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Review
. 2021 Apr 23:5:23982128211007769.
doi: 10.1177/23982128211007769. eCollection 2021 Jan-Dec.

Hot and cold executive functions in the brain: A prefrontal-cingular network

Affiliations
Review

Hot and cold executive functions in the brain: A prefrontal-cingular network

Mohammad Ali Salehinejad et al. Brain Neurosci Adv. .

Abstract

Executive functions, or cognitive control, are higher-order cognitive functions needed for adaptive goal-directed behaviours and are significantly impaired in majority of neuropsychiatric disorders. Different models and approaches are proposed for describing how executive functions are functionally organised in the brain. One popular and recently proposed organising principle of executive functions is the distinction between hot (i.e. reward or affective-related) versus cold (i.e. purely cognitive) domains of executive functions. The prefrontal cortex is traditionally linked to executive functions, but on the other hand, anterior and posterior cingulate cortices are hugely involved in executive functions as well. In this review, we first define executive functions, their domains, and the appropriate methods for studying them. Second, we discuss how hot and cold executive functions are linked to different areas of the prefrontal cortex. Next, we discuss the association of hot versus cold executive functions with the cingulate cortex, focusing on the anterior and posterior compartments. Finally, we propose a functional model for hot and cold executive function organisation in the brain with a specific focus on the fronto-cingular network. We also discuss clinical implications of hot versus cold cognition in major neuropsychiatric disorders (depression, schizophrenia, anxiety disorders, substance use disorder, attention-deficit hyperactivity disorder, and autism) and attempt to characterise their profile according to the functional dominance or manifest of hot-cold cognition. Our model proposes that the lateral prefrontal cortex along with the dorsal anterior cingulate cortex are more relevant for cold executive functions, while the medial-orbital prefrontal cortex along with the ventral anterior cingulate cortex, and the posterior cingulate cortex are more closely involved in hot executive functions. This functional distinction, however, is not absolute and depends on several factors including task features, context, and the extent to which the measured function relies on cognition and emotion or both.

Keywords: Executive functions; TMS; anterior cingulate cortex; fMRI; hot–cold cognition; neuroimaging; non-invasive brain stimulation; posterior cingulate cortex; prefrontal cortex; tDCS.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: M.A.N. is a member of the Scientific Advisory Board of Neuroelectrics and NeuroDevic. All other authors declare no competing interests.

Figures

Figure 1.
Figure 1.
Current knowledge about domains and behavioural tasks of executive functions (a), involved brain structures (b) and underlying assumptions/features (c) of hot versus cold executive functions. SST: stop signal task; AX-CPT: AX Continuous Performance Task; ERT: emotional regulation task.
Figure 2.
Figure 2.
Lateral view of the prefrontal cortex (PFC) regions and association with hot and cold EFs. The lateral PFC includes dorsolateral prefrontal cortex (DLPFC) and ventrolateral prefrontal cortex (VLPFC) that are predominately involved in cold EFs (in blue). The medial PFC and orbitofrontal cortex (OFC) are predominantly involved in hot EFs. The hot PFC regions have extensive connections with several subcortical structures that process emotion and motivation will be discussed later (Figure 4). Marked regions are close approximate to the intended regions. Also note that circuit nodes and connections are excluded in this and later figures for clarity.
Figure 3.
Figure 3.
The cingulate cortex in the human brain and association with hot and cold EFs. The anterior cingulate cortex (ACC) includes dorsal ACC (dACC) that is predominately involved in cold (in blue) and ventral ACC, consisting of perigenual (pgACC) and subgenual (sgACC) that are predominately involved in hot EFs (in red), respectively. The posterior cingulate cortex (PCC) is predominantly involved in hot EFs (in red). Note that the anatomical borders of the cingulate cortex in this figure is based on the anatomical studies (see Caruana et al., 2018 and Vogt, 2005 for details). In some studies, the mid-cingulate cortex is part of the dACC. Marked regions are close approximate to the intended regions. Also, note that most circuit nodes and connections (specially subcortical regions) are excluded for clarity.
Figure 4.
Figure 4.
The prefrontal-cingular network in the human brain and association with hot and cold EFs. The lateral PFC, including DLPFC and VLPFC, along with dorsal ACC are predominantly related to cold EFs and can be considered as the cold stream. The PCC, medial and orbital PFC (VMPFC and OFC), and ventral ACC constitute the hot stream and are predominantly related to hot EFs. The VLPFC is also connected to medial and orbital PFC. The hot EFs stream is closely connected with several limbic structures that are involved in emotional and motivational processing (red curve). The connectivity between the hippocampus and lateral prefrontal cortex subregions is also relevant for major cold EFs such as working memory and navigation behavior. DLPFC: dorsolateral prefrontal cortex; VLPFC: ventrolateral prefrontal cortex; ACC: anterior cingulate cortex; dACC: dorsal anterior cingulate cortex; vACC: ventral anterior cingulate cortex; VMPFC: ventromedial prefrontal cortex; OFC: orbitofrontal cortex; PCC: posterior cingulate cortex; VA: ventral striatum; NA: nucleus accumbens; A: amygdala; H: hippocampus. Marked regions are close approximate to the intended regions. Note that some circuit nodes and connections specially with subcortical areas are excluded for clarity and that some connections (shown by arrows) may be indirect.

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