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Amnestic mild cognitive impairment: topological reorganization of the default-mode network
Liang Wang1, He Li, Ying Liang
1State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, 19 Xinjiekouwai St, Beijing 100875, P.R. China.
Purpose:
To investigate the topologic reorganization of the default-mode network (DMN) in patients with mild cognitive impairment (MCI) and whether, relative to healthy control subjects, patients with MCI would be more likely to show disrupted functional connectivity and altered topological configuration of the DMN during the memory task compared with that observed during the resting state.
Materials And Methods:
This study was approved by the institutional review board of Beijing Normal University Imaging Center for Brain Research. Written informed consent was obtained from each participant. Healthy control subjects (n = 26) and patients with amnestic MCI (aMCI) (n = 25) performed an episodic memory task and also rested while undergoing functional magnetic resonance imaging. Task-induced deactivations were identified and parcellated into different regions associated with the DMN. Functional connectivity across all pairs of regions was computed to construct the DMN architecture. Graph theoretical approaches were used to characterize topological properties of this network.
Results:
Patients with aMCI showed similar deactivation in the DMN to that observed in healthy control subjects (P > .05) but showed significantly decreased anterior-to-posterior functional connectivity only during the task (P < .05). Significant increases in local efficiency (P < .05), but not in global efficiency (P > .05), were observed in aMCI only during the task. Decreased functional connectivity was predictive of increased local efficiency (r = -0.35, P = .015). Significant correlations between these network measures and cognitive performance (P < .05) indicated their potential use as early markers to assess the risk of Alzheimer disease (AD).
Conclusion:
This study suggests the early onset functional reorganization of the DMN toward a nonoptimized regularity configuration in aMCI and expands the understanding of dynamic functional reorganization in brain networks along the continuum from normal aging to AD dementia.
Insights
Mild cognitive impairment (MCI) patients show altered default-mode network (DMN) connectivity during memory tasks. These changes in functional connectivity and network efficiency may serve as early markers for Alzheimer's disease risk.
Area of Science:
- Neuroscience
- Cognitive Science
- Medical Imaging
Background:
- Mild cognitive impairment (MCI) represents a transitional stage between normal aging and Alzheimer's disease dementia.
- The default-mode network (DMN) is crucial for cognitive functions, including memory, and its disruption is implicated in neurodegenerative diseases.
Purpose of the Study:
- To investigate topological reorganization of the DMN in patients with MCI compared to healthy controls.
- To determine if DMN functional connectivity and topology are altered during a memory task versus resting state in MCI patients.
Main Methods:
- Functional magnetic resonance imaging (fMRI) was used to scan 25 patients with amnestic MCI (aMCI) and 26 healthy controls.
- Participants underwent fMRI during both an episodic memory task and a resting state.
- Graph theoretical approaches were applied to analyze DMN functional connectivity and topological properties.
Main Results:
- MCI patients exhibited significantly decreased anterior-to-posterior DMN functional connectivity during the memory task.
- Increased local efficiency within the DMN was observed in aMCI patients exclusively during the task.
- Decreased functional connectivity correlated with increased local efficiency and cognitive performance, suggesting potential as early AD risk markers.
Conclusions:
- The study indicates early-onset functional reorganization of the DMN in aMCI, shifting towards a less optimized configuration.
- Findings enhance understanding of dynamic brain network changes across the aging to dementia continuum.
- Altered DMN topology in MCI may serve as an early indicator for Alzheimer's disease progression.
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