Resting-State Network Alterations Differ between Alzheimer’s Disease Atrophy Subtypes

Autor: Ersin Ersoezlue, Jens Wiltfang, Emrah Duezel, Birgit Ertl-Wagner, Sandra Roeske, Eike Jakob Spruth, Josef Priller, Matthias H. J. Munk, Robert Perneczky, Renat Yakupov, Peter Dechent, Alfredo Ramirez, Frank Jessen, John-Dylan Haynes, Oliver Peters, Enise I. Incesoy, Stefan J. Teipel, Sophia Stoecklein, Boris-Stephan Rauchmann, Coraline D. Metzger, Maike Tscheuschler, Ruth Vukovich, Michael T. Heneka, Katharina Buerger, Frederic Brosseron, Daniel Janowitz, Klaus Scheffler, Anja Schneider, Ingo Kilimann, Christoph Laske, Daniel Keeser, Laura Dobisch, Nina Roy, Klaus Fliessbach, Michael Wagner, Annika Spottke
Rok vydání: 2021
Předmět:
Zdroj: Cerebral Cortex
Cereb Cortex
Cerebral cortex 31(11), 4901-4915 (2021). doi:10.1093/cercor/bhab130
ISSN: 1460-2199
1047-3211
Popis: Several Alzheimer’s disease (AD) atrophy subtypes were identified, but their brain network properties are unclear. We analyzed data from two independent datasets, including 166 participants (103 AD/63 controls) from the DZNE-longitudinal cognitive impairment and dementia study and 151 participants (121 AD/30 controls) from the AD neuroimaging initiative cohorts, aiming to identify differences between AD atrophy subtypes in resting-state functional magnetic resonance imaging intra-network connectivity (INC) and global and nodal network properties. Using a data-driven clustering approach, we identified four AD atrophy subtypes with differences in functional connectivity, accompanied by clinical and biomarker alterations, including a medio-temporal-predominant (S-MT), a limbic-predominant (S-L), a diffuse (S-D), and a mild-atrophy (S-MA) subtype. S-MT and S-D showed INC reduction in the default mode, dorsal attention, visual and limbic network, and a pronounced reduction of “global efficiency” and decrease of the “clustering coefficient” in parietal and temporal lobes. Despite severe atrophy in limbic areas, the S-L exhibited only marginal global network but substantial nodal network failure. S-MA, in contrast, showed limited impairment in clinical and cognitive scores but pronounced global network failure. Our results contribute toward a better understanding of heterogeneity in AD with the detection of distinct differences in functional connectivity networks accompanied by CSF biomarker and cognitive differences in AD subtypes.
Databáze: OpenAIRE