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Different patterns of brain iron deposition exist in peritoneal dialysis and hemodialysis patients with cognitive
Jiamin Liu1, Wenbo Yang2, Lijun Song2
1Department of Nephrology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Insights
Cognitive impairment is rising in dialysis patients. This study found abnormal brain iron deposition in peritoneal dialysis (PD) patients, which may link to cognitive decline.
Area of Science:
- Nephrology
- Neuroimaging
- Cognitive Science
Background:
- Cognitive impairment is increasingly observed in patients undergoing peritoneal dialysis (PD) and hemodialysis (HD).
- The underlying mechanisms, particularly concerning brain iron homeostasis, remain unclear.
- Iron disruption is a known factor associated with cognitive decline.
Purpose of the Study:
- To investigate the relationship between brain iron deposition and cognitive function in PD and HD patients.
- To utilize quantitative susceptibility mapping (QSM) for assessing brain iron content.
- To compare iron deposition patterns between PD patients, HD patients, and healthy controls.
Main Methods:
- A cross-sectional study included 56 PD patients, 66 HD patients, and 56 healthy controls (HC).
- Quantitative Susceptibility Mapping (QSM) measured brain iron levels, and the Montreal Cognitive Assessment (MoCA) evaluated cognitive function.
- Statistical analyses included ANOVA for group comparisons and Pearson correlation for assessing relationships between iron levels, clinical data, and MoCA scores.
Main Results:
- PD patients exhibited higher brain iron susceptibility values in the bilateral caudate nuclei (CAU) and left thalamus (THA) compared to HC.
- PD patients showed increased susceptibility values in the left thalamus compared to HD patients.
- A negative correlation was observed between brain iron susceptibility values and MoCA scores in PD patients.
Conclusions:
- Distinct patterns of brain iron deposition exist between PD and HD patients.
- Abnormal brain iron accumulation in PD patients is potentially linked to their cognitive impairment.
Background:
The incidence of cognitive impairment in patients with peritoneal dialysis (PD) and hemodialysis (HD) has been increased, but the specific mechanism is not clear. Disruption of iron homeostasis is associated with cognitive impairment. This study aimed to explore the relationship between brain iron deposition and cognitive impairment in patients with PD and HD by using quantitative susceptibility mapping (QSM).
Methods:
The cross-sectional study enrolled 56 PD patients, 66 HD patients, and 56 age-sex matched healthy controls. All participants underwent QSM to measure brain iron content and Montreal Cognitive Assessment (MoCA) to assess cognitive function. In addition, relevant biochemical indicators were collected and analyzed. The ANOVA was used to test for differences in susceptibility value among bilateral caudate nuclei (CAU), thalamus (THA), putamen and pallidum. Pearson correlation analysis was performed to investigate the relationships between susceptibility value and clinical laboratory parameters or MoCA score.
Results:
Compared with HC, PD patients showed higher susceptibility value in bilateral CAU and left THA. Compared with HD patients, PD patients showed higher susceptibility value in left THA. PD patients showed a negative correlation between susceptibility value and MoCA score.
Conclusion:
There are different patterns of brain iron deposition in PD and HD patients. Abnormal brain iron deposition in PD patients may be associated with cognitive impairment.
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