在男性阻塞性睡眠呼吸暂停中,小脑网络的异常动态功能连接和拓性质异常
Lifeng Li1,2, Ting Long1, Yuting Liu3
1Department of Radiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
CNS neuroscience & therapeutics
|June 3, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 破坏大脑网络连接,特别是在小脑. 这些动态功能连接性变化与男性OSA患者的认知,情感和睡眠功能受损相关.
科学领域:
- 神经科学是一个神经科学.
- 医疗成像医学成像
- 系统生物学 系统生物学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍影响睡眠质量和全身健康的疾病.
- 小脑功能障碍已与OSA有关,但其动态功能连接 (dFC) 仍未得到充分研究.
- 了解OSA中大脑网络动态对于识别疾病机制和潜在的治疗点至关重要.
研究的目的:
- 调查大脑小脑全脑网络内的动态功能连接 (dFC) 在患有阻塞性睡眠呼吸暂停 (OSA) 的男性患者中.
- 在OSA中分析小脑网络的动态拓性质.
- 探索改变的大脑网络动态和OSA临床评估之间的关系.
主要方法:
- 使用滑窗方法检查60名男性OSA患者和60名男性健康对照的dFC波动和连接强度.
- 应用图形理论指标来评估小脑网络的动态拓特性.
- 采用隐藏的马尔科夫建模来验证dFC稳定性,并评估与临床数据的相关性.
主要成果:
- 确定了两个不同的动态网络状态,OSA患者在状态2中显示变化的频率,占用率和停留时间.
- 在网络中观察到大脑小脑dFC的显著变化,包括默认模式,前端对象和体运动网络,特别是涉及右大脑小脑CrusI/II.
- 揭示了异常的全球小脑拓和动态网络特性与情绪,认知和睡眠的临床指标之间的相关性.
结论:
- 男性OSA患者表现出异常的dFC,这表明大脑网络集成和隔离以及全球拓变化的不平衡.
- 在OSA中,默认模式网络与其他认知网络之间的交互中断可能会损害认知,情绪和睡眠功能的调节.
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