摘要
连接特殊功能神经系统的皮质枢纽对认知能力至关重要。研究表明,枢纽位置和组织与阿尔茨海默病有关。然而,以下两个问题并不十分明确:(i) 中枢在哪里进行改变和如何改变,(ii) 这个中枢是否能作为一个潜在的诊断轻度认知功能障碍(MCI,AD的早期症状) 的标志物。因此,我们对两组(26个AD患者和27个控制变量者,33个AD患者和21个控制变量者)的静态功能磁共振成像(fMRI )扫描的功能连接密度(FCD)进行了研究,与控制组相比,AD患者FCD枢纽地区较脆弱;在默认模式网络内,短程FCD在扣带回皮质区下降,在内侧前额叶皮质增加。在额叶内,远程FCD在内侧前额叶皮质、额上回和额中回有所增加。此外,FCD与认知能力有关并可以高精度(71.08% 和81%)的区分MCI和控制组。通过反映脑功能的稳定性和整体变化,FCD可以作为潜在的阿尔茨海默病磁共振成像生物标志物。
关键词: 阿尔茨海默病,生物标志物,分类,功能连接密度,轻度认知功能障碍,静息状态功能磁共振成像。
Current Alzheimer Research
Title:Functional Connectivity Hubs Could Serve as a Potential Biomarker in Alzheimer’s Disease: A Reproducible Study
Volume: 12 Issue: 10
Author(s): Xiuchao Sui, Maohu Zhu, Yue Cui, Chunshui Yu, Jing Sui, Xinqing Zhang, Jieqiong Liu, Yunyun Duan and Zengqiang Zhang, Luning Wang, Xi Zhang and Tianzi Jiang
Affiliation:
关键词: 阿尔茨海默病,生物标志物,分类,功能连接密度,轻度认知功能障碍,静息状态功能磁共振成像。
摘要: Cortical hubs that link functionally specialized neural systems are crucial for cognition. Evidence suggests that the location and organization of hubs are related to Alzheimer’s disease (AD). However, two issues remain unclear: (i) where and how hubs change in AD, and (ii) whether hubs could be a potential pre-diagnosis biomarker for mild cognitive impairment (MCI) - a prodromal phase of AD. Accordingly, we examined the functional connectivity density (FCD) in two cohorts of resting-state functional magnetic resonance imaging (fMRI) scans (26 AD, 27 controls; 33 AD, 21 controls) and revealed consistently vulnerable FCD hub regions in AD compared with controls: within the default mode network, short-range FCD decreases in the posterior cingulate cortex and increases in the medial prefrontal cortex; within the frontal lobe, long-range FCD increases in the medial prefrontal cortex, superior frontal gyrus and middle frontal gyrus. Furthermore, FCD correlates with cognitive score and could distinguish MCI from controls with high accuracy (71.08% in dataset 1, 81% in dataset 2). By reflecting a robust and reproducible global shift in brain functions, FCD provides an fMRI biomarker for the underlying mechanism in AD.
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Xiuchao Sui, Maohu Zhu, Yue Cui, Chunshui Yu, Jing Sui, Xinqing Zhang, Jieqiong Liu, Yunyun Duan and Zengqiang Zhang, Luning Wang, Xi Zhang and Tianzi Jiang , Functional Connectivity Hubs Could Serve as a Potential Biomarker in Alzheimer’s Disease: A Reproducible Study, Current Alzheimer Research 2015; 12 (10) . https://dx.doi.org/10.2174/1567205012666150710111615
DOI https://dx.doi.org/10.2174/1567205012666150710111615 |
Print ISSN 1567-2050 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-5828 |
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