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.

Peerj
|November 29, 2023
PubMed

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.
Abstract

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