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信息处理速度在遗忘型轻度认知障碍中脑重构与情景记忆关系中的调节作用。

The moderating role of information processing speed in the relationship between brain remodeling and episodic memory in amnestic mild cognitive impairment.

机构信息

Department of Rehabilitation Medicine, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Alzheimers Dement. 2024 Oct;20(10):6793-6809. doi: 10.1002/alz.14130. Epub 2024 Aug 28.

DOI:10.1002/alz.14130
PMID:39193657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11485304/
Abstract

INTRODUCTION

The role of information processing speed (IPS) on relationships between episodic memory (EM) and central remodeling features in amnestic mild cognitive impairment (aMCI) was investigated.

METHODS

Neuropsychological evaluations and multimodal magnetic resonance imaging were performed on 48 patients diagnosed with aMCI and 50 healthy controls (HC). Moderation models explored the moderating effect of IPS on associations between EM and imaging features at single-region, connectivity, and network levels.

RESULTS

IPS significantly enhanced the positive correlations between recall and cortical thickness of left inferior temporal gyrus. IPS also notably amplified negative correlations between recognition and functional connectivity (FC) of left inferior parietal lobe and right occipital, as well as between recall/recognition and nodal clustering coefficient of left anterior cingulate cortex.

DISCUSSION

IPS functioned as a moderator of associations between recall and neuroimaging metrics at the "single region-connectivity-network" level, providing new insights for cognitive rehabilitation in aMCI patients.

HIGHLIGHTS

aMCI patients exhibited brain functional and structural remodeling alterations. IPS moderated relations between episodic memory and brain remodeling metrics. Therapy targeted at IPS can be considered for improving episodic memory in aMCI.

摘要

简介

本研究旨在探讨信息处理速度(IPS)对遗忘型轻度认知障碍(aMCI)患者情景记忆(EM)与中心重塑特征之间关系的作用。

方法

对 48 名被诊断为 aMCI 的患者和 50 名健康对照者(HC)进行神经心理学评估和多模态磁共振成像。采用调节模型探讨 IPS 对 EM 与单区域、连接和网络水平的影像学特征之间关联的调节作用。

结果

IPS 显著增强了回忆与左颞下回皮质厚度之间的正相关。IPS 还显著放大了识别与左顶下叶和右枕叶功能连接(FC)以及回忆/识别与左前扣带回节点聚类系数之间的负相关。

讨论

IPS 作为回忆与“单区域-连接-网络”水平的神经影像学指标之间关联的调节者,为 aMCI 患者的认知康复提供了新的见解。

要点

aMCI 患者表现出脑功能和结构重塑改变。IPS 调节了情景记忆与脑重塑指标之间的关系。针对 IPS 的治疗可以考虑用于改善 aMCI 患者的情景记忆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/b082e501d8b4/ALZ-20-6793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/c1ba426a360c/ALZ-20-6793-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/fdca338c5fa4/ALZ-20-6793-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/8f3f617b9778/ALZ-20-6793-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/2adb9a403f85/ALZ-20-6793-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/c4f9f3acf1e0/ALZ-20-6793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/f60fcd46e904/ALZ-20-6793-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/b082e501d8b4/ALZ-20-6793-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/c1ba426a360c/ALZ-20-6793-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/fdca338c5fa4/ALZ-20-6793-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/8f3f617b9778/ALZ-20-6793-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/2adb9a403f85/ALZ-20-6793-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/c4f9f3acf1e0/ALZ-20-6793-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/f60fcd46e904/ALZ-20-6793-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9e0/11485304/b082e501d8b4/ALZ-20-6793-g002.jpg

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