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基于形态学和功能分析的帕金森病初级和高阶认知网络间协调受损

Disrupted coordination between primary and high-order cognitive networks in Parkinson's disease based on morphological and functional analysis.

作者信息

Ma Yunxiao, Wang Li, Li Ting, Zhang Jian, Funahashi Shintaro, Wu Jinglong, Wang Xiu, Zhang Kai, Liu Tiantian, Yan Tianyi

机构信息

School of Life Science, Beijing Institute of Technology, Beijing, 100081, China.

School of Medical Technology, Beijing Institute of Technology, No. 5 Zhongguancun South Street, Haidian District, Beijing, 100081, China.

出版信息

Brain Struct Funct. 2025 Apr 10;230(3):48. doi: 10.1007/s00429-025-02909-5.

DOI:10.1007/s00429-025-02909-5
PMID:40208328
Abstract

Patients with Parkinson's disease (PD) exhibit structural and functional alterations in both primary and high-order cognitive networks, but the interactions within aberrant functional networks and relevant structural foundation remains unexplored. In this study, the functional networks (FN) and the morphometric similarity networks (MSN) were constructed respectively based on the time-series data and gray matter volume from the MRI data of PD patients and controls. The efficiency, average controllability and k-shell values of the FN and MSN were calculated to evaluate their ability of information transmission and identify structural and functional abnormalities in PD. The abnormal regions were categorized into five types: regions with MSN abnormalities, regions with FN abnormalities, regions with both MSN and FN abnormalities, regions with abnormalities only in MSN but not in FN and regions with abnormalities only in FN but not in MSN. Further, the dynamic causal model (DCM) was used to evaluate the causal relationship of information flow between the identified regions. In the network property analysis of the FN, PD patients showed decreased global efficiency and connectivity in the visual network (VIS) and increased global efficiency in higher-order cognitive networks, including the ventral attention network (VAN), default mode network (DMN), and the limbic network (LIM) but no difference in MSN. In the DCM analysis of the regions, PD patients exhibited increased excitatory transition from the visual areas to the superior frontal gyrus, whereas had disturbed information flow from the visual areas to the insula and the orbitofrontal cortex. These findings suggest changes in structural and functional brain of PD patients, and advance our understanding of PD pathogenesis from different neural dimensions.

摘要

帕金森病(PD)患者在初级和高级认知网络中均表现出结构和功能改变,但异常功能网络内的相互作用及其相关结构基础仍未得到探索。在本研究中,分别基于PD患者和对照组MRI数据的时间序列数据和灰质体积构建了功能网络(FN)和形态测量相似性网络(MSN)。计算FN和MSN的效率、平均可控性和k壳值,以评估它们的信息传递能力,并识别PD中的结构和功能异常。将异常区域分为五种类型:MSN异常区域、FN异常区域、MSN和FN均异常区域、仅MSN异常而FN正常区域以及仅FN异常而MSN正常区域。此外,使用动态因果模型(DCM)评估所识别区域之间信息流的因果关系。在FN的网络属性分析中,PD患者视觉网络(VIS)的全局效率和连通性降低,而在包括腹侧注意网络(VAN)、默认模式网络(DMN)和边缘网络(LIM)在内的高级认知网络中全局效率增加,但MSN无差异。在区域的DCM分析中,PD患者表现出从视觉区域到额上回的兴奋性转换增加,而从视觉区域到岛叶和眶额皮质的信息流受到干扰。这些发现表明PD患者大脑的结构和功能发生了变化,并从不同神经维度推进了我们对PD发病机制的理解。

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本文引用的文献

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Grey matter volume differences across Parkinson's disease motor subtypes in the supplementary motor cortex.帕金森病运动亚型在辅助运动区的灰质体积差异
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Multiple insular-prefrontal pathways underlie perception to execution during response inhibition in humans.在人类反应抑制过程中,多条岛叶 - 前额叶通路构成了从感知到执行的基础。
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Transcranial direct current stimulation for Parkinson's disease: systematic review and meta-analysis of motor and cognitive effects.
经颅直流电刺激治疗帕金森病:运动和认知效应的系统评价与荟萃分析
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Gray matter volume alterations in de novo Parkinson's disease: A mediational role in the interplay between sleep quality and anxiety.首发帕金森病患者脑灰质体积改变:睡眠质量与焦虑相互作用的中介作用
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Heavier Load Alters Upper Limb Muscle Synergy with Correlated fNIRS Responses in BA4 and BA6.更大负荷改变上肢肌肉协同作用,并与BA4和BA6区域的功能性近红外光谱(fNIRS)反应相关。
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Topologically convergent and divergent morphological gray matter networks in early-stage Parkinson's disease with and without mild cognitive impairment.早期帕金森病伴和不伴轻度认知障碍患者拓扑上会聚和发散的形态灰质网络。
Hum Brain Mapp. 2021 Oct 15;42(15):5101-5112. doi: 10.1002/hbm.25606. Epub 2021 Jul 28.
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Anatomy and White Matter Connections of the Lingual Gyrus and Cuneus.舌回和楔叶的解剖结构和白质连接。
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Network degeneration in Parkinson's disease: multimodal imaging of nigro-striato-cortical dysfunction.帕金森病中的网络退化:黑质纹状体皮质功能障碍的多模态成像。
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