迟发性抑郁症认知障碍的默认模式网络的结构和功能连接。

Structural and Functional Connectivity of Default Mode Network underlying the Cognitive Impairment in Late-onset Depression.

机构信息

Department of Psychosomatics and Psychiatry, ZhongDa Hospital, School of Medicine, Southeast University, Nanjing 210009, P. R. China.

Institute of Psychosomatics, Medical School of Southeast University, Nanjing 210009, China.

出版信息

Sci Rep. 2016 Nov 25;6:37617. doi: 10.1038/srep37617.

Abstract

To identify the association between the functional and structural changes of default mode network (DMN) underlying the cognitive impairment in Late-onset depression (LOD), 32 LOD patients and 39 normal controls were recruited and underwent resting-state fMRI, DTI scans, and cognitive assessments. Seed-based correlation analysis was conducted to explore the functional connectivity (FC) of the DMN. Deterministic tractography between FC-impaired regions was performed to examine the structural connectivity (SC). Partial correlation analyses were employed to evaluate the cognitive association of those altered FC and SC. Compared with controls, LOD patients showed decreased FC between DMN and the cingulo-opercular network (CON), as well as the thalamus. Decreased FA and increased RD of these fiber tracts connecting DMN with CON were found in LOD patient. The DMN-CON FC and the FA, RD of the fiber tracts were both significantly correlated with the cognitive performance. Therefore, the cognitive impairment in LOD might be associated with the decreased FC between the DMN and the CON, which probably resulted from the demyelination of the white matter.

摘要

为了确定迟发性抑郁症(LOD)患者认知障碍下默认模式网络(DMN)的功能和结构变化之间的关联,招募了 32 名 LOD 患者和 39 名正常对照者,并进行了静息态 fMRI、DTI 扫描和认知评估。采用基于种子的相关分析来探索 DMN 的功能连接(FC)。对功能连接受损区域进行确定性轨迹追踪,以检查结构连接(SC)。采用偏相关分析评估那些改变的 FC 和 SC 的认知关联。与对照组相比,LOD 患者的 DMN 与扣带回-顶叶网络(CON)以及丘脑之间的 FC 降低。在 LOD 患者中,连接 DMN 与 CON 的这些纤维束的 FA 值降低和 RD 值增加。DMN-CON FC 和纤维束的 FA、RD 值与认知表现均显著相关。因此,LOD 中的认知障碍可能与 DMN 与 CON 之间的 FC 降低有关,这可能是由于白质脱髓鞘所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a03e/5122858/56f712397fd3/srep37617-f1.jpg

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