帕金森病的低连接模式与纯粹的冷漠:一个动态的功能连接视角
Yan Zhi1, Kaidong Chen2, Yiping You3
1Department of Neurology, JiangYuan Hospital Affiliated to Jiangsu Institute of Nuclear Medicine, Wuxi 214063, China; Department of Radiopharmaceuticals, School of Pharmacy, Nanjing Medical University, Nanjing 211166, China.
Neurobiology of disease
|June 21, 2025
概括
帕金森病 (PD) 中的冷漠与长期低脑网络连接性有关. 具体来说,在预先设置模式网络 (DMN) 中, precuneus 和 SFGmed 之间的连接性降低可能会导致 PD 患者的冷漠.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 脑部成像 脑部成像
背景情况:
- 漠不关心是帕金森病 (PD) 的一个常见的非运动症状.
- 了解PD中无动于衷的脑网络动态至关重要.
- 以前的研究还没有完全阐明PD和纯无视 (PD-PA) 患者的动态功能网络连接 (dFNC).
研究的目的:
- 为了研究与帕金森病中冷漠相关的动态大脑网络变化.
- 使用dFNC分析探索PD-PA患者大脑中的功能连接模式.
主要方法:
- 使用动态功能网络连接 (dFNC) 分析.
- 研究了30名PD-PA患者,37名PD但不完全冷漠的患者 (PD-NPA) 和37名健康对照 (HC).
- 确定了七个大脑网络,配置成四个不同的状态.
主要成果:
- 与PD-NPA患者相比,PD-PA患者在低连接状态 (状态1) 中的平均停留时间较长.
- 在状态1中的平均停留时间与PD-PA患者的冷漠度严重程度正相关.
- 在状态1中,在PD-PA患者的默认模式网络 (DMN) 中观察到网络内部功能连接 (FC) 的下降,特别是涉及左侧前骨和左侧中侧上额回 (SFGmed).
结论:
- 患PD的冷漠可能源于大脑网络中长时间的低连接性.
- 信息传输受损,特别是DMN内的前和SFGmed之间的断开,是PD无动于衷的一个关键机制.
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