López María Eugenía, Bruña Ricardo, Aurtenetxe Sara, Pineda-Pardo José Ángel, Marcos Alberto, Arrazola Juan, Reinoso Ana Isabel, Montejo Pedro, Bajo Ricardo, Maestú Fernando
Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid-Universidad Politécnica of Madrid) and Department of Basic Psychology II, Complutense University of Madrid (UCM), 28040 Madrid, Spain,
Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid-Universidad Politécnica of Madrid) and.
J Neurosci. 2014 Oct 29;34(44):14551-9. doi: 10.1523/JNEUROSCI.0964-14.2014.
People with mild cognitive impairment (MCI) show a high risk to develop Alzheimer's disease (AD; Petersen et al., 2001). Nonetheless, there is a lack of studies about how functional connectivity patterns may distinguish between progressive (pMCI) and stable (sMCI) MCI patients. To examine whether there were differences in functional connectivity between groups, MEG eyes-closed recordings from 30 sMCI and 19 pMCI subjects were compared. The average conversion time of pMCI was 1 year, so they were considered as fast converters. To this end, functional connectivity in different frequency bands was assessed with phase locking value in source space. Then the significant differences between both groups were correlated with neuropsychological scores and entorhinal, parahippocampal, and hippocampal volumes. Both groups did not differ in age, gender, or educational level. pMCI patients obtained lower scores in episodic and semantic memory and also in executive functioning. At the structural level, there were no differences in hippocampal volume, although some were found in left entorhinal volume between both groups. Additionally, pMCI patients exhibit a higher synchronization in the alpha band between the right anterior cingulate and temporo-occipital regions than sMCI subjects. This hypersynchronization was inversely correlated with cognitive performance, both hippocampal volumes, and left entorhinal volume. The increase in phase synchronization between the right anterior cingulate and temporo-occipital areas may be predictive of conversion from MCI to AD.
轻度认知障碍(MCI)患者患阿尔茨海默病(AD;彼得森等人,2001年)的风险很高。然而,关于功能连接模式如何区分进展性(pMCI)和稳定性(sMCI)MCI患者的研究却很少。为了研究两组之间的功能连接是否存在差异,比较了30名sMCI和19名pMCI受试者闭眼状态下的脑磁图(MEG)记录。pMCI的平均转化时间为1年,因此他们被视为快速转化者。为此,在源空间中用锁相值评估不同频段的功能连接。然后将两组之间的显著差异与神经心理学评分以及内嗅、海马旁回和海马体积进行关联。两组在年龄、性别或教育水平上没有差异。pMCI患者在情景记忆、语义记忆以及执行功能方面得分较低。在结构水平上,海马体积没有差异,尽管两组之间在左侧内嗅体积上存在一些差异。此外,与sMCI受试者相比,pMCI患者在右侧前扣带回和颞枕区域之间的α频段表现出更高的同步性。这种超同步与认知表现、海马体积和左侧内嗅体积呈负相关。右侧前扣带回和颞枕区域之间相位同步的增加可能预示着MCI向AD的转化。