文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

无痴呆老年人的功能连接性与轻度行为障碍

Functional connectivity and mild behavioral impairment in dementia-free elderly.

作者信息

Ghahremani Maryam, Nathan Santhosh, Smith Eric E, McGirr Alexander, Goodyear Bradley, Ismail Zahinoor

机构信息

Hotchkiss Brain Institute University of Calgary Calgary Alberta Canada.

Department of Psychiatry Cumming School of Medicine Calgary Alberta Canada.

出版信息

Alzheimers Dement (N Y). 2023 Jan 18;9(1):e12371. doi: 10.1002/trc2.12371. eCollection 2023.


DOI:10.1002/trc2.12371
PMID:36698771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9847513/
Abstract

BACKGROUND: Mild behavioral impairment (MBI) is a syndrome that uses later-life emergent and persistent neuropsychiatric symptoms (NPS) to identify a group at high risk for incident dementia. MBI is associated with neurodegenerative disease markers in advance of syndromic dementia. Functional connectivity (FC) correlates of MBI are understudied and could provide further insights into mechanisms early in the disease course. We used resting-state functional magnetic resonance imaging (rs-fMRI) to test the hypothesis that FC within the default mode network (DMN) and salience network (SN) of persons with MBI (MBI+) is reduced, relative to those without (MBI-). METHODS: From two harmonized dementia-free cohort studies, using a score of ≥6 on the MBI Checklist to define MBI status, 32 MBI+ and 63 MBI- individuals were identified (mean age: 71.7 years; 54.7% female). Seed-based connectivity analysis was implemented in each MBI group using the CONN fMRI toolbox (v20.b), with the posterior cingulate cortex (PCC) as the seed region within the DMN and anterior cingulate cortex (ACC) as the seed within the SN. The average time series from the PCC and ACC were used to determine FC with other regions within the DMN (medial prefrontal cortex, lateral inferior parietal cortex) and SN (anterior insula, supramarginal gyrus, rostral prefrontal cortex), respectively. Age, sex, years of education, and Montreal Cognitive Assessment scores were included as model covariates. The false discovery rate approach was used to correct for multiple comparisons, with a -value of .05 considered significant. RESULTS: For the DMN, MBI+ individuals exhibited reduced FC between the PCC and the medial prefrontal cortex, compared to MBI-. For the SN, MBI+ individuals exhibited reduced FC between the ACC and left anterior insula. CONCLUSION: MBI in dementia-free older adults is associated with reduced FC in networks known to be disrupted in dementia. Our results complement the evidence linking MBI with Alzheimer's disease biomarkers. HIGHLIGHTS: Resting-state functional magnetic resonance imaging was completed in 95 dementia-free persons from FAVR and COMPASS-ND studies.Participants were stratified by informant-rated Mild Behavioral Impairment Checklist (MBI-C) score, ≥6 for MBI+.MBI+ participants showed reduced functional connectivity (FC) within the default mode network and salience network.These FC changes are consistent with those seen in early-stage Alzheimer's disease.MBI may help identify persons with early-stage neurodegenerative disease.

摘要

背景:轻度行为障碍(MBI)是一种综合征,它利用晚年出现并持续存在的神经精神症状(NPS)来识别一组患痴呆症风险较高的人群。MBI在症状性痴呆出现之前就与神经退行性疾病标志物相关。MBI的功能连接(FC)相关性研究较少,可能会为疾病早期机制提供进一步见解。我们使用静息态功能磁共振成像(rs-fMRI)来检验以下假设:与无MBI者(MBI-)相比,患有MBI者(MBI+)的默认模式网络(DMN)和突显网络(SN)内的FC降低。 方法:从两项统一的无痴呆队列研究中,使用MBI清单评分≥6来定义MBI状态,确定了32名MBI+个体和63名MBI-个体(平均年龄:71.7岁;54.7%为女性)。使用CONN fMRI工具箱(v20.b)在每个MBI组中进行基于种子的连接性分析,以扣带回后部皮质(PCC)作为DMN内的种子区域,前扣带回皮质(ACC)作为SN内的种子。分别使用来自PCC和ACC的平均时间序列来确定与DMN(内侧前额叶皮质、外侧顶下小叶皮质)和SN(前岛叶、缘上回、前额叶皮质喙部)内其他区域的FC。年龄、性别、受教育年限和蒙特利尔认知评估得分作为模型协变量纳入。采用错误发现率方法校正多重比较,P值<0.05被认为具有统计学意义。 结果:对于DMN,与MBI-个体相比,MBI+个体在PCC和内侧前额叶皮质之间的FC降低。对于SN,MBI+个体在ACC和左侧前岛叶之间的FC降低。 结论:无痴呆的老年人中的MBI与痴呆中已知会被破坏的网络中FC降低有关。我们的结果补充了将MBI与阿尔茨海默病生物标志物联系起来的证据。 要点:对来自FAVR和COMPASS-ND研究的95名无痴呆者进行了静息态功能磁共振成像。参与者根据 informant 评定的轻度行为障碍清单(MBI-C)评分进行分层,MBI+评分≥6。MBI+参与者在默认模式网络和突显网络内的功能连接(FC)降低。这些FC变化与早期阿尔茨海默病中所见的变化一致。MBI可能有助于识别早期神经退行性疾病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/9847513/c76ff660ca31/TRC2-9-e12371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/9847513/a4e9be69d1a5/TRC2-9-e12371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/9847513/c76ff660ca31/TRC2-9-e12371-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/9847513/a4e9be69d1a5/TRC2-9-e12371-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e87/9847513/c76ff660ca31/TRC2-9-e12371-g001.jpg

相似文献

[1]
Functional connectivity and mild behavioral impairment in dementia-free elderly.

Alzheimers Dement (N Y). 2023-1-18

[2]
Neural Correlates of Mild Behavioral Impairment: A Functional Brain Connectivity Study Using Resting-State Functional Magnetic Resonance Imaging.

J Alzheimers Dis. 2021

[3]
Mild behavioral impairment in Parkinson's disease is associated with altered corticostriatal connectivity.

Neuroimage Clin. 2020

[4]
Disrupted functional connectivity within the default mode network and salience network in unmedicated bipolar II disorder.

Prog Neuropsychopharmacol Biol Psychiatry. 2019-1-10

[5]
Mild Behavioral Impairment Is Associated With Atrophy of Entorhinal Cortex and Hippocampus in a Memory Clinic Cohort.

Front Aging Neurosci. 2021-5-24

[6]
Resting-state networks and anosognosia in Alzheimer's disease.

Front Aging Neurosci. 2024-6-5

[7]
Altered Interplay Among Large-Scale Brain Functional Networks Modulates Multi-Domain Anosognosia in Early Alzheimer's Disease.

Front Aging Neurosci. 2022-2-3

[8]
Distinct Disruptive Patterns of Default Mode Subnetwork Connectivity Across the Spectrum of Preclinical Alzheimer's Disease.

Front Aging Neurosci. 2019-11-13

[9]
Chemotherapy-induced functional changes of the default mode network in patients with lung cancer.

Brain Imaging Behav. 2020-6

[10]
Shared and differing functional connectivity abnormalities of the default mode network in mild cognitive impairment and Alzheimer's disease.

Cereb Cortex. 2024-3-1

引用本文的文献

[1]
Late-life emergence of neuropsychiatric symptoms and risk of cognitive impairment in cognitively unimpaired individuals.

Alzheimers Dement. 2025-8

[2]
Risk factors of mild behavioral impairment: a systematic review.

Front Psychol. 2025-6-27

[3]
A Cross Sectional and Longitudinal Assessment of Neuropsychiatric Symptoms and Brain Functional Connectivity in Patients With Mild Cognitive Impairment, Cerebrovascular Disease and Parkinson Disease.

Int J Geriatr Psychiatry. 2025-4

[4]
Updates and future perspectives on neuropsychiatric symptoms in Alzheimer's disease.

Alzheimers Dement. 2025-3

[5]
Menopausal symptom burden as a predictor of mid- to late-life cognitive function and mild behavioral impairment symptoms: A CAN-PROTECT study.

PLoS One. 2025-3-5

[6]
Structural covariance network patterns linked to neuropsychiatric symptoms in biologically defined Alzheimer's disease: Insights from the mild behavioral impairment checklist.

J Alzheimers Dis. 2025-3

[7]
Relationship between social determinants of health and cognitive performance in an older American population: a cross-sectional NHANES study.

BMC Geriatr. 2025-1-10

[8]
Associations of Mild Behavioral Impairment Domains with Brain Volumes: Cross-sectional Analysis of Atherosclerosis Risk in Community (ARIC) Study.

J Acad Consult Liaison Psychiatry. 2025

[9]
Linking cognitive and behavioral reserve: Evidence from the CAN-PROTECT study.

Alzheimers Dement (N Y). 2024-10-4

[10]
Salience network segregation mediates the effect of tau pathology on mild behavioral impairment.

Alzheimers Dement. 2024-11

本文引用的文献

[1]
Convergent regional brain abnormalities in behavioral variant frontotemporal dementia: A neuroimaging meta-analysis of 73 studies.

Alzheimers Dement (Amst). 2022-5-29

[2]
Progression to Dementia or Reversion to Normal Cognition in Mild Cognitive Impairment as a Function of Late-Onset Neuropsychiatric Symptoms.

Neurology. 2022-5-24

[3]
Cognitive profile of people with mild behavioral impairment in Brain Health Registry participants.

Int Psychogeriatr. 2023-11

[4]
Mild behavioral impairment is associated with progression to Alzheimer's disease: A clinicopathological study.

Alzheimers Dement. 2022-11

[5]
Amyloid-driven disruption of default mode network connectivity in cognitively healthy individuals.

Brain Commun. 2021-9-6

[6]
Neural Correlates of Mild Behavioral Impairment: A Functional Brain Connectivity Study Using Resting-State Functional Magnetic Resonance Imaging.

J Alzheimers Dis. 2021

[7]
Mild Behavioral Impairment Is Associated With Atrophy of Entorhinal Cortex and Hippocampus in a Memory Clinic Cohort.

Front Aging Neurosci. 2021-5-24

[8]
Brain mechanisms underlying neuropsychiatric symptoms in Alzheimer's disease: a systematic review of symptom-general and -specific lesion patterns.

Mol Neurodegener. 2021-6-7

[9]
Plasma β-Amyloid in Mild Behavioural Impairment - Neuropsychiatric Symptoms on the Alzheimer's Continuum.

J Geriatr Psychiatry Neurol. 2022-5

[10]
Cortical Thickness and Its Association with Clinical Cognitive and Neuroimaging Markers in Cerebral Amyloid Angiopathy.

J Alzheimers Dis. 2021

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索