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额颞叶痴呆患者宏观功能网络组织的紊乱

Disruption of macroscale functional network organisation in patients with frontotemporal dementia

Nature 等信源发布 2024-11-24 14:17

可切换为仅中文


AbstractNeurodegenerative dementias have a profound impact on higher-order cognitive and behavioural functions. Investigating macroscale functional networks through cortical gradients provides valuable insights into the neurodegenerative dementia process and overall brain function. This approach allows for the exploration of unimodal-multimodal differentiation and the intricate interplay between functional brain networks.

摘要神经退行性痴呆对高阶认知和行为功能有着深远的影响。。这种方法允许探索单峰多峰分化和功能性大脑网络之间复杂的相互作用。

We applied cortical gradients mapping to resting-state functional MRI data of patients with frontotemporal dementia (FTD) (behavioural-bvFTD, non-fluent and semantic) and healthy controls. In healthy controls, the principal gradient maximally distinguished sensorimotor from default-mode network (DMN) and the secondary gradient visual from salience network (SN).

我们将皮质梯度映射应用于额颞叶痴呆(FTD)(行为bvFTD,非流利和语义)患者和健康对照者的静息状态功能MRI数据。在健康对照组中,主梯度最大程度地将感觉运动与默认模式网络(DMN)区分开来,将视觉二级梯度与显着网络(SN)区分开来。

In all FTD variants, the principal gradient’s unimodal-multimodal differentiation was disrupted. The secondary gradient, however, showed widespread disruptions impacting the interactions among all networks specifically in bvFTD, while semantic and non-fluent variants exhibited more focal alterations in limbic and sensorimotor networks.

在所有FTD变体中,主梯度的单峰多峰分化被破坏。然而,二级梯度显示出广泛的破坏,特别是在bvFTD中影响了所有网络之间的相互作用,而语义和非流畅变体在边缘和感觉运动网络中表现出更多的焦点改变。

Additionally, the visual network showed responsive and/or compensatory changes in all patients. Importantly, these disruptions extended beyond atrophy distribution and related to symptomatology in patients with bvFTD. In conclusion, optimal brain function requires networks to operate in a segregated yet collaborative manner.

此外,视觉网络在所有患者中均显示出反应性和/或代偿性变化。重要的是,这些破坏超出了萎缩分布范围,并与bvFTD患者的症状有关。。

In FTD, our findings indicate a collapse and loss of differentiation between networks not solely explained by atrophy. These specific cortical gradients’ fingerprints could serve as a functional signature for identifying early changes in neurodegenerative diseases or potential compensatory processes..

在FTD中,我们的发现表明,网络之间的崩溃和分化丧失不仅仅是由萎缩引起的。这些特定的皮质梯度指纹可以作为识别神经退行性疾病或潜在代偿过程早期变化的功能特征。。

IntroductionComplex behaviours and higher-order cognition rely on distributed brain systems working synergistically for both serial and parallel processing [1, 2]. Extensively studied over the past 30 years, these functional networks are investigated by measuring temporal correlations between distributed and adjacent brain areas at rest [3].

引言复杂的行为和高阶认知依赖于分布式大脑系统协同工作以进行串行和并行处理[1,2]。在过去的30年中,通过测量休息时分布和相邻大脑区域之间的时间相关性来研究这些功能网络。

Some networks, like visual or sensorimotor networks, are implicated in sensory processing, while others, such as the salience network (SN) and the default-mode network (DMN), are crucial for higher-order cognitive tasks like detecting salient stimuli or mind wandering. Examining functional networks through resting-state functional magnetic resonance imaging (rs-fMRI) to measure functional connectivity (FC) between regions [3, 4] is thus valuable to understand how neurodegeneration affects the brain and consequently, cognitive and behavioural functions.Pioneering studies in resting-state FC have suggested that brain networks show both inter-network correlations and anticorrelations, meaning that cognitive and behavioural functions are not simply due to the activation of certain networks but also to an interplay between networks involving the simultaneous decrease and increase of activity within different networks [5].

一些网络,如视觉或感觉运动网络,与感觉处理有关,而另一些网络,如显着网络(SN)和默认模式网络(DMN),对于检测显着刺激或思维游移等高阶认知任务至关重要。因此,通过静息状态功能磁共振成像(rs-fMRI)检查功能网络以测量区域之间的功能连接(FC)[3,4],对于了解神经变性如何影响大脑以及认知和行为功能非常有价值。静息状态FC的开创性研究表明,大脑网络显示出网络间的相关性和反相关性,这意味着认知和行为功能不仅是由于某些网络的激活,而且是由于网络之间的相互作用,涉及不同网络内活动的同时减少和增加〔5〕。

These activities play a crucial role in the brain’s functional architecture, emerging during brain development [5, 6]. Similarly, changes in FC during aging and neurodegeneration involve not only abnormalities within networks but also a change of the interactions between large-scale networks [7, 8].With this in mind, cortical gradient mapping offers a lens through which to characterise the relationship between connectivity patterns of macroscale functional networks in low-dimensional space.

这些活动在大脑发育过程中出现的大脑功能结构中起着至关重要的作用[5,6]。同样,衰老和神经退行性疾病期间FC的变化不仅涉及网络内的异常,还涉及大规模网络之间相互作用的变化[7,8]。考虑到这一点,皮质梯度映射提供了一个透镜,通过该透镜可以表征低维空间中宏观功能网络的连接模式之间的关系。

Applied to a large group of h.

应用于大量h。

Data availability

数据可用性

Data from participants who agreed to the public distribution of data are available from the corresponding author upon reasonable request, while maintaining the anonymity of the participants.

同意公开分发数据的参与者的数据可在合理要求下从通讯作者处获得,同时保持参与者的匿名性。

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Download referencesAcknowledgementsWe would like to thank all the participants from both the Paris and London sites for their dedication to research. The ECOCAPTURE study was funded by grant ANR-10-IAIHU-06 from the program “Investissements d’avenir”, by grant FRM DEQ20150331725 from the foundation “Fondation pour la recherche médicale”, and by the ENEDIS company: https://www.enedis.fr/.

下载参考文献致谢我们要感谢巴黎和伦敦网站的所有参与者对研究的奉献。ECOCAPTURE研究由“avenir投资”计划的ANR-10-IAIHU-06资助,由“医学研究基金会”基金会的FRM DEQ20150331725资助,并由ENEDIS公司资助:https://www.enedis.fr/.

AB is funded by a PhD Fellowship from the Fondation Recherche Alzheimer and this work was started when supported by Fondation Vaincre Alzheimer. JDW receives grant support from the Alzheimer’s Society, Alzheimer’s Research UK, the Royal National Institute for Deaf People, the UCL/UCLH NIHR Biomedical Research Centre and the National Brain Appeal (Frontotemporal Dementia Research Studentship in Memory of David Blechner).

AB由阿尔茨海默病研究基金会的博士奖学金资助,这项工作是在Vaincre阿尔茨海默病基金会的支持下开始的。JDW获得了阿尔茨海默氏病学会,英国阿尔茨海默氏病研究所,皇家国家聋人研究所,UCL/UCLH NIHR生物医学研究中心和国家大脑呼吁(纪念David Blechner的额颞叶痴呆研究学生)的资助。

JDR has received funding from a Miriam Marks Brain Research UK Senior Fellowship, an MRC Clinician Scientist Fellowship (MR/M008525/1) and the NIHR Rare Disease Translational Research Collaboration (BRC149/NS/MH) as well as the MRC UK GENFI grant (MR/M023664/1), the Bluefield Project and the JPND GENFI-PROX grant (2019-02248).

JDR获得了Miriam Marks Brain Research UK高级奖学金,MRC临床医生科学家奖学金(MR/M008525/1)和NIHR罕见病转化研究合作(BRC149/NS/MH)以及MRC UK GENFI grant(MR/M023664/1),Bluefield项目和JPND GENFI-PROX grant(2019-02248)的资助。

DSM received funding from the European Research Council (ERC) under the European Union’s Horizon 2020 research and innovation programme (grant agreement No. 866533-CORTIGRAD), the Wellcome Trust Core Award and the NIHR Oxford BRC. RM is supported by France Alzheimer, Fondation Recherche Alzheimer, Fondation Philippe Chatrier and Rosita Gomez association.Author informationAuthors and AffiliationsParis Brain Institute – Institut du Cerveau (ICM), Sorbonne Université, Inserm U1127, CNRS UMR 7225, AP-HP - Hôpital Pitié-Salpêtrière, Paris, FranceA.

DSM获得了欧盟地平线2020研究与创新计划(赠款协议号866533-CORTIGRAD)、惠康信托核心奖和NIHR牛津BRC下的欧洲研究理事会(ERC)的资助。RM得到了法国阿尔茨海默病基金会,Recherche阿尔茨海默病基金会,Philippe Chatrier基金会和罗西塔·戈麦斯协会的支持。作者信息作者和附属机构巴黎大脑研究所(ICM),索邦大学,Inserm U1127,CNRS UMR 7225,AP-HP-Hôpital Pitié-Salpêtrière,巴黎,法国。

Bouzigues, V. Le Du, M. Houot, I. Le Ber, B. Batrancourt, R. Levy & R. MigliaccioDementia .

布齐格,V。杜,M。霍特,我。BER,B。Batrancourt,R。Levy&R。Migliacciodementia。

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PubMed Google ScholarContributionsConceptualisation: RM, AB, DSM; Data collection: LLR, BB, RL, JDW; JDR; Methodology: AB, VLD, DSM; Data analysis: AB, MH, DSM, RM; Manuscript writing: AB, DSM, RM; Manuscript reviewing: AB, VG, LLR, VLD, MH, ILB, BB, RL, JDW, JDR, DSM, RM.Corresponding authorsCorrespondence to.

PubMed谷歌学术贡献概念:RM,AB,DSM;数据收集:LLR,BB,RL,JDW;JDR;方法学:AB,VLD,DSM;数据分析:AB,MH,DSM,RM;手稿撰写:AB,DSM,RM;稿件审查:AB,VG,LLR,VLD,MH,ILB,BB,RL,JDW,JDR,DSM,RM。通讯作者通讯。

A. Bouzigues or R. Migliaccio.Ethics declarations

A、 Bouzigues或R.Migliaccio。道德宣言

Competing interests

相互竞争的利益

The authors declare no competing interests.

作者声明没有利益冲突。

Ethics approval and consent to participate

道德批准和同意参与

All methods were performed in accordance with the relevant guidelines and regulations. Each study was granted approval by the local ethics committee. The ECOCAPTURE study was approved by the “Comité de Protection des Personnes,” on May 17, 2017 (CPP 17–31) and registered in a public clinical trial registry (clinicaltrials.gov: NCT03272230).

所有方法均按照相关指南和规定进行。每项研究都得到了当地伦理委员会的批准。ECOCAPTURE研究于2017年5月17日获得“人事保护委员会”的批准(CPP 17-31),并在公共临床试验注册处(clinicaltrials.gov:NCT03272230)注册。

The LIFTD study was granted approval by the London Queen Square Research Ethics Committee (ID 15/0805). All participants provided written informed consent prior to participating in the studies in accordance with the declaration of Helsinki. Anonymity was preserved for all participants..

伦敦皇后广场研究伦理委员会(ID 15/0805)批准了LIFTD研究。根据赫尔辛基宣言,所有参与者在参与研究之前都提供了书面知情同意书。所有参与者都保持匿名。。

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Reprints and permissionsAbout this articleCite this articleBouzigues, A., Godefroy, V., Le Du, V. et al. Disruption of macroscale functional network organisation in patients with frontotemporal dementia.

转载和许可本文引用本文Bouzigues,A.,Godefroy,V.,Le Du,V。等人。额颞叶痴呆患者宏观功能网络组织的破坏。

Mol Psychiatry (2024). https://doi.org/10.1038/s41380-024-02847-4Download citationReceived: 24 January 2024Revised: 08 November 2024Accepted: 13 November 2024Published: 24 November 2024DOI: https://doi.org/10.1038/s41380-024-02847-4Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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