Lee Zheng Long, Li Jesse Jianyi, Siew Savannah Kiah Hui, Billaud Charly Hugo Alexandre, Yu Junhong
Psychology, School of Social Sciences, Nanyang Technological University, Singapore, 639818, Singapore.
Division of Life Science, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong SAR, 999077, China.
Geroscience. 2025 Aug 29. doi: 10.1007/s11357-025-01850-z.
Two decades of task-based fMRI studies have revealed atypical task-related activation and hypoactivation patterns in Alzheimer's disease (AD) and mild cognitive impairment (MCI), implicating the impaired cognitive processing observed in these neurocognitive disorders. The current coordinate-based meta-analysis provides an updated picture of the pathophysiological neurocognitive mechanisms implicated in MCI and AD, which better controls for false positive findings. To pool and summarise these findings, we conducted activation likelihood estimation (ALE) meta-analyses on 90 eligible studies (N = 2824) with cluster-level family-wise error correction to compare AD/MCI and healthy controls (HC) on fMRI activity during cognitive tasks across four different domains. ALE assesses whether there is a spatial convergence of activation among experiments. We then conducted meta-analytic functional decoding on the ALE meta-analysis results to infer the functional relevance of the significant clusters. Significant activation clusters, mostly overlapping with the dorsal attention and frontoparietal networks, were observed in MCI and HC when comparing them across memory tasks and all tasks, regardless of cognitive domain. Functional decoding analyses suggest these clusters are linked to spatial and phonological processing. Significant activation converged in the superior temporal gyrus in AD and overlapped with the somatomotor network. Functional decoding indicates it is related to auditory functions. Our findings illustrated the spatial convergence of aberrant task-related activation and hypoactivation in AD and MCI, highlighting the atypical neurocognitive processing across a broad range of tasks.
二十年来基于任务的功能磁共振成像(fMRI)研究揭示了阿尔茨海默病(AD)和轻度认知障碍(MCI)中与任务相关的非典型激活和激活不足模式,这与在这些神经认知障碍中观察到的认知加工受损有关。当前基于坐标的荟萃分析提供了有关MCI和AD所涉及的病理生理神经认知机制的最新情况,能更好地控制假阳性结果。为了汇总和总结这些发现,我们对90项符合条件的研究(N = 2824)进行了激活可能性估计(ALE)荟萃分析,并采用聚类水平的家族性错误校正,以比较AD/MCI与健康对照(HC)在四个不同领域的认知任务期间的fMRI活动。ALE评估实验之间是否存在激活的空间汇聚。然后,我们对ALE荟萃分析结果进行了荟萃分析功能解码,以推断显著聚类的功能相关性。在MCI和HC中,当比较记忆任务和所有任务时,无论认知领域如何,都观察到了显著激活聚类,这些聚类大多与背侧注意和额顶叶网络重叠。功能解码分析表明,这些聚类与空间和语音处理有关。AD中显著激活汇聚在颞上回,并与躯体运动网络重叠。功能解码表明它与听觉功能有关。我们的研究结果说明了AD和MCI中与任务相关的异常激活和激活不足的空间汇聚,突出了广泛任务中的非典型神经认知加工。
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