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Altered Functional Segregated Sensorimotor, Associative, and Limbic Cortical-Striatal Connections in Parkinson's Disease: An fMRI Investigation.

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机构: [1]Department of Neurology, Neurobiology and Geriatrics, Beijing Institute for Brain Disorders, Xuanwu Hospital of Capital Medical University, Beijing, China. [2]National Clinical Research Center for Geriatric Disorders, Beijing, China. [3]Department of Neurology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China. [4]Department of Electronic Science and Technology, University of Science and Technology of China, Hefei, China. [5]Clinical Center for Parkinson's Disease, Capital Medical University, Beijing, China. [6]Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson's Disease, Beijing, China. [7]Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
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Multiple studies have identified segregated functional territories in the basal ganglia for the control of goal-directed and habitual actions. It has been suggested that in PD, preferential loss of dopamine in the posterior putamen may cause a major deficit in habitual control (mediated by the sensorimotor cortical-striatal loop), and the patients may therefore be forced into a progressive reliance on the goal-directed behavior (regulated by the associative cortical-striatal loop). Functional evidence supporting this point is scarce at present. This study aims to verify the functional connectivity changes within the sensorimotor, associative, and limbic cortical-striatal loops in PD. Resting-state fMRI of 70 PD patients and 30 controls were collected. Bilateral tripartite functional territories of basal ganglia and their associated cortical structures were chosen as regions of interest, including ventral striatum and ventromedial prefrontal cortex for limbic loop; dorsomedial striatum and dorsolateral prefrontal cortex for associative loop; dorsolateral striatum and sensorimotor cortex for sensorimotor loop. Pearson's correlation coefficients for each seed pair were calculated to obtain the functional connectivity. The relationships between functional connectivity and disease severity were further investigated. Functional connectivity between dorsolateral striatum and sensorimotor cortex is decreased in PD patients, and negatively correlated with disease duration; whereas functional connectivity between dorsomedial striatum and dorsolateral prefrontal cortex is also decreased but postitively correlated with disease duration. The functional connectivity within the sensorimotor loop is pathologically decreased in PD, while the altered connectivity within the associative loop may indicate a failed attempt to compensate for the loss of connectivity within the sensorimotor loop.Copyright © 2021 Mi, Zhang, Li, Liu, Ren and Chan.

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 神经科学
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出版当年[2019]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES
最新[2024]版:
Q2 CLINICAL NEUROLOGY Q3 NEUROSCIENCES

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第一作者机构: [1]Department of Neurology, Neurobiology and Geriatrics, Beijing Institute for Brain Disorders, Xuanwu Hospital of Capital Medical University, Beijing, China. [2]National Clinical Research Center for Geriatric Disorders, Beijing, China.
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通讯机构: [1]Department of Neurology, Neurobiology and Geriatrics, Beijing Institute for Brain Disorders, Xuanwu Hospital of Capital Medical University, Beijing, China. [2]National Clinical Research Center for Geriatric Disorders, Beijing, China. [5]Clinical Center for Parkinson's Disease, Capital Medical University, Beijing, China. [6]Key Laboratory for Neurodegenerative Disease of the Ministry of Education, Beijing Key Laboratory for Parkinson's Disease, Beijing, China. [7]Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
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