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皮质连接性可预测帕金森病患者随时间推移的认知情况。

Cortical connectivity predicts cognition across time in Parkinson's disease.

作者信息

Twedt Hunter P, Yeager Brooke E, Simmering Jacob E, Schultz Jordan L, Narayanan Nandakumar S

机构信息

Department of Neurology, Critical Care, and Occupational Medicine.

Department of Internal Medicine-Pulmonary, Critical Care, and Occupational Medicine.

出版信息

medRxiv. 2025 May 13:2025.05.13.25327462. doi: 10.1101/2025.05.13.25327462.


DOI:10.1101/2025.05.13.25327462
PMID:40463555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12132129/
Abstract

Cognitive symptoms are common in Parkinson's disease (PD), yet the underlying brain mechanisms remain poorly understood. To address this gap, we investigated the relationship between functional connectivity and cognition at multiple time points using longitudinal functional MRI (fMRI) and cognitive assessments from the Parkinson's Progression Marker Initiative (PPMI). We calculated resting-state functional connectivity within and between three key cortical brain networks that have been linked with cognitive function in PD: the frontoparietal network (FPN); the salience network (SAL); and the default mode network (DMN). Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA). Linear mixed-effects modeling revealed that decreased FPN-DMN functional connectivity is associated with lower MoCA scores over time. This finding suggests that cortical connectivity is associated with and may contribute to the progression of cognitive symptoms in PD. Our findings advance knowledge about cognitive changes in PD and emphasize the importance of functional brain network architecture.

摘要

认知症状在帕金森病(PD)中很常见,但潜在的脑机制仍知之甚少。为了填补这一空白,我们使用纵向功能磁共振成像(fMRI)以及帕金森病进展标记物倡议(PPMI)的认知评估,在多个时间点研究了功能连接与认知之间的关系。我们计算了与PD认知功能相关的三个关键皮质脑网络内部及之间的静息态功能连接:额顶叶网络(FPN);突显网络(SAL);以及默认模式网络(DMN)。使用蒙特利尔认知评估量表(MoCA)评估认知功能。线性混合效应模型显示,随着时间的推移,FPN-DMN功能连接的降低与较低的MoCA评分相关。这一发现表明,皮质连接与PD认知症状的进展相关,并且可能对其有影响。我们的研究结果推进了对PD认知变化的认识,并强调了功能性脑网络结构的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6934/12132129/eeaaf71cd2b5/nihpp-2025.05.13.25327462v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6934/12132129/848969987634/nihpp-2025.05.13.25327462v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6934/12132129/eeaaf71cd2b5/nihpp-2025.05.13.25327462v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6934/12132129/848969987634/nihpp-2025.05.13.25327462v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6934/12132129/eeaaf71cd2b5/nihpp-2025.05.13.25327462v1-f0002.jpg

相似文献

[1]
Cortical connectivity predicts cognition across time in Parkinson's disease.

medRxiv. 2025-5-13

[2]
Cortical and subcortical functional connectivity and cognitive impairment in Parkinson's disease.

Neuroimage Clin. 2024

[3]
Salience network and cognitive impairment in Parkinson's disease.

medRxiv. 2023-10-14

[4]
Resting-state networks and their relationship with MoCA performance in PD patients.

Brain Imaging Behav. 2024-6

[5]
Functional connectivity between resting-state networks reflects decline in executive function in Parkinson's disease: A longitudinal fMRI study.

Neuroimage Clin. 2020

[6]
Functional neural networks stratify Parkinson's disease patients across the spectrum of cognitive impairment.

Brain Behav. 2024-1

[7]
A Cross Sectional and Longitudinal Assessment of Neuropsychiatric Symptoms and Brain Functional Connectivity in Patients With Mild Cognitive Impairment, Cerebrovascular Disease and Parkinson Disease.

Int J Geriatr Psychiatry. 2025-4

[8]
Dynamic Functional Connectivity and Symptoms of Parkinson's Disease: A Resting-State fMRI Study.

Front Aging Neurosci. 2018-11-23

[9]
A Longitudinal Study of Changes in Resting-State Functional Magnetic Resonance Imaging Functional Connectivity Networks During Healthy Aging.

Brain Connect. 2020-9

[10]
Cognitive impairment and resting-state network connectivity in Parkinson's disease.

Hum Brain Mapp. 2015-1

本文引用的文献

[1]
Cortical and subcortical functional connectivity and cognitive impairment in Parkinson's disease.

Neuroimage Clin. 2024

[2]
An Examination of Cognitive Heterogeneity in Parkinson Disease: The Dual-Syndrome Hypothesis.

J Speech Lang Hear Res. 2024-4-8

[3]
Resting-state networks and their relationship with MoCA performance in PD patients.

Brain Imaging Behav. 2024-6

[4]
It's all about cognitive trajectory: Accuracy of the cognitive charts-MoCA in normal aging, MCI, and dementia.

J Am Geriatr Soc. 2023-1

[5]
Altered Default Mode Network Functional Connectivity in Parkinson's Disease: A Resting-State Functional Magnetic Resonance Imaging Study.

Front Neurosci. 2022-6-3

[6]
Novelty-induced frontal-STN networks in Parkinson's disease.

Cereb Cortex. 2022-12-20

[7]
The way forward for cognition in Parkinson's disease.

Prog Brain Res. 2022

[8]
Cognitive control in Parkinson's disease.

Prog Brain Res. 2022

[9]
Resting-State Functional Connectivity in Frontostriatal and Posterior Cortical Subtypes in Parkinson's Disease-Mild Cognitive Impairment.

Mov Disord. 2022-3

[10]
Timing variability and midfrontal ~4 Hz rhythms correlate with cognition in Parkinson's disease.

NPJ Parkinsons Dis. 2021-2-15

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