随机侧面硬化症基因型中的渐进性thalamo-cortical断路:thalamus-relayed circuits的结构退化和网络功能障碍
Marlene Tahedl1, Jana Kleinerova1, Mark A Doherty2
1Computational Neuroimaging Group (CNG), School of Medicine, Trinity College Dublin, Dublin, Ireland.
European journal of neurology
|May 10, 2025
概括
肌缩性侧面硬化症 (ALS) 涉及状皮质电路的广泛退化,特别是影响额头区域和前中心. 这种网络范围内的损伤突出显示了ALS是一种渐进的网络疾病.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 丘陵体是认知,感官和运动功能的关键皮质下枢纽.
- 肌缩性侧面硬化症 (ALS) 的thalamic病理越来越被认可,但通常是孤立地研究.
- 需要一个网络智慧的视角来评估膜退化及其在ALS的皮质投影.
研究的目的:
- 为了研究ALS.在thalamo-cortical电路的结构和功能完整性.
- 评估ALS患者的纵向体积变化.
- 根据遗传分层 (C9orf72) 探索基于乳头皮层网络退化的差异.
主要方法:
- 对基因分层的ALS患者进行前性成像研究.
- 通过神经成像来评估thalamic投影的白质完整性.
- 灰色物质和功能连接的纵向体积分析.
主要成果:
- 在ALS的基线上,多个皮层区域的乳头突出的白质完整性受到损害,特别是在C9orf72载体中.
- 纵向观察到 thalamus 和额头区域 (DLPFC,MFG) 之间的逐渐断裂.
- 脑前中心环和小脑中的灰质体积减少,特别是在C9orf72患者中.
结论:
- ALS的特点是广泛而渐进的甲状腺皮层连接性改变.
- 甲状腺突起的退化支持ALS作为一个网络疾病的观点.
- 这些发现与相互连接的神经结构一起退化的原则保持一致.
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