机构:[1]Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen University, Shenzhen, Guangdong Province, China.[2]Shenzhen University Clinical Research Center for Neurological Diseases, Shenzhen, Guangdong Province, China.[3]Department of Neurosurgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, China.[4]Department of Neurology, National Clinical Research Center for Geriatric Disorders, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.神经内科老年医学科神经生物学研究室国家老年疾病临床医学研究中心[5]Beijing Key Laboratory on Parkinson's Disease, Parkinson Disease Center of Beijing Institute for Brain Disorders, Beijing, China.[6]School of Psychology, Shenzhen University, Shenzhen, Guangdong Province, China.[7]Shenzhen Key Laboratory of Affective and Social Cognitive Science, Shenzhen, Guangdong Province, China.[8]Center for Emotion and Brain, Shenzhen Institute of Neuroscience, Shenzhen, Guangdong Province, China.
Mild cognitive impairment (MCI) is a heterogeneous cognitive disorder that is often comorbid with Parkinson's diseases (PD). The amnestic subtype of PD-MCI (PD-aMCI) has a higher risk to develop dementia. However, there is a lack of studies on the white matter (WM) structural changes of PD-aMCI. We characterized the WM structural changes of PD-aMCI (n = 17) with cognitively normal PD (PD-CN, n = 19) and normal controls (n = 20), using voxel-based and tract-based spatial statistics (TBSS) analyses on fractional anisotropy (FA) axial diffusivity (AD), and radial diffusivity (RD). By excluding and then including the motor performance as a covariate in the comparison analysis between PD-aMCI and PD-CN, we attempted to discern the influences of two neuropathological mechanisms on the WM structural changes of PD-aMCI. The correlation analyses between memory and voxel-based WM measures in all PD patients were also performed (n = 36). The results showed that PD-aMCI had smaller FA values than PD-CN in the diffuse WM areas, and PD-CN had higher AD and RD values than normal controls in the right caudate. Most FA difference between PD-aMCI and PD-CN could be weakened by the motor adjustment. The FA differences between PD-aMCI and PD-CN were largely spatially overlapped with the memory-correlated FA values. Our findings demonstrated that the WM structural differences between PD-aMCI and PD-CN were mainly memory-related, and the influence of motor adjustment might indicate a common mechanism underlying both motor and memory impairment in PD-aMCI, possibly reflecting a predominant influence of dopaminergic neuropathology.
基金:
This study was supported by the National
Natural Science Foundation of China (No.
31700960, 31571129, 31500922), the Natural
Science Foundation of Guangdong Province of
China (No. 2017A030310336), the Discipline
Layout of Fundamental Research of Shenzhen
Science and Technology Innovation Commission
(No. JCYJ 20160428164548896), the Ministry of
Science and Technology of the People’s Republic
of China (2016YFC1306503), the Natural Science
Foundation of Shenzhen University General
Hospital (No. SUGH2018QD067), and Beijing
Municipal Commission of Health (No.
PXM2017_026283_000002). These grants
provided financial support to the following
investigators: Zhang: 31700960,
2017A030310336; Chen: JCYJ
20160428164548896, SUGH2018QD067; Wu:
2016YFC1306503, PXM2017_026283_000002;
Guan: 31571129, 31500922.
第一作者机构:[1]Department of Neurosurgery, Shenzhen University General Hospital, Shenzhen University, Shenzhen, Guangdong Province, China.[2]Shenzhen University Clinical Research Center for Neurological Diseases, Shenzhen, Guangdong Province, China.[3]Department of Neurosurgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, China.
推荐引用方式(GB/T 7714):
Chen Fuyong,Wu Tao,Luo Yuejia,et al.Amnestic mild cognitive impairment in Parkinson's disease: White matter structural changes and mechanisms.[J].PloS one.2019,14(12):e0226175.doi:10.1371/journal.pone.0226175.
APA:
Chen Fuyong,Wu Tao,Luo Yuejia,Li Zhihao,Guan Qing...&Zhang Haobo.(2019).Amnestic mild cognitive impairment in Parkinson's disease: White matter structural changes and mechanisms..PloS one,14,(12)
MLA:
Chen Fuyong,et al."Amnestic mild cognitive impairment in Parkinson's disease: White matter structural changes and mechanisms.".PloS one 14..12(2019):e0226175