Investigating altered brain functional hubs and causal connectivity in coronary artery disease with cognitive
Rui Qin1, Tong Li1, Cuicui Li1
1Department of Radiology, Shandong Provincial Hospital affiliated to Shandong First Medical University, Jinan, Shandong Province, China.
Insights
Coronary artery disease (CAD) patients show reduced brain connectivity, particularly in the left parahippocampal cortex and medial temporal gyrus, impacting cognitive function. These brain network changes may explain cognitive decline in CAD.
Area of Science:
- Neuroimaging
- Cognitive Neuroscience
- Cardiovascular Research
Background:
- Coronary artery disease (CAD) and cognitive impairment (CI) represent significant global health challenges.
- While regional brain function changes in CAD patients are documented, brain network connectivity alterations remain under-researched.
- Understanding these network changes is crucial for explaining cognitive decline in CAD.
Purpose of the Study:
- To investigate resting-state brain network connectivity in CAD patients.
- To analyze effective connectivity strength and directionality using degree centrality (DC) and spectral dynamic causal modeling (spDCM).
- To identify functional hubs and aberrant connections underlying altered brain function and cognitive decline in CAD.
Main Methods:
- Prospective study with 24 CAD patients and 24 matched healthy controls (HC).
- Functional MRI (fMRI) used to assess brain activity; neuropsychological tests for cognitive function.
- Degree centrality (DC) analysis and spectral dynamic causal modeling (spDCM) applied to investigate brain networks.
Main Results:
- CAD patients exhibited significantly lower cognitive function than HC.
- Reduced DC values observed in the left parahippocampal cortex (PHC) and left medial temporal gyrus (MTG) in CAD patients.
- Altered effective connectivity noted, including absent positive connectivity between right superior frontal gyrus (SFG) and PHC, increased negative connectivity from PHC/MTG to SFG, and decreased positive connectivity between PHC and MTG.
Conclusions:
- Alterations in brain network connectivity involving SFG, PHC, and MTG may mediate cognitive function changes in CAD patients.
- Neuroimaging evidence suggests specific network disruptions contribute to cognitive decline in CAD.
- Findings highlight the link between cardiovascular health and brain network integrity affecting cognition.
Background:
Coronary artery disease (CAD) and cognitive impairment (CI) have become significant global disease and medical burdens. There have been several reports documenting the alterations in regional brain function and their correlation with CI in CAD patients. However, there is limited research on the changes in brain network connectivity in CAD patients. To investigate the resting-state connectivity and further understand the effective connectivity strength and directionality in patients with CAD, we utilized degree centrality (DC) and spectral dynamic causal modeling (spDCM) to detect functional hubs in the whole brain network, followed by an analysis of directional connections. Using the aforementioned approaches, it is possible to investigate the hub regions and aberrant connections underlying the altered brain function in CAD patients, providing neuroimaging evidence for the cognitive decline in patients with coronary artery disease.
Materials And Methods:
This study was prospectively conducted involving 24 patients diagnosed with CAD and 24 healthy controls (HC) who were matched in terms of age, gender, and education. Functional MRI (fMRI) scans were utilized to investigate brain activity in these individuals. Neuropsychological examinations were performed on all participants. DC analysis and spDCM were employed to investigate abnormal brain networks in patients with CAD. Additionally, the association between effective connectivity strength and cognitive function in patients with CAD was examined based on the aforementioned results.
Results:
By assessing cognitive functions, we discovered that patients with CAD exhibited notably lower cognitive function compared to the HC group. By utilizing DC analysis and spDCM, we observed significant reductions in DC values within the left parahippocampal cortex (PHC) and the left medial temporal gyrus (MTG) in CAD patients when compared to the control group. In terms of effective connectivity, we observed the absence of positive connectivity between the right superior frontal gyrus (SFG) and PHC in CAD patients. Moreover, there was an increase in negative connectivity from PHC and MTG to SFG, along with a decrease in the strength of positive connectivity between PHC and MTG. Furthermore, we identified a noteworthy positive correlation (r = 0.491, p = 0.015) between the strength of connectivity between the PHC and the MTG and cognitive function in CAD patients.
Conclusions:
These research findings suggest that alterations in the connectivity of the brain networks involving SFG, PHC, and MTG in CAD patients may mediate changes in cognitive function.
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