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紊乱的模块脑动力学反映了阿尔茨海默病的认知功能障碍。

Disrupted modular brain dynamics reflect cognitive dysfunction in Alzheimer's disease.

机构信息

Department of Clinical Neurophysiology and MEG, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

Neuroimage. 2012 Feb 15;59(4):3085-93. doi: 10.1016/j.neuroimage.2011.11.055. Epub 2011 Nov 30.

Abstract

The relation between pathology and cognitive dysfunction in dementia is still poorly understood, although disturbed communication between different brain regions is almost certainly involved. In this study we combine magneto-encephalography (MEG) and network analysis to investigate the role of functional sub-networks (modules) in the brain with regard to cognitive failure in Alzheimer's disease. Whole-head resting-state (MEG) was performed in 18 Alzheimer patients (age 67 ± 9, 6 females, MMSE 23 ± 5) and 18 healthy controls (age 66 ± 9, 11 females, MMSE 29 ± 1). We constructed functional brain networks based on interregional synchronization measurements, and performed graph theoretical analysis with a focus on modular organization. The overall modular strength and the number of modules changed significantly in Alzheimer patients. The parietal cortex was the most highly connected network area, but showed the strongest intramodular losses. Nonetheless, weakening of intermodular connectivity was even more outspoken, and more strongly related to cognitive impairment. The results of this study demonstrate that particularly the loss of communication between different functional brain regions reflects cognitive decline in Alzheimer's disease. These findings imply the relevance of regarding dementia as a functional network disorder.

摘要

病理学和痴呆认知功能障碍之间的关系仍知之甚少,尽管不同大脑区域之间的通讯障碍几乎可以肯定是涉及其中的。在这项研究中,我们结合脑磁图(MEG)和网络分析来研究大脑中的功能子网络(模块)在阿尔茨海默病认知失败中的作用。对 18 名阿尔茨海默病患者(年龄 67 ± 9,女性 6 名,MMSE 23 ± 5)和 18 名健康对照者(年龄 66 ± 9,女性 11 名,MMSE 29 ± 1)进行了全头静息状态(MEG)。我们基于区域间同步测量构建了功能大脑网络,并进行了图论分析,重点关注模块组织。阿尔茨海默病患者的整体模块强度和模块数量发生了显著变化。顶叶皮层是连接性最强的网络区域,但表现出最强的模块内丧失。尽管如此,模块间连接的减弱更为明显,并且与认知障碍的相关性更强。本研究的结果表明,特别是不同功能大脑区域之间的通讯丧失反映了阿尔茨海默病的认知下降。这些发现表明,将痴呆视为功能性网络障碍具有相关性。

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