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缓解期克罗恩病患者静息态功能连接的改变。

Alterations in resting-state functional connectivity in patients with Crohn's disease in remission.

机构信息

Department of Radiology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, USA.

Department of Medicine, Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, USA.

出版信息

Sci Rep. 2019 May 15;9(1):7412. doi: 10.1038/s41598-019-43878-0.

Abstract

Previous studies have found neural alterations in regions involved in cognitive and affective functions among Crohn's disease (CD) patients. The present work recruited 18 CD patients and 18 age-gender matched healthy controls (HC) and specifically compared differences in resting-state functional connectivity (RSFC) within the executive control network (ECN) which has been implicated in cognitive function and default mode network (DMN), which has been implicated in affective function. Additionally, we examined the correlations between RSFC in ECN and verbal fluency (VF) in both groups as well as RSFC in DMN and anxiety level in the CD group. Results showed significantly increased RSFC between the right middle frontal gyrus and right inferior parietal lobule in ECN, as well as increased RSFC between the right precuneus and right posterior cingulate cortex in DMN, among CD patients compared to HC. However, the correlations between ECN/DMN and behavioral scores in each group were not significant, which was possibility due to the limited sample size. These findings suggest that CD patients may experience changes in the connectivity patterns in ECN and DMN. Increased connectivity observed on these networks could be a potential biomarker of a neuropsychiatric manifestation of CD.

摘要

先前的研究发现,克罗恩病(CD)患者的认知和情感功能相关区域存在神经改变。本研究招募了 18 名 CD 患者和 18 名年龄性别匹配的健康对照组(HC),并特别比较了执行控制网络(ECN)和默认模式网络(DMN)静息状态功能连接(RSFC)的差异,ECN 与认知功能有关,DMN 与情感功能有关。此外,我们还检查了两组 ECN 的 RSFC 与言语流畅性(VF)以及 CD 组 DMN 的 RSFC 与焦虑水平之间的相关性。结果显示,与 HC 相比,CD 患者的 ECN 中右额中回和右顶下小叶之间以及 DMN 中右楔前叶和右后扣带回皮质之间的 RSFC 显著增加。然而,每组 ECN/DMN 与行为评分之间的相关性并不显著,这可能是由于样本量有限。这些发现表明,CD 患者可能会经历 ECN 和 DMN 连接模式的变化。在这些网络上观察到的连接增加可能是 CD 神经精神表现的潜在生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0731/6520362/9e5048819bbe/41598_2019_43878_Fig1_HTML.jpg

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