Cortical thickness

皮质厚度
  • 文章类型: Journal Article
    从青春期开始,女性更有可能经历恐惧失调。口服避孕药(OC)可以调节参与恐惧过程的大脑区域。OCs通常使用多年,通常在青春期开始,一个敏感时期,涉及恐惧电路的某些大脑区域仍在进行重要的重组。目前尚不清楚在青春期使用OC是否会引起恐惧电路的长期变化。这项研究旨在检查发病年龄是否调节了使用时间与恐惧相关的大脑结构之间的关系。我们收集了98名健康成年女性的结构MRI数据(61名当前用户,37过去的用户),并提取了恐惧电路关键区域的灰质体积(GMV)和皮层厚度(CT)。非线性多元回归揭示了发病年龄和二次使用持续时间对右海马和右腹内侧前额叶皮层(vmPFC)GMV的相互作用。在青春期早期启动OCs的女性中,与使用时间较长相比,使用时间较短与海马GMV较小和vmPFC较厚相关.对于右vmPFC的GMV和CT,OC发病早期的女性在使用时间较短的时间内比发病较晚的女性有更多的灰质.我们的结果表明,青春期早期使用OC可能会对恐惧学习及其调节的结构相关性产生持久影响。这些发现支持对OC使用时机的进一步调查,以更好地理解OC如何破坏正常的大脑发育过程。
    From adolescence, women become more likely to experience fear dysregulation. Oral contraceptives (OCs) can modulate the brain regions involved in fear processes. OCs are generally used for years and often initiated during adolescence, a sensitive period where certain brain regions involved in the fear circuitry are still undergoing important reorganization. It remains unknown whether OC use during adolescence may induce long-lasting changes in the fear circuitry. This study aimed to examine whether age of onset moderated the relationship between duration of use and fear-related brain structures. We collected structural MRI data in 98 healthy adult women (61 current users, 37 past users) and extracted grey matter volumes (GMV) and cortical thickness (CT) of key regions of the fear circuitry. Non-linear multiple regressions revealed interaction effects between age of onset and quadratic duration of use on GMV of the right hippocampus and right ventromedial prefrontal cortex (vmPFC). Among women who initiated OCs earlier in adolescence, a short duration of use was associated with smaller hippocampal GMV and thicker vmPFC compared to a longer duration of use. For both GMV and CT of the right vmPFC, women with an early OC onset had more grey matter at a short duration of use than those with a later onset. Our results suggest that OC use earlier in adolescence may induce lasting effects on structural correlates of fear learning and its regulation. These findings support further investigation into the timing of OC use to better comprehend how OCs could disrupt normal brain development processes.
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  • 文章类型: Journal Article
    目的:探索如何利用解剖学测量和场建模来改善对运动和非运动TMS目标的经颅磁刺激(TMS)影响的研究。
    方法:使用静息运动阈值(rMT)评估TMS运动效果(针对初级运动皮层[M1]),而TMS非运动效应(针对颞上回[STG])则使用疼痛记忆任务进行评估。解剖测量包括头皮-皮层距离(SCD)和皮层厚度(CT),而场建模涵盖了TMS诱导的电场(E)的大小。
    结果:M1和STG之间的解剖学测量和现场建模值存在显著差异。对于TMS电机效果,rMT与SCD相关,CT,和E值在M1(p<0.05)。在STG和TMS非运动效应的这些指标之间没有发现相关性(疼痛记忆;所有p值>0.05)。
    结论:尽管解剖测量和场建模与TMS运动效应密切相关,它们与非运动效应的关系-例如疼痛记忆-似乎更加脆弱和复杂,强调需要进一步推进我们使用TMS和虚拟病变范例。
    OBJECTIVE: Explore how anatomical measurements and field modeling can be leveraged to improve investigations of transcranial magnetic stimulation (TMS) effects on both motor and non-motor TMS targets.
    METHODS: TMS motor effects (targeting the primary motor cortex [M1]) were evaluated using the resting motor threshold (rMT), while TMS non-motor effects (targeting the superior temporal gyrus [STG]) were assessed using a pain memory task. Anatomical measurements included scalp-cortex distance (SCD) and cortical thickness (CT), whereas field modeling encompassed the magnitude of the electric field (E) induced by TMS.
    RESULTS: Anatomical measurements and field modeling values differed significantly between M1 and STG. For TMS motor effects, rMT was correlated with SCD, CT, and E values at M1 (p < 0.05). No correlations were found between these metrics for the STG and TMS non-motor effects (pain memory; all p-values > 0.05).
    CONCLUSIONS: Although anatomical measurements and field modeling are closely related to TMS motor effects, their relationship to non-motor effects - such as pain memory - appear to be much more tenuous and complex, highlighting the need for further advancement in our use of TMS and virtual lesion paradigms.
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  • 文章类型: Journal Article
    早产(PTB)儿童通常处于神经认知困难的高风险中,更具体地说是语言障碍。社会经济地位(SES)等环境因素对足月儿童的语言发展起着关键作用。SES已被证明可以预测PTB儿童的行为发育轨迹,有时超过它对学期儿童的作用。然而,SES在PTB儿童语言发育的神经认知基础中的作用尚不清楚。这里,我们旨在评估SES在PTB儿童语言表现的神经基础中的作用。利用青少年大脑认知发育(ABCD)研究,迄今为止最大的青少年大脑发育和行为纵向研究,我们表明,早产状态(PTB与足月)和SES的多个方面可加性预测皮质厚度的变异性,这反过来又与儿童的接受性词汇表现有关。我们没有发现证据支持环境因素对PTB和足月儿童的不同作用。强调环境因素是足月和PTB儿童发育的重要因素。一起来看,我们的结果表明,影响语言发育的环境因素可能在整个胎龄范围内表现出相似性。
    Preterm-born (PTB) children are at an elevated risk for neurocognitive difficulties in general and language difficulties more specifically. Environmental factors such as socio-economic status (SES) play a key role for Term children\'s language development. SES has been shown to predict PTB children\'s behavioral developmental trajectories, sometimes surpassing its role for Term children. However, the role of SES in the neurocognitive basis of PTB children\'s language development remains uncharted. Here, we aimed to evaluate the role of SES in the neural basis of PTB children\'s language performance. Leveraging the Adolescent Brain Cognitive Development (ABCD) Study, the largest longitudinal study of adolescent brain development and behavior to date, we showed that prematurity status (PTB versus Term) and multiple aspects of SES additively predict variability in cortical thickness, which is in turn related to children\'s receptive vocabulary performance. We did not find evidence to support the differential role of environmental factors for PTB versus Term children, underscoring that environmental factors are significant contributors to development of both Term and PTB children. Taken together, our results suggest that the environmental factors influencing language development might exhibit similarities across the full spectrum of gestational age.
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  • 文章类型: Journal Article
    注意技能和抑制控制的发展依赖于童年和青年时期大脑的成熟变化。然而,大脑解剖结构以及注意力和抑制的不同成分都显示出明显的个体差异。对ADHD和抑制性训练和控制的研究表明,特别是下层皮质结构的厚度和表面积的变化与注意控制有关。然而,抑制控制的发展如何与超出一般年龄和性别依赖性差异的解剖学变化相关的复杂性尚未解决。这里,我们试图通过在6-14岁儿童中使用停止信号任务表现量化额叶皮质区域的皮质厚度和表面积以及抑制控制来解决这些问题.我们的结果表明,左内侧眶额皮质的厚度和左尾前扣带的表面积与抑制性能有关,超出了受试者年龄和性别可以解释的差异。结果强调了在关注注意力发展时考虑解剖变化的重要性,以及在旨在将皮质结构的特性与认知表现的变化联系起来时评估多种解剖措施的重要性。
    Development of attentional skills and inhibitory control rely on maturational changes in the brain across childhood and youth. However, both brain anatomy and different components of attention and inhibition show notable individual variation. Research on ADHD and inhibitory training and control have shown that variations in the thickness and surface area of particularly inferior cortical structures are associated with attentional control. However, the intricacies of how the development of inhibitory control is associated with the anatomical variations beyond the general age- and gender-dependent differences have not been resolved. Here, we sought to address these questions by quantifying the cortical thickness and surface area in frontal cortical regions and inhibitory control using the stop signal task performance in 6-14-year-old children. Our results showed that the thickness of the left medial orbitofrontal cortex and the surface area of the left caudal anterior cingulate were associated with the inhibitory performance, beyond the variance that could be explained by the subjects\' age and gender. The results highlight the importance of factoring in anatomical variations when following attentional development and the importance of evaluating multiple anatomical measures when aiming to link the properties of cortical structures with variations in cognitive performance.
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  • 文章类型: Journal Article
    越来越多的研究集中在空气污染对大脑健康的影响上。随着空气污染的流行与其他环境危害一起增加,研究这些变化对人类健康的影响变得越来越重要。此外,深入了解空气污染是如何暴露的,在寿命的不同点测量,影响大脑结构至关重要,因为这可能是以后生活中认知能力下降的前兆。这篇综述的目的是综合有关空气污染物暴露与皮质厚度之间关联的文献,已知与后期认知和神经退行性疾病相关的结构变化。筛选后,本系统综述纳入了12项研究.在大多数研究中,结果表明,增加空气污染暴露与皮质厚度减少之间存在显着关联,主要在前额叶皮层等区域,precuneus,和大脑的颞区。这些结果在年龄组和不同的空气污染物之间确实有所不同,最突出的结果是暴露于PM2.5,最小的颗粒物尺寸包括在审查中。在未来,重要的是继续研究皮质厚度,因为它对大脑功能至关重要,并且可能对疾病进展产生影响。此外,进行更多的纵向研究,将空气污染测量为整个生命周期的累积量,将有助于阐明何时暴露最有影响,何时可以观察到大脑结构变化。
    Increasing research has focused on the impact of air pollution on brain health. As the prevalence of air pollution is increasing alongside other environmental harms, the importance of studying the effects of these changes on human health has become more significant. Additionally, gaining insight into how air pollution exposure, measured at different points in the lifespan, can affect brain structure is critical, as this could be a precursor to cognitive decline later in life. The purpose of this review was to synthesize the literature on the association between air pollutant exposure and cortical thickness, a structural change with known associations with later cognition and neurodegenerative disease. After screening, twelve studies were included in this systematic review. Across a majority of studies, results suggest significant associations between increasing air pollution exposure and decreases in cortical thickness, primarily in areas such as prefrontal cortex, precuneus, and temporal regions of the brain. These results did differ somewhat between age groups and different air pollutants, with the most prominent results being found with exposure to PM2.5, the smallest particulate matter size included in the review. In the future, it is important to continue studying cortical thickness as it is essential to brain functioning and can be influential in disease progression. Furthermore, conducting more longitudinal studies in which air pollution is measured as a cumulation throughout the lifespan would help elucidate when exposure is most impactful and when brain structural changes become observable.
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  • 文章类型: Journal Article
    肥胖和精神分裂症(SZ)相关的重要证据,但是大脑的关联在很大程度上仍然不清楚。将48例SZ患者分为两个亚组:腰围较低的患者(SZ-LWC:n=24)和腰围较高的患者(SZ-HWC:n=24)。包括健康对照(HC)用于比较(HC:n=27)。使用基于道的空间统计,我们比较了这三组(SZ-LWC,SZ-HWC,HC)。使用免费冲浪者,我们比较了三组间的全大脑皮层厚度和选定的皮层下体积.SZ-HWC组的广泛白质FA以及右颞叶和岛叶皮层的平均皮层厚度显着低于HC组。SZ-LWC组的区域白质FA明显低于HC组。两组之间的平均皮质下体积没有显着差异。此外,SZ-HWC组的认知表现较差,谁有更严重的甘油三酯升高。这项研究为白质的微结构异常提供了证据,SZ过度腹型肥胖患者的皮质厚度和神经认知缺陷。
    Significant evidence links obesity and schizophrenia (SZ), but the brain associations are still largely unclear. 48 people with SZ were divided into two subgroups: patients with lower waist circumference (SZ-LWC: n = 24) and patients with higher waist circumference (SZ-HWC: n = 24). Healthy controls (HC) were included for comparison (HC: n = 27). Using tract-based spatial statistics, we compared fractional anisotropy (FA) of the whole-brain white matter skeleton between these three groups (SZ-LWC, SZ-HWC, HC). Using Free Surfer, we compared whole-brain cortical thickness and the selected subcortical volumes between the three groups. FA of widespread white matter and the mean cortical thickness in the right temporal lobe and insular cortex were significantly lower in the SZ-HWC group than in the HC group. The FA of regional white matter was significantly lower in the SZ-LWC group than in the HC group. There were no significant differences in mean subcortical volumes between the groups. Additionally, the cognitive performances were worse in the SZ-HWC group, who had more severe triglycerides elevation. This study provides evidence for microstructural abnormalities of white matter, cortical thickness and neurocognitive deficits in SZ patients with excessive abdominal obesity.
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  • 文章类型: Journal Article
    背景:快感障碍是阈下抑郁(StD)的一种持久症状,可预测重度抑郁症(MDD)的后期发作。与健康对照(HC)相比,脑结构协方差描述了形态学变化的区域间分布,并反映了脑成熟和疾病进展。我们从结构协方差研究了快感缺失的神经相关性。
    方法:从79名年轻人中采集了T1加权脑磁共振图像(26StD,30MDD,和23HC)。68个皮质表面积(CSAs)的个体内结构协方差网络,68皮质厚度(CT),构建了14个皮质下体积。使用全局和区域图指标定义了组级枢纽和主要边缘,组间比较,并检查了与快感缺失严重程度的关联。
    结果:全球网络指标在StD,MDD,HC。StD显示左苍白球体积的中心性低于HC。在右头端前扣带回皮质(ACC)和三角部的CSA中,StD显示出高于HC的中心性,在左眶旁的CT中。快感减少与左苍白球和右杏仁核的中心性较高相关,左中央后回-海马旁回和LIPL-右杏仁核的结构协方差(EBSC)中的边缘中心性较高。更多的快感缺失与左下顶叶小叶(LIPL)的中心性较高有关,左中央后回,左尾部ACC,LIPL-左中央后回的EBSC较高,LIPL-右枕骨外侧回,左尾ACC-海马旁回。
    结论:本研究采用横断面设计。
    结论:显著性和边缘网络内脑形态的结构协方差,在显著性-边缘-默认模式-躯体运动-视觉网络中,是抑郁症中快感缺失的可能神经相关因素。
    BACKGROUND: Anhedonia is an enduring symptom of subthreshold depression (StD) and predict later onset of major depressive disorder (MDD). Brain structural covariance describes the inter-regional distribution of morphological changes compared to healthy controls (HC) and reflects brain maturation and disease progression. We investigated neural correlates of anhedonia from the structural covariance.
    METHODS: T1-weighted brain magnetic resonance images were acquired from 79 young adults (26 StD, 30 MDD, and 23 HC). Intra-individual structural covariance networks of 68 cortical surface area (CSAs), 68 cortical thicknesses (CTs), and 14 subcortical volumes were constructed. Group-level hubs and principal edges were defined using the global and regional graph metrics, compared between groups, and examined for the association with anhedonia severity.
    RESULTS: Global network metrics were comparable among the StD, MDD, and HC. StD exhibited lower centralities of left pallidal volume than HC. StD showed higher centralities than HC in the CSAs of right rostral anterior cingulate cortex (ACC) and pars triangularis, and in the CT of left pars orbitalis. Less anhedonia was associated with higher centralities of left pallidum and right amygdala, higher edge betweenness centralities in the structural covariance (EBSC) of left postcentral gyrus-parahippocampal gyrus and LIPL-right amygdala. More anhedonia was associated with higher centralities of left inferior parietal lobule (LIPL), left postcentral gyrus, left caudal ACC, and higher EBSC of LIPL-left postcentral gyrus, LIPL-right lateral occipital gyrus, and left caudal ACC-parahippocampal gyrus.
    CONCLUSIONS: This study has a cross-sectional design.
    CONCLUSIONS: Structural covariance of brain morphologies within the salience and limbic networks, and among the salience-limbic-default mode-somatomotor-visual networks, are possible neural correlates of anhedonia in depression.
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  • 文章类型: Journal Article
    背景:血液来源的微小RNA(miRNA)是检测和预防亚临床认知功能障碍的潜在候选者。然而,复制先前发现并鉴定与认知结构域相关的新miRNA,包括它们与大脑结构的关系以及它们调节的途径,仍然缺乏。
    方法:我们检查了与认知域相关的血液来源的miRNA和miRNA共表达簇,结构磁共振成像措施,靶基因表达,和基于人群的队列的2869名参与者的遗传变异。
    结果:5个先前鉴定的和14个新的miRNA与认知结构域相关。其中11个也与皮质厚度有关,两个与海马体积有关。多组学分析表明,某些已鉴定的miRNA受到遗传影响,并在神经发生和突触组装等通路中调节基因。
    结论:我们鉴定了与认知域相关的miRNAs,大脑区域,和受衰老和神经变性影响的神经元过程,使它们成为有希望的候选血液生物标志物或亚临床认知功能障碍的治疗靶标。
    结论:我们研究了血液来源的microRNA与认知结构域的关联。5个先前鉴定的和14个新的microRNA与认知相关。11个认知相关的microRNAs也与皮质厚度相关。鉴定的微小RNA与与神经元功能相关的基因相关联。结果提供了认知老化的推定生物标志物或治疗目标。
    BACKGROUND: Blood-derived microRNAs (miRNAs) are potential candidates for detecting and preventing subclinical cognitive dysfunction. However, replication of previous findings and identification of novel miRNAs associated with cognitive domains, including their relation to brain structure and the pathways they regulate, are still lacking.
    METHODS: We examined blood-derived miRNAs and miRNA co-expression clusters in relation to cognitive domains, structural magnetic resonance imaging measures, target gene expression, and genetic variants in 2869 participants of a population-based cohort.
    RESULTS: Five previously identified and 14 novel miRNAs were associated with cognitive domains. Eleven of these were also associated with cortical thickness and two with hippocampal volume. Multi-omics analysis showed that certain identified miRNAs were genetically influenced and regulated genes in pathways like neurogenesis and synapse assembly.
    CONCLUSIONS: We identified miRNAs associated with cognitive domains, brain regions, and neuronal processes affected by aging and neurodegeneration, making them promising candidate blood-based biomarkers or therapeutic targets of subclinical cognitive dysfunction.
    CONCLUSIONS: We investigated the association of blood-derived microRNAs with cognitive domains. Five previously identified and 14 novel microRNAs were associated with cognition. Eleven cognition-related microRNAs were also associated with cortical thickness. Identified microRNAs were linked to genes associated with neuronal functions. Results provide putative biomarkers or therapeutic targets of cognitive aging.
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  • 文章类型: Journal Article
    帕金森病认知评定量表(PD-CRS)是一种广泛使用的工具,用于检测帕金森病(PD)患者的轻度认知障碍(MCI),然而,这项测试结果的神经解剖学基础需要澄清。这项研究的目的是:(a)调查表现出轻度认知障碍(PD-MCI)的PD患者和那些保持认知能力(PD-IC)的患者之间的皮质体积(CVol)和皮质厚度(CTh)差异;和(b)确定整体PD-CRS表现的磁共振成像(MRI)的结构相关性,包括它的子测试分数,在非痴呆PD队列中。
    这项研究涉及51名患有Hoehn和YahrI-II期的PD患者,分为两组:PD-IC(n=36)和PD-MCI(n=15)。认知筛查评估使用PD-CRS和蒙特利尔认知评估(MoCA)。PD-MCI分类符合运动障碍协会工作队的标准,纳入广泛的神经心理学评估。使用FreeSurfer确定大脑形态与认知表现之间的相互关系。
    对整个大脑的顶点分析显示,在2,934mm2的集群内,CVol显着减少,包括顶叶和颞区,相对于PD-IC组,PD-MCI组。较低的PD-CRS总分与中额叶CVol降低相关,上颞叶,下顶叶,和扣带回皮质。持续注意和时钟绘制的PD-CRS子测试与不同区域的皮质变薄有关:时钟绘制子测试与顶叶的变化相关,脑岛,和上颞叶皮层形态;而PD-CRS额叶-皮质下评分与横颞叶的CTh呈正相关,内侧眶额,上颞叶,precuneus,梭形,和上边缘区域。此外,用于语义和交替言语流畅性的PD-CRS子测试与眶额的CTh变化有关,temporal,梭形,脑岛,和前中央区域。
    PD-CRS表现反映了广泛的额颞顶区的神经解剖学变化,覆盖外侧和内侧皮质表面,在没有痴呆的PD患者中。观察到的与该认知筛查工具相关的CVol和CTh的变化表明它们作为PD认知下降的替代标志物的潜力。这些发现值得在涉及独立患者队列的多中心研究中进一步探索和验证。
    UNASSIGNED: The Parkinson\'s Disease-Cognitive Rating Scale (PD-CRS) is a widely used tool for detecting mild cognitive impairment (MCI) in Parkinson\'s Disease (PD) patients, however, the neuroanatomical underpinnings of this test\'s outcomes require clarification. This study aims to: (a) investigate cortical volume (CVol) and cortical thickness (CTh) disparities between PD patients exhibiting mild cognitive impairment (PD-MCI) and those with preserved cognitive abilities (PD-IC); and (b) identify the structural correlates in magnetic resonance imaging (MRI) of overall PD-CRS performance, including its subtest scores, within a non-demented PD cohort.
    UNASSIGNED: This study involved 51 PD patients with Hoehn & Yahr stages I-II, categorized into two groups: PD-IC (n = 36) and PD-MCI (n = 15). Cognitive screening evaluations utilized the PD-CRS and the Montreal Cognitive Assessment (MoCA). PD-MCI classification adhered to the Movement Disorder Society Task Force criteria, incorporating extensive neuropsychological assessments. The interrelation between brain morphology and cognitive performance was determined using FreeSurfer.
    UNASSIGNED: Vertex-wise analysis of the entire brain demonstrated a notable reduction in CVol within a 2,934 mm2 cluster, encompassing parietal and temporal regions, in the PD-MCI group relative to the PD-IC group. Lower PD-CRS total scores correlated with decreased CVol in the middle frontal, superior temporal, inferior parietal, and cingulate cortices. The PD-CRS subtests for Sustained Attention and Clock Drawing were associated with cortical thinning in distinct regions: the Clock Drawing subtest correlated with changes in the parietal lobe, insula, and superior temporal cortex morphology; while the PD-CRS frontal-subcortical scores presented positive correlations with CTh in the transverse temporal, medial orbitofrontal, superior temporal, precuneus, fusiform, and supramarginal regions. Additionally, PD-CRS subtests for Semantic and Alternating verbal fluency were linked to CTh changes in orbitofrontal, temporal, fusiform, insula, and precentral regions.
    UNASSIGNED: PD-CRS performance mirrors neuroanatomical changes across extensive fronto-temporo-parietal areas, covering both lateral and medial cortical surfaces, in PD patients without dementia. The observed changes in CVol and CTh associated with this cognitive screening tool suggest their potential as surrogate markers for cognitive decline in PD. These findings warrant further exploration and validation in multicenter studies involving independent patient cohorts.
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  • 文章类型: Journal Article
    载脂蛋白E(APOE)ε4,晚发性阿尔茨海默病(AD)的最强遗传风险,女性比男性有更大的风险。虽然AD中与APOE4相关的脑结构完整性的调节是有据可查的,关于性与APOE相互作用的现有文献集中在老年人身上。在与病理状态进行比较之前,必须将健康的大脑理解为正常衰老过程的一部分,并且与明确的疾病或病理不同。因此,在明显的临床症状和晚期神经变性发作之前,在中年时期描述和更好地理解这些关系是至关重要的。本研究检查了性别之间的关系,APOE状态,和128个健康者的皮质厚度,认知没有受损,中年人(40-60岁,M(SD)=49.97(6.04);77名女性)。所有参与者均接受了结构磁共振成像,并进行了APOE基因分型(APOE4+=38;APOE4-=90)。与男性相比,雌性双侧有较厚的上额叶皮质,左颞叶中皮层,左三角部。与APOE4-相比,APOE4-的左首中额回较薄。与男性相比,女性APOE4-的颞上沟左岸较厚,左尾前扣带,左上额叶,左上顶叶,和右中央前皮质。与男性相比,女性APOE4两侧的上额叶皮质更厚。与女性APOE4-相比,女性APOE4+的左首前扣带皮质较薄。总的来说,与APOE相关的皮质厚度差异在女性中更为明显,在中年时可检测到。早在AD的明显临床症状发作之前。
    Apolipoprotein E (APOE) ε4, the strongest genetic risk for late-onset Alzheimer\'s disease (AD), confers greater risk in females than males. While APOE4-related modulation of structural brain integrity in AD is well documented, extant literature on sex-APOE interactions has focused on older adults. The understanding of the healthy brain as a part of the normal aging process and as distinct from explicit disease or pathology is essential before comparison can be made with pathological states. Hence, it is crucial to characterize and better understand these relationships in middle-age prior to the onset of overt clinical symptoms and advanced neurodegeneration. The present study examined the relationships between sex, APOE status, and cortical thickness in 128 healthy, cognitively unimpaired, middle-aged adults (ages 40-60, M(SD) = 49.97(6.04); 77 females). All participants underwent structural magnetic resonance imaging and were genotyped for APOE (APOE4 +  = 38; APOE4- = 90). Compared to males, females had thicker superior frontal cortices bilaterally, left middle temporal cortex, and left pars triangularis. APOE4 + had thinner left rostral middle frontal gyrus compared to APOE4-. Female compared to male APOE4- had thicker left banks of the superior temporal sulcus, left caudal anterior cingulate, left superior frontal, left superior parietal, and right precentral cortices. Female compared to male APOE4 + had thicker superior frontal cortices bilaterally. Female APOE4 + had thinner left rostral anterior cingulate cortex compared to female APOE4-. Overall, APOE-related differences in cortical thickness are more pronounced in females and detectable in middle age, well before the onset of overt clinical symptoms of AD.
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