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帕金森病患者的冲动性与大规模网络间连接增加有关。

Increased large-scale inter-network connectivity in relation to impulsivity in Parkinson's disease.

机构信息

Department of Neurology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama Prefecture, 641-8510, Japan.

Department of System Neurophysiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama, Wakayama Prefecture, 641-8510, Japan.

出版信息

Sci Rep. 2020 Jul 10;10(1):11418. doi: 10.1038/s41598-020-68266-x.

Abstract

Impulsivity is a neuropsychiatric feature of Parkinson's disease (PD). We investigated the pathophysiology of impulsivity in PD using resting-state functional magnetic resonance imaging (rs-fMRI). We investigated 45 patients with idiopathic PD and 21 healthy controls. Based on Barratt Impulsiveness Scale (BIS-11) score, PD patients were classified as higher (PD-HI) or lower impulsivity (PD-LI). Functional connectivity (FC) between various large-scale brain networks were analysed using the CONN toolbox. FC between the right frontoparietal network (FPN) and medial visual network (MVN) was significantly higher in PD-HI patients than PD-LI patients (false discovery rate [FDR]-adjusted p = 0.0315). FC between the right FPN and MVN had a significant positive correlation with total BIS-11 score (FDR-adjusted p = 0.010) and the attentional impulsivity (FDR-adjusted p = 0.046) and non-planning impulsivity subscale scores (FDR-adjusted p = 0.018). On the other hand, motor impulsivity subscale score had a significant negative correlation with the FC between the default-mode and salience networks (right supramarginal gyrus, FDR-adjusted p = 0.018; anterior cingulate cortex, FDR-adjusted p = 0.027); this trend was observed in healthy controls. The attentional and non-planning impulsivity, regarded as 'cognitive' impulsivity, may be associated with dysfunction in integration of perceptual information and flexible cognitive control in PD.

摘要

冲动性是帕金森病 (PD) 的一种神经精神特征。我们使用静息态功能磁共振成像 (rs-fMRI) 研究了 PD 患者冲动性的病理生理学。我们研究了 45 名特发性 PD 患者和 21 名健康对照者。根据 Barratt 冲动量表 (BIS-11) 评分,PD 患者分为高冲动性 (PD-HI) 或低冲动性 (PD-LI)。使用 CONN 工具箱分析了各种大脑网络之间的功能连接 (FC)。PD-HI 患者右侧额顶网络 (FPN) 和内侧视觉网络 (MVN) 之间的 FC 明显高于 PD-LI 患者 (经 FDR 校正的 p = 0.0315)。右侧 FPN 和 MVN 之间的 FC 与总 BIS-11 评分呈显著正相关 (经 FDR 校正的 p = 0.010),与注意力冲动性 (经 FDR 校正的 p = 0.046) 和非计划性冲动性亚量表评分呈显著正相关 (经 FDR 校正的 p = 0.018)。另一方面,运动冲动性亚量表评分与默认模式和突显网络之间的 FC 呈显著负相关 (右侧缘上回,经 FDR 校正的 p = 0.018;前扣带皮质,经 FDR 校正的 p = 0.027);这一趋势在健康对照组中也观察到。注意力和非计划性冲动性,被认为是“认知”冲动性,可能与 PD 患者感知信息整合和灵活认知控制功能障碍有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8189/7351767/81535e9d4d49/41598_2020_68266_Fig1_HTML.jpg

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