The compensatory phenomenon of the functional connectome related to pathological biomarkers in individuals with subjective cognitive decline.


Journal

Translational neurodegeneration
ISSN: 2047-9158
Titre abrégé: Transl Neurodegener
Pays: England
ID NLM: 101591861

Informations de publication

Date de publication:
27 05 2020
Historique:
received: 14 02 2020
accepted: 20 05 2020
entrez: 29 5 2020
pubmed: 29 5 2020
medline: 20 7 2021
Statut: epublish

Résumé

Subjective cognitive decline (SCD) is a preclinical stage along the Alzheimer's disease (AD) continuum. However, little is known about the aberrant patterns of connectivity and topological alterations of the brain functional connectome and their diagnostic value in SCD. Resting-state functional magnetic resonance imaging and graph theory analyses were used to investigate the alterations of the functional connectome in 66 SCD individuals and 64 healthy controls (HC). Pearson correlation analysis was computed to assess the relationships among network metrics, neuropsychological performance and pathological biomarkers. Finally, we used the multiple kernel learning-support vector machine (MKL-SVM) to differentiate the SCD and HC individuals. SCD individuals showed higher nodal topological properties (including nodal strength, nodal global efficiency and nodal local efficiency) associated with amyloid-β levels and memory function than the HC, and these regions were mainly located in the default mode network (DMN). Moreover, increased local and medium-range connectivity mainly between the bilateral parahippocampal gyrus (PHG) and other DMN-related regions was found in SCD individuals compared with HC individuals. These aberrant functional network measures exhibited good classification performance in the differentiation of SCD individuals from HC individuals at an accuracy up to 79.23%. The findings of this study provide insight into the compensatory mechanism of the functional connectome underlying SCD. The proposed classification method highlights the potential of connectome-based metrics for the identification of the preclinical stage of AD.

Sections du résumé

BACKGROUND
Subjective cognitive decline (SCD) is a preclinical stage along the Alzheimer's disease (AD) continuum. However, little is known about the aberrant patterns of connectivity and topological alterations of the brain functional connectome and their diagnostic value in SCD.
METHODS
Resting-state functional magnetic resonance imaging and graph theory analyses were used to investigate the alterations of the functional connectome in 66 SCD individuals and 64 healthy controls (HC). Pearson correlation analysis was computed to assess the relationships among network metrics, neuropsychological performance and pathological biomarkers. Finally, we used the multiple kernel learning-support vector machine (MKL-SVM) to differentiate the SCD and HC individuals.
RESULTS
SCD individuals showed higher nodal topological properties (including nodal strength, nodal global efficiency and nodal local efficiency) associated with amyloid-β levels and memory function than the HC, and these regions were mainly located in the default mode network (DMN). Moreover, increased local and medium-range connectivity mainly between the bilateral parahippocampal gyrus (PHG) and other DMN-related regions was found in SCD individuals compared with HC individuals. These aberrant functional network measures exhibited good classification performance in the differentiation of SCD individuals from HC individuals at an accuracy up to 79.23%.
CONCLUSION
The findings of this study provide insight into the compensatory mechanism of the functional connectome underlying SCD. The proposed classification method highlights the potential of connectome-based metrics for the identification of the preclinical stage of AD.

Identifiants

pubmed: 32460888
doi: 10.1186/s40035-020-00201-6
pii: 10.1186/s40035-020-00201-6
pmc: PMC7254770
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

21

Subventions

Organisme : National Natural Science Foundation of China
ID : 81822013
Pays : International
Organisme : National Natural Science Foundation of China
ID : 81671665
Pays : International
Organisme : Jiangsu Provincial Key Medical Talents
ID : ZDRCA2016085
Pays : International
Organisme : Key Research and Development Program of Jiangsu Province of China
ID : BE2016610
Pays : International
Organisme : National Key Research and Development Program of China
ID : 2016YFC1300500-504
Pays : International
Organisme : Jiangsu Province Key Medical Discipline
ID : ZDXKA2016020
Pays : International

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Auteurs

Haifeng Chen (H)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Xiaoning Sheng (X)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Caimei Luo (C)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Ruomeng Qin (R)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Qing Ye (Q)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Hui Zhao (H)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Yun Xu (Y)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China.

Feng Bai (F)

Department of Neurology, Drum Tower Hospital, Medical School and The State Key Laboratory of Pharmaceutical Biotechnology, Institute of Brain Science, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, P. R. China. baifeng@njglyy.com.
Jiangsu Key Laboratory of Molecular Medicine, Medical School of Nanjing University, Nanjing, China. baifeng@njglyy.com.
Jiangsu Province Stroke Center for Diagnosis and Therapy, Nanjing, China. baifeng@njglyy.com.
Nanjing Neuropsychiatry Clinic Medical Center, Nanjing, China. baifeng@njglyy.com.

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