Whole-brain functional networks in cognitively normal, mild cognitive impairment, and Alzheimer's disease

The conceptual significance of understanding functional brain alterations and cognitive deficits associated with Alzheimer's disease (AD) process has been widely established. However, the whole-brain functional networks of AD and its prodromal stage, mild cognitive impairment (MCI), are not wel...

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Veröffentlicht in:PloS one 2013-01, Vol.8 (1), p.e53922-e53922
Hauptverfasser: Seo, Eun Hyun, Lee, Dong Young, Lee, Jong-Min, Park, Jun-Sung, Sohn, Bo Kyung, Lee, Dong Soo, Choe, Young Min, Woo, Jong Inn
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Lee, Dong Young
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Lee, Dong Soo
Choe, Young Min
Woo, Jong Inn
description The conceptual significance of understanding functional brain alterations and cognitive deficits associated with Alzheimer's disease (AD) process has been widely established. However, the whole-brain functional networks of AD and its prodromal stage, mild cognitive impairment (MCI), are not well clarified yet. In this study, we compared the characteristics of the whole-brain functional networks among cognitively normal (CN), MCI, and AD individuals by applying graph theoretical analyses to [(18)F] fluorodeoxyglucose positron emission tomography (FDG-PET) data. Ninety-four CN elderly, 183 with MCI, and 216 with AD underwent clinical evaluation and FDG-PET scan. The overall small-world property as seen in the CN whole-brain network was preserved in MCI and AD. In contrast, individual parameters of the network were altered with the following patterns of changes: local clustering of networks was lower in both MCI and AD compared to CN, while path length was not different among the three groups. Then, MCI had a lower level of local clustering than AD. Subgroup analyses for AD also revealed that very mild AD had lower local clustering and shorter path length compared to mild AD. Regarding the local properties of the whole-brain networks, MCI and AD had significantly decreased normalized betweenness centrality in several hubs regionally associated with the default mode network compared to CN. Our results suggest that the functional integration in whole-brain network progressively declines due to the AD process. On the other hand, functional relatedness between neighboring brain regions may not gradually decrease, but be the most severely altered in MCI stage and gradually re-increase in clinical AD stages.
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Subgroup analyses for AD also revealed that very mild AD had lower local clustering and shorter path length compared to mild AD. Regarding the local properties of the whole-brain networks, MCI and AD had significantly decreased normalized betweenness centrality in several hubs regionally associated with the default mode network compared to CN. Our results suggest that the functional integration in whole-brain network progressively declines due to the AD process. 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subjects Advertising executives
Aged
Alzheimer Disease - metabolism
Alzheimer Disease - physiopathology
Alzheimer's disease
Biology
Biomedical engineering
Biomedical research
Brain
Brain - physiology
Brain - physiopathology
Brain Mapping
Brain research
Clustering
Cognition - physiology
Cognitive ability
Cognitive Dysfunction - metabolism
Cognitive Dysfunction - physiopathology
Comparative analysis
Dementia
Emission analysis
Female
Fluorodeoxyglucose F18
Functional integration
Geriatrics
Hospitals
Humans
Impairment
Interdisciplinary aspects
Male
Medical imaging
Medicine
Memory
Metabolic Networks and Pathways
Metabolism
Middle Aged
Networks
Neural networks
Neurodegenerative diseases
Neurophysiology
NMR
Nuclear magnetic resonance
Older people
Positron emission
Positron emission tomography
Social and Behavioral Sciences
Studies
Tomography
title Whole-brain functional networks in cognitively normal, mild cognitive impairment, and Alzheimer's disease
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