotion, and executive function. This pathway originates in the ventral tegmental area (VTA) of the midbrain and projects to the prefrontal cortex.

Diagram of the mesocortical pathway

Anatomy

The mesocortical pathway is part of the larger mesocorticolimbic system, which includes the mesolimbic pathway. The neurons in this pathway release the neurotransmitter dopamine, which plays a crucial role in modulating prefrontal cortex activity. The prefrontal cortex is associated with higher-order functions such as decision making, social behavior, and personality expression.

Function

The primary function of the mesocortical pathway is to influence cognitive processes. It is involved in:

Dysfunction in this pathway is associated with various psychiatric disorders, including schizophrenia, where it is thought to contribute to the negative symptoms such as apathy, anhedonia, and cognitive deficits.

Clinical Significance

The mesocortical pathway's role in schizophrenia has been extensively studied. It is hypothesized that reduced dopaminergic activity in this pathway may lead to the negative and cognitive symptoms observed in the disorder. This contrasts with the mesolimbic pathway, where increased dopaminergic activity is associated with the positive symptoms of schizophrenia, such as hallucinations and delusions.

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Contributors: Prab R. Tumpati, MD