resting state functional connectivity

静息状态功能连接
  • 文章类型: Journal Article
    目的:先前关于酒精使用障碍(AUD)的神经影像学研究发现,大脑的显著性功能连接发生了改变,默认模式,和中央执行(CEN)网络(即三重网络模型),尽管它们与AUD严重程度和大量饮酒的具体关联尚不清楚。这项研究利用静息状态功能磁共振成像来检查这些网络中的功能连通性和酒精滥用的措施。
    方法:76名成年重度饮酒者在视觉固定过程中完成了7分钟的静息状态功能MRI扫描。线性回归模型测试了三个目标网络中的连通性是否与过去12个月的AUD症状和过去30天内大量饮酒天数相关。探索性分析检查了连通性簇与冲动性和心理病理学措施之间的相关性。
    结果:CEN网络内的功能连接(左右外侧前额叶皮层[LPFC]种子与13和15簇共同激活,分别)与AUD症状显着相关(右LPFC:β=.337,p-FDR=.016;左LPFC:β=.291,p-FDR=.028),但与大量饮酒(p-FDR>.749)无关。事后测试显示,与CEN网络共同激活的六个簇与AUD症状-右额中回有关,右顶叶下回,左颞中回,还有左右小脑.默认模式和显著性网络都与酒精变量没有显着关联。左侧LPFC的连通性与货币延迟贴现相关(r=.25,p=.03)。
    结论:这些发现支持CEN网络内的连通性与AUD严重性之间的先前关联,为三重网络模型与AUD的相关性提供额外的特异性。
    OBJECTIVE: Previous neuroimaging research in alcohol use disorder (AUD) has found altered functional connectivity in the brain\'s salience, default mode, and central executive (CEN) networks (i.e. the triple network model), though their specific associations with AUD severity and heavy drinking remains unclear. This study utilized resting-state fMRI to examine functional connectivity in these networks and measures of alcohol misuse.
    METHODS: Seventy-six adult heavy drinkers completed a 7-min resting-state functional MRI scan during visual fixation. Linear regression models tested if connectivity in the three target networks was associated with past 12-month AUD symptoms and number of heavy drinking days in the past 30 days. Exploratory analyses examined correlations between connectivity clusters and impulsivity and psychopathology measures.
    RESULTS: Functional connectivity within the CEN network (right and left lateral prefrontal cortex [LPFC] seeds co-activating with 13 and 15 clusters, respectively) was significantly associated with AUD symptoms (right LPFC: β = .337, p-FDR = .016; left LPFC: β = .291, p-FDR = .028) but not heavy drinking (p-FDR > .749). Post-hoc tests revealed six clusters co-activating with the CEN network were associated with AUD symptoms-right middle frontal gyrus, right inferior parietal gyrus, left middle temporal gyrus, and left and right cerebellum. Neither the default mode nor the salience network was significantly associated with alcohol variables. Connectivity in the left LPFC was correlated with monetary delay discounting (r = .25, p = .03).
    CONCLUSIONS: These findings support previous associations between connectivity within the CEN network and AUD severity, providing additional specificity to the relevance of the triple network model to AUD.
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  • 文章类型: Journal Article
    LSD是一种具有复杂神经生物学和行为效应的致幻剂。这些影响的基础是脑神经可塑性的变化。这是第一项追踪青春期LSD暴露后大脑结构和功能发育变化的研究。我们假设在神经可塑性增强的时期给予LSD,特别是在前脑,会影响认知和情绪行为以及相关的潜在神经解剖学和神经电路。给予雌性和雄性小鼠媒介物,从出生后第51天开始,通过口服管饲法单次或多次治疗3.3µgLSD。在出生后第90-120天之间对小鼠进行成像并测试认知和运动行为。MRI数据来自基于体素的形态测量,弥散加权成像,和BOLD静息状态功能连接被记录到小鼠3DMRI图谱中,该图谱具有139个大脑区域,提供了实验组之间整体大脑结构和功能连接的特定部位差异。运动行为和认知表现不受青春期暴露LSD的影响。对于139个大脑区域中的任何一个,实验组之间的大脑体积差异很少,并且没有集中在任何特定的大脑区域。多次暴露于LSD显着改变了大脑大部分区域的灰质微结构。这些变化主要与丘脑有关,感觉和运动皮质,和基底神经节.前脑嗅觉系统、前额叶皮质、后脑小脑和脑干未受影响。多剂量LSD暴露可降低前脑白质束与感觉运动皮质和海马之间的功能连接。在青春期后期暴露于LSD是否会对大脑发育产生持久影响?通过多剂量LSD组中74个大脑区域的DWI值的变化可以看出我们的大部分重要发现。大脑大部分各向异性指数的明显变化表明灰质微结构和神经可塑性发生了变化。当动物被评估为90-120日龄的年轻人时,没有证据表明LSD对认知或运动行为具有相应的影响。实验条件之间特定大脑区域的体积也没有任何差异。前脑白质束与多剂量LSD的连接减少以及感觉运动和海马脑区周围的巩固需要一系列测试来了解这些变化对行为的影响。
    LSD is a hallucinogen with complex neurobiological and behavioral effects. Underlying these effects are changes in brain neuroplasticity. This is the first study to follow the developmental changes in brain structure and function following LSD exposure in periadolescence. We hypothesized LSD given during a time of heightened neuroplasticity, particularly in the forebrain, would affect cognitive and emotional behavior and the associated underlying neuroanatomy and neurocircuitry. Female and male mice were given vehicle, single or multiple treatments of 3.3 µg of LSD by oral gavage starting on postnatal day 51. Between postnatal days 90-120 mice were imaged and tested for cognitive and motor behavior. MRI data from voxel-based morphometry, diffusion weighted imaging, and BOLD resting state functional connectivity were registered to a mouse 3D MRI atlas with 139 brain regions providing site-specific differences in global brain structure and functional connectivity between experimental groups. Motor behavior and cognitive performance were unaffected by periadolescent exposure to LSD. Differences across experimental groups in brain volume for any of the 139 brain areas were few in number and not focused on any specific brain region. Multiple exposures to LSD significantly altered gray matter microarchitecture across much of the brain. These changes were primary associated with the thalamus, sensory and motor cortices, and basal ganglia. The forebrain olfactory system and prefrontal cortex and hindbrain cerebellum and brainstem were unaffected. The functional connectivity between forebrain white matter tracts and sensorimotor cortices and hippocampus was reduced with multidose LSD exposure. Does exposure to LSD in late adolescence have lasting effects on brain development? The bulk of our significant findings were seen through changes is DWI values across 74 brain areas in the multi-dose LSD group. The pronounced changes in indices of anisotropy across much of the brain would suggest altered gray matter microarchitecture and neuroplasticity. There was no evidence of LSD having consequential effects on cognitive or motor behavior when animal were evaluated as young adults 90-120 days of age. Neither were there any differences in the volume of specific brain areas between experimental conditions. The reduction in connectivity in forebrain white matter tracts with multidose LSD and consolidation around sensorimotor and hippocampal brain areas requires a battery of tests to understand the consequences of these changes on behavior.
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  • 文章类型: Journal Article
    青少年食物不安全是一种明显的逆境,假设会影响与冲动行为增加相关的神经系统。家庭环境塑造了不利的经历如何影响发展。在这项研究中,通过显著性和中央执行网络内各区域之间的连通性改变,对粮食不安全和家庭灵活性对冲动性的联合影响进行了检验.这种改变反映在前脑岛(AI)和中额回(MFG)之间的静息状态功能连通性(rsFC)指标中。在纵向调节调解模型中使用来自142个青少年的两波数据对假设进行了测试(时间1[T1]Mage=12.89,SD=0.85;时间2[T2]Mage=15.01,SD=1.07)。关于过去一年家庭粮食不安全的数据,家庭灵活性,和rsFC在T1获得。青少年在T1和T2时自我报告了冲动性。研究结果表明,AI和MFG之间的高T1左至左rsFC与T2时的冲动性增加有关。家庭灵活性和粮食不安全的相互作用与AI和MFGrsFC有关。在家庭灵活性低的情况下,粮食不安全与高水平的人工智能和MFGrsFC有关。相反,在最佳家庭灵活性的背景下,粮食不安全与低AI和MFGrsFC水平有关。有条件的间接分析表明,粮食不安全之间的联系,rsFC,冲动行为取决于家庭的灵活性。研究重点:仅在一定的家庭灵活性水平下,青少年食物不安全与前脑岛和中额回连接有关。高家庭灵活性削弱了粮食不安全和神经连接之间的联系,而低水平的家庭灵活性增加了这种风险。1年后,左前脑岛高和左额中回连接与冲动性增加有关。
    Adolescent food insecurity is a salient adversity hypothesized to affect neural systems associated with increased impulsive behavior. Family environments shape how adverse experiences influence development. In this study, hypotheses were tested regarding the conjoint effects of food insecurity and family flexibility on impulsivity via alterations in connectivity between regions within the salience and central executive networks. Such alterations are reflected in resting-state functional connectivity (rsFC) metrics between the anterior insula (AI) and the middle frontal gyrus (MFG). Hypotheses were tested in a longitudinal moderated mediation model with two waves of data from 142 adolescents (Time 1 [T1] Mage = 12.89, SD = 0.85; Time 2 [T2] Mage = 15.01, SD = 1.07). Data on past-year household food insecurity, family flexibility, and rsFC were obtained at T1. Impulsivity was self-reported by the adolescent at T1 and T2. Findings revealed that high T1 left-to-left rsFC between the AI and MFG was associated with increased impulsivity at T2. The interaction of family flexibility and food insecurity was associated with AI and MFG rsFC. In the context of low family flexibility, food insecurity was linked to high levels of AI and MFG rsFC. Conversely, in the context of optimal family flexibility, food insecurity was associated with low levels of AI and MFG rsFC. Conditional indirect analysis suggests that the links among food insecurity, rsFC, and impulsive behavior depend on family flexibility. RESEARCH HIGHLIGHTS: Adolescent food insecurity was associated with anterior insula and middle frontal gyrus connectivity only at certain levels of family flexibility. High family flexibility attenuated the link between food insecurity and neural connectivity, while low levels of family flexibility increased this risk. High left anterior insula and left middle frontal gyrus connectivity was associated with increased impulsivity 1 year later.
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  • 文章类型: Journal Article
    冲动性是与几种精神疾病相关的特征,尤其是成瘾性疾病。虽然冲动性某些方面背后的神经机制已经被广泛研究,很少有影像学研究在有物质使用障碍的人群中检查这种神经回路。因此,我们旨在研究相关神经网络的功能连通性,以及它们与特质冲动的可能联系,在患有严重安非他明使用障碍的样本和健康受试者的对照组中。我们使用了一项随机临床试验中收集的数据,研究了口服纳曲酮对苯丙胺使用障碍的急性影响。我们的最终样本包括32名苯丙胺使用者和27名健康对照。用Barratt冲动性量表11对特质冲动进行评估,并在静息状态fMRI期间测量功能连通性,专门研究以前涉及冲动性研究的涉及前额叶区域的网络。与健康对照组相比,安非他明使用者对冲动性的主观评分更高,这些分数与苯丙胺使用者中广泛存在的前额叶高度连通性呈正相关.这些发现强调了严重成瘾中前额叶功能异常的重要性。
    Impulsivity is a trait associated with several psychiatric conditions, not least addictive disorders. While the neural mechanisms behind certain aspects of impulsivity have been studied extensively, there are few imaging studies examining this neurocircuitry in populations with substance use disorders. Therefore, we aimed to examine the functional connectivity of relevant neural networks, and their possible association with trait impulsivity, in a sample with severe amphetamine use disorder and a control group of healthy subjects. We used data collected in a randomized clinical trial studying the acute effects of oral naltrexone in amphetamine use disorder. Our final sample included 32 amphetamine users and 27 healthy controls. Trait impulsivity was rated with the Barratt Impulsiveness Scale-11, and functional connectivity was measured during resting-state fMRI, looking specifically at networks involving prefrontal regions previously implicated in studies of impulsivity. Amphetamine users had higher subjective ratings of impulsivity as compared to healthy controls, and these scores correlated positively with a wide-spread prefrontal hyperconnectivity that was found among the amphetamine users. These findings highlight the importance of aberrant prefrontal function in severe addiction.
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  • 文章类型: Journal Article
    在阅读的计算模型中,可以使用打印到声音和/或打印到意义的途径阅读书面单词。神经影像学数据关联背侧血流区域(左后枕颞叶皮质,顶内皮质,背侧下额回[dIFG]),具有声纹到声音的通路和腹侧流区域(左前梭形回,颞中回)具有打印到意义的途径。在69个典型的成年人中,我们调查了视觉单词形式区域(VWFA)与背侧和腹侧区域之间的静息状态功能连接(RSFC)是否与语音相关(非单词阅读,非单词重复,spoonerisms),词汇语义(词汇,阅读中对语素单位的敏感性),和一般识字(单词阅读,拼写)技能。VWFA活性与背侧和腹侧阅读区域的活性在时间上相关。在预先登记的全脑分析中,VWFA和左背侧区域之间的spoonerism表现与RSFC呈正相关(dIFG,上顶叶和顶内皮质)。在探索性感兴趣区域分析中,VWFA-dIFG连通性与非单词重复也呈正相关,拼写,和词汇。VWFA和腹侧流区域之间的连通性与任何行为测量的表现无关,无论是在全脑或感兴趣的区域分析。我们的结果表明,任务,如勺子和拼写,这两个都是复杂的(即,涉及多个子过程),并且具有很高的主体间变异性,为观察静息状态的大脑行为关联提供了更大的机会。然而,这些任务的复杂性限制了我们可以得出的关于驱动这些关联的特定机制的结论。未来的研究将受益于从多个任务中利用相同的阅读子过程构建潜在变量。
    In computational models of reading, written words can be read using print-to-sound and/or print-to-meaning pathways. Neuroimaging data associate dorsal stream regions (left posterior occipitotemporal cortex, intraparietal cortex, dorsal inferior frontal gyrus [dIFG]) with the print-to-sound pathway and ventral stream regions (left anterior fusiform gyrus, middle temporal gyrus) with the print-to-meaning pathway. In 69 typical adults, we investigated whether resting state functional connectivity (RSFC) between the visual word form area (VWFA) and dorsal and ventral regions correlated with phonological (nonword reading, nonword repetition, spoonerisms), lexical-semantic (vocabulary, sensitivity to morpheme units in reading), and general literacy (word reading, spelling) skills. VWFA activity was temporally correlated with activity in both dorsal and ventral reading regions. In pre-registered whole-brain analyses, spoonerisms performance was positively correlated with RSFC between the VWFA and left dorsal regions (dIFG, superior parietal and intraparietal cortex). In exploratory region-of-interest analyses, VWFA-dIFG connectivity was also positively correlated with nonword repetition, spelling, and vocabulary. Connectivity between the VWFA and ventral stream regions was not associated with performance on any behavioural measure, either in whole-brain or region-of-interest analyses. Our results suggest that tasks such as spoonerisms and spellings, which are both complex (i.e., involve multiple subprocesses) and have high between-subject variability, provide greater opportunity for observing resting-state brain-behaviour associations. However, the complexity of these tasks limits the conclusions we can draw about the specific mechanisms that drive these associations. Future research would benefit from constructing latent variables from multiple tasks tapping the same reading subprocess.
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  • 文章类型: Journal Article
    本研究旨在考察急性有氧运动(AE)对大学生运动皮层静息状态功能连接(RSFC)的影响及健身水平的调节作用。
    公开招募了20名高健身水平大学生和20名普通大学生。受试者通过自行车测功机分别完成25分钟的中等强度和高强度急性有氧运动,通过功能近红外光谱(fNIRS,岛津便携式轻型NIRS,日本)在测试前和测试后。
    在中等强度水平,高适应度组的RSFC前后测试的总平均值有显著差异(前测0.62±0.18,后测0.51±0.17,t(19)=2.61,p=0.02,d=0.58),但在低适应度组没有发现显著变化。在高强度水平,高、低适应性组试验前后总RSFC差异无统计学意义。根据190个“边缘”的变化趋势:在中等强度水平,高适应度组(d=0.58、23)的差异边数显著高于低适应度组(d=0.32、15),在高强度水平下,高适应度组(d=0.25,18)和低适应度组(d=0.39,23)之间存在相反的趋势。
    中等强度AE可引起高适应度大学生运动皮层RSFC的显著变化,高体能对运动强度与RSFC的关系有调节作用。高体质人群的RSFC更容易受到AE的影响,并且表现出更广泛的变化。
    This study intends to inspect the effects of acute aerobic exercise (AE) on resting state functional connectivity (RSFC) in motor cortex of college students and the moderating effect of fitness level.
    20 high fitness level college students and 20 ordinary college students were recruited in public. Subjects completed 25 min of moderate- and high-intensity acute aerobic exercise respectively by a bicycle ergometer, and the motor cortex\'s blood oxygen signals in resting state were monitored by functional Near Infrared Spectroscopy (fNIRS, the Shimadzu portable Light NIRS, Japan) in pre- and post-test.
    At the moderate intensity level, the total mean value of RSFC pre- and post-test was significantly different in the high fitness level group (pre-test 0.62 ± 0.18, post-test 0.51 ± 0.17, t(19) = 2.61, p = 0.02, d = 0.58), but no significant change was found in the low fitness level group. At the high-intensity level, there was no significant difference in the difference of total RSFC between pre- and post-test in the high and low fitness group. According to and change trend of 190 \"edges\": at the moderate-intensity level, the number of difference edges in the high fitness group (d = 0.58, 23) were significantly higher than those in the low fitness group (d = 0.32, 15), while at high-intensity level, there was a reverse trend between the high fitness group (d = 0.25, 18) and the low fitness group (d = 0.39, 23).
    moderate-intensity AE can cause significant changes of RSFC in the motor cortex of college students with high fitness, while high fitness has a moderating effect on the relationship between exercise intensity and RSFC. RSFC of people with high fitness is more likely to be affected by AE and show a wider range of changes.
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  • 文章类型: Journal Article
    小脑在遗忘型轻度认知障碍(aMCI)中的作用,通常是阿尔茨海默病的前驱阶段,没有完全理解。我们使用静息状态功能MRI研究了15种认知正常和16种aMCI的小叶特异性小脑-脑连通性。我们的分析显示,aMCI中认知小脑小叶和顶叶之间的连通性较弱。然而,在具有某些大脑区域的认知小脑小叶中观察到更强的连通性,包括前脑皮层,后扣带回,认知较差的参与者的尾状核。利用aMCI中小脑-顶叶功能网络的这些可测量的变化可以为未来的治疗干预提供途径。
    The role of the cerebellum in amnestic mild cognitive impairment (aMCI), typically a prodromal stage of Alzheimer\'s disease, is not fully understood. We studied the lobule-specific cerebello-cerebral connectivity in 15 cognitively normal and 16 aMCI using resting-state functional MRI. Our analysis revealed weaker connectivity between the cognitive cerebellar lobules and parietal lobe in aMCI. However, stronger connectivity was observed in the cognitive cerebellar lobules with certain brain regions, including the precuneus cortex, posterior cingulate gyrus, and caudate nucleus in participants with worse cognition. Leveraging these measurable changes in cerebello-parietal functional networks in aMCI could offer avenues for future therapeutic interventions.
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  • 文章类型: Journal Article
    人类应激反应的特征是神经调质的增加,包括去甲肾上腺素(NE)和皮质醇。两种神经调质都可以进入大脑并影响神经功能反应。与压力相关的两个大脑区域是杏仁核和海马。NE和皮质醇对杏仁核和海马静息状态功能连接(RSFC)的确切影响知之甚少。
    研究NE和皮质醇对杏仁核和海马RSFC的影响。
    我们招募了165名参与者,他们随机接受了10毫克育亨宾和/或10毫克氢化可的松,安慰剂对照设计。通过基于种子的分析,我们分别比较了接受药物治疗和安慰剂治疗的三组海马体和杏仁核的RSFC.
    我们发现育亨宾和安慰剂条件之间或氢化可的松和安慰剂条件之间在杏仁核或海马FC方面没有差异。与安慰剂相比,育亨宾/氢化可的松情况显示杏仁核和海马RSFC随小脑增加。此外,他们增加了海马RSFC与杏仁核和大脑白质。
    NE和皮质醇升高的组显示杏仁核之间的RSFC显着增加,海马体,和小脑与安慰剂相比。这三个大脑区域参与联想学习和情绪记忆,表明该网络在人类应激反应中的关键作用。我们的结果表明,NE和皮质醇一起可能会影响这种关联的强度。与安慰剂相比,我们发现仅接受一种药物的组没有差异,表明单独增加一种神经调质可能不会引起神经功能反应的差异。该研究程序已在clinicaltrials.gov(ID:NCT04359147)上注册。
    UNASSIGNED: The human stress response is characterized by increases in neuromodulators, including norepinephrine (NE) and cortisol. Both neuromodulators can enter the brain and affect neurofunctional responses. Two brain areas associated with stress are the amygdala and the hippocampus. The precise influence of NE and cortisol on the amygdala and hippocampal resting state functional connectivity (RSFC) is poorly understood.
    UNASSIGNED: To investigate the influence of NE and cortisol on the amygdala and hippocampal RSFC.
    UNASSIGNED: We recruited 165 participants who received 10 mg yohimbine and/or 10 mg hydrocortisone in a randomized, placebo-controlled design. With seed-based analyses, we compared RSFC of the hippocampus and amygdala separately between the three groups that received medication versus placebo.
    UNASSIGNED: We found no differences between yohimbine and placebo condition or between hydrocortisone and placebo condition regarding amygdala or hippocampal FC. Compared with placebo, the yohimbine/hydrocortisone condition showed increased amygdala and hippocampal RSFC with the cerebellum. Also, they had increased hippocampal RSFC with the amygdala and cerebral white matter.
    UNASSIGNED: The group with elevated NE and cortisol showed significantly increased RSFC between the amygdala, hippocampus, and cerebellum compared to placebo. These three brain areas are involved in associative learning and emotional memory, suggesting a critical role for this network in the human stress response. Our results show that NE and cortisol together may influence the strength of this association. Compared to placebo, we found no differences in the groups receiving only one medication, suggesting that increasing one neuromodulator alone may not induce differences in neurofunctional responses. The study procedure has been registered at clinicaltrials.gov (ID: NCT04359147).
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  • 文章类型: Journal Article
    平衡的兴奋-抑制比(E/I比)对于健康的脑功能是关键的。皮质全E/I比率的规范发展仍然未知。这里,我们通过对静息状态功能MRI(fMRI)数据进行大规模生物物理可信回路模型拟合,来无创地估计全皮质E/I比值的推定标记.我们首先确认我们的模型在人类Connectome项目中生成了现实的大脑动力学。接下来,我们表明,在fMRI过程中,估计的E/I比率标记对γ-氨基丁酸(GABA)激动剂苯二氮卓阿普唑仑敏感。阿普唑仑诱导的E/I变化在空间上与苯二氮卓受体密度的正电子发射断层扫描测量一致。然后,我们研究了E/I比值标记与神经发育之间的关系。我们发现E/I比值标记在青年时期在大脑皮层中不均匀地下降,相对于联想系统,感觉运动系统的减少最大。重要的是,在相同实际年龄的儿童中,较低的E/I比值标记(尤其是在联想皮层中)与更好的认知表现相关.这一结果在北美(8.2至23.0岁)和亚洲(7.2至7.9岁)人群中复制,表明更成熟的E/I比指标改善了规范发展过程中的认知。总的来说,我们的研究结果为研究E/I轨迹中断如何导致青年时期出现的精神病理学认知功能障碍打开了大门.
    A balanced excitation-inhibition ratio (E/I ratio) is critical for healthy brain function. Normative development of cortex-wide E/I ratio remains unknown. Here, we noninvasively estimate a putative marker of whole-cortex E/I ratio by fitting a large-scale biophysically plausible circuit model to resting-state functional MRI (fMRI) data. We first confirm that our model generates realistic brain dynamics in the Human Connectome Project. Next, we show that the estimated E/I ratio marker is sensitive to the gamma-aminobutyric acid (GABA) agonist benzodiazepine alprazolam during fMRI. Alprazolam-induced E/I changes are spatially consistent with positron emission tomography measurement of benzodiazepine receptor density. We then investigate the relationship between the E/I ratio marker and neurodevelopment. We find that the E/I ratio marker declines heterogeneously across the cerebral cortex during youth, with the greatest reduction occurring in sensorimotor systems relative to association systems. Importantly, among children with the same chronological age, a lower E/I ratio marker (especially in the association cortex) is linked to better cognitive performance. This result is replicated across North American (8.2 to 23.0 y old) and Asian (7.2 to 7.9 y old) cohorts, suggesting that a more mature E/I ratio indexes improved cognition during normative development. Overall, our findings open the door to studying how disrupted E/I trajectories may lead to cognitive dysfunction in psychopathology that emerges during youth.
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  • 文章类型: Journal Article
    大量证据强调了小脑在特发性震颤(ET)的病理生理学中的作用,尽管在这种情况下其可能参与改变运动执行的可能性尚不清楚。本研究旨在探讨ET中小脑和基底节功能连接与自主运动执行异常的潜在相关性。用运动学技术客观评估。本研究共纳入20例ET患者和18例健康受试者。使用光电运动学系统记录震颤和重复的手指敲击。所有参与者都接受了全面的3T-MRI检查,包括静息状态下的3D-T1和血氧水平依赖性(BOLD)序列。对3D-T1图像进行形态测量分析,同时进行了基于种子的分析,以研究齿状核的背侧和腹侧部分以及苍白球的外部和内部节段的静息状态功能连接(rsFC)。最后,评估了患者rsFC改变与临床和运动学评分之间的潜在相关性.ET的手指轻敲动作比健康受试者慢。与健康受试者相比,ET患者表现出齿状和苍白球伴小脑的FC改变,基底神经节,和皮质区域。有趣的是,齿状和苍白球FC均与患者的运动速度呈正相关,与我们在健康受试者中观察到的不同,表示FC越高,手指敲击的速度越快。这项研究的结果表明,小脑和基底节在ET患者自愿运动执行改变的病理生理学中的可能作用。
    Substantial evidence highlights the role of the cerebellum in the pathophysiology of tremor in essential tremor (ET), although its potential involvement in altered movement execution in this condition remains unclear. This study aims to explore potential correlations between the cerebellum and basal ganglia functional connectivity and voluntary movement execution abnormalities in ET, objectively assessed with kinematic techniques. A total of 20 patients diagnosed with ET and 18 healthy subjects were enrolled in this study. Tremor and repetitive finger tapping were recorded using an optoelectronic kinematic system. All participants underwent comprehensive 3T-MRI examinations, including 3D-T1 and blood-oxygen-level dependent (BOLD) sequences during resting state. Morphometric analysis was conducted on the 3D-T1 images, while a seed-based analysis was performed to investigate the resting-state functional connectivity (rsFC) of dorsal and ventral portions of the dentate nucleus and the external and internal segments of the globus pallidus. Finally, potential correlations between rsFC alterations in patients and clinical as well as kinematic scores were assessed. Finger tapping movements were slower in ET than in healthy subjects. Compared to healthy subjects, patients with ET exhibited altered FC of both dentate and globus pallidus with cerebellar, basal ganglia, and cortical areas. Interestingly, both dentate and pallidal FC exhibited positive correlations with movement velocity in patients, differently from that we observed in healthy subjects, indicating the higher the FC, the faster the finger tapping. The findings of this study indicate the possible role of both cerebellum and basal ganglia in the pathophysiology of altered voluntary movement execution in patients with ET.
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