与运动认知风险综合征相关的性别特异性脑缩模式
Helena M Blumen1,2, Natalie Delpratt2, Olivier Beauchet3,4
1Department of Neurology, Stony Brook University, Stony Brook, NY, USA.
Journal of Alzheimer's disease : JAD
|September 17, 2025
概括
运动认知风险 (MCR) 综合征在女性和男性中显示出明显的脑缩模式. 女性表现出与阿尔茨海默病 (AD) 相关的海马缩,而男性表现出与血管痴呆症 (VaD) 相关的额头缩.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 老年学是一门学科.
背景情况:
- 女性的阿尔茨海默病 (AD) 诊断率高于男性,其潜在机制尚不清楚.
- 运动认知风险 (MCR) 综合征,以慢步和认知问题为特征,预测AD和血管痴呆症 (VaD).
- 之前的研究将MCR与前额,额叶和皮层区域的缩联系起来.
研究的目的:
- 调查与MCR相关的皮质 (额头) 和皮质下 (海马) 缩的性别特异性模式.
- 探索MCR如何与女性和男性不同地与大脑结构变化有关.
主要方法:
- 量化了940名女性和1108名男性的额叶皮层厚度和海马体积.
- 采用性别分层线性模型来分析MCR与大脑缩的关联.
- 调整了包括年龄,教育,血管并发症和白质病变在内的共同变量.
主要成果:
- 患有MCR的男性表现出额头缩 (轨道缩,尾部中额头缩),但女性没有.
- 患有MCR的女性表现出海马缩 (CA1,分子层,GCMLDG,Fimbria),但男性没有.
- 这些发现揭示了与MCR相关的大脑结构变化的显著性别差异.
结论:
- 性别特定的缩模式与MCR相关.
- 患有MCR的女性显示海马缩,与早期的AD一致.
- 患有MCR的男性表现出更为表明VaD的额头缩模式.
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