Brain functional specialization and cooperation in Parkinson's disease
Jinmei Sun1,2,3, Xiaoran Gao4,2,3, Qiang Hua4,2,3
1Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei, 230000, China.
Brain Imaging and Behavior
|August 24, 2021
Summary
Parkinson's disease (PD) patients exhibit altered brain function, showing increased leftward cerebral specialization and decreased inter-hemispheric cooperation. These changes in brain networks are linked to cognitive function in PD.
Area of Science:
- Neuroscience
- Brain Imaging
- Neurology
Background:
- Cerebral specialization and inter-hemispheric cooperation are key brain functional architectures.
- Dysfunctions in these architectures may underlie Parkinson's disease (PD) pathophysiology and motor symptoms.
- Understanding these hemispheric functions is crucial for PD research.
Purpose of the Study:
- To characterize cerebral specialization (Autonomy index, AI) and inter-hemispheric cooperation (Connectivity between Functionally Homotopic voxels, CFH) in idiopathic PD patients.
- To compare AI and CFH between PD patients and healthy controls using resting-state functional magnetic resonance imaging (rs-fMRI).
- To explore the relationship between these brain network alterations and cognitive function in PD.
Main Methods:
- Recruited 70 idiopathic PD patients and 70 matched healthy controls.
- Utilized resting-state functional magnetic resonance imaging (rs-fMRI) for brain scanning.
- Calculated cerebral specialization (AI) and inter-hemispheric cooperation (CFH) and performed imaging-cognitive correlation analysis.
Main Results:
- PD patients demonstrated significantly stronger leftward cerebral specialization (AI) in the left angular gyrus compared to controls.
- This increased specialization involved increased ipsilateral and decreased contralateral functional connectivity (FC).
- PD patients exhibited significantly decreased inter-hemispheric cooperation (CFH) between bilateral sensorimotor regions.
Conclusions:
- Parkinson's disease is characterized by a strong leftward cerebral specialization and weak inter-hemispheric coordination.
- Altered functional connectivity patterns are associated with cognitive performance in PD patients.
- These findings offer new insights into the pathological mechanisms of PD.
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