Elevated arteriolar cerebral blood volume in prodromal Huntington's disease.

Elevated arteriolar cerebral blood volume in prodromal Huntington's disease.
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DOI:
10.1002/mds.25591
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发表时间:
2014-03
期刊:
影响因子:
8.6
通讯作者:
Ross, Christopher A.
Ross, Christopher A.
中科院分区:
医学1区
文献类型:
--
作者:
Hua, Jun;Unschuld, Paul G.;Margolis, Russell L.;van Zijl, Peter C. M.;Ross, Christopher A.

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神经血管改变与亨廷顿病(HD)的病理生理学有关。由于小动脉对代谢变化最敏感,因此小动脉脑血容量(CBVa)是脑血管调节的重要指标。这项初步研究旨在研究前驱HD中潜在的神经血管(CBVa)异常,并将其与广泛使用的成像标志物脑萎缩进行比较。在7名前驱HD患者和9名年龄匹配的对照组中,采用超高场(7T)磁共振成像测量CBVa和脑体积。前驱HD患者的皮质CBVa显著升高(相对差异= 38.5%,效应量=1.48)。额叶皮层CBVa与遗传指标之间存在显著相关性。相比之下,在这些前驱HD患者中未检测到显著的脑萎缩。CBVa在前驱HD中可能是异常的,甚至在实质性脑萎缩发生之前。进一步的研究,更大的队列和纵向随访是值得的,以确定它是否可以作为一个潜在的生物标志物的临床试验。
Neurovascular alterations have been implicated in the pathophysiology of Huntington’s Disease (HD). As arterioles are most responsive to metabolic alterations, arteriolar-cerebral-blood-volume (CBVa) is an important indicator of cerebrovascular regulation. This pilot study is intended to investigate potential neurovascular (CBVa) abnormality in prodromal-HD, and compare it with the widely used imaging marker brain atrophy. CBVa and brain volumes were measured with ultra-high field (7T) magnetic-resonance-imaging in seven prodromal-HD patients and nine age-matched controls. Cortical CBVa was significantly elevated in prodromal-HD patients (relative difference=38.5%, effect size=1.48). Significant correlations were found between CBVa in frontal cortex and genetic measures. By contrast, no significant brain atrophy was detected in these prodromal-HD patients. CBVa may be abnormal in prodromal-HD, even before substantial brain atrophy occurs. Further investigation with a larger cohort and longitudinal follow-up is merited to determine whether it could be used as a potential biomarker for clinical trials.
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