机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Ctr Neurodegenerat Dis, 6 Tian Tan Xi Li St, Beijing 100050, Peoples R China;重点科室诊疗科室神经病学中心神经病学中心首都医科大学附属天坛医院[2]Beijing Normal Univ, Beijing Inst Brain Disorders, Parkinsons Dis Ctr, Beijing, Peoples R China;[3]Beijing Normal Univ, China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;国家神经系统疾病临床医学研究中心国家神经系统疾病临床医学研究中心首都医科大学附属天坛医院[4]Beijing Normal Univ, State Key Lab Cognit Neurosci & Learning, Beijing, Peoples R China;[5]Beijing Normal Univ, IDG McGovern Inst Brain Res, Beijing, Peoples R China
Background/Aims: The topological organization of brain functional networks is impaired in Parkinson's disease (PD). However, the altered patterns of functional network hubs in different subtypes of PD are not completely understood. Methods: 3T resting-state functional MRI and voxel-based graph-theory analysis were employed to systematically investigate the intrinsic functional connectivity patterns of whole-brain networks. We enrolled 31 patients with PD (12 tremor dominant [TD] and 19 with postural instability/gait difficulty [PIGD]) and 22 matched healthy controls. Whole-brain voxel-wise functional networks were constructed by measuring the temporal correlations of each pair of brain voxels. Functional connectivity strength was calculated to explore the brain network hubs. Results: We found that both the TD and PIGD subtypes had comprehensive disrupted regions. These mainly involved the basal ganglia, cerebellum, superior temporal gyrus, pre- and postcentral gyri, inferior frontal gyrus, middle temporal gyrus, lingual gyrus, insula, and parahippocampal gyrus. Furthermore, the PIGD subgroup had more disrupted hubs in the cerebellum than the TD subgroup. These disruptions of hub connectivity were not correlated with the HY stage or disease duration. Conclusion: Our results emphasize the subtype-specific PD-related degeneration of brain hubs, providing novel insights into the pathophysiological mechanisms of connectivity dysfunction in different PD subgroups. (C) 2017 S. Karger AG, Basel
基金:
Beijing Natural Science FoundationBeijing Natural Science Foundation [7164254]; Natural Science Foundation of ChinaNational Natural Science Foundation of China [81571226]; Beijing Municipal Science and Technology CommissionBeijing Municipal Science & Technology Commission [Z151100003915117, Z151100003915150]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Ctr Neurodegenerat Dis, 6 Tian Tan Xi Li St, Beijing 100050, Peoples R China;[3]Beijing Normal Univ, China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Ctr Neurodegenerat Dis, 6 Tian Tan Xi Li St, Beijing 100050, Peoples R China;[2]Beijing Normal Univ, Beijing Inst Brain Disorders, Parkinsons Dis Ctr, Beijing, Peoples R China;[3]Beijing Normal Univ, China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Ma Ling-Yan,Chen Xiao-Dan,He Yong,et al.Disrupted Brain Network Hubs in Subtype-Specific Parkinson's Disease[J].EUROPEAN NEUROLOGY.2017,78(3-4):200-209.doi:10.1159/000477902.