Amyloid plaques disrupt resting state default mode network connectivity in cognitively normal elderly.

Amyloid plaques disrupt resting state default mode network connectivity in cognitively normal elderly.
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DOI:
10.1016/j.biopsych.2009.08.024
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发表时间:
2010-03-15
影响因子:
10.6
通讯作者:
Mintun MA
Mintun MA
中科院分区:
医学1区
文献类型:
--
作者:
Sheline YI;Raichle ME;Snyder AZ;Morris JC;Head D;Wang S;Mintun MA

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Important functional connections within the “default mode network” (DMN) are disrupted in Alzheimer’s disease (AD), likely from amyloid-beta (Aβ) plaque-associated neuronal toxicity. Here we sought to determine if pathological effects of Aβ amyloid plaques could be seen even in the absence of a task by examining functional connectivity in cognitively normal participants with and without preclinical amyloid deposition. Participants with Alzheimer’s disease (AD) (n= 35) were compared with 68 cognitively normal participants who were further subdivided by PET PIB imaging into those without evidence of brain amyloid (PIB−) and those with brain amyloid (PIB+) deposition. Resting state fMRI demonstrated that, compared with the PIB− group, the PIB+ group differed significantly in functional connectivity of the precuneus to hippocampus, parahippocampus, anterior cingulate, dorsal cingulate, gyrus rectus, superior precuneus and visual cortex. These differences were in the same regions, and in the same direction, as differences found in the AD group. Thus, prior to any manifestations of cognitive or behavioral changes there were differences in resting state connectivity in cognitively normal subjects with brain amyloid deposition, suggesting that early manifestation of Aβ toxicity can be detected using resting state fMRI.
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