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Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment
AIMS: The prevalence of white matter hyperintensities (WMH) rises dramatically with aging. Both the progression of WMH and changing patterns of default mode network (DMN) have been proven to be closely associated with cognitive function. The present study hypothesized that changes in functional conn...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861557/ https://www.ncbi.nlm.nih.gov/pubmed/31795048 http://dx.doi.org/10.1016/j.nicl.2019.102088 |
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author | Chen, Xin Huang, Lili Ye, Qing Yang, Dan Qin, Ruomeng Luo, Caimei Li, Mengchun Zhang, Bing Xu, Yun |
author_facet | Chen, Xin Huang, Lili Ye, Qing Yang, Dan Qin, Ruomeng Luo, Caimei Li, Mengchun Zhang, Bing Xu, Yun |
author_sort | Chen, Xin |
collection | PubMed |
description | AIMS: The prevalence of white matter hyperintensities (WMH) rises dramatically with aging. Both the progression of WMH and changing patterns of default mode network (DMN) have been proven to be closely associated with cognitive function. The present study hypothesized that changes in functional connectivity and structural connectivity of DMN contributed to WMH related cognitive impairment. METHODS: A total of 116 subjects were enrolled from the Cerebral Small Vessel Disease Register in Drum Tower Hospital of Nanjing University, and were distributed across three categories according to Fazekas rating scale: WMH I (n = 57), WMH II (n = 34), and WMH III(n = 25). All participants underwent neuropsychological tests and multimodal MRI scans, including diffusion tensor imaging and resting-state fMRI imaging. The alterations of functional connectivity and structural connectivity within the DMN were further explored. RESULTS: Age and hypertension were risk factors for WMH progression. Subjects with a higher WMH burden displayed higher DMN functional connectivity in the medial frontal gyrus, while lower DMN functional connectivity in the thalamus. After adjusting for aging, gender, and education, the increased DMN functional connectivity in the medial frontal gyrus, and the increased mean diffusivity of the white matter tracts between the hippocampus and posterior cingulate cortex were independent indicators of worse performance in memory. Moreover, the decreased DMN functional connectivity in the thalamus and increased mean diffusivity of the white matter tracts between the thalamus and posterior cingulate cortex were independent risk factors for a slower processing speed. CONCLUSION: The changes in functional connectivity and structural connectivity within the DMN attributed to WMH progression were responsible for the development of cognitive impairment. |
format | Online Article Text |
id | pubmed-6861557 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-68615572019-11-22 Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment Chen, Xin Huang, Lili Ye, Qing Yang, Dan Qin, Ruomeng Luo, Caimei Li, Mengchun Zhang, Bing Xu, Yun Neuroimage Clin Regular Article AIMS: The prevalence of white matter hyperintensities (WMH) rises dramatically with aging. Both the progression of WMH and changing patterns of default mode network (DMN) have been proven to be closely associated with cognitive function. The present study hypothesized that changes in functional connectivity and structural connectivity of DMN contributed to WMH related cognitive impairment. METHODS: A total of 116 subjects were enrolled from the Cerebral Small Vessel Disease Register in Drum Tower Hospital of Nanjing University, and were distributed across three categories according to Fazekas rating scale: WMH I (n = 57), WMH II (n = 34), and WMH III(n = 25). All participants underwent neuropsychological tests and multimodal MRI scans, including diffusion tensor imaging and resting-state fMRI imaging. The alterations of functional connectivity and structural connectivity within the DMN were further explored. RESULTS: Age and hypertension were risk factors for WMH progression. Subjects with a higher WMH burden displayed higher DMN functional connectivity in the medial frontal gyrus, while lower DMN functional connectivity in the thalamus. After adjusting for aging, gender, and education, the increased DMN functional connectivity in the medial frontal gyrus, and the increased mean diffusivity of the white matter tracts between the hippocampus and posterior cingulate cortex were independent indicators of worse performance in memory. Moreover, the decreased DMN functional connectivity in the thalamus and increased mean diffusivity of the white matter tracts between the thalamus and posterior cingulate cortex were independent risk factors for a slower processing speed. CONCLUSION: The changes in functional connectivity and structural connectivity within the DMN attributed to WMH progression were responsible for the development of cognitive impairment. Elsevier 2019-11-12 /pmc/articles/PMC6861557/ /pubmed/31795048 http://dx.doi.org/10.1016/j.nicl.2019.102088 Text en © 2019 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Regular Article Chen, Xin Huang, Lili Ye, Qing Yang, Dan Qin, Ruomeng Luo, Caimei Li, Mengchun Zhang, Bing Xu, Yun Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title | Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title_full | Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title_fullStr | Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title_full_unstemmed | Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title_short | Disrupted functional and structural connectivity within default mode network contribute to WMH-related cognitive impairment |
title_sort | disrupted functional and structural connectivity within default mode network contribute to wmh-related cognitive impairment |
topic | Regular Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861557/ https://www.ncbi.nlm.nih.gov/pubmed/31795048 http://dx.doi.org/10.1016/j.nicl.2019.102088 |
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