Disrupted Regional Spontaneous Neural Activity in Mild Cognitive Impairment Patients with Depressive Symptoms: A

Xiaozheng Liu1, Yunhai Tu2, Yirou Zang1

  • 1China-USA Neuroimaging Research Institute, Department of Radiology of the Second Affiliated Hospital and Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.

Neural Plasticity
|February 8, 2019
PubMed

Insights

Depression in mild cognitive impairment (MCI) alters brain activity patterns. Depressed MCI patients show distinct coherence regional homogeneity (CReHo) in key brain regions, suggesting sensorimotor network involvement.

Area of Science:

  • Neuroimaging
  • Cognitive Neuroscience
  • Psychiatry

Background:

  • Depressive symptoms are prevalent in mild cognitive impairment (MCI), increasing dementia risk.
  • Brain activity patterns in MCI patients with depression remain poorly understood.
  • Resting-state functional magnetic resonance imaging (rsfMRI) offers insights into spontaneous brain activity.

Purpose of the Study:

  • To investigate differences in spontaneous brain activity between MCI patients with and without depressive symptoms.
  • To analyze coherence regional homogeneity (CReHo) in specific frequency bands using rsfMRI.
  • To explore correlations between CReHo and clinical variables in depressed MCI patients.

Main Methods:

  • Acquired rsfMRI data from 16 depressed MCI (D-MCI) and 18 non-depressed MCI (nD-MCI) patients.
  • Utilized coherence regional homogeneity (CReHo) analysis across typical, slow-4, and slow-5 frequency bands.
  • Performed statistical and correlation analyses between CReHo values and clinical measures (e.g., HAMD scores).

Main Results:

  • D-MCI patients showed higher CReHo in the left Heschl's gyrus and left thalamus (typical and slow-4 bands).
  • Lower CReHo was observed in the left postcentral gyrus (typical band) and superior medial prefrontal gyrus (slow-5 band) in D-MCI patients.
  • Left thalamus CReHo positively correlated with Hamilton Depression Rating Scale (HAMD) scores in D-MCI patients.

Conclusions:

  • Spontaneous brain activity patterns differ significantly between D-MCI and nD-MCI patients.
  • The sensorimotor network is implicated as a key pathophysiological factor in D-MCI.
  • CReHo analysis provides valuable biomarkers for understanding D-MCI and its relationship with depressive symptoms.

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