新冠后状况下的大脑功能异常及其与认知的关系。
Functional brain abnormalities in post COVID-19 condition and their relationship with cognition.
作者信息
Carreras-Vidal Lourdes, Pacheco-Jaime Laura, Ariza Mar, Cano Neus, Garolera Maite, Garcia-Vicente Carla, Roura Ignacio, Capdevila-Lacasa Clara, Oltra Javier, Pardo Jèssica, Martín-Barceló Cristina, Campabadal Anna, Sala-Llonch Roser, Bargallo Nuria, Barrué Cristian, Bejar Javier, Cortés Claudio Ulises, Junqué Carme, Segura Bàrbara
机构信息
Unitat de Psicologia Mèdica, Departament de Medicina, Institut de Neurociències, Universitat de Barcelona (UB), 08036, Barcelona, Catalunya, Spain.
Fundació Clínic per a la Recerca Biomèdica - Institut d'Investigacions Biomèdiques August Pi i Sunyer (FCRB - IDIBAPS), 08036, Barcelona, Catalunya, Spain.
出版信息
Sci Rep. 2025 Jul 1;15(1):22259. doi: 10.1038/s41598-025-00739-3.
After COVID-19 infection, some patients develop a post-COVID condition (PCC) that is popularly referred to as long COVID. Among its symptoms is persistent cognitive dysfunction that is potentially linked to altered brain functional connectivity (FC). While research has explored functional reorganization in patients with PCC, the intra- and inter- network connectivity and its relationship with cognitive status and clinical outcomes remain unclear. In this study, we recruited 121 individuals with PCC (67 with, and 54 without, cognitive impairment), 20 months after infection, along with 37 non-infected healthy controls from the NAUTILUS Project (ClinicalTrials.gov IDs: NCT05307549 and NCT05307575). Participants underwent resting-state functional magnetic resonance imaging and comprehensive neuropsychological assessment. Resting-state networks were characterized using independent component analyses, dual regression and network modelling for individual FC characterization. Group differences in intra- and inter-network FC, and their associations with clinical and neuropsychological data, were studied. Significance was set at a corrected p-value of < 0.05. Patients with PCC showed increased intra-network FC in 10 cognitively relevant networks, including the default mode, salience, executive control, auditory and basal ganglia networks, correlating positively with general cognition (Montreal Cognitive Assessment scores), time since infection, fatigue and subjective memory failures. Increased inter-network FC between default mode and sensorimotor networks was also observed. Increases in FC may reflect an inefficient compensatory mechanism in patients with PCC, associated with fatigue, subjective memory complaints and persistence of PCC.
感染新冠病毒后,一些患者会出现新冠后状况(PCC),通常被称为长期新冠。其症状之一是持续的认知功能障碍,这可能与大脑功能连接(FC)改变有关。虽然已有研究探讨了PCC患者的功能重组,但网络内和网络间的连接及其与认知状态和临床结果的关系仍不明确。在本研究中,我们从NAUTILUS项目(ClinicalTrials.gov标识符:NCT05307549和NCT05307575)中招募了121名感染后20个月的PCC患者(67名有认知障碍,54名无认知障碍),以及37名未感染的健康对照者。参与者接受了静息态功能磁共振成像和全面的神经心理学评估。使用独立成分分析、双重回归和网络建模对静息态网络进行特征化,以表征个体的FC。研究了网络内和网络间FC的组间差异及其与临床和神经心理学数据的关联。显著性设定为校正后的p值<0.05。PCC患者在10个与认知相关的网络中表现出网络内FC增加,包括默认模式、突显、执行控制、听觉和基底神经节网络,与一般认知(蒙特利尔认知评估分数)、感染后的时间、疲劳和主观记忆失误呈正相关。还观察到默认模式和感觉运动网络之间的网络间FC增加。FC的增加可能反映了PCC患者一种无效的代偿机制,与疲劳、主观记忆主诉和PCC的持续存在有关。