谷氨酸能反应在轻度认知障碍患者左背外侧前额叶皮质的低负荷工作记忆范式中的变化:一项功能磁共振波谱研究。

Glutamatergic response to a low load working memory paradigm in the left dorsolateral prefrontal cortex in patients with mild cognitive impairment: a functional magnetic resonance spectroscopy study.

机构信息

Medical Image Processing Laboratory, Department of Imaging Sciences and Interventional Radiology (IS & IR), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, 695 011, India.

Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum, Kerala, India.

出版信息

Brain Imaging Behav. 2020 Apr;14(2):451-459. doi: 10.1007/s11682-019-00122-7.

Abstract

Working memory deficits have been widely reported in mild cognitive impairment (MCI). However, the neural mechanisms of working memory dysfunction in MCI have not been clearly understood. In this study, we used proton functional magnetic resonance spectroscopy (H-fMRS) and functional magnetic resonance imaging (fMRI) to understand the underlying neurobiology of working memory deficits in patients with MCI. We aimed at detecting the changes in the concentration of glutamate and blood oxygen level dependent (BOLD) activity using H-fMRS and fMRI respectively during a low load verbal (0 back and 1 back) working memory in the left dorsolateral prefrontal cortex (DLPFC) between patients with MCI and healthy controls. Fifteen patients with amnestic MCI and twenty two age, gender and education matched healthy controls underwent a low load verbal working memory H-fMRS and fMRI. We observed significant increase in glutamate during working memory task (both 0 back and 1 back) in healthy controls and such changes were absent in patients with MCI. However, percent signal changes representing BOLD activity during both 0 back and 1 back was not significantly different between two groups. Our findings suggest that H-fMRS complements fMRI in understanding the working memory mechanism in the left DLPFC.

摘要

工作记忆缺陷在轻度认知障碍(MCI)中被广泛报道。然而,MCI 患者工作记忆功能障碍的神经机制尚不清楚。在这项研究中,我们使用质子磁共振波谱(H-fMRS)和功能磁共振成像(fMRI)来了解 MCI 患者工作记忆缺陷的潜在神经生物学机制。我们旨在分别检测 MCI 患者和健康对照组在左背外侧前额叶皮层(DLPFC)进行低负荷言语(0 回和 1 回)工作记忆时,H-fMRS 和 fMRI 中谷氨酸浓度和血氧水平依赖(BOLD)活动的变化。15 名有记忆障碍的 MCI 患者和 22 名年龄、性别和教育程度匹配的健康对照组接受了低负荷言语工作记忆 H-fMRS 和 fMRI 检查。我们观察到健康对照组在工作记忆任务(0 回和 1 回)期间谷氨酸水平显著升高,而 MCI 患者则没有这种变化。然而,代表 0 回和 1 回期间 BOLD 活动的信号变化百分比在两组之间没有显著差异。我们的发现表明,H-fMRS 补充了 fMRI 来理解左 DLPFC 的工作记忆机制。

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