The hypoactivity of dorsolateral prefrontal cortex in schizophrenics is well known. One cause of this hypoactivity may be defective corticocortical or thalamocortical connections. Recent imaging studies of the thalamus suggest reductions in volume of the whole thalamus and reduced activity in the medial group of thalamic nuclei, which may indicate loss of functional input to the cortex. Using stereological techniques in six pairs of individually matched brains from schizophrenics and controls, we measured the volumes and obtained estimates of the number of neurons in the three subnuclei (parvocellular, pc; densocellular, dc; magnocellular, mc) of the mediodorsal nucleus (MD) and from the ventral posterior medial nucleus. There was a significant reduction in total neuron number in MD as a whole but this neuron loss was largely restricted to MDpc and MDdc [؊30.9 and ؊24.5%, respectively (P < 0.01)]. MDmc and the control ventral posterior medial nucleus showed no significant changes in cell number. Because the subnuclei of MD have different connections and project to different areas of the frontal cortex, the specific loss of neurons in MDpc and MDdc has implications for the functional defects observed in schizophrenia.mediodorsal nucleus ͉ prefrontal cortex ͉ hypoactivity ͉ stereology T he severe cognitive dysfunction of schizophrenia is associated with disturbances in activity of the dorsolateral prefrontal cortex (DLPFC) manifested by hypoactivity in imaging studies, deficiencies in tests of cognitive function, and putative, activity-dependent effects on gene expression for neurotransmitter-and receptor-related mRNAs. The causes of the functional disturbance frequently have been attributed to defective connectivity that could be both cortical and subcortical (1-4). The principal subcortical input to DLPFC arises in the mediodorsal nucleus (MD) of the thalamus, and recent imaging studies in schizophrenics have shown reductions in activity of the medial nuclei of the thalamus (5). Pakkenberg (6) had described earlier a reduction in the number of neurons in the MD of the thalamus in schizophrenics, but her figures for the control nuclei were only half of those reported for control nuclei in a later study (7), and Pakkenberg stated that her material was inadequate for accurately defining the borders of the large subnuclear divisions of the nucleus. Moreover, it was not stated whether neuronal loss was found in other thalamic nuclei as well.MD is composed of three major subnuclei: the magnocellular, parvocellular, and densocellular nuclei. The nuclei are delineated by cytoarchitecture and distinguished by major differences in cortical and subcortical connections (8-15). The magnocellular subnucleus (MDmc) occupies the anteromedial aspect of MD and is composed of relatively large, deeply stained neurons. MDmc is dominated by inputs from the olfactory and entorhinal cortices but also receives input from the amygdala; it projects to ventromedial and orbital cortex in the frontal lobe. The parvocellular nucleus (MDpc) oc...