Abstract
The auditory mismatch negativity, a component of the event-related potential elicited by an unexpected stimulus in a sequence of acoustic stimuli, provides an objective measure of the accuracy of the echoic information processing of the human brain in vivo. Auditory mismatch negativity is also a useful probe of cortical glutamatergic N-methyl-d-aspartate receptor activity and disturbance. Notably, auditory mismatch negativity is consistently impaired in schizophrenia. Because of the wide spectrum extending from bipolar affective illness and schizoaffective psychosis to typical schizophrenia, we examined the literature on auditory mismatch negativity in bipolar disorder with the aim to find any neurophysiological dysfunction concerning pre-attentive information processing shared by these clinical conditions. This focused review includes 26 original articles published in peer-reviewed journals and indexed in the National Institutes of Health National Library of Medicine (PubMed) search system. Overall, evidence is consistent with the finding that auditory mismatch negativity is impaired in bipolar disorder with psychotic features, even though to a lesser extent than in schizophrenia. It must be acknowledged that, in a few twin and family studies, mismatch negativity abnormalities were not specifically associated with bipolar disorder. In conclusion, auditory mismatch negativity research supports the involvement of the N-methyl-d-aspartate system in the pathophysiology of bipolar disorder, as previously assessed for schizophrenia, thus creating an intriguing trait d’union between these two mental illnesses and stimulating the development of novel therapeutic agents. With additional replication and validation, auditory mismatch negativity may be further considered as a correlate of a common psychopathology of schizophrenia and bipolar spectrum illnesses.
About the authors
Alberto Raggi studied Medicine at the University of Bologna and graduated cum Laude. He served his residency in Psychiatry at the University of Modena and in Neurology at the University of Florence and is board certified in both specialties. He has worked as a staff neurologist for some hospitals in the north of Italy (Borgomanero, Faenza, Piacenza), the Neurology and Neurorehabilitation Unit of the San Raffaele Turro Hospital in Milan – Vita-Salute San Raffaele University, and the Department of Neurology of the Oasi Institute for Research on Mental Retardation and Brain Aging in Troina. He works at the Neurology Unit of the G.B. Morgagni – L. Pierantoni public Hospital of Forlì since 2012. He has authored publications in both international and national scientific journals. He has served as an occasional reviewer for several neuroscience journals.
Giuseppe Lanza is a Senior Academic Researcher and Assistant Professor of Applied Medical Sciences Techniques at the University of Catania (Italy). After graduating with honors in Medicine in 2007, he specialized in Neurology and got the international PhD at the same University. As Clinical Research Fellow, he further trained in Clinical Neurophysiology at the Newcastle University (UK). From 2013 to 2018, he worked as a Consultant Neurologist at the “Oasi Research Institute-IRCCS” in Troina (Italy), a WHO collaborating center. He has authored >80 scientific publications in international peer-reviewed journals, in addition to book chapters and abstracts, and currently serves as Editor and invited Reviewer of several Journals. In the last years, he has obtained the Master of Science in Clinical Research and the National Scientific Qualification as Full Professor. Recently, he has received the “Elio Lugaresi Award for Education” during the last World Sleep Congress in Vancouver and has been appointed as the Chief of the Research Unit “Clinical Neurophysiology” of the Oasi Research Institute-IRCCS and the University of Catania.
Raffaele Ferri received his M.D. in 1981 from the Catholic University of Rome (Italy) where he also received the specialization in Neurology in 1985. Dr. Ferri is the scientific Director of the Oasi Research Institute - IRCCS in Troina (Italy) and chairs its Sleep Research Centre. Dr. Ferri has been involved in clinical research and care for decades, first at the Catholic University in Rome and then at the Oasi Research Institute. Dr. Ferri has published >500 papers in international peer-reviewed scientific journals, in addition to book chapters and abstracts. He acts as an Associate Editor for Sleep, PLOS One, and International Journal of Psychophysiology and is the current President of the Associazione Scientifica Italiana per la Ricerca e l’Educazione nella Medicina del Sonno (ASSIREM), Past-President of the Italian Association of Sleep Medicine (AIMS), and Member-at-large of the International Restless Legs Syndrome Study Group (IRLSSG).
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Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
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Research funding: None declared.
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Conflict of interest statement: The authors have no conflicts of interest to declare.
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