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APOE Effects on Default Mode Network in Chinese Cognitive Normal Elderly: Relationship with Clinical Cognitive Performance

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机构: [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China, [2]Institute of Automation, Chinese Academy of Sciences, Beijing, China, [3]Department of Radiology, Xuanwu Hospital Capital Medical University, Beijing, China
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Background Functional connectivity in default mode network (DMN) may be changed in Alzheimer's disease (AD) patients and related risk populations, such as amnestic mild cognitive impairment (aMCI) patients and APOE epsilon 4 carriers. Exploring DMN changes and related behavioral performance of APOE epsilon 4 population might provide valuable evidence for better understanding the development of AD. Methods Subjects were enrolled from a population-based cohort established in a multi-center study in China. Forty-nine cognitive normal individuals were enrolled after standardized cognitive evaluations, MRI examination and APOE genotyping. Regions of interest (ROI)-based functional connectivity analyses were performed, and voxel-based analyses were used to validate these findings. The correlation between DMN functional connectivity and behavioral performance was further evaluated between APOE epsilon 4 epsilon 3 and epsilon 3 epsilon 3 carriers. Results Comparing to epsilon 3 epsilon 3 carriers, functional connectivity between left parahippocampal gyrus and right superior frontal cortex (LPHC-R.Sup.F), left parahippocampal gyrus and medial prefrontal cortex (ventral) (LPHC-vMPFC) were significantly increased in epsilon 4 epsilon 3 carriers, while connectivity between cerebellar tonsils and retrosplenial was decreased. LPHC-R.Sup.F connectivity was positively correlated with the changes of delay recall from baseline to follow-up (r = 0.768, p = 0.009), while LPHC-vMPFC connectivity had a positive correlation with MMSE at baseline (r = 0.356, p = 0.018), and a negative correlation with long-delayed recognition at follow-up (r = -0.677, p = 0.031). Significantly increased functional connectivity in vMPFC was confirmed in voxel-based analyses by taking LPHC as seed region. Conclusion APOE epsilon 4 carriers present both increased and decreased functional connectivity in DMN, which is correlated with clinical cognitive performances. DMN changes might be an early sign for cognitive decline.

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出版当年[2014]版:
大类 | 3 区 生物
小类 | 3 区 综合性期刊
最新[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2013]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China,
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通讯机构: [1]Department of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China,
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