Default mode network dissociation linking cerebral beta amyloid retention and depression in cognitively normal older adults

Cerebral beta amyloid (Aβ) deposition and late-life depression (LLD) are known to be associated with the trajectory of Alzheimer's disease (AD). However, their neurobiological link is not clear. Previous studies showed aberrant functional connectivity (FC) changes in the default mode network (D...

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Veröffentlicht in:Neuropsychopharmacology (New York, N.Y.) N.Y.), 2021-11, Vol.46 (12), p.2180-2187
Hauptverfasser: Wang, Sheng-Min, Kim, Nak-Young, Um, Yoo Hyun, Kang, Dong Woo, Na, Hae-Ran, Lee, Chang Uk, Lim, Hyun Kook
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container_issue 12
container_start_page 2180
container_title Neuropsychopharmacology (New York, N.Y.)
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creator Wang, Sheng-Min
Kim, Nak-Young
Um, Yoo Hyun
Kang, Dong Woo
Na, Hae-Ran
Lee, Chang Uk
Lim, Hyun Kook
description Cerebral beta amyloid (Aβ) deposition and late-life depression (LLD) are known to be associated with the trajectory of Alzheimer's disease (AD). However, their neurobiological link is not clear. Previous studies showed aberrant functional connectivity (FC) changes in the default mode network (DMN) in early Aβ deposition and LLD, but its mediating role has not been elucidated. This study was performed to investigate the distinctive association pattern of DMN FC linking LLD and Aβ retention in cognitively normal older adults. A total of 235 cognitively normal older adults with (n = 118) and without depression (n = 117) underwent resting-state functional magnetic resonance imaging and F-flutemetamol positron emission tomography to investigate the associations between Aβ burden, depression, and DMN FC. Independent component analysis showed increased anterior DMN FC and decreased posterior DMN FC in the depression group compared with the no depression group. Global cerebral Aβ retention was positively correlated with anterior and negatively correlated with posterior DMN FC. Anterior DMN FC was positively correlated with severity of depression, whereas posterior DMN FC was negatively correlated with cognitive function. In addition, the effects of global cerebral Aβ retention on severity of depression were mediated by subgenual anterior cingulate FC. Our results of anterior and posterior DMN FC dissociation pattern may be pivotal in linking cerebral Aβ pathology and LLD in the course of AD progression. Further longitudinal studies are needed to confirm the causal relationships between cerebral Aβ retention and LLD.
doi_str_mv 10.1038/s41386-021-01072-9
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However, their neurobiological link is not clear. Previous studies showed aberrant functional connectivity (FC) changes in the default mode network (DMN) in early Aβ deposition and LLD, but its mediating role has not been elucidated. This study was performed to investigate the distinctive association pattern of DMN FC linking LLD and Aβ retention in cognitively normal older adults. A total of 235 cognitively normal older adults with (n = 118) and without depression (n = 117) underwent resting-state functional magnetic resonance imaging and F-flutemetamol positron emission tomography to investigate the associations between Aβ burden, depression, and DMN FC. Independent component analysis showed increased anterior DMN FC and decreased posterior DMN FC in the depression group compared with the no depression group. Global cerebral Aβ retention was positively correlated with anterior and negatively correlated with posterior DMN FC. Anterior DMN FC was positively correlated with severity of depression, whereas posterior DMN FC was negatively correlated with cognitive function. In addition, the effects of global cerebral Aβ retention on severity of depression were mediated by subgenual anterior cingulate FC. Our results of anterior and posterior DMN FC dissociation pattern may be pivotal in linking cerebral Aβ pathology and LLD in the course of AD progression. 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source MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adult
Alzheimer's disease
Amyloid beta-Peptides - metabolism
Brain - diagnostic imaging
Brain - metabolism
Brain Mapping
Cognitive ability
Default Mode Network
Depression - diagnostic imaging
Functional magnetic resonance imaging
Humans
Magnetic Resonance Imaging
Mental depression
Neural networks
Neurodegenerative diseases
Neuropsychological Tests
Older people
Positron emission tomography
Retention
β-Amyloid
title Default mode network dissociation linking cerebral beta amyloid retention and depression in cognitively normal older adults
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