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在控制脑血管风险的情况下,研究成年期的脑结构与语言功能。

Brain structure and verbal function across adulthood while controlling for cerebrovascular risks.

作者信息

Sanfratello L, Lundy S L, Qualls C, Knoefel J E, Adair J C, Caprihan A, Stephen J M, Aine C J

机构信息

The Mind Research Network, 1101 Yale Blvd. NE, Albuquerque, New Mexico, 87106.

Department of Radiology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, 87131.

出版信息

Hum Brain Mapp. 2017 Jul;38(7):3472-3490. doi: 10.1002/hbm.23602. Epub 2017 Apr 8.

Abstract

The development and decline of brain structure and function throughout adulthood is a complex issue, with cognitive aging trajectories influenced by a host of factors including cerebrovascular risk. Neuroimaging studies of age-related cognitive decline typically reveal a linear decrease in gray matter (GM) volume/density in frontal regions across adulthood. However, white matter (WM) tracts mature later than GM, particularly in regions necessary for executive functions and memory. Therefore, it was predicted that a middle-aged group (MC: 35-45 years) would perform best on a verbal working memory task and reveal greater regional WM integrity, compared with both young (YC: 18-25 years) and elder groups (EC: 60+ years). Diffusion tensor imaging (DTI) and magnetoencephalography (MEG) were obtained from 80 healthy participants. Objective measures of cerebrovascular risk and cognition were also obtained. As predicted, MC revealed best verbal working memory accuracy overall indicating some maturation of brain function between YC and MC. However, contrary to the prediction fractional anisotropy values (FA), a measure of WM integrity, were not greater in MC (i.e., there were no significant differences in FA between YC and MC but both groups showed greater FA than EC). An overall multivariate model for MEG ROIs showed greater peak amplitudes for MC and YC, compared with EC. Subclinical cerebrovascular risk factors (systolic blood pressure and blood glucose) were negatively associated with FA in frontal callosal, limbic, and thalamic radiation regions which correlated with executive dysfunction and slower processing speed, suggesting their contribution to age-related cognitive decline. Hum Brain Mapp 38:3472-3490, 2017. © 2017 Wiley Periodicals, Inc.

摘要

在整个成年期,脑结构和功能的发展与衰退是一个复杂的问题,认知衰老轨迹受到包括脑血管风险在内的诸多因素影响。与年龄相关的认知衰退的神经影像学研究通常显示,在整个成年期,额叶区域的灰质(GM)体积/密度呈线性下降。然而,白质(WM)束的成熟比GM晚,尤其是在执行功能和记忆所需的区域。因此,据预测,与年轻组(YC:18 - 25岁)和老年组(EC:60岁以上)相比,中年组(MC:35 - 45岁)在言语工作记忆任务上表现最佳,且显示出更高的区域WM完整性。对80名健康参与者进行了扩散张量成像(DTI)和脑磁图(MEG)检查。还获取了脑血管风险和认知的客观测量指标。正如预测的那样,MC总体上显示出最佳的言语工作记忆准确性,表明在YC和MC之间脑功能有一定程度的成熟。然而,与预测相反,作为WM完整性指标的分数各向异性值(FA)在MC中并不更高(即YC和MC之间的FA没有显著差异,但两组的FA均高于EC)。MEG感兴趣区域(ROI)的总体多变量模型显示,与EC相比,MC和YC的峰值振幅更大。亚临床脑血管危险因素(收缩压和血糖)与额叶胼胝体、边缘和丘脑辐射区域的FA呈负相关,这些区域与执行功能障碍和处理速度减慢相关,表明它们对与年龄相关的认知衰退有影响。《人类大脑图谱》38:3472 - 3490,2017年。© 2017威利期刊公司。

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