Decoupling of regional neural activity and inter-regional functional connectivity in Alzheimer's disease: a

Somayeh Maleki Balajoo1,2,3, Farzaneh Rahmani4, Reza Khosrowabadi5

  • 1Institute of Medical Science and Technology, Shahid Beheshti University, Tehran, Iran.

Abstract

Insights

Alzheimer's disease (AD) disrupts the connection between brain activity and functional connectivity. This study reveals how AD alters these relationships in key brain regions, impacting neural communication.

Area of Science:

  • Neuroscience
  • Medical Imaging
  • Cognitive Science

Background:

  • Alzheimer's disease (AD) and mild cognitive impairment (MCI) exhibit altered regional neural activity and disrupted functional connectivity (FC).
  • The interplay between regional neural activity (rFDG) and inter-regional FC (rs-fMRI) in AD/MCI remains unclear.

Purpose of the Study:

  • To investigate the coupling between regional neural activity and inter-regional functional connectivity in Alzheimer's disease (AD) and mild cognitive impairment (MCI).
  • To examine how disease status (AD/MCI) moderates the relationship between regional fluorodeoxyglucose uptake (rFDG) and functional connectivity (FC) metrics.

Main Methods:

  • Simultaneous FDG-PET/rs-fMRI scans were performed on 19 MCI patients, 33 AD patients, and 26 healthy controls.
  • Regional FDG uptake (rFDG) and inter-regional FC metrics (clustering coefficient, degree centrality) were assessed.
  • Hierarchical moderated multiple regression analysis examined the moderating effect of disease status on the rFDG-FC link.

Main Results:

  • Both rFDG and inter-regional FC were disrupted in MCI and AD patients.
  • Alzheimer's disease significantly altered the relationship between rFDG and inter-regional FC metrics in multiple brain regions, including the caudate, parahippocampal gyrus, and thalamus.
  • AD also moderated the predictive effect of parietal operculum rFDG on its inter-regional FC.

Conclusions:

  • Alzheimer's disease decouples the relationship between regional neural activity and functional connectivity.
  • These findings highlight specific brain regions where AD disrupts the integration of neural activity and network organization.

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