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Published on: May 16, 2017
Altered network connectivity in frontotemporal dementia with C9orf72 hexanucleotide repeat expansion.
Suzee E Lee1, Anna M Khazenzon2, Andrew J Trujillo2
11 Memory and Ageing Centre, Department of Neurology, University of California, San Francisco, CA 94158, USA suzeelee@memory.ucsf.edu.
Behavioral variant frontotemporal dementia (bvFTD) patients with or without C9orf72 gene expansion show similar brain network disruptions. Task-free fMRI may detect early bvFTD in C9orf72 carriers, serving as a unifying biomarker.
Area of Science:
- Neuroscience
- Genetics
- Neurology
Background:
- C9orf72 gene expansion is the most common genetic cause of behavioral variant frontotemporal dementia (bvFTD).
- bvFTD patients with C9orf72 mutations show varied atrophy patterns, complicating diagnosis.
- Understanding network integrity differences is crucial for diagnosing and treating bvFTD.
Purpose of the Study:
- To investigate intrinsic connectivity network integrity in bvFTD patients with and without C9orf72 expansion.
- To compare network integrity between C9orf72 carriers, non-carriers, and healthy controls.
- To explore functional magnetic resonance imaging (fMRI) as a potential biomarker for early bvFTD detection.
Main Methods:
- Studied 28 bvFTD patients (14 C9orf72 carriers, 14 non-carriers) and 14 healthy controls.
- Acquired neuropsychological data, structural MRI, and task-free functional MRI.
- Analyzed voxel-based morphometry for atrophy and seed-based connectivity for salience, sensorimotor, and default mode networks.
Main Results:
- bvFTD patients, regardless of C9orf72 status, exhibited similar reductions in salience and sensorimotor network connectivity.
- Non-carriers showed increased default mode network connectivity compared to controls and carriers.
- Behavioral symptom severity correlated with altered salience and default mode network connectivity.
Conclusions:
- bvFTD patients with or without C9orf72 expansion show convergent large-scale network disruptions despite distinct atrophy.
- Medial pulvinar degeneration in C9orf72 carriers may disrupt salience network connectivity.
- Task-free fMRI shows potential for early bvFTD detection in C9orf72 carriers, offering a unified biomarker.
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