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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
Differences and the relationship in default mode network intrinsic activity and functional connectivity in mild
Marina Weiler1, Camila Vieira Ligo Teixeira, Mateus Henrique Nogueira
11 Laboratory of Neuroimaging, University of Campinas , Campinas, Brazil .
Abstract:
There is evidence that the default mode network (DMN) functional connectivity is impaired in Alzheimer's disease (AD) and few studies also reported a decrease in DMN intrinsic activity, measured by the amplitude of low-frequency fluctuations (ALFFs). In this study, we analyzed the relationship between DMN intrinsic activity and functional connectivity, as well as their possible implications on cognition in patients with mild AD and amnestic mild cognitive impairment (aMCI) and healthy controls. In addition, we evaluated the differences both in connectivity and ALFF values between these groups. We recruited 29 controls, 20 aMCI, and 32 mild AD patients. To identify the DMN, functional connectivity was calculated by placing a seed in the posterior cingulate cortex (PCC). Within the DMN mask obtained, we calculated regional average ALFFs. Compared with controls, aMCI patients showed decreased ALFFs in the temporal region; compared with AD, aMCI showed higher values in the PCC but lower in the temporal area. The mild AD group had lower ALFFs in the PCC compared with controls. There was no difference between the connectivity in the aMCI group compared with the other groups, but AD patients showed decreased connectivity in the frontal, parietal, and PCC. Also, PCC ALFFs correlated to functional connectivity in nearly all subregions. Cognitive tests correlated to connectivity values but not to ALFFs. In conclusion, we found that DMN connectivity and ALFFs are correlated in these groups. Decreased PCC ALFFs disrupt the DMN functional organization, leading to cognitive problems in the AD spectrum.
Insights
Default mode network (DMN) activity and connectivity are linked in Alzheimer's disease (AD) and mild cognitive impairment (MCI). Reduced DMN intrinsic activity disrupts brain organization, contributing to cognitive decline in AD spectrum disorders.
Area of Science:
- Neuroscience
- Cognitive Neurology
- Medical Imaging
Background:
- Alzheimer's disease (AD) and amnestic mild cognitive impairment (aMCI) are associated with disruptions in the default mode network (DMN).
- Previous research indicates impaired DMN functional connectivity and reduced intrinsic activity (amplitude of low-frequency fluctuations - ALFFs) in AD.
- The relationship between DMN intrinsic activity, functional connectivity, and cognitive function in early-stage AD and aMCI requires further investigation.
Purpose of the Study:
- To investigate the relationship between DMN intrinsic activity (ALFFs) and functional connectivity in patients with mild AD, aMCI, and healthy controls.
- To examine differences in DMN ALFFs and functional connectivity across these groups.
- To explore the association between DMN metrics and cognitive performance.
Main Methods:
- Functional connectivity analysis using a seed in the posterior cingulate cortex (PCC) to define the DMN.
- Calculation of regional average ALFFs within the DMN mask.
- Comparison of ALFFs and functional connectivity between 32 mild AD patients, 20 aMCI patients, and 29 healthy controls.
- Correlation analysis between DMN metrics and cognitive test results.
Main Results:
- aMCI patients exhibited decreased temporal ALFFs compared to controls, and compared to AD patients, showed higher PCC ALFFs but lower temporal ALFFs.
- Mild AD patients had lower PCC ALFFs than controls.
- While aMCI showed no significant connectivity differences, AD patients displayed reduced connectivity in frontal, parietal, and PCC regions.
- PCC ALFFs were correlated with functional connectivity across most DMN subregions.
- Cognitive performance correlated with DMN connectivity but not with ALFFs.
Conclusions:
- DMN functional connectivity and intrinsic activity (ALFFs) are interconnected in individuals with AD and aMCI.
- Diminished PCC ALFFs appear to disrupt the DMN's functional organization, contributing to cognitive impairments observed in the AD spectrum.
- These findings highlight the importance of DMN integrity for cognitive function in neurodegenerative diseases.
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