在老年人中将皮质结构和妄想联系起来:从队列研究和共享遗传风险分析的见解
Yanbo Chen1, Jiayuan Zheng1, Runnan Shen2
1Department of Trauma Orthopedics, Foot and Ankle Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, 510120, China.
Journal of translational medicine
|February 12, 2026
概括
老年人皮层厚度和体积的减少与 Delirium 的更高风险有关. 大脑磁共振成像 (MRI) 可能有助于对老年患者进行手术前妄想风险评估.
科学领域:
- 神经成像是一种神经成像.
- 老年医学 老年医学
- 遗传学 是一个遗传学.
背景情况:
- 痴呆症是老年患者的常见并发症,特别是在术后.
- 确定可靠的狂妄风险生物标志物对于预防策略至关重要.
研究的目的:
- 为了研究区域大脑结构变化和妄想发病率之间的关联.
- 探索皮层结构和妄想风险的遗传基础.
主要方法:
- 使用了前性队列 (英国生物库,独立的临床队列) 与基线大脑MRI数据.
- 使用Desikan-Killiany地图集提取区域皮层体积,厚度和表面积.
- 进行了后勤回归和全基因组关联研究 (GWAS) 与cond/conjFDR分析.
主要成果:
- 在17个区域的皮质厚度下降与英国生物银行队列中 Delirium 风险增加相关.
- 在7个区域的皮质体积减少与独立队列中更高的妄想风险有关.
- 确定了100个与皮层结构和妄想相关的SNP,涉及像NT5C2和CCDC25这样的基因.
结论:
- 区域皮质缩是老年人群妄的重要危险因素.
- 大脑MRI可以作为一种有价值的工具,用于老年手术患者的手术前妄想风险分层.
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