Abnormal resting-state functional connectivity of amygdala subregions in patients with obstructive sleep apnea
Autor: | Liting Chen, Hai-Jun Li, Juan Zhang, Zhipeng Wei, De-Chang Peng, Huizhen Xin, Honghui Yu |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Blood-oxygen-level dependent Resting state fMRI medicine.diagnostic_test business.industry Neuropsychology medicine.disease Executive functions Amygdala 030227 psychiatry Obstructive sleep apnea 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure nervous system Neuroimaging Internal medicine medicine Cardiology Functional magnetic resonance imaging business 030217 neurology & neurosurgery |
Zdroj: | Neuropsychiatric Disease and Treatment. 15:977-987 |
ISSN: | 1178-2021 |
DOI: | 10.2147/ndt.s191441 |
Popis: | Background: The amygdala is one of the core areas of the emotional circuits. Previous neuroimaging studies have revealed that patients with obstructive sleep apnea (OSA) have aberrant structure and function in several brain areas (including the amygdala). However, the resting-state functional connectivity (rs-FC) of amgydala subregions remains uncertain. Objective: To determine whether aberrant rs-FC exists between the amygdala subregions and other brain areas and whether such abnormalities are related to emotional disorders and cognitive impairment in OSA. Methods: The resting-state functional magnetic resonance imaging (rs-fMRI) data of 40 male severe OSA patients and 40 matched healthy controls (HCs) were collected. The rs-FC between the amygdala subregions and other brain areas was compared between the two groups. The correlations between aberrant rs-FC and clinical variables and neuropsychological assessments were evaluated. Results: Compared with the HCs, the OSA patients showed significantly increased rs-FC between the left dorsal amygdala (DA) and the anterior lobe of the cerebellum, among the left ventrolateral amygdala (VA), the left inferior frontal gyrus (IFG) and the left superior temporal gyrus (STG), and between the right VA and the left IFG. However, significantly decreased rs-FC was observed between the right DA and the right prefrontal cortex (PFC) in OSA patients. No regional differences in rs-FC were found between the OSA patients and HCs in the bilateral medial amygdala (MA). Conclusion: In this study, male severe OSA patients showed complex rs-FC patterns in the amygdala subregions, which may be the result of OSA-related selective damage to the amygdala, and abnormal rs-FC between the amygdala subregions and brain regions associated with emotional, cognitive and executive functions may partly explain the affective deficits and cognitive impairment observed in male severe OSA patients. |
Databáze: | OpenAIRE |
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