アルツハイマー病の病前段階におけるアミロイド関連のデフォルトモードネットワークの過剰結合とネットワーク特異性の経時的低下
Woo-Jin Cha1, Evgeny J Chumin2,3, Dahyun Yi4
1Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Introduction:
We investigated stage-specific alterations in functional connectivity (FC) of the default mode network (DMN) across the Alzheimer's disease (AD) continuum and tested whether early amyloid beta (Aβ)-related changes in within-DMN FC (DMN-FCwithin) predicted longitudinal alterations in DMN between-network connectivity (DMN-FCbetween).
Methods:
Resting-state functional magnetic resonance imaging (fMRI) data were analyzed from 396 older adults: Aβ-negative cognitively normal (CN-, n = 213), Aβ-positive CN (CN+, n = 37), Aβ-positive mild cognitive impairment (MCI+, n = 72), and Aβ-positive dementia (dementia+, n = 74). Cross-sectional analyses compared DMN-FC across groups and examined associations with continuous Aβ burden at baseline. Longitudinal analyses in 171 CN participants with 2-year follow-up (CN-, n = 147; CN+, n = 24) tested whether baseline DMN-FCwithin predicted changes in DMN-FCbetween.
Results:
CN+ individuals showed elevated DMN-FCwithin and reduced DMN-FCbetween relative to other groups. In CN, Aβ burden was associated with FC, and baseline DMN-FCwithin predicted longitudinal increases in DMN-FCbetween only in CN+.
Discussion:
Aβ-related hyperconnectivity characterizes preclinical AD and may drive progressive network-level vulnerability.
Highlights:
Cognitively normal amyloid beta (Aβ)-positive (CN+) individuals showed stronger connectivity within the default mode network (DMN). CN+ individuals also showed weaker links between the DMN and other brain networks. Amyloid was not linked to connectivity changes in cognitively impaired adults. Higher DMN connectivity predicted broader network changes in CN+ individuals.
さらに関連する動画
06:23The 4 Mountains Test: A Short Test of Spatial Memory with High Sensitivity for the Diagnosis of Pre-dementia Alzheimer's Disease
Published on: October 13, 2016
06:23Visualizing Axonal Growth Cone Collapse and Early Amyloid β Effects in Cultured Mouse Neurons
Published on: October 30, 2018
関連する概念動画
Long-term Depression
Long-term Depression
Calcium Ion Concentration Mechanism
If over...
Alzheimer's Disease: Overview
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
Alzheimer Disease l: Introduction
Alzheimer Disease ll: Pathophysiology
Dementia l: Introduction
