阿尔茨海默病谱系障碍患者功能连接性的频率依赖性改变。

Frequency-dependent alterations in functional connectivity in patients with Alzheimer's Disease spectrum disorders.

作者信息

Hu Hanjun, Wang Luoyu, Abdul Sammad, Tang Xue, Feng Qi, Mu Yuzhu, Ge Xiuhong, Liao Zhengluan, Ding Zhongxiang

机构信息

The Fourth Clinical College, Zhejiang Chinese Medical University, Hangzhou, China.

Department of Radiology, Hangzhou First People's Hospital, Hangzhou, China.

出版信息

Front Aging Neurosci. 2024 Mar 28;16:1375836. doi: 10.3389/fnagi.2024.1375836. eCollection 2024.

Abstract

BACKGROUND

In the spectrum of Alzheimer's Disease (AD) and related disorders, the resting-state functional magnetic resonance imaging (rs-fMRI) signals within the cerebral cortex may exhibit distinct characteristics across various frequency ranges. Nevertheless, this hypothesis has not yet been substantiated within the broader context of whole-brain functional connectivity. This study aims to explore potential modifications in degree centrality (DC) and voxel-mirrored homotopic connectivity (VMHC) among individuals with amnestic mild cognitive impairment (aMCI) and AD, while assessing whether these alterations differ across distinct frequency bands.

METHODS

This investigation encompassed a total of 53 AD patients, 40 aMCI patients, and 40 healthy controls (HCs). DC and VMHC values were computed within three distinct frequency bands: classical (0.01-0.08 Hz), slow-4 (0.027-0.073 Hz), and slow-5 (0.01-0.027 Hz) for the three respective groups. To discern differences among these groups, ANOVA and subsequent two-sample t-tests were employed. Cognitive function assessment utilized the mini-mental state examination (MMSE) and Montreal Cognitive Assessment (MoCA). Pearson correlation analysis was applied to investigate the associations between MMSE and MoCA scores with DC and VMHC.

RESULTS

Significant variations in degree centrality (DC) were observed among different groups across diverse frequency bands. The most notable differences were identified in the bilateral caudate nucleus (CN), bilateral medial superior frontal gyrus (mSFG), bilateral Lobule VIII of the cerebellar hemisphere (Lobule VIII), left precuneus (PCu), right Lobule VI of the cerebellar hemisphere (Lobule VI), and right Lobule IV and V of the cerebellar hemisphere (Lobule IV, V). Likewise, disparities in voxel-mirrored homotopic connectivity (VMHC) among groups were predominantly localized to the posterior cingulate gyrus (PCG) and Crus II of the cerebellar hemisphere (Crus II). Across the three frequency bands, the brain regions exhibiting significant differences in various parameters were most abundant in the slow-5 frequency band.

CONCLUSION

This study enhances our understanding of the pathological and physiological mechanisms associated with AD continuum. Moreover, it underscores the importance of researchers considering various frequency bands in their investigations of brain function.

摘要

背景

在阿尔茨海默病(AD)及相关疾病范围内,大脑皮层内的静息态功能磁共振成像(rs-fMRI)信号在不同频率范围内可能呈现出不同特征。然而,这一假设在全脑功能连接的更广泛背景下尚未得到证实。本研究旨在探讨遗忘型轻度认知障碍(aMCI)和AD患者在度中心性(DC)和体素镜像同伦连接性(VMHC)方面的潜在变化,同时评估这些改变在不同频段是否存在差异。

方法

本研究共纳入53例AD患者、40例aMCI患者和40名健康对照(HCs)。分别在三个不同频段计算三组的DC和VMHC值:经典频段(0.01 - 0.08Hz)、慢4频段(0.027 - 0.073Hz)和慢5频段(0.01 - 0.027Hz)。为了辨别这些组之间的差异,采用了方差分析(ANOVA)及随后的双样本t检验。认知功能评估采用简易精神状态检查表(MMSE)和蒙特利尔认知评估量表(MoCA)。应用Pearson相关分析来研究MMSE和MoCA评分与DC和VMHC之间的关联。

结果

在不同频段的不同组之间观察到度中心性(DC)存在显著差异。最显著的差异出现在双侧尾状核(CN)、双侧内侧额上回(mSFG)、双侧小脑半球小叶VIII(小叶VIII)、左侧楔前叶(PCu)、右侧小脑半球小叶VI(小叶VI)以及右侧小脑半球小叶IV和V(小叶IV、V)。同样,组间体素镜像同伦连接性(VMHC)的差异主要集中在后扣带回(PCG)和小脑半球脚II(脚II)。在这三个频段中,各参数表现出显著差异的脑区在慢5频段最为丰富。

结论

本研究增进了我们对与AD连续体相关的病理和生理机制的理解。此外,它强调了研究人员在脑功能研究中考虑不同频段的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f86/11007178/c7f642a3af3c/fnagi-16-1375836-g001.jpg

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