George E. Wahlen Veterans Affairs Medical Center, 500 Foothill, Salt Lake City, UT 84148, USA.
Neuroimage. 2011 Mar 1;55(1):194-203. doi: 10.1016/j.neuroimage.2010.12.030. Epub 2010 Dec 16.
Normal human aging is associated with declining motor control and function. It is thought that dysfunction of the cortico-basal ganglia circuitry may contribute to age-related sensorimotor impairment, however the underlying mechanisms are poorly characterized. The aim of this study was to enhance our understanding of age-related changes in the functional architecture of these circuits. Fifty-nine subjects, consisting of a young, middle and old group, were studied using functional MRI and a motor activation paradigm. Functional connectivity analyses and examination of correlations of connectivity strength with performance on the activation task as well as neurocognitive tasks completed outside of magnet were conducted. Results indicated that increasing age is associated with changes in the functional architecture of the cortico-basal ganglia circuitry. Connectivity strength increased between subcortical nuclei and cortical motor and sensory regions but no changes were found between subcortical components of the circuitry. Further, increased connectivity was correlated with poorer performance on a neurocognitive task independently of age. This result suggests that increased connectivity reflects a decline in brain function rather than a compensatory process. These findings advance our understanding of the normal aging process. Further, the methods employed will likely be useful for future studies aimed at disambiguating age-related versus illness progression changes associated with neuropsychiatric disorders that involve the cortico-basal ganglia circuitry.
正常的人类衰老与运动控制和功能的下降有关。人们认为,皮质基底节回路的功能障碍可能导致与年龄相关的感觉运动损伤,但其潜在机制尚不清楚。本研究旨在增进我们对这些回路的功能结构与年龄相关变化的理解。本研究共纳入 59 名受试者,包括年轻、中年和老年组,使用功能磁共振成像和运动激活范式进行研究。进行了功能连接分析,并检查了连接强度与激活任务表现以及在磁体外完成的神经认知任务之间的相关性。结果表明,随着年龄的增长,皮质基底节回路的功能结构发生了变化。皮质下核与皮质运动和感觉区域之间的连接强度增加,但皮质下回路的各个组成部分之间没有发现变化。此外,连接强度的增加与神经认知任务表现较差有关,而与年龄无关。这一结果表明,连接强度的增加反映了大脑功能的下降,而不是补偿过程。这些发现增进了我们对正常衰老过程的理解。此外,所采用的方法可能对未来的研究有用,这些研究旨在区分与涉及皮质基底节回路的神经精神疾病相关的与年龄相关的进展变化。