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Application of Granger Causality Analysis of the Directed Functional Connection in Alzheimer's Disease and Mild Cognitive Impairment
Published on: August 7, 2017
Altered functional connectivity of the marginal division in Alzheimer's disease
Zengqiang Zhang, Yong Liu, Bo Zhou
1Brainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China. zhangxi@301hospital.com.cn.
Abstract:
The marginal division (MrD) is a neostriatum subregion that links the limbic system and basal nucleus of Meynert; it is an important subcortical center that is involved in learning and memory. Alzheimer's disease (AD) is a neurodegenerative disorder and the most common cause of dementia in the elderly. AD clinically manifests as gradually progressive cognitive decline with behavioral disorders. Prior to full dementia, AD patients typically experience a transient state, i.e., mild cognitive impairment (MCI). Amnestic MCI individuals, but not all MCI individuals, frequently convert to AD dementia. To specify whether and how the functional relationships between the MrD and other brain regions change during AD, functional connectivity was assessed using resting-state functional MRI data and associated neuropsychological tests in AD and MCI patients (amnestic-type). Compared with normal controls, a different decreased functional connectivity pattern was observed between the MrD and caudate, the amygdala/parahippocampal region, the inferior frontal gyrus, the superior temporal gyrus, and the cerebellum for AD/MCI patients. Moreover, the functional connectivity between the MrD and the identified regions was significantly correlated with the neuropsychological scores among the MCI and AD subjects. Our results suggest that the MrD functional network is disrupted during AD.
Insights
Alzheimer's disease and mild cognitive impairment disrupt brain connectivity in the marginal division (MrD), a region vital for learning and memory. This functional network alteration correlates with cognitive decline in patients.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Alzheimer's disease (AD) is a leading cause of dementia, characterized by progressive cognitive decline.
- Mild cognitive impairment (MCI) is a transitional stage, with amnestic MCI often preceding AD.
- The marginal division (MrD) is a key subcortical region involved in learning and memory.
Purpose of the Study:
- To investigate changes in functional connectivity of the MrD in Alzheimer's disease (AD) and amnestic mild cognitive impairment (MCI).
- To determine how these functional changes relate to cognitive performance in AD and MCI patients.
Main Methods:
- Resting-state functional MRI (fMRI) was used to assess functional connectivity.
- Neuropsychological tests were administered to AD and MCI patients.
- Functional connectivity patterns of the MrD were compared between patients and normal controls.
Main Results:
- AD and MCI patients exhibited decreased functional connectivity between the MrD and regions including the caudate, amygdala/parahippocampal region, inferior frontal gyrus, superior temporal gyrus, and cerebellum.
- These connectivity changes were significantly correlated with neuropsychological scores in the MCI and AD groups.
Conclusions:
- The functional network associated with the marginal division (MrD) is disrupted in Alzheimer's disease and mild cognitive impairment.
- Altered MrD connectivity is linked to cognitive deficits observed in these neurodegenerative conditions.
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