Altered Functional Connectivity of Amygdala Subregions with Large-Scale Brain Networks in Schizophrenia: A Resting-State fMRI Study

<b>Objective:</b> This study aimed to investigate the functional connectivity (FC) of three amygdala subregions-the laterobasal amygdala (LBA), centromedial amygdala (CMA), and superficial amygdala (SFA)-with large-scale brain networks in individuals with schizophrenia (SCZ) compared to healthy controls (HC). <b>Methodology:</b> Resting-state functional magnetic resonance imaging (rs-fMRI) data were obtained from 100 participants (50 SCZ, 50 HC) with balanced age and gender distributions. FC between amygdala subregions and target functional networks was assessed using a region-of-interest (ROI)-to-ROI approach implemented in the CONN toolbox. <b>Result:</b> Connectivity patterns of the LBA, CMA, and SFA differed between SCZ and HC groups. After false discovery rate (FDR) correction (<i>p</i> < 0.05), SCZ patients exhibited significantly increased FC between the left CMA and both the default mode network (DMN) and the visual network (VN). In contrast, decreased FC was observed between the right LBA and the sensorimotor network (SMN) in SCZ compared with HC. <b>Conclusions:</b> These findings reveal novel FC alterations linking amygdala subregions with large-scale networks in schizophrenia. The results underscore the importance of examining the amygdala as distinct functional subregions rather than as a single structure, offering new insights into the neural mechanisms underlying SCZ.