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Rejuvenation factor PF4: a potential gatekeeper for neurodegenerative diseases. 返老还童因子 PF4:神经退行性疾病的潜在守门人。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1482922
Fengju Jia, Xiaoli Shen

Recently, it is discovered PF4 is a cognitive enhancer that improved the cognitive abilities of younger mice and gave older animals their middle-aged acuity back. PF4 works by reducing inflammation during the aging process. As we all known, aging is undoubtedly the main risk factor of neurodegenerative diseases. Furthermore, inflammation has been extensively investigated and attracted even more interest. Therefore, the aim of the proposal is to highlight the worth of PF4 in inflammaging of neurodegenerative diseases, which might provide a potential therapeutic strategy.

最近,人们发现 PF4 是一种认知增强剂,它能提高年轻小鼠的认知能力,并让老年动物恢复中年时的敏锐度。PF4 通过减少衰老过程中的炎症而发挥作用。众所周知,衰老无疑是神经退行性疾病的主要风险因素。此外,炎症已被广泛研究,并引起了更大的兴趣。因此,该提案旨在强调 PF4 在神经退行性疾病炎症过程中的价值,这可能会提供一种潜在的治疗策略。
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引用次数: 0
Corrigendum: Neurophysiological hallmarks of Huntington's disease progression: an EEG and fMRI connectivity study. 更正:亨廷顿氏病进展的神经生理学特征:脑电图和 fMRI 连接性研究。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1487201
Natalya V Ponomareva, Sergey A Klyushnikov, Natalia Abramycheva, Rodion N Konovalov, Marina Krotenkova, Ekaterina Kolesnikova, Daria Malina, Gusel Urazgildeeva, Elena Kanavets, Andrey Mitrofanov, Vitaly Fokin, Evgeny Rogaev, Sergey N Illarioshkin

[This corrects the article DOI: 10.3389/fnagi.2023.1270226.].

[This corrects the article DOI: 10.3389/fnagi.2023.1270226.].
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引用次数: 0
Corrigendum: Serum TRPA1 mediates the association between olfactory function and cognitive function. 更正:血清 TRPA1 介导嗅觉功能与认知功能之间的关联。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-19 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1485432
Xiaoniu Liang, Zhenxu Xiao, Jie Wu, Xiaoxi Ma, Qianhua Zhao, Ding Ding

[This corrects the article DOI: 10.3389/fnagi.2024.1411031.].

[This corrects the article DOI: 10.3389/fnagi.2024.1411031.].
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引用次数: 0
A new test for evaluation of marginal cognitive function deficits in idiopathic normal pressure hydrocephalus through expressing texture recognition by sound symbolic words 通过声音符号词表达纹理识别,评估特发性正常压力脑积水边缘认知功能障碍的新测试
IF 4.8 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-18 DOI: 10.3389/fnagi.2024.1456242
Chihiro Kamohara, Madoka Nakajima, Yuji Nozaki, Taiki Ieda, Kaito Kawamura, Kou Horikoshi, Ryo Miyahara, Chihiro Akiba, Ikuko Ogino, Kostadin L. Karagiozov, Masakazu Miyajima, Akihide Kondo, Maki Sakamoto
IntroductionThe number of dementia patients is increasing with population aging. Preclinical detection of dementia in patients is essential for access to adequate treatment. In previous studies, dementia patients showed texture recognition difficulties. Onomatopoeia or sound symbolic words (SSW) are intuitively associated with texture impressions and are less likely to be affected by aphasia and description of material perception can be easily obtained. In this study, we aimed to create a test of texture recognition ability expressed by SSW to detect the presence of mild cognitive disorders.MethodsThe sound symbolic words texture recognition test (SSWTRT) is constructed from 12 close-up photos of various materials and participants were to choose the best SSW out of 8 choices to describe surface texture in the images in Japanese. All 102 participants seen in Juntendo University Hospital from January to August 2023 had a diagnosis of possible iNPH (age mean 77.9, SD 6.7). The answers were scored on a comprehensive scale of 0 to 1. Neuropsychological assessments included MMSE, FAB, and the Rey Auditory Verbal Learning Test (RAVLT), Pegboard Test, and Stroop Test from the EU-iNPH Grading Scale (GS). In study 1 the correlation between SSWTRT and the neuropsychological tests were analyzed. In study 2, participants were divided into two groups: the Normal Cognition group (Group A, n = 37) with MMSE scores of 28 points or above, and the Mild Cognitive Impairment group (Group B, n = 50) with scores ranging from 22 to 27 points, and its predictability were analyzed.ResultsIn study 1, the total SSWTRT score had a moderate correlation with the neuropsychological test results. In study 2, there were significant differences in the SSWTRT scores between groups A and B. ROC analysis results showed that the SSWTR test was able to predict the difference between the normal and mildly impaired cognition groups.ConclusionThe developed SSWTRT reflects the assessment results of neuropsychological tests in cognitive deterioration and was able to detect early cognitive deficits. This test not only relates to visual perception but is likely to have an association with verbal fluency and memory ability, which are frontal lobe functions.
导言:随着人口老龄化,痴呆症患者人数不断增加。对痴呆症患者进行临床前检测对于获得适当的治疗至关重要。在以往的研究中,痴呆症患者表现出纹理识别困难。拟声词或声音符号词(SSW)与质地印象有直观联系,受失语症影响的可能性较小,而且可以很容易地获得对物质感知的描述。方法声音符号词质感识别测试(SSWTRT)由 12 张各种材料的特写照片构成,参与者需要从 8 个选项中选出最佳的 SSW,用日语描述图片中的表面质感。2023 年 1 月至 8 月期间在顺天堂大学医院就诊的 102 名参与者均被诊断为可能患有 iNPH(平均年龄 77.9 岁,标准差 6.7 岁)。答案采用 0 至 1 的综合评分法。神经心理学评估包括MMSE、FAB、雷伊听觉言语学习测试(RAVLT)、Pegboard测试和欧盟iNPH分级量表(GS)中的Stroop测试。研究 1 分析了 SSWTRT 与神经心理测试之间的相关性。在研究 2 中,参与者被分为两组:MMSE 得分在 28 分或以上的认知正常组(A 组,n = 37)和得分在 22 分至 27 分之间的轻度认知障碍组(B 组,n = 50),并对其预测性进行了分析。ROC分析结果表明,SSWTRT能预测正常组和轻度认知障碍组之间的差异。结论开发的SSWTRT反映了认知退化中神经心理学测试的评估结果,并能发现早期认知障碍。该测试不仅与视觉感知有关,还可能与属于额叶功能的语言流畅性和记忆能力有关。
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引用次数: 0
Association between cerebral blood flow variation and cognitive decline in older patients undergoing hemodialysis 接受血液透析的老年患者脑血流量变化与认知能力下降之间的关系
IF 4.8 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-18 DOI: 10.3389/fnagi.2024.1457675
Yidan Guo, Wei Cui, Pengpeng Ye, Yang Luo
BackgroundThe mechanism of cognitive impairment in hemodialysis patients is multifactorial. The relationship between cerebral blood flow and the decline of cognitive function is poorly understood.ObjectiveTo investigate the association between cerebral blood flow variation and decline of cognitive function in older patients undergoing hemodialysis.MethodsIn this prospective observational cohort study of 121 older patients undergoing hemodialysis, we used transcranial Doppler ultrasound (TCD) to measure cerebral arterial mean flow velocity (MFV) throughout dialysis, assessed cognitive function at baseline and 12-month follow-up, and then analyzed associations between MFV and changes on cognitive scores.ResultsTCD recordings demonstrated a significant reduction in MFV throughout dialysis, which were significantly correlated with cumulative ultrafiltration volume (rho 0.356, p &lt; 0.001), ΔSBP (rho 0.251, p = 0.005), and ΔMAP (rho 0.194, p = 0.032). Compared with the baseline assessments, cognitive scores of participants at the 12-month follow-up were significantly worsened in global cognition (MOCA), some tests of memory (CFT-memory), executive function (TMT-B, SCWT-C, and SCWT-T), attention/processing speed (SDMT), and visuospatial function (CFT-copy) (p &lt; 0.05). The worsening scores in global cognition (MOCA) (β = 0.066, 95% CI 0.018–0.113, p = 0.007) and some tests of memory (AVLT5) (β = 0.050, 95% CI 0.004–0.097, p = 0.035) and executive function (TMT-B, SCWT-C, SCWT-T) (β = 1.955, 95% CI 0.457–3.453, p = 0.011; β = 0.298, 95% CI 0.112–0.484, p = 0.002 and β = 1.371, 95% CI 0.429–2.303, p = 0.004, respectively) were significantly associated with the reduction of MFV.ConclusionHemodialysis may significantly reduce cerebral blood flow in older patients; Repetitive intradialytic decreases in CBF may be one of the mechanisms underlying the decline of cognitive function.Clinical trial registrationhttps://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000C5B5&amp;selectaction=Edit&amp;uid=U0003QEL&amp;ts=4&amp;cx=-djoi2
背景血液透析患者认知功能受损的机制是多因素的。目的 研究接受血液透析的老年患者脑血流变化与认知功能下降之间的关系。方法 在这项前瞻性观察性队列研究中,我们使用经颅多普勒超声(TCD)测量了整个透析过程中的脑动脉平均血流速度(MFV),评估了基线和随访 12 个月时的认知功能,然后分析了 MFV 与认知评分变化之间的关联。结果TCD记录显示,在整个透析过程中,MFV明显下降,这与累积超滤量(rho 0.356,p &lt; 0.001)、ΔSBP(rho 0.251,p = 0.005)和ΔMAP(rho 0.194,p = 0.032)显著相关。与基线评估相比,参加者在 12 个月随访期间的认知评分在总体认知(MOCA)、部分记忆测试(CFT-记忆)、执行功能(TMT-B、SCWT-C 和 SCWT-T)、注意力/处理速度(SDMT)和视觉空间功能(CFT-复制)方面明显恶化(p &lt; 0.05)。总体认知(MOCA)(β = 0.066,95% CI 0.018-0.113,p = 0.007)和一些记忆测试(AVLT5)(β = 0.050,95% CI 0.004-0.097,p = 0.035)以及执行功能(TMT-B、SCWT-C、SCWT-T)的评分恶化(β = 1.955,95% CI 0.457-3.453,p = 0.011;β = 0.298,95% CI 0.112-0.484,p = 0.002 和 β = 1.371,95% CI 0.429-2.303,p = 0.004)与 MFV 的降低显著相关。结论血液透析可能会显著降低老年患者的脑血流量;透析内CBF的反复降低可能是认知功能下降的机制之一。临床试验注册https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000C5B5&amp;selectaction=Edit&amp;uid=U0003QEL&amp;ts=4&amp;cx=-djoi2
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引用次数: 0
Cognitive processing speed improvement after cochlear implantation 人工耳蜗植入后认知处理速度的提高
IF 4.8 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-18 DOI: 10.3389/fnagi.2024.1444330
Isabelle Mosnier, Joël Belmin, Domenico Cuda, Raquel Manrique Huarte, Mathieu Marx, Angel Ramos Macias, Riad Khnifes, Ohad Hilly, Roberto Bovo, Chris J. James, Petra L. Graham, Paula Greenham
BackgroundUntreated hearing loss has an effect on cognition. It is hypothesized that the additional processing required to compensate for the sensory loss affects the cognitive resources available for other tasks and that this could be mitigated by a hearing device.MethodsThe impact on cognition of cochlear implants (CIs) was tested in 100 subjects, ≥60 years old, with bilateral moderately-severe to profound post linguistic deafness using hearing aids. Data was compared pre and 12 and 18 months after cochlear implantation for the speech spatial qualities questionnaire, Mini Mental State Examination (MMSE), Trail making test B (TMTB) and digit symbol coding (DSC) from the Wechsler Adult Intelligence Scale version IV and finally the timed up and go test (TUG). Subjects were divided into young old (60–64), middle old (65–75) and old old (75+) groups. Cognitive test scores and times were standardized according to available normative data.ResultsHearing significantly improved pre- to post-operatively across all age groups. There was no change post-implant in outcomes for TMTB, TUG or MMSE tests. Age-corrected values were within normal expectations for all age groups for the TUG and MMSE. However, DSC scores and TMTB times were worse than normal. There was a significant increase in DSC scores between baseline and 12-months for 60- to 64-year-olds (t[153] = 2.608, p = 0.027), which remained at 18 months (t[153] = 2.663, p = 0.023).DiscussionThe improved attention and processing speed in the youngest age group may be a consequence of reallocation of cognitive resources away from auditory processing due to greatly improved hearing. The oldest age group of participants had cognition scores closest to normal values, suggesting that only the most able older seniors tend to come forward for a CI. Severe to profoundly deaf individuals with hearing aids or cochlear implants were still poorer than age-equivalent normally hearing individuals with respect to cognitive flexibility, attention, working memory, processing speed and visuoperceptual functions. Due to a lack of data for the TUG, TMTB and DSC in the literature for hearing impaired individuals, the results reported here provide an important set of reference data for use in future research.
背景未经治疗的听力损失会影响认知能力。方法对 100 名年龄≥ 60 岁、使用助听器的双侧中重度至重度语言后耳聋患者进行了人工耳蜗植入对认知影响的测试。比较了人工耳蜗植入前、植入 12 个月和 18 个月后的言语空间素质问卷、迷你精神状态检查(MMSE)、韦氏成人智力量表第四版中的 "走小路测试 B"(TMTB)和 "数字符号编码"(DSC),以及最后的 "定时起立行走测试"(TUG)。受试者被分为青年组(60-64 岁)、中年组(65-75 岁)和老年组(75 岁以上)。结果所有年龄组的听力从术前到术后都有明显改善。植入后,TMTB、TUG 或 MMSE 测试结果没有变化。所有年龄组的 TUG 和 MMSE 年龄校正值均在正常预期范围内。但是,DSC 评分和 TMTB 时间比正常值差。在基线和 12 个月期间,60 至 64 岁年龄组的 DSC 分数有明显提高(t[153] = 2.608,p = 0.027),在 18 个月时仍有提高(t[153] = 2.663,p = 0.023)。年龄最大的参与者的认知分数最接近正常值,这表明只有最有能力的老年人才会选择植入人工耳蜗。在认知灵活性、注意力、工作记忆、处理速度和视觉感知功能方面,佩戴助听器或植入人工耳蜗的重度至极重度聋人仍然比同等年龄的正常听力者差。由于文献中缺乏针对听障人士的 TUG、TMTB 和 DSC 数据,本文报告的结果为今后的研究提供了一组重要的参考数据。
{"title":"Cognitive processing speed improvement after cochlear implantation","authors":"Isabelle Mosnier, Joël Belmin, Domenico Cuda, Raquel Manrique Huarte, Mathieu Marx, Angel Ramos Macias, Riad Khnifes, Ohad Hilly, Roberto Bovo, Chris J. James, Petra L. Graham, Paula Greenham","doi":"10.3389/fnagi.2024.1444330","DOIUrl":"https://doi.org/10.3389/fnagi.2024.1444330","url":null,"abstract":"BackgroundUntreated hearing loss has an effect on cognition. It is hypothesized that the additional processing required to compensate for the sensory loss affects the cognitive resources available for other tasks and that this could be mitigated by a hearing device.MethodsThe impact on cognition of cochlear implants (CIs) was tested in 100 subjects, ≥60 years old, with bilateral moderately-severe to profound post linguistic deafness using hearing aids. Data was compared pre and 12 and 18 months after cochlear implantation for the speech spatial qualities questionnaire, Mini Mental State Examination (MMSE), Trail making test B (TMTB) and digit symbol coding (DSC) from the Wechsler Adult Intelligence Scale version IV and finally the timed up and go test (TUG). Subjects were divided into young old (60–64), middle old (65–75) and old old (75+) groups. Cognitive test scores and times were standardized according to available normative data.ResultsHearing significantly improved pre- to post-operatively across all age groups. There was no change post-implant in outcomes for TMTB, TUG or MMSE tests. Age-corrected values were within normal expectations for all age groups for the TUG and MMSE. However, DSC scores and TMTB times were worse than normal. There was a significant increase in DSC scores between baseline and 12-months for 60- to 64-year-olds (<jats:italic>t</jats:italic>[153] = 2.608, <jats:italic>p</jats:italic> = 0.027), which remained at 18 months (<jats:italic>t</jats:italic>[153] = 2.663, <jats:italic>p</jats:italic> = 0.023).DiscussionThe improved attention and processing speed in the youngest age group may be a consequence of reallocation of cognitive resources away from auditory processing due to greatly improved hearing. The oldest age group of participants had cognition scores closest to normal values, suggesting that only the most able older seniors tend to come forward for a CI. Severe to profoundly deaf individuals with hearing aids or cochlear implants were still poorer than age-equivalent normally hearing individuals with respect to cognitive flexibility, attention, working memory, processing speed and visuoperceptual functions. Due to a lack of data for the TUG, TMTB and DSC in the literature for hearing impaired individuals, the results reported here provide an important set of reference data for use in future research.","PeriodicalId":12450,"journal":{"name":"Frontiers in Aging Neuroscience","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary cilia in Parkinson's disease: summative roles in signaling pathways, genes, defective mitochondrial function, and substantia nigra dopaminergic neurons. 帕金森病中的原发性纤毛:在信号通路、基因、线粒体功能缺陷和黑质多巴胺能神经元中的总结性作用。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1451655
Zijiao Tian, Yixin Zhang, Jing Xu, Qianwen Yang, Die Hu, Jing Feng, Cong Gai

Primary cilia (PC) are microtubules-based, independent antennal-like sensory organelles, that are seen in most vertebrate cells of different types, including astrocytes and neurons. They send signals to cells to control many physiological and cellular processes by detecting changes in the extracellular environment. Parkinson's disease (PD), a neurodegenerative disease that progresses over time, is primarily caused by a gradual degradation of the dopaminergic pathway in the striatum nigra, which results in a large loss of neurons in the substantia nigra compact (SNpc) and a depletion of dopamine (DA). PD samples have abnormalities in the structure and function of PC. The alterations contribute to the cause, development, and recovery of PD via influencing signaling pathways (SHH, Wnt, Notch-1, α-syn, and TGFβ), genes (MYH10 and LRRK2), defective mitochondrial function, and substantia nigra dopaminergic neurons. Thus, restoring the normal structure and physiological function of PC and neurons in the brain are effective treatment for PD. This review summarizes the function of PC in neurodegenerative diseases and explores the pathological mechanisms caused by PC alterations in PD, in order to provide references and ideas for future research.

初级纤毛(PC)是一种以微管为基础的、独立的类似触角的感觉器,存在于大多数不同类型的脊椎动物细胞中,包括星形胶质细胞和神经元。它们通过检测细胞外环境的变化向细胞发送信号,从而控制许多生理和细胞过程。帕金森病(Parkinson's disease,简称 PD)是一种随着时间推移而发展的神经退行性疾病,主要由黑质纹状体多巴胺能通路的逐渐退化引起,导致黑质紧密区(SNpc)神经元的大量丢失和多巴胺(DA)的耗竭。帕金森病样本中的 PC 结构和功能都存在异常。这些改变通过影响信号通路(SHH、Wnt、Notch-1、α-syn 和 TGFβ)、基因(MYH10 和 LRRK2)、线粒体功能缺陷和黑质多巴胺能神经元,对帕金森病的病因、发展和康复做出了贡献。因此,恢复大脑中 PC 和神经元的正常结构和生理功能是治疗帕金森病的有效方法。本综述总结了PC在神经退行性疾病中的功能,探讨了PC改变在帕金森病中的病理机制,以期为今后的研究提供参考和思路。
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引用次数: 0
Disruptive and complementary effects of depression symptoms on spontaneous brain activity in the subcortical vascular mild cognitive impairment 抑郁症状对皮层下血管性轻度认知障碍患者大脑自发活动的干扰和互补作用
IF 4.8 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-18 DOI: 10.3389/fnagi.2024.1338179
Liyu Hu, Jianxiang Chen, Xinbei Li, Haoran Zhang, Jinhuan Zhang, Yingqi Lu, Jie Lian, Haibo Yu, Nan Yang, Jianjun Wang, Hanqing Lyu, Jinping Xu
BackgroundAlthough depression symptoms are commonly reported in patients with subcortical vascular mild cognitive impairment (svMCI), their impact on brain functions remains largely unknown, with diagnoses mainly dependent on behavioral assessments.MethodsIn this study, we analyzed resting-state fMRI data from a cohort of 34 svMCI patients, comprising 18 patients with depression symptoms (svMCI+D) and 16 patients without (svMCI-D), along with 34 normal controls (NC). The study used the fraction of the amplitude of low-frequency fluctuations (fALFF), resting-state functional connectivity, correlation analyses, and support vector machine (SVM) techniques.ResultsThe fALFF of the right cerebellum (CERE.R) differed among the svMCI+D, svMCI-D, and NC groups. Specifically, the regional mean fALFF of CERE. R was lower in svMCI-D patients compared to NC but higher in svMCI+D patients compared to svMCI-D patients. Moreover, the adjusted fALFF of CERE. R showed a significant correlation with Montreal Cognitive Assessment (MOCA) scores in svMCI-D patients. The fALFF of the right orbital part of the superior frontal gyrus was significantly correlated with Hamilton Depression Scale scores in svMCI+D patients, whereas the fALFF of the right postcingulate cortex (PCC.R) showed a significant correlation with MOCA scores in svMCI-D patients. Furthermore, RSFC between PCC. R and right precuneus, as well as between CERE. R and the right lingual gyrus (LING.R), was significantly reduced in svMCI-D patients compared to NC. In regional analyses, the adjusted RSFC between PCC. R and PreCUN. R, as well as between CERE. R and LING. R, was decreased in svMCI-D patients compared to NC but increased in svMCI+D patients compared to svMCI-D. Further SVM analyses achieved good performances, with an area under the curve (AUC) of 0.82 for classifying svMCI+D, svMCI-D, and NC; 0.96 for classifying svMCI+D and svMCI-D; 0.82 for classifying svMCI+D and NC; and 0.92 for classifying svMCI-D and NC.ConclusionThe study revealed disruptive effects of cognitive impairment, along with both disruptive and complementary effects of depression symptoms on spontaneous brain activity in svMCI. Moreover, these findings suggest that the identified features might serve as potential biomarkers for distinguishing between svMCI+D, svMCI-D, and NC, thereby guiding clinical treatments such as transcranial magnetic stimulation for svMCI.
背景虽然皮层下血管性轻度认知障碍(svMCI)患者普遍有抑郁症状,但它们对大脑功能的影响在很大程度上仍不为人所知,诊断主要依赖于行为评估。方法在这项研究中,我们分析了34名svMCI患者的静息态fMRI数据,其中包括18名有抑郁症状的患者(svMCI+D)和16名无抑郁症状的患者(svMCI-D),以及34名正常对照组(NC)。研究采用了低频波动振幅分数(fALFF)、静息状态功能连通性、相关性分析和支持向量机(SVM)技术。具体地说,CERE.R 的区域平均 fALFF 值较低。与 NC 组相比,svMCI-D 患者的 CERE.R 区域平均 fALFF 值较低,但与 svMCI-D 患者相比,svMCI+D 患者的 CERE.R 区域平均 fALFF 值较高。此外,调整后的 CERE.此外,在 svMCI-D 患者中,CERE.R 的调整 fALFF 与蒙特利尔认知评估 (MOCA) 评分有明显相关性。在 svMCI+D 患者中,额上回右侧眶部的 fALFF 与汉密尔顿抑郁量表评分呈显著相关,而在 svMCI-D 患者中,右侧扣带后皮层(PCC.R)的 fALFF 与 MOCA 评分呈显著相关。此外,PCC.R 和右侧楔前皮质之间的 RSFCR和右侧楔前皮层之间的RSFC,以及CERE.R和右侧舌回(LING.R)之间的RSFC与NC相比,在svMCI-D患者中明显减少。在区域分析中,PCC.R和 PreCUN.R之间以及CERE.R和 LING.R之间以及CERE.R和LING.R之间的调整RSFC,与NC相比,svMCI-D患者的RSFC有所下降,但与svMCI-D相比,svMCI+D患者的RSFC有所上升。进一步的 SVM 分析取得了良好的效果,将 svMCI+D、svMCI-D 和 NC 分类的曲线下面积(AUC)为 0.82;将 svMCI+D 和 svMCI-D 分类的曲线下面积(AUC)为 0.96;将 svMCI+D 和 NC 分类的曲线下面积(AUC)为 0.82;将 svMCI-D 和 NC 分类的曲线下面积(AUC)为 0.92。此外,这些研究结果表明,所发现的特征可作为区分 svMCI+D、svMCI-D 和 NC 的潜在生物标记物,从而指导经颅磁刺激治疗 svMCI 等临床治疗方法。
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引用次数: 0
Association of sleep quality with cognitive dysfunction in middle-aged and elderly adults: a cross-sectional study in China. 中国中老年人睡眠质量与认知功能障碍的关系:一项横断面研究。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1417349
Mengyang Jiang, Yang Liu, Xin Wang, Yuhe Liu, Xuan Deng, Xiaoyu Zhang, Baoguo Wang

Objectives: Sleep is an indispensable part of human health, which can help us to restore physical strength, enhance immunity and maintain nervous system stability. The relationship between sleep quality and cognitive dysfunction is unclear, especially at the community population level. This study aims to explore the association between sleep quality and cognitive dysfunction.

Methods: A total of 5,224 community residents were enrolled in this cross-sectional study. Cognitive function was assessed by the Mini-Mental State Examination (MMSE). Sleep quality was assessed by the multidimensional sleep questionnaire. Multivariate logistic regression was used to analyze the association between sleep quality and cognitive dysfunction. The adjusted models took into account relevant demographic, clinical, and sleep variables.

Results: A total of 3,106 participants were enrolled in this study, of whom 463 (15%) had cognitive dysfunction. Total sleep duration, staying up, sleep latency, number of awakenings, and history of sleep medications were associated with cognitive dysfunction in unadjusted models, and these effects were consistent after adjustment. First, those who slept 6-7.9 h per day (OR = 0.57, 95% CI 0.40 to 0.80, p = 0.001) had a lower risk for cognitive dysfunction compared to those who slept less than 6 h per day. Second, participants who stayed up more than 10 times over the 3 months (OR = 1.90, 95% CI 1.20 to 3.00, p = 0.006) were more likely to suffer cognitive dysfunction than those who never stayed up. Third, we also found that participants with sleep latencies of 16-30 min were less likely to experience cognitive dysfunction than those with sleep latencies of less than 16 min after adjusting confounders (OR = 0.33, 95% CI 0.23 to 0.47, p < 0.001). Fourth, participants who woke up once (OR = 1.65, 95% CI 1.19 to 2.30, p = 0.003) and three or more times (OR = 2.34, 95% CI 1.25 to 4.36, p = 0.008) after falling asleep had a higher risk than those who did not wake up at night. Last, participants taking sleep medication (OR = 2.97, 95% CI 1.19 to 7.45, p = 0.020) were more vulnerable to cognitive dysfunction, relative to participants without taking any medications.

Conclusion: Our results suggest that after adjustment for potential confounding variables, poor sleep quality is associated with cognitive dysfunction.

目的:睡眠是人类健康不可或缺的一部分,它可以帮助我们恢复体力、增强免疫力和保持神经系统的稳定。睡眠质量与认知功能障碍之间的关系尚不明确,尤其是在社区人群中。本研究旨在探讨睡眠质量与认知功能障碍之间的关系:这项横断面研究共招募了 5224 名社区居民。认知功能通过迷你精神状态检查(MMSE)进行评估。睡眠质量通过多维睡眠问卷进行评估。多变量逻辑回归用于分析睡眠质量与认知功能障碍之间的关系。调整后的模型考虑了相关的人口统计学、临床和睡眠变量:共有 3106 人参与了这项研究,其中 463 人(15%)有认知功能障碍。在未经调整的模型中,总睡眠时间、熬夜时间、睡眠潜伏期、觉醒次数和睡眠药物史与认知功能障碍有关,这些影响在调整后是一致的。首先,与每天睡眠时间少于 6 小时的人相比,每天睡眠时间在 6-7.9 小时的人患认知功能障碍的风险较低(OR = 0.57,95% CI 0.40 至 0.80,p = 0.001)。其次,3 个月内熬夜超过 10 次的参与者(OR = 1.90,95% CI 1.20 至 3.00,p = 0.006)比从不熬夜的参与者更容易出现认知功能障碍。第三,我们还发现,在调整混杂因素后,睡眠潜伏期为16-30分钟的参与者比睡眠潜伏期少于16分钟的参与者出现认知功能障碍的几率更低(OR = 0.33,95% CI 0.23-0.47,P = 0.003),而入睡三次或三次以上(OR = 2.34,95% CI 1.25-4.36,P = 0.008)的参与者比夜间不醒的参与者风险更高。最后,服用睡眠药物的参与者(OR = 2.97,95% CI 1.19 至 7.45,p = 0.020)比未服用任何药物的参与者更容易出现认知功能障碍:我们的研究结果表明,在对潜在的混杂变量进行调整后,睡眠质量差与认知功能障碍有关。
{"title":"Association of sleep quality with cognitive dysfunction in middle-aged and elderly adults: a cross-sectional study in China.","authors":"Mengyang Jiang, Yang Liu, Xin Wang, Yuhe Liu, Xuan Deng, Xiaoyu Zhang, Baoguo Wang","doi":"10.3389/fnagi.2024.1417349","DOIUrl":"10.3389/fnagi.2024.1417349","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep is an indispensable part of human health, which can help us to restore physical strength, enhance immunity and maintain nervous system stability. The relationship between sleep quality and cognitive dysfunction is unclear, especially at the community population level. This study aims to explore the association between sleep quality and cognitive dysfunction.</p><p><strong>Methods: </strong>A total of 5,224 community residents were enrolled in this cross-sectional study. Cognitive function was assessed by the Mini-Mental State Examination (MMSE). Sleep quality was assessed by the multidimensional sleep questionnaire. Multivariate logistic regression was used to analyze the association between sleep quality and cognitive dysfunction. The adjusted models took into account relevant demographic, clinical, and sleep variables.</p><p><strong>Results: </strong>A total of 3,106 participants were enrolled in this study, of whom 463 (15%) had cognitive dysfunction. Total sleep duration, staying up, sleep latency, number of awakenings, and history of sleep medications were associated with cognitive dysfunction in unadjusted models, and these effects were consistent after adjustment. First, those who slept 6-7.9 h per day (OR = 0.57, 95% CI 0.40 to 0.80, <i>p</i> = 0.001) had a lower risk for cognitive dysfunction compared to those who slept less than 6 h per day. Second, participants who stayed up more than 10 times over the 3 months (OR = 1.90, 95% CI 1.20 to 3.00, <i>p</i> = 0.006) were more likely to suffer cognitive dysfunction than those who never stayed up. Third, we also found that participants with sleep latencies of 16-30 min were less likely to experience cognitive dysfunction than those with sleep latencies of less than 16 min after adjusting confounders (OR = 0.33, 95% CI 0.23 to 0.47, <i>p</i> < 0.001). Fourth, participants who woke up once (OR = 1.65, 95% CI 1.19 to 2.30, <i>p</i> = 0.003) and three or more times (OR = 2.34, 95% CI 1.25 to 4.36, <i>p</i> = 0.008) after falling asleep had a higher risk than those who did not wake up at night. Last, participants taking sleep medication (OR = 2.97, 95% CI 1.19 to 7.45, <i>p</i> = 0.020) were more vulnerable to cognitive dysfunction, relative to participants without taking any medications.</p><p><strong>Conclusion: </strong>Our results suggest that after adjustment for potential confounding variables, poor sleep quality is associated with cognitive dysfunction.</p>","PeriodicalId":12450,"journal":{"name":"Frontiers in Aging Neuroscience","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correspondence between white matter hyperintensities and regional grey matter volumes in Alzheimer's disease. 阿尔茨海默病白质高密度与区域灰质体积之间的对应关系。
IF 4.1 2区 医学 Q2 GERIATRICS & GERONTOLOGY Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnagi.2024.1429098
Fangyuan Yi, Jirui Wang, Meiqing Lin, Baizhu Li, Shiyu Han, Shan Wang, Yingbin Jin, Ning Hu, Yutong Chen, Xiuli Shang

Objective: White matter hyperintensities (WMH) are the most common neuroimaging manifestation of cerebral small vessel disease, and is frequently observed in Alzheimer's disease (AD). This study aimed to investigate the relationship between WMH and cognition and to verify the mediation of grey matter atrophy in this relationship.

Methods: The diffusion tensor imaging (DTI) technique analyses white matter fiber tract to assess white matter integrity. Voxel-based morphometry was applied to measure the grey matter volume (GMV). A linear regression model was applied to examine the associations between WMH and GMV, and mediation analyses was performed to determine the mediating role of regional GMV in the effect of WMH on cognitive function.

Results: Compared to the HC group, AD group have 8 fiber tract fractional anisotropy (FA) decreased and 16 fiber tract mean diffusivity (MD) increased. Compared to AD without WMH, AD with high WMH had 9 fiber tracts FA decreased and 13 fiber tracts MD increased. High WMH volume was negatively correlated with GMV in the frontal-parietal region. Low WMH volume was also negatively correlated with GMV except for the three regions (right angular gyrus, right superior frontal gyrus and right middle/inferior parietal gyrus), where GMV was positively correlated. Mediation analysis showed that the association between WMH and executive function or episodic memory were mediated by GMV in the frontal-parietal region.

Conclusion: Damage to white matter integrity was more severe in AD with WMH. Differential changes in DTI metrics may be caused by progressive myelin and axonal damage. There was a negative correlation between WMH and grey matter atrophy in frontal-parietal regions in a volume-dependent manner. This study indicates the correspondence between WMH volume and GMV in cognition, and GMV being a key modulator between WMH and cognition in AD. This result will contribute to understanding the progression of the disease process and applying targeted therapeutic intervention in the earlier stage to delay neurodegenerative changes in frontal-parietal regions to achieve better treatment outcomes and affordability.

目的:白质增厚(WMH)是脑小血管疾病最常见的神经影像学表现,在阿尔茨海默病(AD)中也经常出现。本研究旨在探讨 WMH 与认知能力之间的关系,并验证灰质萎缩在这一关系中的中介作用:扩散张量成像(DTI)技术分析白质纤维束,以评估白质的完整性。方法:扩散张量成像(DTI)技术分析白质纤维束,评估白质的完整性,应用体素形态测量法测量灰质体积(GMV)。应用线性回归模型研究WMH与GMV之间的关联,并进行中介分析以确定区域GMV在WMH对认知功能影响中的中介作用:与HC组相比,AD组的8纤维束分数各向异性(FA)降低,16纤维束平均扩散率(MD)升高。与无WMH的AD组相比,高WMH的AD组有9个纤维束FA降低,13个纤维束MD升高。高WMH体积与额叶-顶叶区域的GMV呈负相关。除了三个区域(右角回、右额上回和右顶叶中/下回)的GMV呈正相关外,低WMH体积与GMV也呈负相关。中介分析表明,WMH 与执行功能或外显记忆之间的关联是由额叶-顶叶区域的 GMV 所中介的:结论:伴有WMH的AD患者白质完整性受损更为严重。DTI指标的不同变化可能是由进行性髓鞘和轴突损伤引起的。WMH与额顶叶灰质萎缩之间存在负相关,且呈体积依赖性。这项研究表明,WMH体积和GMV在认知中存在对应关系,而GMV是WMH和AD认知之间的关键调节因子。这一结果将有助于了解疾病的进展过程,并在早期阶段进行有针对性的治疗干预,以延缓额叶-顶叶区域的神经退行性病变,从而获得更好的治疗效果和经济效益。
{"title":"Correspondence between white matter hyperintensities and regional grey matter volumes in Alzheimer's disease.","authors":"Fangyuan Yi, Jirui Wang, Meiqing Lin, Baizhu Li, Shiyu Han, Shan Wang, Yingbin Jin, Ning Hu, Yutong Chen, Xiuli Shang","doi":"10.3389/fnagi.2024.1429098","DOIUrl":"10.3389/fnagi.2024.1429098","url":null,"abstract":"<p><strong>Objective: </strong>White matter hyperintensities (WMH) are the most common neuroimaging manifestation of cerebral small vessel disease, and is frequently observed in Alzheimer's disease (AD). This study aimed to investigate the relationship between WMH and cognition and to verify the mediation of grey matter atrophy in this relationship.</p><p><strong>Methods: </strong>The diffusion tensor imaging (DTI) technique analyses white matter fiber tract to assess white matter integrity. Voxel-based morphometry was applied to measure the grey matter volume (GMV). A linear regression model was applied to examine the associations between WMH and GMV, and mediation analyses was performed to determine the mediating role of regional GMV in the effect of WMH on cognitive function.</p><p><strong>Results: </strong>Compared to the HC group, AD group have 8 fiber tract fractional anisotropy (FA) decreased and 16 fiber tract mean diffusivity (MD) increased. Compared to AD without WMH, AD with high WMH had 9 fiber tracts FA decreased and 13 fiber tracts MD increased. High WMH volume was negatively correlated with GMV in the frontal-parietal region. Low WMH volume was also negatively correlated with GMV except for the three regions (right angular gyrus, right superior frontal gyrus and right middle/inferior parietal gyrus), where GMV was positively correlated. Mediation analysis showed that the association between WMH and executive function or episodic memory were mediated by GMV in the frontal-parietal region.</p><p><strong>Conclusion: </strong>Damage to white matter integrity was more severe in AD with WMH. Differential changes in DTI metrics may be caused by progressive myelin and axonal damage. There was a negative correlation between WMH and grey matter atrophy in frontal-parietal regions in a volume-dependent manner. This study indicates the correspondence between WMH volume and GMV in cognition, and GMV being a key modulator between WMH and cognition in AD. This result will contribute to understanding the progression of the disease process and applying targeted therapeutic intervention in the earlier stage to delay neurodegenerative changes in frontal-parietal regions to achieve better treatment outcomes and affordability.</p>","PeriodicalId":12450,"journal":{"name":"Frontiers in Aging Neuroscience","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11439820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Frontiers in Aging Neuroscience
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