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基于连接性的亨廷顿病纹状体分割:运动通路的易损性。

Connectivity-based segmentation of the striatum in Huntington's disease: vulnerability of motor pathways.

机构信息

Howard Florey Institute, Florey Neuroscience Institutes, Parkville, Victoria, 3010, Australia.

出版信息

Neurobiol Dis. 2011 Jun;42(3):475-81. doi: 10.1016/j.nbd.2011.02.010. Epub 2011 Mar 5.

Abstract

The striatum, the primary site of degeneration in Huntington's disease (HD), connects to the cerebral cortex via topographically organized circuits subserving unique motor, associative and limbic functions. Currently, it is not known whether all cortico-striatal circuits are equally affected in HD. We aimed to study the selective vulnerability of individual cortico-striatal circuits within the striatum in HD, and hypothesized that motor cortico-striatal pathways would be most affected, consistent with HD being a primarily motor disorder. Diffusion Tensor Imaging (DTI) tractography was used to identify connections between the striatum and seven major cortical regions in 12 HD patients and 14 matched controls. The striatum of both groups was parcellated into subregions based on connectivity with the cerebral cortex. Volumetric and DTI microstructural measures of Fractional Anisotropy (FA) and Mean Diffusivity (MD) were obtained within each subregion and compared statistically between groups. Tractography demonstrated the topographic organization of cortical connections in the striatum of both controls and HD patients. In HD patients, the greatest difference from controls in volume, FA and MD was observed in M1 and S1 subregions of the caudate and putamen. Motor symptoms correlated with volume and MD in sensorimotor striatal subregions, suggesting that sensorimotor striatal degeneration is closely related to motor dysfunction. DTI tractography provides a novel approach to sensitively examine circuit-specific abnormalities in HD and has identified that the motor cortico-striatal circuit is selectively vulnerable in HD.

摘要

纹状体是亨廷顿病(HD)中主要的退化部位,通过拓扑组织的回路与大脑皮层相连,这些回路分别负责独特的运动、联想和边缘功能。目前,尚不清楚 HD 中是否所有皮质纹状体回路都受到同等影响。我们旨在研究 HD 中纹状体内部各个皮质纹状体回路的选择性易损性,并假设运动皮质纹状体通路受影响最大,这与 HD 主要是一种运动障碍相一致。弥散张量成像(DTI)示踪技术用于在 12 名 HD 患者和 14 名匹配对照中识别纹状体与七个主要皮质区域之间的连接。根据与大脑皮层的连接,将两组纹状体分为亚区。在每个亚区中获得体积和 DTI 各向异性分数(FA)和平均扩散系数(MD)的微观结构测量值,并在组间进行统计学比较。示踪技术证明了皮质连接在控制组和 HD 患者纹状体中的拓扑组织。在 HD 患者中,与对照组相比,尾状核和壳核的 M1 和 S1 亚区的体积、FA 和 MD 差异最大。运动症状与感觉运动纹状体亚区的体积和 MD 相关,这表明感觉运动纹状体退化与运动功能障碍密切相关。DTI 示踪技术提供了一种新的方法来敏感地检查 HD 中的特定回路异常,并确定了运动皮质纹状体回路在 HD 中是选择性易损的。

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