静息态功能磁共振成像在 C 型人类免疫缺陷病毒中的应用:与神经认知功能的组内相关性。

Resting-state functional magnetic resonance imaging in clade C HIV: within-group association with neurocognitive function.

机构信息

MRC/UCT Medical Imaging Research Unit, University of Cape Town, Cape Town, South Africa.

Department of Human Biology, University of Cape Town, Cape Town, South Africa.

出版信息

J Neurovirol. 2017 Dec;23(6):875-885. doi: 10.1007/s13365-017-0581-5. Epub 2017 Oct 2.

Abstract

Neuroimaging abnormalities are common in chronically infected HIV-positive individuals. The majority of studies have focused on structural or functional brain outcomes in samples infected with clade B HIV. While preliminary work reveals a similar structural imaging phenotype in patients infected with clade C HIV, no study has examined functional connectivity (FC) using resting-state functional magnetic resonance imaging (rs-fMRI) in clade C HIV. In particular, we were interested to explore HIV-only effects on neurocognitive function using associations with rs-fMRI. In the present study, 56 treatment-naïve, clade C HIV-infected participants (age 32.27 ± 5.53 years, education 10.02 ± 1.72 years, 46 female) underwent rs-fMRI and cognitive testing. Individual resting-state networks were correlated with global deficit scores (GDS) in order to explore associations between them within an HIV-positive sample. Results revealed ten regions in six resting-state networks where FC inversely correlated with GDS scores (worse performance). The networks affected included three independent attention networks: the default mode network (DMN), sensorimotor network, and basal ganglia. Connectivity in these regions did not correlate with plasma viral load or CD4 cell count. The design of this study is unique and has not been previously reported in clade B. The abnormalities related to neurocognitive performance reported in this study of clade C may reflect late disease stage and/or unique host/viral dynamics. Longitudinal studies will help to clarify the clinical significance of resting-state alterations in clade C HIV.

摘要

慢性感染 HIV 阳性个体的神经影像学异常很常见。大多数研究都集中在感染 B 型 HIV 的样本中的结构或功能脑结果上。虽然初步研究揭示了感染 C 型 HIV 的患者具有类似的结构影像学表型,但尚无研究使用静息态功能磁共振成像 (rs-fMRI) 检查 C 型 HIV 中的功能连接 (FC)。特别是,我们有兴趣使用与 rs-fMRI 的关联来探索 HIV 对神经认知功能的影响。在本研究中,56 名未经治疗的 C 型 HIV 感染参与者(年龄 32.27±5.53 岁,教育程度 10.02±1.72 年,46 名女性)接受了 rs-fMRI 和认知测试。个体静息状态网络与全球缺陷评分(GDS)相关联,以探索 HIV 阳性样本中它们之间的关联。结果显示,在六个静息状态网络中的十个区域中,FC 与 GDS 评分呈负相关(表现更差)。受影响的网络包括三个独立的注意力网络:默认模式网络 (DMN)、感觉运动网络和基底节。这些区域的连通性与血浆病毒载量或 CD4 细胞计数无关。本研究的设计是独特的,在 B 型中尚未有报道。在本研究中,C 型 HIV 相关的与神经认知表现相关的异常可能反映了疾病的晚期阶段和/或独特的宿主/病毒动力学。纵向研究将有助于阐明 C 型 HIV 静息状态改变的临床意义。

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