Cognitive implications and associated transcriptomic signatures of distinct regional iron depositions in cerebral small vessel disease

IF 11.1 1区 医学 Q1 CLINICAL NEUROLOGY Alzheimer's & Dementia Pub Date : 2025-04-21 DOI:10.1002/alz.70196
Youjie Wang, Chen Ye, Ruosu Pan, Biqiu Tang, Congjun Li, Junfeng Liu, Wendan Tao, Xuening Zhang, Tang Yang, Yuying Yan, Shuai Jiang, Su Lui, Bo Wu
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Abstract

INTRODUCTION

Regional brain iron dyshomeostasis is observed in cerebral small vessel disease (cSVD) and other neurodegeneration processes. However, its spatial patterns, cognitive impact, and underlying pathological mechanisms remain unclear.

METHODS

Voxel-based analysis of quantitative susceptibility mapping (QSM) was used to detect regional susceptibility changes, and their correlations with cognitive function were assessed using linear regression. We combined the microarray dataset from the Allen Human Brain Atlas (AHBA) to explore the pathological mechanisms of iron deposition patterns.

RESULTS

A total of 87 cSVD patients and 80 controls were included in the study. Increased QSM values in the bilateral putamen and caudate were associated with cognitive decline in cSVD. Gene set enrichment analysis revealed the enrichment of gene sets related to central nervous system integrity.

DISCUSSION

Iron deposition in deep gray matter may indicate cognitive changes in cSVD and could be linked to the disruption of brain structural and functional integrity.

Highlights

  • Increased susceptibility values, indicating focal iron deposition, were observed in the deep gray matter of patients with cerebral small vessel disease (cSVD).
  • Regional iron concentration in the deep gray nuclei was associated with cognitive impairment in cSVD patients.
  • Imaging transcriptomics suggests that cSVD-related iron deposition is linked to the structural and functional integrity of the brain.
  • An open-source script for imaging transcriptomics focusing on regional gene expression was developed and proposed.

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脑小血管疾病中不同区域铁沉积的认知意义和相关转录组特征
引言 在脑小血管病(cSVD)和其他神经变性过程中,可观察到区域性脑铁失衡。然而,其空间模式、对认知的影响以及潜在的病理机制仍不清楚。 方法 采用基于体素分析的定量易感性图谱(QSM)检测区域易感性变化,并利用线性回归评估其与认知功能的相关性。我们结合艾伦人脑图谱(AHBA)的微阵列数据集来探索铁沉积模式的病理机制。 结果 本研究共纳入了 87 例 cSVD 患者和 80 例对照组。双侧丘脑和尾状体的 QSM 值增加与 cSVD 患者的认知能力下降有关。基因组富集分析显示,与中枢神经系统完整性相关的基因组富集。 讨论 深部灰质中的铁沉积可能预示着 cSVD 患者认知能力的改变,并可能与大脑结构和功能完整性的破坏有关。 亮点 在脑小血管疾病(cSVD)患者的深灰色物质中观察到易感值升高,表明有局灶性铁沉积。 深灰核的区域铁浓度与 cSVD 患者的认知障碍有关。 成像转录组学表明,与cSVD相关的铁沉积与大脑结构和功能的完整性有关。 该研究开发并提出了一种侧重于区域基因表达的成像转录组学开源脚本。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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