Department of Environment and Life, Beijing University of Technology, Beijing 100020, China.
Department of Epilepsy, Neurology Center, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.
Brain Cogn. 2021 Jul;151:105748. doi: 10.1016/j.bandc.2021.105748. Epub 2021 May 7.
In patients with Alzheimer's Disease (AD), the hippocampal network has been extensively investigated in previous studies; however, little is known about the morphological network associated with the hippocampus in the AD patients. A total of 68 patients with AD and another 68 gender and age matched healthy subjects were studied. Individual-level morphological hippocampal networks were constructed based on volume and texture features extracted from MRI to study the connections between bilateral hippocampus and 11 other subcortical gray matter structures. The relationship between morphological connections and Mini-Mental State Examination (MMSE) scores was also studied. Connections between bilateral hippocampus and bilateral thalamus, bilateral putamen were significant differences between the AD patients and controls (p < 0.05). There were significantly different in bilateral hippocampal connectivity, and for the left hippocampus, the connection to the right caudate were found to be statistically significant. The morphological connections between left hippocampus and bilateral thalamus (left: R = 0.371, p < 0.001; right: R = 0.411, p < 0.001), bilateral putamen (left: R = 0.383, p < 0.001; right: R = 0.348, p < 0.001), right hippocampus and bilateral thalamus (left: R = 0.370, p < 0.001; right: R = 0.387, p < 0.001), left putamen (R = 0.377, p < 0.001) were significantly positively correlated with the MMSE scores. Similar patterns were observed for left and right hippocampal connectivity and the connections highly associated with MMSE scores were also within the abnormal connections in AD patients.
在阿尔茨海默病(AD)患者中,已有大量研究对其海马网络进行了广泛的研究;然而,对于 AD 患者中海马相关的形态网络,我们知之甚少。本研究共纳入 68 例 AD 患者和 68 名性别和年龄匹配的健康对照者。基于从 MRI 中提取的体积和纹理特征,构建个体水平的形态学海马网络,以研究双侧海马与 11 个其他皮质下灰质结构之间的连接。还研究了形态连接与简易精神状态检查(MMSE)评分之间的关系。双侧海马与双侧丘脑、双侧壳核之间的连接在 AD 患者和对照组之间存在显著差异(p<0.05)。双侧海马的连接存在显著差异,对于左侧海马,与右侧尾状核的连接具有统计学意义。左侧海马与双侧丘脑(左侧:R=0.371,p<0.001;右侧:R=0.411,p<0.001)、双侧壳核(左侧:R=0.383,p<0.001;右侧:R=0.348,p<0.001)、右侧海马与双侧丘脑(左侧:R=0.370,p<0.001;右侧:R=0.387,p<0.001)、左侧壳核(R=0.377,p<0.001)之间的形态连接与 MMSE 评分呈显著正相关。对于左、右侧海马的连接,也观察到了相似的模式,与 MMSE 评分高度相关的连接也存在于 AD 患者的异常连接中。