轻度至中度 COVID-19 感染后与脑雾相关的大脑功能连接、效率和信息流的改变。

Altered functional brain connectivity, efficiency, and information flow associated with brain fog after mild to moderate COVID-19 infection.

机构信息

Department of Adult Health, School of Nursing, The University of Texas at Austin, Austin, TX, USA.

Department of Diagnostic Medicine, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

出版信息

Sci Rep. 2024 Sep 27;14(1):22094. doi: 10.1038/s41598-024-73311-0.

Abstract

COVID-19 is associated with increased risk for cognitive decline but very little is known regarding the neural mechanisms of this risk. We enrolled 49 adults (55% female, mean age = 30.7 ± 8.7), 25 with and 24 without a history of COVID-19 infection. We administered standardized tests of cognitive function and acquired brain connectivity data using MRI. The COVID-19 group demonstrated significantly lower cognitive function (W = 475, p < 0.001, effect size r = 0.58) and lower functional connectivity in multiple brain regions (mean t = 3.47 ±0.36, p = 0.03, corrected, effect size d = 0.92 to 1.5). Hypo-connectivity of these regions was inversely correlated with subjective cognitive function and directly correlated with fatigue (p < 0.05, corrected). These regions demonstrated significantly reduced local efficiency (p < 0.026, corrected) and altered effective connectivity (p < 0.001, corrected). COVID-19 may have a widespread effect on the functional connectome characterized by lower functional connectivity and altered patterns of information processing efficiency and effective information flow. This may serve as an adaptation to the pathology of SARS-CoV-2 wherein the brain can continue functioning at near expected objective levels, but patients experience lowered efficiency as brain fog.

摘要

COVID-19 与认知能力下降的风险增加有关,但对于这种风险的神经机制知之甚少。我们招募了 49 名成年人(55%为女性,平均年龄为 30.7±8.7 岁),其中 25 名有 COVID-19 感染史,24 名无 COVID-19 感染史。我们使用 MRI 进行了标准化认知功能测试和大脑连接数据采集。COVID-19 组表现出明显较低的认知功能(W=475,p<0.001,效应大小 r=0.58)和多个大脑区域的功能连接降低(平均 t=3.47±0.36,p=0.03,校正后,效应大小 d=0.92 至 1.5)。这些区域的连接性降低与主观认知功能呈负相关,与疲劳呈正相关(p<0.05,校正后)。这些区域表现出明显降低的局部效率(p<0.026,校正后)和改变的信息处理效率和有效信息流的有效连接(p<0.001,校正后)。COVID-19 可能对功能连接组产生广泛影响,表现为功能连接降低,以及改变的信息处理效率和有效信息流模式。这可能是 SARS-CoV-2 病理的一种适应,大脑可以继续以接近预期的客观水平运作,但患者会感到效率降低,出现大脑雾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ee9/11437042/5365da216129/41598_2024_73311_Fig1_HTML.jpg

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