Resting-State Connectivity of the Left Frontal Cortex to the Default Mode and Dorsal Attention Network Supports Reserve in Mild Cognitive Impairment.

Resting-State Connectivity of the Left Frontal Cortex to the Default Mode and Dorsal Attention Network Supports Reserve in Mild Cognitive Impairment.
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DOI:
10.3389/fnagi.2017.00264
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发表时间:
2017
影响因子:
4.8
通讯作者:
Ewers M
Ewers M
中科院分区:
医学2区
文献类型:
--
作者:
Franzmeier N;Göttler J;Grimmer T;Drzezga A;Áraque-Caballero MA;Simon-Vermot L;Taylor ANW;Bürger K;Catak C;Janowitz D;Müller C;Duering M;Sorg C;Ewers M

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储备是指与神经病理程度不成比例的相对保存的认知现象,如阿尔茨海默病。左侧额外侧皮质(LFC, Brodmann Area 6/44)的全球功能连通性被认为是潜在的功能性神经基质。在轻度认知障碍(MCI)中,静息状态fmri评估的全球lfc连接与保护因素(教育)和更好的记忆维持有关。由于LFC是额顶叶控制网络的中枢,而额顶叶控制网络调节其他网络的活动,因此问题就出现了,LFC与特定网络的连接,而不是整个大脑的连接,是否可能是储备的基础。我们评估了24名MCI和16名健康对照(HC)以及独立验证样本(23名MCI/32名HC)的静息状态fMRI。计算基于种子的lfc与七个主要静息状态网络(即额顶叶、边缘、背侧注意、体运动、默认模式、腹侧注意、视觉)的连通性,并在考虑年龄和海马萎缩后将储备量化为剩余记忆表现。在两个MCI样本中,lfc活性与默认模式网络(DMN)呈反相关,而与背侧注意网络(DAN)呈正相关。教育程度越高,lfc - dmn -连通性(反相关)和lfc - dan -连通性越强。更强的LFC-DMN和lfc - dan -连通性各自预测更高的储备,在两个MCI样本中一致。没有检测到lfc连接到其他网络的关联。这些新结果扩展了我们之前关于LFC整体功能连通性的发现,表明LFC与DAN和DMN这两个核心记忆网络的连通性增强了MCI记忆域的储备。
Reserve refers to the phenomenon of relatively preserved cognition in disproportion to the extent of neuropathology, e.g., in Alzheimer’s disease. A putative functional neural substrate underlying reserve is global functional connectivity of the left lateral frontal cortex (LFC, Brodmann Area 6/44). Resting-state fMRI-assessed global LFC-connectivity is associated with protective factors (education) and better maintenance of memory in mild cognitive impairment (MCI). Since the LFC is a hub of the fronto-parietal control network that regulates the activity of other networks, the question arises whether LFC-connectivity to specific networks rather than the whole-brain may underlie reserve. We assessed resting-state fMRI in 24 MCI and 16 healthy controls (HC) and in an independent validation sample (23 MCI/32 HC). Seed-based LFC-connectivity to seven major resting-state networks (i.e., fronto-parietal, limbic, dorsal-attention, somatomotor, default-mode, ventral-attention, visual) was computed, reserve was quantified as residualized memory performance after accounting for age and hippocampal atrophy. In both samples of MCI, LFC-activity was anti-correlated with the default-mode network (DMN), but positively correlated with the dorsal-attention network (DAN). Greater education predicted stronger LFC-DMN-connectivity (anti-correlation) and LFC-DAN-connectivity. Stronger LFC-DMN and LFC-DAN-connectivity each predicted higher reserve, consistently in both MCI samples. No associations were detected for LFC-connectivity to other networks. These novel results extend our previous findings on global functional connectivity of the LFC, showing that LFC-connectivity specifically to the DAN and DMN, two core memory networks, enhances reserve in the memory domain in MCI.
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