帕金森病患者不同频段低频波动的异常振幅

Aberrant Amplitude of Low-Frequency Fluctuations in Different Frequency Bands in Patients With Parkinson's Disease.

作者信息

Wang Zhaoxiu, Liu Yanjun, Ruan Xiuhang, Li Yuting, Li E, Zhang Guoqin, Li Mengyan, Wei Xinhua

机构信息

Department of Radiology, Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China.

Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.

出版信息

Front Aging Neurosci. 2020 Dec 3;12:576682. doi: 10.3389/fnagi.2020.576682. eCollection 2020.

Abstract

Previous studies reported abnormal spontaneous neural activity in Parkinson's disease (PD) patients using resting-state functional magnetic resonance imaging (R-fMRI). However, the frequency-dependent neural activity in PD is largely unknown. Here, 35 PD patients and 35 age- and education-matched healthy controls (HCs) underwent R-fMRI scanning to investigate abnormal spontaneous neural activity of PD using the amplitude of low-frequency fluctuation (ALFF) approach within the conventional band (typical band: 0.01-0.08 Hz) and specific frequency bands (slow-5: 0.010-0.027 Hz and slow-4: 0.027-0.073 Hz). Compared with HCs, PD patients exhibited increased ALFF in the parieto-temporo-occipital regions, such as the bilateral inferior temporal gyrus/fusiform gyrus (ITG/FG) and left angular gyrus/posterior middle temporal gyrus (AG/pMTG), and displayed decreased ALFF in the left cerebellum, right precuneus, and left postcentral gyrus/supramarginal gyrus (PostC/SMG) in the typical band. PD patients showed greater increased ALFF in the left caudate/putamen, left anterior cingulate cortex/medial superior frontal gyrus (ACC/mSFG), left middle cingulate cortex (MCC), right ITG, and left hippocampus, along with greater decreased ALFF in the left pallidum in the slow-5 band, whereas greater increased ALFF in the left ITG/FG/hippocampus accompanied by greater decreased ALFF in the precentral gyrus/PostC was found in the slow-4 band (uncorrected). Additionally, the left caudate/putamen was positively correlated with levodopa equivalent daily dose (LEDD), Hoehn and Yahr (HY) stage, and disease duration. Our results suggest that PD is related to widespread abnormal brain activities and that the abnormalities of ALFF in PD are associated with specific frequency bands. Future studies should take frequency band effects into account when examining spontaneous neural activity in PD.

摘要

先前的研究使用静息态功能磁共振成像(R-fMRI)报告了帕金森病(PD)患者存在异常的自发神经活动。然而,PD中频率依赖性神经活动在很大程度上尚不清楚。在此,35名PD患者和35名年龄及教育程度匹配的健康对照者(HCs)接受了R-fMRI扫描,以使用传统频段(典型频段:0.01-0.08Hz)和特定频段(慢波5:0.010-0.027Hz和慢波4:0.027-0.073Hz)内的低频波动幅度(ALFF)方法研究PD的异常自发神经活动。与HCs相比,PD患者在顶颞枕区域表现出ALFF增加,如双侧颞下回/梭状回(ITG/FG)和左侧角回/颞中回后部(AG/pMTG),并且在典型频段中左侧小脑、右侧楔前叶和左侧中央后回/缘上回(PostC/SMG)的ALFF降低。PD患者在左侧尾状核/壳核、左侧前扣带回皮质/额上回内侧(ACC/mSFG)、左侧中扣带回皮质(MCC)、右侧ITG和左侧海马体中显示出更大的ALFF增加,而在慢波5频段中左侧苍白球的ALFF降低幅度更大,而在慢波4频段中发现左侧ITG/FG/海马体中更大的ALFF增加伴随着中央前回/PostC中更大的ALFF降低(未校正)。此外,左侧尾状核/壳核与左旋多巴等效日剂量(LEDD)、霍恩和雅尔(HY)分期以及病程呈正相关。我们的结果表明,PD与广泛的异常脑活动有关,并且PD中ALFF的异常与特定频段相关。未来在研究PD的自发神经活动时应考虑频段效应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65db/7744880/08415504e929/fnagi-12-576682-g001.jpg

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