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

伴有抑郁症状的老年帕金森病患者前额叶皮质静息态功能连接降低及脑网络异常。

Decreased resting-state functional connectivity and brain network abnormalities in the prefrontal cortex of elderly patients with Parkinson's disease accompanied by depressive symptoms.

作者信息

Tian Bingjie, Chen Qing, Zou Min, Xu Xin, Liang Yuqi, Liu Yiyan, Hou Miaomiao, Zhao Jiahao, Liu Zhenguo, Jiang Liping

机构信息

School of Nursing, Shanghai Jiao Tong University, Shanghai, China.

Department of Neurology, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Glob Health Med. 2024 Apr 30;6(2):132-140. doi: 10.35772/ghm.2023.01043.


DOI:10.35772/ghm.2023.01043
PMID:38690130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11043130/
Abstract

This study aimed to explore the brain network characteristics in elderly patients with Parkinson's disease (PD) with depressive symptoms. Thirty elderly PD patients with depressive symptoms (PD-D) and 26 matched PD patients without depressive symptoms (PD-NOD) were recruited based on HAMD-24 with a cut-off of 7. The resting-state functional connectivity (RSFC) was conducted by 53-channel functional near-infrared spectroscopy (fNIRS). There were no statistically significant differences in MMSE scores, disease duration, Hoehn-Yahr stage, daily levodopa equivalent dose, and MDS-UPDRS III between the two groups. However, compared to the PD-NOD group, the PD-D group showed significantly higher MDS-UPDRS II, HAMA-14, and HAMD-24. The interhemispheric FC strength and the FC strength between the left dorsolateral prefrontal cortex (DLPFC-L) and the left frontal polar area (FPA-L) was significantly lower in the PD-D group (FDR < 0.05). As for graph theoretic metrics, the PD-D group had significantly lower degree centrality (aDc) and node efficiency (aNe) in the DLPFC-L and the FPA-L (FDR, < 0.05), as well as decreased global efficiency (aEg). Pearson correlation analysis indicated moderate negative correlations between HAMD-24 scores and the interhemispheric FC strength, FC between DLPFC-L and FPA-L, aEg, aDc in FPA-L, aNe in DLPFC-L and FPA-L. In conclusion, PD-D patients show decreased integration and efficiency in their brain networks. Furthermore, RSFC between DLPFC-L and FPA-L regions is negatively correlated with depressive symptoms. These findings propose that targeting DLPFC-L and FPA-L regions non-invasive brain stimulation may be a potential intervention for alleviating depressive symptoms in elderly PD patients.

摘要

本研究旨在探讨伴有抑郁症状的老年帕金森病(PD)患者的脑网络特征。基于汉密尔顿抑郁量表(HAMD-24)评分≥7,招募了30例伴有抑郁症状的老年PD患者(PD-D组)和26例年龄匹配的无抑郁症状的PD患者(PD-NOD组)。采用53通道功能近红外光谱技术(fNIRS)进行静息态功能连接(RSFC)检测。两组患者的简易精神状态检查表(MMSE)评分、病程、Hoehn-Yahr分期、每日左旋多巴等效剂量及统一帕金森病评定量表第三部分(MDS-UPDRS III)评分差异均无统计学意义。然而,与PD-NOD组相比,PD-D组的MDS-UPDRS第二部分、汉密尔顿焦虑量表(HAMA-14)及HAMD-24评分显著更高。PD-D组的半球间功能连接强度以及左侧背外侧前额叶皮质(DLPFC-L)与左侧额极区(FPA-L)之间的功能连接强度显著降低(错误发现率校正后P<0.05)。在图论指标方面,PD-D组在DLPFC-L和FPA-L区域的度中心性(aDc)和节点效率(aNe)显著降低(错误发现率校正后P<0.05),全局效率(aEg)也降低。Pearson相关分析表明,HAMD-24评分与半球间功能连接强度、DLPFC-L与FPA-L之间的功能连接、aEg、FPA-L区域的aDc、DLPFC-L和FPA-L区域的aNe呈中度负相关。总之,PD-D患者脑网络的整合性和效率降低。此外,DLPFC-L与FPA-L区域之间的RSFC与抑郁症状呈负相关。这些发现提示,针对DLPFC-L和FPA-L区域进行无创脑刺激可能是缓解老年PD患者抑郁症状的一种潜在干预措施。

相似文献

[1]
Decreased resting-state functional connectivity and brain network abnormalities in the prefrontal cortex of elderly patients with Parkinson's disease accompanied by depressive symptoms.

Glob Health Med. 2024-4-30

[2]
Pattern of prefrontal cortical activation and network revealed by task-based and resting-state fNIRS in Parkinson's disease's patients with overactive bladder symptoms.

Front Neurosci. 2023-3-30

[3]
Resting-state functional connectivity for determining outcomes in upper extremity function after stroke: A functional near-infrared spectroscopy study.

Front Neurol. 2022-11-9

[4]
Convergent and divergent intra- and internetwork connectivity in Parkinson's disease with wearing-off.

Neurol Sci. 2024-1

[5]
Modulation of dorsolateral prefrontal cortex functional connectivity after intermittent theta-burst stimulation in depression: Combining findings from fNIRS and fMRI.

Neuroimage Clin. 2022

[6]
Altered connectivity in the cognitive control-related prefrontal cortex in Parkinson's disease with rapid eye movement sleep behavior disorder.

Brain Imaging Behav. 2023-12

[7]
Altered Intra- and Inter-Network Connectivity in Drug-Naïve Patients With Early Parkinson's Disease.

Front Aging Neurosci. 2022-2-14

[8]
Levodopa Changes Functional Connectivity Patterns in Subregions of the Primary Motor Cortex in Patients With Parkinson's Disease.

Front Neurosci. 2020-7-8

[9]
Different functional connectivity modes of the right fronto-insular cortex in akinetic-rigid and tremor-dominant Parkinson's disease.

Neurol Sci. 2021-7

[10]
Bradykinesia and rigidity modulated by functional connectivity between the primary motor cortex and globus pallidus in Parkinson's disease.

J Neural Transm (Vienna). 2023-12

引用本文的文献

[1]
fNIRS evidence of abnormal frontotemporal cortex activation and functional connectivity in depressed patients after stroke: neuromodulatory mechanisms from mild to moderate depression.

Front Neurol. 2025-7-18

本文引用的文献

[1]
Associations between frontal lobe activity and depressive symptoms in patients with major depressive disorder receiving rTMS treatment: a near-infrared spectroscopy study.

Front Psychiatry. 2023-8-16

[2]
Functional connectomics in depression: insights into therapies.

Trends Cogn Sci. 2023-9

[3]
Functional and structural alterations as diagnostic imaging markers for depression in Parkinson's disease.

Front Neurosci. 2023-2-22

[4]
Depression and Parkinson's disease: a Chicken-Egg story.

AIMS Neurosci. 2022-11-23

[5]
Shared and Unique Changes in Brain Connectivity Among Depressed Patients After Remission With Pharmacotherapy Versus Psychotherapy.

Am J Psychiatry. 2023-3-1

[6]
Neurobiology of depression in Parkinson's disease: Insights into epidemiology, molecular mechanisms and treatment strategies.

Ageing Res Rev. 2023-3

[7]
Severity of depressive and motor symptoms impacts quality of life in Parkinson's disease patients at an academic movement clinic: A cross-sectional study.

Clin Park Relat Disord. 2022-12-17

[8]
Disrupted intrinsic functional brain network in patients with late-life depression: Evidence from a multi-site dataset.

J Affect Disord. 2023-2-15

[9]
The pathobiological basis of depression in Parkinson disease: challenges and outlooks.

J Neural Transm (Vienna). 2022-12

[10]
Frequency of Depressive Disorders in Parkinson's Disease: A Systematic Review and Meta-Analysis.

J Parkinsons Dis. 2022

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