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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.
Abstract:
Depressive symptoms are common in individuals with mild cognitive impairment (MCI) who have an increased risk of dementia. It is currently unclear whether the pattern of spontaneous brain activity in patients with MCI differs between subjects with and without depressive symptoms. The current study sought to investigate the features of spontaneous brain activity in MCI patients with depressive symptoms (D-MCI) using coherence regional homogeneity (CReHo) analysis with resting-state functional magnetic resonance imaging (rsfMRI). We obtained rsfMRI data in 16 MCI patients with depressive symptoms and 18 nondepressed MCI patients (nD-MCI) using a 3 T scanner. Statistical analyses were performed to determine the regions in which ReHo differed between the two groups in specific frequency bands, slow-4 (0.027-0.073 Hz) and slow-5 (0.010-0.027 Hz), and typical bands (0.01-0.08 Hz). Correlation analyses were performed between the CReHo index of these regions and clinical variables to evaluate the relationship between CReHo and pathophysiological measures in the two groups. Our results showed that D-MCI patients exhibited significantly higher CReHo in the left Heschl's gyrus and left thalamus and lower CReHo in the left postcentral gyrus in the typical frequency band. In the slow-4 frequency band, D-MCI patients showed significantly higher CReHo in the left Heschl's gyrus and left thalamus. In the slow-5 frequency band, D-MCI patients exhibited significantly lower CReHo in the superior medial prefrontal gyrus. In addition, the results revealed that CReHo values in the left thalamus were positively correlated with Hamilton Depression Rating Scale (HAMD) scores in D-MCI patients. These results suggest that the sensorimotor network may be one of the main pathophysiological factors in D-MCI.
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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