Medical School of Southeast University, Nanjing, China.
Cortex. 2012 May;48(5):604-13. doi: 10.1016/j.cortex.2011.02.011. Epub 2011 Feb 15.
Impaired capacity for self-reference has been observed in amnestic mild cognitive impairment (aMCI) subjects who are thought to be the likely to develop into clinical Alzheimer's disease (AD). The altered pattern of self-referencing network (SRN) is not yet well understood in aMCI subjects particularly in resting state, and little is known about the relationship between SRN and other resting-state networks in aMCI subjects.
The study was designed to administer longitudinal resting-state functional magnetic resonance imaging (fMRI) scanning to 26 aMCI subjects and 18 matched healthy controls. Independent component analysis was used to separate SRN, and a further cross-correlation approach was recruited to explore the relationship between SRN and other resting-state networks.
Compared to controls, selective changes of SRN regarding to the increased functional connectivity between ventromedial prefrontal cortex/medial orbital prefrontal cortex/gyrus rectus and the mean time series of SRN at baseline in aMCI, while these functional connections were associated with more extent of longitudinal diminish after follow up in the same subjects. In addition, greater decreased connectivity relationship between SRN and default mode network was observed in aMCI subjects.
Altered patterns of resting-state SRN were firstly explored in aMCI subjects, and it could help guide subsequent investigations designed to specify the precise functional implications of SRN in the progression of aMCI.
在被认为可能发展为临床阿尔茨海默病(AD)的遗忘型轻度认知障碍(aMCI)患者中,观察到自我参照能力受损。在 aMCI 患者中,特别是在静息状态下,自我参照网络(SRN)的改变模式尚未得到很好的理解,而关于 SRN 与 aMCI 患者中其他静息状态网络之间的关系的了解甚少。
该研究旨在对 26 名 aMCI 患者和 18 名匹配的健康对照者进行纵向静息状态功能磁共振成像(fMRI)扫描。使用独立成分分析来分离 SRN,并采用进一步的互相关方法来探索 SRN 与其他静息状态网络之间的关系。
与对照组相比,aMCI 患者的 SRN 存在选择性变化,表现为腹内侧前额叶/眶额内侧皮质/直回之间的功能连接增加,以及在基线时 SRN 的平均时间序列增加,而在同一患者的随访后,这些功能连接与更大程度的纵向减少有关。此外,在 aMCI 患者中,SRN 与默认模式网络之间的连接减少更为明显。
首次在 aMCI 患者中探讨了静息状态 SRN 的改变模式,这有助于指导随后的研究,以明确 SRN 在 aMCI 进展中的精确功能意义。