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Functional Connectivity Changes Across the Spectrum of Subjective Cognitive Decline, Amnestic Mild Cognitive Impairment and Alzheimer's Disease

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机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China, [2]Department of Neurology, Chengdu Fifth People’s Hospital, Chengdu, China, [3]CAS Key Laboratory of Behavioral Science, Institute of Psychology, Beijing, China, [4]Research Center for Lifespan Development of Mind and Brain (CLIMB), Institute of Psychology, Beijing, China, [5]Department of Psychology, University of Chinese Academy of Sciences (CAS), Beijing, China, [6]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, China, [7]Department of Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China, [8]Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China, [9]Center of Alzheimer’s Disease, Beijing Institute for Brain Disorders, Beijing, China, [10]Beijing Institute of Geriatrics, Beijing, China, [11]National Clinical Research Center for Geriatric Disorders, Beijing, China
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关键词: network neuroscience brain connectivity centrality Alzheimer's disease subjective cognitive decline amnestic mild cognitive impairment

摘要:
The abnormality occurs at molecular, cellular as well as network levels in patients with Alzheimer's disease (AD) prior to diagnosis. Most previous connectivity studies were conducted at 1 out of 3 (local, meso and global) scales in subjects covering only part of the entire AD spectrum (subjective cognitive decline, SCD; amnestic mild cognitive impairment, aMCI; and then fully manifest AD). Data interpretation within the framework of disease progression is therefore difficult. The current study included 3 age- and sex-matched cohorts: SCD (n = 32), aMCI (n = 37) and fully-established AD (n = 30). A group of healthy elderly subjects (n = 40) were included as a normal control (NC). Network connectivity was examined at the local (degree centrality), meso [subgraph centrality (SC)], and global (eigenvector and page-rank centralities) levels. As compared to NC, SCD subjects had isolated decrease of SC in primary (somatomotor and visual) networks. aMCI subjects had decreased centralities at all three scales in associative (frontoparietal control, dorsal attention, limbic and default) networks. AD subjects had increased centrality at the global scale in all seven networks. There was a positive association between Montreal Cognitive Assessment (MoCA) scores and DC in the frontoparietal control network in SCD, a negative relationship between Mini-Mental State Examination (MMSE) scores and EC in the somatomotor network in AD. These findings suggest that the primary network is impaired as early as in SCD. Impairment in the associative network also starts at the local level at this stage and may contribute to the cognitive decline. As associative network impairment extends from local to meso and global scales in aMCI, compensatory mechanisms in the primary network are activated.

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基金编号: 2016YFC1306300 2016YFC0103000 61633018 81801052 81522021 81430037 81471731 7161009 PXM2019_026283_000002

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 2 区 数学与计算生物学 3 区 神经科学
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 数学与计算生物学 4 区 神经科学
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出版当年[2017]版:
Q1 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q2 NEUROSCIENCES
最新[2023]版:
Q2 MATHEMATICAL & COMPUTATIONAL BIOLOGY Q3 NEUROSCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

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第一作者机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China, [2]Department of Neurology, Chengdu Fifth People’s Hospital, Chengdu, China,
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通讯作者:
通讯机构: [1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China, [9]Center of Alzheimer’s Disease, Beijing Institute for Brain Disorders, Beijing, China, [10]Beijing Institute of Geriatrics, Beijing, China, [11]National Clinical Research Center for Geriatric Disorders, Beijing, China
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