Qiu Qiongqiong
Innovation Center for Neurological Disorders, Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Beijing Key Laboratory of Geriatric Cognitive Disorders, Beijing, China.
Front Aging Neurosci. 2022 Jul 19;14:903269. doi: 10.3389/fnagi.2022.903269. eCollection 2022.
Alzheimer's disease (AD) is the most common form of dementia, with no cure to stop its progression. Early detection, diagnosis, and intervention have become the hot spots in AD research. The long asymptomatic and slightly symptomatic phases of autosomal dominant AD (ADAD) allow studies to explore early biomarkers and the underlying pathophysiological changes. Functional magnetic resonance imaging (fMRI) provides a method to detect abnormal patterns of brain activity and functional connectivity , which correlates with cognitive decline earlier than structural changes and more strongly than amyloid deposition. Here, we will provide a brief overview of the network-level findings in ADAD in fMRI studies. In general, abnormalities in brain activity were mainly found in the hippocampus, the medial temporal lobe (MTL), the posterior cortex, the cingulate cortices, and the frontal regions in ADAD. Moreover, ADAD and sporadic AD (SAD) have similar fMRI changes, but not with aging.
阿尔茨海默病(AD)是最常见的痴呆形式,目前尚无治愈方法来阻止其进展。早期检测、诊断和干预已成为AD研究的热点。常染色体显性阿尔茨海默病(ADAD)漫长的无症状和轻微症状阶段使得研究能够探索早期生物标志物以及潜在的病理生理变化。功能磁共振成像(fMRI)提供了一种检测大脑活动和功能连接异常模式的方法,其与认知衰退的相关性比结构变化更早,且比淀粉样蛋白沉积更强。在此,我们将简要概述fMRI研究中ADAD在网络层面的研究结果。一般来说,ADAD患者大脑活动异常主要出现在海马体、内侧颞叶(MTL)、后皮质、扣带回皮质和额叶区域。此外,ADAD和散发性阿尔茨海默病(SAD)具有相似的fMRI变化,但与衰老不同。