摘要
目的:阿尔茨海默氏病(AD)是一种慢性神经退行性疾病,影响全球数以百万计的人。症状包括记忆功能障碍和注意力,计划,语言和整体认知功能不足。嗅觉障碍是AD的常见症状,证据支持它是早期标志。此外,嗅球和内嗅皮质萎缩在公元中已有很好的描述。然而,在AD中,没有研究评估嗅觉皮质的整体以及是否观察到性别影响。 方法:磁共振成像技术用于扫描39名平均年龄为72岁的参与者,包括男性和女性。使用AAL单受试者地图集(在PNEURO工具中实现-PMOD 3.8)确定嗅觉皮层和海马体的体积。男性和女性AD患者的嗅觉皮层体积均低于对照组。这种减少在左嗅皮层中更为明显,并且受年龄的影响。如预期的那样,AD中海马体积也显着减少。但是,这仅在男性队列中观察到。在AD参与者未检测到的对照中,在教育水平和海马体积之间观察到显着相关性。在对照和AD参与者中比较左和右容积时,嗅觉皮质的容积不对称,而在海马中则没有。 结果:这些数据突出了嗅觉皮质萎缩在AD发病机理中的作用以及大脑嗅觉缺陷与嗅觉区域变性之间相互作用的重要性。
关键词: 阿尔茨海默病,嗅觉皮质,萎缩,脑不对称,海马,磁共振成像。
[http://dx.doi.org/10.1111/joim.12287 ] [PMID: 25041352]
[http://dx.doi.org/10.1016/j.it.2008.05.002 ] [PMID: 18599350]
[http://dx.doi.org/10.3233/JAD-2004-6304 ] [PMID: 15201478]
[http://dx.doi.org/10.2174/157015906776359577 ] [PMID: 18615127]
[PMID: 1894145]
[http://dx.doi.org/10.1002/jnr.23054 ] [PMID: 22674288]
[http://dx.doi.org/10.1016/j.neurobiolaging.2006.11.014 ] [PMID: 17207898]
[PMID: 25992176]
[http://dx.doi.org/10.1001/archneur.58.3.397 ] [PMID: 11255443]
[http://dx.doi.org/10.1016/j.arr.2017.08.004 ] [PMID: 28830800]
[http://dx.doi.org/10.1093/geronb/55.5.P304 ] [PMID: 10985295]
[http://dx.doi.org/10.1016/S1474-4422(17)30123-0 ] [PMID: 28504111]
[http://dx.doi.org/10.1073/pnas.82.13.4531 ] [PMID: 3859874]
[http://dx.doi.org/10.3233/JAD-141947 ] [PMID: 25633674]
[http://dx.doi.org/10.3233/JAD-2009-1036 ] [PMID: 19494444]
[http://dx.doi.org/10.1002/ana.21910 ] [PMID: 20437581]
[http://dx.doi.org/10.1016/j.arr.2016.01.002 ] [PMID: 26827786]
[http://dx.doi.org/10.1016/j.neuroimage.2012.01.075 ] [PMID: 22289801]
[http://dx.doi.org/10.1212/01.WNL.0000106462.72282.90 ] [PMID: 14872024]
[http://dx.doi.org/10.1016/S1474-4422(07)70178-3 ] [PMID: 17616482]
[http://dx.doi.org/10.1101/cshperspect.a006213 ] [PMID: 22474610]
[http://dx.doi.org/10.1212/01.wnl.0000344568.09360.31 ] [PMID: 19289740]
[http://dx.doi.org/10.1017/S0317167100002389 ] [PMID: 12619779]
[http://dx.doi.org/10.1001/archpsyc.64.7.802 ] [PMID: 17606814]
[http://dx.doi.org/10.3233/JAD-2010-100696 ] [PMID: 20930316]
[http://dx.doi.org/10.1001/jamaneurol.2018.0049 ] [PMID: 29532057]
[http://dx.doi.org/10.1097/00001756-200102120-00021 ] [PMID: 11209936]
[http://dx.doi.org/10.1016/j.expneurol.2009.08.009 ] [PMID: 19699201]
[http://dx.doi.org/10.1186/s40478-016-0400-x ] [PMID: 27931265]
[http://dx.doi.org/10.1111/ejn.12250 ] [PMID: 23773070]
[http://dx.doi.org/10.2353/ajpath.2007.060974 ] [PMID: 17392160]
[http://dx.doi.org/10.3233/JAD-2011-110041 ] [PMID: 21422522]
[http://dx.doi.org/10.1038/nrn1009 ] [PMID: 12511860]
[http://dx.doi.org/10.1016/j.pscychresns.2013.09.006 ] [PMID: 24080518]
[http://dx.doi.org/10.1196/annals.1379.017 ] [PMID: 17413023]
[http://dx.doi.org/10.1016/j.brainres.2006.07.115 ] [PMID: 16942757]
[http://dx.doi.org/10.1016/j.exger.2017.07.004 ] [PMID: 28709938]
[http://dx.doi.org/10.1016/j.jalz.2011.03.005 ] [PMID: 21514250]
[http://dx.doi.org/10.3233/JAD-161163 ] [PMID: 28157102]
[http://dx.doi.org/10.1016/j.neuroimage.2015.07.075 ] [PMID: 26241684]
[http://dx.doi.org/10.1176/ajp.51.3.402]
[http://dx.doi.org/10.1038/srep42534 ] [PMID: 28195241]
[http://dx.doi.org/10.1016/j.neuroimage.2019.116225 ] [PMID: 31568872]
[http://dx.doi.org/10.1093/arclin/act032]
[http://dx.doi.org/10.1016/j.neuroimage.2008.05.004 ] [PMID: 18555701]
[http://dx.doi.org/10.1093/brain/awq209 ] [PMID: 20724290]
[http://dx.doi.org/10.1136/jnnp-2016-314978 ] [PMID: 28473626]
[http://dx.doi.org/10.1016/S0197-4580(98)00007-4 ] [PMID: 9562498]
[http://dx.doi.org/10.1136/jnnp.71.4.441 ] [PMID: 11561025]
[http://dx.doi.org/10.1080/13803390701287408 ] [PMID: 18938667]
[http://dx.doi.org/10.1001/archneur.1989.00520380046012 ] [PMID: 2783845]
[http://dx.doi.org/10.1159/000084560 ] [PMID: 15785035]
[http://dx.doi.org/10.3389/fninf.2019.00013 ] [PMID: 30983985]
[http://dx.doi.org/10.1002/hbm.20934 ] [PMID: 20839293]
[http://dx.doi.org/10.1093/brain/awl274 ] [PMID: 17018552]
[http://dx.doi.org/10.1016/S0006-3223(99)00167-5 ] [PMID: 10715362]
[http://dx.doi.org/10.1017/S1355617703930116 ] [PMID: 12666770]
[http://dx.doi.org/10.1016/j.neuroimage.2010.12.081 ] [PMID: 21224004]
[http://dx.doi.org/10.1093/cercor/bhw154 ] [PMID: 27230217]
[http://dx.doi.org/10.1002/hbm.23025 ] [PMID: 26485182]
[http://dx.doi.org/10.1016/j.neurobiolaging.2018.04.004 ] [PMID: 29754747]
[http://dx.doi.org/10.1038/srep46263 ] [PMID: 28417965]
[PMID: 31657834]
[http://dx.doi.org/10.1016/S1474-4422(11)70156-9 ] [PMID: 21802369]
[http://dx.doi.org/10.1007/s00429-018-1691-4 ] [PMID: 29948190]
[http://dx.doi.org/10.1097/WAD.0000000000000305 ] [PMID: 31094709]
[http://dx.doi.org/10.1159/000495754 ] [PMID: 30673663]
[http://dx.doi.org/10.1037/neu0000444 ] [PMID: 29911873]
[http://dx.doi.org/10.3233/JAD-190159 ] [PMID: 31306121]
[http://dx.doi.org/10.1017/S1355617720000181 ] [PMID: 32131913]
[http://dx.doi.org/10.1016/j.jns.2013.06.033 ] [PMID: 23927938]
[http://dx.doi.org/10.1016/j.nicl.2019.101904 ] [PMID: 31254939]
[http://dx.doi.org/10.1017/S1355617704105080 ] [PMID: 15327714]
[http://dx.doi.org/10.1136/jnnp.68.1.93 ] [PMID: 10601411]
[http://dx.doi.org/10.1136/pgmj.2005.036665 ] [PMID: 16461469]
[http://dx.doi.org/10.3389/fnhum.2012.00307 ] [PMID: 23162453]
[http://dx.doi.org/10.1037/0003-066X.59.2.77 ] [PMID: 14992634]
[http://dx.doi.org/10.1017/S1355617702813248 ] [PMID: 11939702]
[http://dx.doi.org/10.1097/00002093-200607001-00010 ] [PMID: 16917199]
[http://dx.doi.org/10.1016/j.semcdb.2006.04.008 ] [PMID: 16750923]
[http://dx.doi.org/10.1016/S0166-2236(03)00076-6 ] [PMID: 12744840]