Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Radiology, Tangdu Hospital, Xi'an, Shaanxi, China.
Sci Rep. 2017 Dec 1;7(1):16742. doi: 10.1038/s41598-017-17026-5.
Huntington's disease (HD) is an autosomal dominant inherited neurodegenerative disorder, and no cure is available currently. Treatment of HD is likely to be most beneficial in the early, possibly pre-manifestation stage. The challenge is to determine the best time for intervention and evaluate putative efficacy in the absence of clinical symptoms. Resting-state functional MRI may represent a promising tool to develop biomarker reflecting early neuronal dysfunction in HD brain, because it can examine multiple brain networks without confounding effects of cognitive ability, which makes the resting-state fMRI promising as a translational bridge between preclinical study in animal models and clinical findings in HD patients. In this study, we examined brain regional connectivity and its correlation to brain atrophy, as well as motor function in the 18-week-old N171-82Q HD mice. HD mice exhibited significantly altered functional connectivity in multiple networks. Particularly, the weaker intra-striatum connectivity was positively correlated with striatal atrophy, while striatum-retrosplenial cortex connectivity is negatively correlated with striatal atrophy. The resting-state brain regional connectivity had no significant correlation with motor deficits in HD mice. Our results suggest that altered brain connectivity detected by resting-state fMRI might serve as an early disease biomarker in HD.
亨廷顿病(HD)是一种常染色体显性遗传性神经退行性疾病,目前尚无治愈方法。HD 的治疗可能在早期,可能在症状出现前阶段最有益。挑战在于确定干预的最佳时间,并在没有临床症状的情况下评估潜在的疗效。静息态功能磁共振成像(rs-fMRI)可能是一种很有前途的工具,可以开发反映 HD 大脑早期神经元功能障碍的生物标志物,因为它可以在没有认知能力混杂影响的情况下检查多个大脑网络,这使得 rs-fMRI 有望成为动物模型的临床前研究和 HD 患者临床发现之间的转化桥梁。在这项研究中,我们研究了 18 周大的 N171-82Q HD 小鼠的脑区连接及其与脑萎缩和运动功能的关系。HD 小鼠表现出多个网络中功能连接的显著改变。特别是,纹状体内部连接较弱与纹状体萎缩呈正相关,而纹状体-后扣带回皮层连接与纹状体萎缩呈负相关。HD 小鼠的静息态脑区连接与运动缺陷无显著相关性。我们的结果表明,静息态 fMRI 检测到的脑连接改变可能作为 HD 的早期疾病生物标志物。