Large-scale brain networks

大规模脑网络
  • 文章类型: Journal Article
    默认模式网络(DMN)是已知在广泛的认知任务中被抑制的大规模大脑网络。然而,我们对其在自然和不受约束行为中的作用的理解仍然难以捉摸,因为大多数关于DMN的研究都是在MRI扫描仪的限制性范围内进行的。这里,我们使用多位点GCaMP(一种基因编码的钙指示剂)纤维测光法与同步摄像来探测清醒时的DMN功能,自由探索老鼠我们检查了三个核心DMN节点的神经动力学-脾后皮质,扣带皮质,和前边缘皮层-以及突出网络的前脑岛节点,以及它们与大鼠空间探索行为的关联。我们发现DMN节点在空间探索过程中表现出分层的功能组织,其特征是彼此之间的耦合比前脑岛更强。至关重要的是,这些DMN节点编码了空间探索的运动学,包括线性和角速度。此外,我们确定了编码不同模式的时变探索行为的潜在大脑状态,并发现较高的线速度与增强的DMN活动相关。增强了DMN节点之间的同步,DMN和前岛之间的反相关性增加。我们的发现强调了DMN在现实环境中集体和动态编码空间探索的参与。我们的发现挑战了DMN主要是与外部世界脱离的“任务负面”网络的概念。通过阐明DMN在自然主义行为中的作用,我们的研究强调了在生态有效环境中调查脑网络功能的重要性.
    The default mode network (DMN) is a large-scale brain network known to be suppressed during a wide range of cognitive tasks. However, our comprehension of its role in naturalistic and unconstrained behaviors has remained elusive because most research on the DMN has been conducted within the restrictive confines of MRI scanners. Here, we use multisite GCaMP (a genetically encoded calcium indicator) fiber photometry with simultaneous videography to probe DMN function in awake, freely exploring rats. We examined neural dynamics in three core DMN nodes-the retrosplenial cortex, cingulate cortex, and prelimbic cortex-as well as the anterior insula node of the salience network, and their association with the rats\' spatial exploration behaviors. We found that DMN nodes displayed a hierarchical functional organization during spatial exploration, characterized by stronger coupling with each other than with the anterior insula. Crucially, these DMN nodes encoded the kinematics of spatial exploration, including linear and angular velocity. Additionally, we identified latent brain states that encoded distinct patterns of time-varying exploration behaviors and found that higher linear velocity was associated with enhanced DMN activity, heightened synchronization among DMN nodes, and increased anticorrelation between the DMN and anterior insula. Our findings highlight the involvement of the DMN in collectively and dynamically encoding spatial exploration in a real-world setting. Our findings challenge the notion that the DMN is primarily a \"task-negative\" network disengaged from the external world. By illuminating the DMN\'s role in naturalistic behaviors, our study underscores the importance of investigating brain network function in ecologically valid contexts.
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  • 文章类型: Journal Article
    皮质醇水平与可转座为应激反应性的反应之间的经典倒U形关系的复杂性导致对压力对大脑和行为的健康和毒性影响的机制的不完全理解。更清晰的,更详细,这些关系的图片可以通过整合大规模大脑网络上的皮质醇效应来获得,特别是,通过从抑制和激励的角度关注神经网络配置。Semon和Hebb的细胞记忆理论的统一观点将神经元集合中的生物物理和代谢变化与集体突触的加强联系起来。在这个意义上,神经元的记录能力,store,和检索信息直接关系到其连通性和代谢储备的适应能力。这里,我们使用任务激活的细胞集合或简单的Engram细胞作为例子来证明对压力的适应性行为反应是由中间神经元和兴奋性神经元网络内部和之间的集体突触强度引起的。
    The complexity of the classical inverted U-shaped relationship between cortisol levels and responses transposable to stress reactivity has led to an incomplete understanding of the mechanisms enabling healthy and toxic effects of stress on brain and behavior. A clearer, more detailed, picture of those relationships can be obtained by integrating cortisol effects on large-scale brain networks, in particular, by focusing on neural network configurations from the perspective of inhibition and excitation. A unifying view of Semon and Hebb\'s theories of cellular memory links the biophysical and metabolic changes in neuronal ensembles to the strengthening of collective synapses. In that sense, the neuronal capacity to record, store, and retrieve information directly relates to the adaptive capacity of its connectivity and metabolic reserves. Here, we use task-activated cell ensembles or simply engram cells as an example to demonstrate that the adaptive behavioral responses to stress result from collective synapse strength within and across networks of interneurons and excitatory ones.
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  • 文章类型: Journal Article
    在过去的几年里,不同的研究提供了初步证据,表明无序依恋(DA)可能对自主神经唤醒调节和大脑连通性都具有失调和崩解作用。然而,尽管这种结构具有临床相关性,很少有研究使用脑电图(EEG)研究DA的特定改变。因此,本研究的主要目的是调查成人依恋访谈(AAI)给药前(前)和后(后)非临床样本(N=50)中DA的EEG微状态参数.在AAI之前和之后进行两次EEG闭眼静息状态(RS)记录,用于对参与者进行分类[即,无序/未解决(D/U)或有组织/已解决(O/R)的个人]并触发附件系统。微观状态参数(即,平均持续时间,使用Cartool软件从每个记录中提取时间覆盖和发生)。脑电微观状态聚类分析揭示了6个不同的图(标记为A,B,C,D,E,F)在两组中(即,D/U和O/R个体),并且在这两种情况下(即,AAI前和AAI后)。在AAI前的情况下,与O/R个人相比,D/U参与者显示出较短的平均持续时间和时间覆盖图F;在AAI后条件下,在D/U个体中也观察到图E的平均持续时间显著降低。最后,在“内部”统计分析中(即,前AAIvs.AAI后),AAI后,只有D/U组的F图时间覆盖率显着增加。由于这些地图与参与情绪信息处理和心理化的大脑网络(即,显着性网络和默认模式网络),我们的结果可能反映了在D/U心理状态的个体中观察到的照顾者的互动意识能力不足以及对依恋相关刺激的敏感性增加.
    Over the past years, different studies provided preliminary evidence that Disorganized Attachment (DA) may have dysregulatory and disintegrative effects on both autonomic arousal regulation and brain connectivity. However, despite the clinical relevance of this construct, few studies have investigated the specific alterations underlying DA using electroencephalography (EEG). Thus, the main aim of the current study was to investigate EEG microstate parameters of DA in a non-clinical sample (N = 50) before (pre) and after (post) the administration of the Adult Attachment Interview (AAI). Two EEG eyes-closed Resting State (RS) recordings were performed before and after the AAI, which was used for classifying the participants [i.e., Disorganized/Unresolved (D/U) or Organized/Resolved (O/R) individuals] and to trigger the attachment system. Microstates parameters (i.e., Mean Duration, Time Coverage and Occurrence) were extracted from each recording using Cartool software. EEG microstates clustering analysis revealed 6 different maps (labeled A, B, C, D, E, F) in both groups (i.e., D/U and O/R individuals) and in both conditions (i.e., pre-AAI and post-AAI). In the pre-AAI condition, compared to O/R individuals, D/U participants showed a shorter Mean Duration and Time Coverage of Map F; in the post-AAI condition, a significant reduction in the Mean Duration of Map E was also observed in D/U individuals. Finally, in the \"within\" statistical analysis (i.e., pre-AAI vs. post-AAI), only the D/U group exhibited a significant increase in Time Coverage of Map F after the AAI. Since these maps are associated with brain networks involved in emotional information processing and mentalization (i.e., Salience Network and Default Mode Network), our result might reflect the deficit in the ability to mentalize caregiver\'s interaction as well as the increased sensitivity to attachment-related stimuli typically observed in individuals with a D/U state of mind.
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  • 文章类型: Journal Article
    2型糖尿病(T2D)与血脂异常和轻度认知障碍有关。这项研究调查了血脂代谢之间的关系,认知,T2D患者脑网络内部和之间的功能连接(FC)。该研究包括102名T2D患者和45名健康对照,他们接受了功能磁共振成像,脂质轮廓测试,和认知评估。使用独立成分分析确定了13个功能网络。统计分析包括多变量协方差分析,偏相关,典型相关性,调解分析。我们发现T2D中的网络间FC广泛减少,尤其是在腹侧感觉运动网络(SMN)和背侧注意网络(DAN)之间(p=0.001)以及腹侧SMN和侧视网络(VN)之间(p<0.001)。此外,较低的网络间FCs与较差的血脂代谢和较差的认知能力相关(均p<0.05)。重要的是,网络间FCs介导脂质代谢与认知之间的关系(β=-0.3136,95%CI:-0.7660,-0.0186)。网络内分析显示,前默认模式网络中的FC发生了变化,丹,和横向VN,均与整体认知呈正相关(均p<0.01)。我们的结果表明,通过调节T2D患者的血脂可以改善认知功能。
    Type 2 diabetes (T2D) is associated with dyslipidemia and mild cognitive impairment. This study investigated the relationships between serum lipids metabolism, cognition, and functional connectivity (FC) within and between brain networks in T2D patients. The study included 102 T2D patients and 45 healthy controls who underwent functional magnetic resonance imaging, lipid profile tests, and cognitive assessments. Thirteen functional networks were identified using independent component analysis. The statistical analyses included multivariate analysis of covariance, partial correlation, canonical correlation, and mediation analyses. We found widely reduced between-network FCs in T2D, especially between the ventral sensorimotor network (SMN) and dorsal attention network (DAN) (p = 0.001) and between the ventral SMN and lateral visual network (VN) (p < 0.001). Moreover, lower between-network FCs were correlated with worse serum lipids metabolism and poorer cognitive performance (all p < 0.05). Importantly, between-network FCs mediated the relationship between lipid metabolism and cognition (β = -0.3136, 95% CI: -0.7660, -0.0186). Within-network analyses revealed altered FCs within the anterior default mode network, DAN, and lateral VN, each positively correlated with global cognition (all p < 0.01). Our results suggest the potential of improving cognitive function by regulating serum lipids in individuals with T2D.
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  • 文章类型: Journal Article
    虽然有关于核心物体识别的丰富知识-我们识别清晰的能力,高对比度的物体图像,大脑如何在不确定性增加的情况下完成物体识别任务仍然知之甚少。我们通过在阈值级别的对象识别任务中结合MEG和7TeslafMRI,研究了在不确定性增加的情况下对象识别的时空神经动力学。我们观察到早期,在类别相关信息出现之前,腹侧视觉和额叶区域的识别相关信号平行上升。腹侧视觉区域中与识别相关的信号最好通过两状态表示格式来解释,即大脑活动针对已识别和未识别的图像分叉。相比之下,额顶叶区域的识别相关信号表现出减少的识别图像的表示空间,还有更清晰的类别信息。这些结果提供了在不确定情况下支持对象识别的神经活动的时空分辨视图,揭示了一种不同于底层核心对象识别的模式。
    While there is a wealth of knowledge about core object recognition-our ability to recognize clear, high-contrast object images-how the brain accomplishes object recognition tasks under increased uncertainty remains poorly understood. We investigated the spatiotemporal neural dynamics underlying object recognition under increased uncertainty by combining MEG and 7 Tesla (7T) fMRI in humans during a threshold-level object recognition task. We observed an early, parallel rise of recognition-related signals across ventral visual and frontoparietal regions that preceded the emergence of category-related information. Recognition-related signals in ventral visual regions were best explained by a two-state representational format whereby brain activity bifurcated for recognized and unrecognized images. By contrast, recognition-related signals in frontoparietal regions exhibited a reduced representational space for recognized images, yet with sharper category information. These results provide a spatiotemporally resolved view of neural activity supporting object recognition under uncertainty, revealing a pattern distinct from that underlying core object recognition.
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  • 文章类型: Journal Article
    亨廷顿病是一种常染色体,由亨廷顿基因外显子1中CAG重复扩增引起的显性遗传性神经退行性疾病。局部萎缩之前的神经元变性和功能障碍会导致纹状体和皮质回路受损,从而影响大脑的大规模网络功能。然而,这些疾病驱动的进化,大规模的连通性改变仍然知之甚少。在这里,我们使用静息状态功能磁共振成像来研究亨廷顿病小鼠模型在几个相关脑网络中的功能连接变化,以及它们在疾病样表型进展后的不同年龄如何受到影响。为此,我们使用了杂合(HET)形式的zQ175DN亨廷顿病小鼠模型,该模型概括了人类疾病病理学的各个方面。在不同年龄进行基于种子和区域的分析,在3-,6-,10-,和12个月大的HET和年龄匹配的野生型小鼠。我们的结果表明,从6个月大开始,连通性下降,最突出的区域,如脾后皮质和扣带皮质,与默认的类似模式的网络以及听觉和视觉皮层有关,联想皮层网络的一部分。12个月时,我们观察到在体感皮质等区域的连通性下降的转变,关于横向皮质网络,还有尾状壳核,皮层下网络的组成部分。此外,我们评估了zQ175DNHET小鼠不同的亨廷顿病样病理学对不同脑区和网络之间年龄依赖性连接的影响,我们证明连接强度遵循非线性,倒U形图案,一种众所周知的发育和正常老化现象。相反,神经病理学驱动的连通性改变,特别是在默认模式和联想皮层网络中,显示功能连通性的年龄依赖性进化减少。这些发现表明,在这个亨廷顿病模型中,改变的连通性始于纹状体连通性变化之前的皮质网络像差,只在以后的年龄出现。一起来看,这些结果表明,在啮齿动物中观察到的年龄依赖性皮质网络功能障碍可能代表亨廷顿病进展的相关病理过程.
    Huntington\'s disease is an autosomal, dominantly inherited neurodegenerative disease caused by an expansion of the CAG repeats in exon 1 of the huntingtin gene. Neuronal degeneration and dysfunction that precedes regional atrophy result in the impairment of striatal and cortical circuits that affect the brain\'s large-scale network functionality. However, the evolution of these disease-driven, large-scale connectivity alterations is still poorly understood. Here we used resting-state fMRI to investigate functional connectivity changes in a mouse model of Huntington\'s disease in several relevant brain networks and how they are affected at different ages that follow a disease-like phenotypic progression. Towards this, we used the heterozygous (HET) form of the zQ175DN Huntington\'s disease mouse model that recapitulates aspects of human disease pathology. Seed- and Region-based analyses were performed at different ages, on 3-, 6-, 10-, and 12-month-old HET and age-matched wild-type mice. Our results demonstrate decreased connectivity starting at 6 months of age, most prominently in regions such as the retrosplenial and cingulate cortices, pertaining to the default mode-like network and auditory and visual cortices, part of the associative cortical network. At 12 months, we observe a shift towards decreased connectivity in regions such as the somatosensory cortices, pertaining to the lateral cortical network, and the caudate putamen, a constituent of the subcortical network. Moreover, we assessed the impact of distinct Huntington\'s Disease-like pathology of the zQ175DN HET mice on age-dependent connectivity between different brain regions and networks where we demonstrate that connectivity strength follows a non-linear, inverted U-shape pattern, a well-known phenomenon of development and normal aging. Conversely, the neuropathologically driven alteration of connectivity, especially in the default mode and associative cortical networks, showed diminished age-dependent evolution of functional connectivity. These findings reveal that in this Huntington\'s disease model, altered connectivity starts with cortical network aberrations which precede striatal connectivity changes, that appear only at a later age. Taken together, these results suggest that the age-dependent cortical network dysfunction seen in rodents could represent a relevant pathological process in Huntington\'s disease progression.
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  • 文章类型: Journal Article
    一个新兴的证据表明,短期浸泡在冷水中有利于正面影响,减少负面影响。然而,这些效应背后的神经机制在很大程度上仍然未知.第一次,我们使用功能磁共振成像(fMRI)来识别网络的拓扑簇,以及冷水浸泡5分钟后正面和负面情绪的行为变化.积极情感的感知变化与感觉更活跃有关,警报,细心,骄傲,和启发,而负面影响的变化反映了痛苦和紧张的减少。积极影响的增加得到了互动网络的独特组成部分的支持,包括默认模式网络的内侧前额叶节点,额顶网络的后顶叶节点,和前扣带和前额叶部分的突出网络和视觉外侧网络。此组件是由于局限于少数连接的焦点效应而出现的。负面影响的变化与阈值降低的交互网络的分布式组件相关。冷水浸泡后的情感变化独立发生,支持情感加工的二价模型。与积极影响相关的大规模网络之间的相互作用表明冷水浸泡对大脑功能的综合影响。
    An emerging body of evidence indicates that short-term immersion in cold water facilitates positive affect and reduces negative affect. However, the neural mechanisms underlying these effects remain largely unknown. For the first time, we employed functional magnetic resonance imaging (fMRI) to identify topological clusters of networks coupled with behavioural changes in positive and negative affect after a 5 min cold-water immersion. Perceived changes in positive affect were associated with feeling more active, alert, attentive, proud, and inspired, whilst changes in negative affect reflected reductions in distress and nervousness. The increase in positive affect was supported by a unique component of interacting networks, including the medial prefrontal node of the default mode network, a posterior parietal node of the frontoparietal network, and anterior cingulate and rostral prefrontal parts of the salience network and visual lateral network. This component emerged as a result of a focal effect confined to few connections. Changes in negative affect were associated with a distributed component of interacting networks at a reduced threshold. Affective changes after cold-water immersion occurred independently, supporting the bivalence model of affective processing. Interactions between large-scale networks linked to positive affect indicated the integrative effects of cold-water immersion on brain functioning.
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  • 文章类型: Journal Article
    未经评估:已使用各种方法来探索急性运动对大脑活动的调节的不同方面,但是关于急性运动疲劳对大规模脑功能网络的影响的研究很少。因此,本研究旨在探讨急性运动性疲劳对静息状态脑电图(EEG)微状态和大规模脑网络节律能量的影响。
    UNASSIGNED:将Bruce方案用作具有自控实验设计的实验运动模型。30名男性在跑步机上进行了增量负荷运动测试,直到精疲力竭。运动前后完成脑电信号采集。EEG微状态和静息状态皮层节律技术用于分析EEG信号。
    UNASSIGNED:微观状态结果表明,持续时间,发生,力竭运动后,微状态C的贡献显着增加(p's<0.01)。微状态D的贡献显著较低(p<0.05),微状态A和C之间的转换概率显着增加(p<0.05),微状态B和D之间的转换概率显着降低(p<0.05)。脑电节律能量在大规模脑网络上的结果表明,高频β波段的能量在视觉网络中明显更高(p<0.05)。
    UNASSIGNED:我们的结果表明,与凸性网络相关的微状态C对于生物体响应内部和外部信息刺激,从而及时调节运动行为以保护生物体的完整性很重要。微状态D参数的减少,与注意力网络相关联,是解释由于急性运动疲劳引起的与注意力相关的认知或行为表现下降的重要神经机制。视觉网络上高频β波段的高能量可以用神经效率假说的意义来解释,这表明神经效率下降。
    UNASSIGNED: Various approaches have been used to explore different aspects of the regulation of brain activity by acute exercise, but few studies have been conducted on the effects of acute exercise fatigue on large-scale brain functional networks. Therefore, the present study aimed to explore the effects of acute exercise fatigue on resting-state electroencephalogram (EEG) microstates and large-scale brain network rhythm energy.
    UNASSIGNED: The Bruce protocol was used as the experimental exercise model with a self-controlled experimental design. Thirty males performed incremental load exercise tests on treadmill until exhaustion. EEG signal acquisition was completed before and after exercise. EEG microstates and resting-state cortical rhythm techniques were used to analyze the EEG signal.
    UNASSIGNED: The microstate results showed that the duration, occurrence, and contribution of Microstate C were significantly higher after exhaustive exercise (p\'s < 0.01). There was a significantly lower contribution of Microstate D (p < 0.05), a significant increase in transition probabilities between Microstate A and C (p < 0.05), and a significant decrease in transition probabilities between Microstate B and D (p < 0.05). The results of EEG rhythm energy on the large-scale brain network showed that the energy in the high-frequency β band was significantly higher in the visual network (p < 0.05).
    UNASSIGNED: Our results suggest that frequently Microstate C associated with the convexity network are important for the organism to respond to internal and external information stimuli and thus regulate motor behavior in time to protect organism integrity. The decreases in Microstate D parameters, associated with the attentional network, are an important neural mechanism explaining the decrease in attention-related cognitive or behavioral performance due to acute exercise fatigue. The high energy in the high-frequency β band on the visual network can be explained in the sense of the neural efficiency hypothesis, which indicates a decrease in neural efficiency.
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  • 文章类型: Journal Article
    Objective.已经证明,精神分裂症(SZ)的特征在于涉及广泛的大脑网络的功能连接障碍。然而,以前的研究利用静息态功能磁共振成像(fMRI)来推断SZ患者的异常功能连接(FC)的大多数研究都集中在一个大脑区域可能影响另一个大脑区域的线性相关性上,忽略功能磁共振成像信号固有的非线性特性。方法。在本文中,我们提出了一种神经格兰杰因果关系(NGC)技术,用于检查SZ非线性因果耦合的变化。我们在几个网络级别开发了基于NGC的大规模大脑网络的静态和动态分析,评估SZ患者复杂的时间和因果关系。主要结果。我们发现,基于NGC的FC矩阵可以在区域和子网络尺度上检测到SZ和健康对照组之间的巨大而显着的差异。无论大脑网络是使用静态还是动态技术构建的,这些差异在各种网络稀疏度下都是持久的并且明显重叠。此外,与对照组相比,SZ患者在整个大脑中表现出广泛的NGC混乱模式。意义。这些发现表明,基于NGC的FCs可能是量化SZ患者因果影响异常的有用方法,因此,为这种疾病的病理生理学提供了新的启示。
    Objective.It has been demonstrated that schizophrenia (SZ) is characterized by functional dysconnectivity involving extensive brain networks. However, the majority of previous studies utilizing resting-state functional magnetic resonance imaging (fMRI) to infer abnormal functional connectivity (FC) in patients with SZ have focused on the linear correlation that one brain region may influence another, ignoring the inherently nonlinear properties of fMRI signals.Approach. In this paper, we present a neural Granger causality (NGC) technique for examining the changes in SZ\'s nonlinear causal couplings. We develop static and dynamic NGC-based analyses of large-scale brain networks at several network levels, estimating complicated temporal and causal relationships in SZ patients.Main results. We find that the NGC-based FC matrices can detect large and significant differences between the SZ and healthy control groups at both the regional and subnetwork scales. These differences are persistent and significantly overlapped at various network sparsities regardless of whether the brain networks were built using static or dynamic techniques. In addition, compared to controls, patients with SZ exhibited extensive NGC confusion patterns throughout the entire brain.Significance. These findings imply that the NGC-based FCs may be a useful method for quantifying the abnormalities in the causal influences of patients with SZ, hence shedding fresh light on the pathophysiology of this disorder.
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  • 文章类型: Journal Article
    先前的证据表明,大规模大脑网络的紊乱反映了结构,分子,和神经退行性疾病的功能机制。尽管已经报道了帕金森病(PD)和路易体痴呆(DLB)中多个大规模脑网络的改变,从临床前阶段开始的连通性重构的全面研究仍然缺乏.我们旨在使用脑代谢连接方法研究路易体(LB)疾病谱中大规模网络的共享和疾病特异性变化。我们纳入了30例孤立性REM睡眠行为障碍(iRBD)患者,28具有稳定的PD,30与DLB,和30名健康对照进行比较。我们应用基于种子的区域间相关性分析(IRCA)来评估大规模静息态网络中的代谢连通性,根据[18F]FDG-PET评估,与对照组相比,每个临床组。我们通过应用IRCA和特定的连通性指标来评估代谢连通性变化,例如加权和未加权骰子相似系数(DC),地形相似性。所有研究的大规模大脑静息状态网络都显示出代谢连通性改变,支持α-突触核蛋白谱中大脑连通性的广泛参与。连通性改变在iRBD中已经很明显,严重影响后默认模式,细心和边缘网络。在iRBD和DLB中出现了强烈的相似性,在大多数大型网络中显示出可比的连通性变化,特别是在后默认模式和细心的网络中。相反,PD显示主要的连通性改变仅限于运动和体感网络。目前的发现表明,大规模网络中的代谢连通性改变已经存在于早期iRBD阶段,与DLB代谢连通性变化相似。这表明并证实iRBD是进展为严重LB疾病表型的风险状况。值得注意的是,稳定PD的神经生物学支持其更良性的表型。
    Previous evidence suggests that the derangement of large-scale brain networks reflects structural, molecular, and functional mechanisms underlying neurodegenerative diseases. Although the alterations of multiple large-scale brain networks in Parkinson\'s disease (PD) and Dementia with Lewy Bodies (DLB) are reported, a comprehensive study on connectivity reconfiguration starting from the preclinical phase is still lacking. We aimed to investigate shared and disease-specific changes in the large-scale networks across the Lewy Bodies (LB) disorders spectrum using a brain metabolic connectivity approach. We included 30 patients with isolated REM sleep behavior disorder (iRBD), 28 with stable PD, 30 with DLB, and 30 healthy controls for comparison. We applied seed-based interregional correlation analyses (IRCA) to evaluate the metabolic connectivity in the large-scale resting-state networks, as assessed by [18F]FDG-PET, in each clinical group compared to controls. We assessed metabolic connectivity changes by applying the IRCA and specific connectivity metrics, such as the weighted and unweighted Dice similarity coefficients (DC), for the topographical similarities. All the investigated large-scale brain resting-state networks showed metabolic connectivity alterations, supporting the widespread involvement of brain connectivity within the alpha-synuclein spectrum. Connectivity alterations were already evident in iRBD, severely affecting the posterior default mode, attentive and limbic networks. Strong similarities emerged in iRBD and DLB that showed comparable connectivity alterations in most large-scale networks, particularly in the posterior default mode and attentive networks. Contrarily, PD showed the main connectivity alterations limited to motor and somatosensory networks. The present findings reveal that metabolic connectivity alterations in the large-scale networks are already present in the early iRBD phase, resembling the DLB metabolic connectivity changes. This suggests and confirms iRBD as a risk condition for progression to the severe LB disease phenotype. Of note, the neurobiology of stable PD supports its more benign phenotype.
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