Abnormal Resting-State Functional Connectivity Strength in Mild Cognitive Impairment and Its Conversion to Alzheimer’s Disease

  • Yuxia Li
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Xiaoni Wang
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Yongqiu Li
    Department of Neurology, Tangshan Gongren Hospital, Tangshan 063000, China
  • Yu Sun
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Can Sheng
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Hongyan Li
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Xuanyu Li
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Yang Yu
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Guanqun Chen
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Xiaochen Hu
    Department of Psychiatry and Psychotherapy, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany
  • Bin Jing
    School of Biomedical Engineering, Capital Medical University, Beijing 100069, China
  • Defeng Wang
    Research Center for Medical Image Computing, Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, Newterritories 000852, Hong Kong
  • Kuncheng Li
    Department of Radiology, XuanWu Hospital of Capital Medical University, Beijing 100053, China
  • Frank Jessen
    Department of Psychiatry and Psychotherapy, University Hospital of Cologne, Kerpener Strasse 62, 50937 Cologne, Germany
  • Mingrui Xia
    State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
  • Ying Han
    Department of Neurology, XuanWu Hospital of Capital Medical University, Beijing 100053, China

説明

<jats:p>Individuals diagnosed with mild cognitive impairment (MCI) are at high risk of transition to Alzheimer’s disease (AD). However, little is known about functional characteristics of the conversion from MCI to AD. Resting-state functional magnetic resonance imaging was performed in 25 AD patients, 31 MCI patients, and 42 well-matched normal controls at baseline. Twenty-one of the 31 MCI patients converted to AD at approximately 24 months of follow-up. Functional connectivity strength (FCS) and seed-based functional connectivity analyses were used to assess the functional differences among the groups. Compared to controls, subjects with MCI and AD showed decreased FCS in the default-mode network and the occipital cortex. Importantly, the FCS of the left angular gyrus and middle occipital gyrus was significantly lower in MCI-converters as compared with MCI-nonconverters. Significantly decreased functional connectivity was found in MCI-converters compared to nonconverters between the left angular gyrus and bilateral inferior parietal lobules, dorsolateral prefrontal and lateral temporal cortices, and the left middle occipital gyrus and right middle occipital gyri. We demonstrated gradual but progressive functional changes during a median 2-year interval in patients converting from MCI to AD, which might serve as early indicators for the dysfunction and progression in the early stage of AD.</jats:p>

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