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有主观记忆障碍的健康老年人功能性连接的早期功能障碍

Early dysfunction of functional connectivity in healthy elderly with subjective memory complaints.

作者信息

Bajo Ricardo, Castellanos Nazareth P, López Maria Eugenia, Ruiz José María, Montejo Pedro, Montenegro Mercedes, Llanero Marcos, Gil Pedro, Yubero Raquel, Baykova Evgenia, Paul Nuria, Aurtenetxe Sara, Del Pozo Francisco, Maestu Fernando

机构信息

Laboratory of Cognitive and Computational Neuroscience, Centre for Biomedical Technology, Madrid, Spain.

出版信息

Age (Dordr). 2012 Apr;34(2):497-506. doi: 10.1007/s11357-011-9241-5. Epub 2011 Apr 6.

Abstract

It is still an open question whether subjective memory complaints (SMC) can actually be considered to be clinically relevant predictors for the development of an objective memory impairment and even dementia. There is growing evidence that suggests that SMC are associated with an increased risk of dementia and with the presence of biological correlates of early Alzheimer's disease. In this paper, in order to shed some light on this issue, we try to discern whether subjects with SMC showed a different profile of functional connectivity compared with subjects with mild cognitive impairment (MCI) and healthy elderly subjects. In the present study, we compare the degree of synchronization of brain signals recorded with magnetoencephalography between three groups of subjects (56 in total): 19 with MCI, 12 with SMC and 25 healthy controls during a memory task. Synchronization likelihood, an index based on the theory of nonlinear dynamical systems, was used to measure functional connectivity. Briefly, results show that subjects with SMC have a very similar pattern of connectivity to control group, but on average, they present a lower synchronization value. These results could indicate that SMC are representing an initial stage with a hypo-synchronization (in comparison with the control group) where the brain system is still not compensating for the failing memory networks, but behaving as controls when compared with the MCI subjects.

摘要

主观记忆主诉(SMC)是否真的可被视为客观记忆损害乃至痴呆症发展的临床相关预测指标,这仍是一个悬而未决的问题。越来越多的证据表明,SMC与痴呆症风险增加以及早期阿尔茨海默病的生物学相关因素的存在有关。在本文中,为了阐明这个问题,我们试图辨别与轻度认知障碍(MCI)患者和健康老年受试者相比,有SMC的受试者是否表现出不同的功能连接模式。在本研究中,我们比较了三组受试者(共56名)在记忆任务期间用脑磁图记录的脑信号同步程度:19名MCI患者、12名有SMC的受试者和25名健康对照者。同步似然性是一种基于非线性动力系统理论的指标,用于测量功能连接。简而言之,结果表明,有SMC的受试者与对照组的连接模式非常相似,但平均而言,他们的同步值较低。这些结果可能表明,SMC代表了一个脑系统仍未补偿衰退记忆网络的低同步初始阶段(与对照组相比),但与MCI受试者相比,其行为表现与对照组相似。

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