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基于多层网络的HIV认知障碍患者动态网络重构分析

Analysis of dynamic network reconfiguration in HIV patients with cognitive impairment based multilayer network.

作者信息

Jiang Xingyuan, Ma Juming, Hou Chuanke, Li Hongjun

机构信息

Department of Radiology, Beijing YouAn Hospital, Capital Medical University, Beijing, China.

Beijing Advanced Innovation Centre for Biomedical Engineering, Beihang University, Beijing, China.

出版信息

Sci Rep. 2025 Jun 6;15(1):19999. doi: 10.1038/s41598-025-04963-9.

Abstract

Approximately half of HIV patients continue to experience HIV-associated neurocognitive disorders (HAND). Our study aims to evaluate changes in the dynamic activity patterns of functional brain communities in the early stages of HIV infection by comparing time-varying multilayer network metrics. A total of 165 persons living with HIV but without neurocognitive disorders (PWND), 173 individuals with asymptomatic neurocognitive impairment (ANI), and 100 matched healthy controls (HC) were enrolled. A time-varying multilayer network model was constructed, and global modularity (Q value) and nodal flexibility were calculated using different parameter settings (γ = [0.9, 1, 1.1], ω = [0.5, 0.75, 1]). Brain functional alterations in the PWND and ANI groups were evaluated from both global and nodal perspectives. Associations between network measures, clinical variables, and cognitive performance were also explored. Using the full connectivity matrix, no significant differences in global modularity (Q value) were found among the three groups. However, when thresholding the matrix to retain the top 10% of strongest connections, the ANI group showed significantly lower modularity than the HC group across all γ and ω combinations (p < 0.05). At γ = 0.9 and ω = 0.5, reduced nodal flexibility was observed in visual network regions in the PWND group, while the ANI group showed reduced flexibility in regions belonging to the default mode network (DMN), sensorimotor network (SMN), and limbic network (LIM). At γ = 0.9 and ω = 1, the ANI group exhibited increased flexibility in DMN regions compared to HC. Additionally, thresholding the top 10% connections revealed increased flexibility in the right lingual gyrus (visual network) in ANI compared to HC (FDR corrected, p < 0.05). Nodal flexibility was positively correlated with neurocognitive performance in the PWND group, whereas a significant negative correlation was observed in the ANI group. Regardless of cognitive impairment, HIV patients exhibit abnormalities in dynamic community structures. These findings provide new insights and perspectives for the early detection of brain damage, advancing our current understanding of time-varying multilayer networks in HIV patients.

摘要

大约一半的艾滋病病毒(HIV)患者持续经历与HIV相关的神经认知障碍(HAND)。我们的研究旨在通过比较时变多层网络指标,评估HIV感染早期功能性脑区群落动态活动模式的变化。共招募了165名未患神经认知障碍的HIV感染者(PWND)、173名无症状神经认知损害者(ANI)和100名匹配的健康对照者(HC)。构建了一个时变多层网络模型,并使用不同参数设置(γ = [0.9, 1, 1.1],ω = [0.5, 0.75, 1])计算全局模块化(Q值)和节点灵活性。从全局和节点角度评估了PWND组和ANI组的脑功能改变。还探讨了网络测量、临床变量和认知表现之间的关联。使用全连通矩阵时,三组之间的全局模块化(Q值)没有显著差异。然而,当对矩阵进行阈值处理以保留最强连接的前10%时,在所有γ和ω组合下,ANI组的模块化显著低于HC组(p < 0.05)。在γ = 0.9和ω = 0.5时,PWND组视觉网络区域的节点灵活性降低,而ANI组在属于默认模式网络(DMN)、感觉运动网络(SMN)和边缘网络(LIM)的区域灵活性降低。在γ = 0.9和ω = 1时,与HC相比,ANI组在DMN区域的灵活性增加。此外,对前10%连接进行阈值处理后发现,与HC相比,ANI组右侧舌回(视觉网络)的灵活性增加(FDR校正,p < 0.05)。PWND组的节点灵活性与神经认知表现呈正相关,而在ANI组中观察到显著负相关。无论认知损害如何,HIV患者在动态群落结构上都表现出异常。这些发现为脑损伤的早期检测提供了新的见解和视角,推进了我们目前对HIV患者时变多层网络的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/428b/12144253/7abdaf4192c4/41598_2025_4963_Fig1_HTML.jpg

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