Pattern of Reduced Functional Connectivity and Structural Abnormalities in Parkinson’s Disease: An Exploratory Study
Identifieur interne : 000046 ( Main/Exploration ); précédent : 000045; suivant : 000047Pattern of Reduced Functional Connectivity and Structural Abnormalities in Parkinson’s Disease: An Exploratory Study
Auteurs : Rachel Paes Guimarães [Brésil, Canada] ; Maria Cristina Arci Santos [Brésil] ; Alain Dagher [Canada] ; Lidiane Soares Campos [Brésil] ; Paula Azevedo [Brésil] ; Luiza Gonzaga Piovesana [Brésil] ; Brunno Machado De Campos [Brésil] ; Kevin Larcher [Canada] ; Yashar Zeighami [Canada] ; Augusto C. Scarparo Amato-Filho [Brésil] ; Fernando Cendes [Brésil] ; Anelyssa Cysne Frota D Breu [Brésil]Source :
- Frontiers in Neurology [ 1664-2295 ] ; 2017.
Abstract
MRI brain changes in Parkinson’s disease (PD) are controversial.
We aimed to describe structural and functional changes in PD.
Sixty-six patients with PD (57.94 ± 10.25 years) diagnosed according to the UK Brain Bank criteria were included. We performed a whole brain analysis using voxel-based morphometry (VBM–SPM 8 software), cortical thickness (CT) using CIVET, and resting-state fMRI using the Neuroimaging Analysis Kit software to compare patients and controls. For VBM and CT we classified subjects into three groups according to disease severity: mild PD [Hoehn and Yahr scale (HY) 1–1.5], moderate PD (HY 2–2.5), and severe PD (HY 3–5).
We observed gray matter atrophy in the insula and inferior frontal gyrus in the moderate PD and in the insula, frontal gyrus, putamen, cingulated, and paracingulate gyri in the severe groups. In the CT analysis, in mild PD, cortical thinning was restricted to the superior temporal gyrus, gyrus rectus, and olfactory cortex; in the moderate group, the postcentral gyrus, supplementary motor area, and inferior frontal gyrus were also affected; in the severe PD, areas such as the precentral and postentral gyrus, temporal pole, fusiform, and occipital gyrus had reduced cortical thinning. We observed altered connectivity at the default mode, visual, sensorimotor, and cerebellar networks.
Subjects with mild symptoms already have cortical involvement; however, further cerebral involvement seems to follow Braak’s proposed mechanism. Similar regions are affected both structurally and functionally. We believe the combination of different MRI techniques may be useful in evaluating progressive brain involvement and they may eventually be used as surrogate markers of disease progression.
Url:
DOI: 10.3389/fneur.2016.00243
PubMed: 28133455
PubMed Central: 5233672
Affiliations:
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type="wicri:Area/Main/Exploration">000046</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pattern of Reduced Functional Connectivity and Structural Abnormalities in Parkinson’s Disease: An Exploratory Study</title><author><name sortKey="Guimaraes, Rachel Paes" sort="Guimaraes, Rachel Paes" uniqKey="Guimaraes R" first="Rachel Paes" last="Guimarães">Rachel Paes Guimarães</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Laboratory of Neuroimaging, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Montreal Neurological Institute, Brain Imaging Center, McGill University</institution>,<addr-line>Montreal, QC</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Arci Santos, Maria Cristina" sort="Arci Santos, Maria Cristina" uniqKey="Arci Santos M" first="Maria Cristina" last="Arci Santos">Maria Cristina Arci Santos</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Laboratory of Neuroimaging, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Dagher, Alain" sort="Dagher, Alain" uniqKey="Dagher A" first="Alain" last="Dagher">Alain Dagher</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Montreal Neurological Institute, Brain Imaging Center, McGill University</institution>,<addr-line>Montreal, QC</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Campos, Lidiane Soares" sort="Campos, Lidiane Soares" uniqKey="Campos L" first="Lidiane Soares" last="Campos">Lidiane Soares Campos</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Azevedo, Paula" sort="Azevedo, Paula" uniqKey="Azevedo P" first="Paula" last="Azevedo">Paula Azevedo</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Piovesana, Luiza Gonzaga" sort="Piovesana, Luiza Gonzaga" uniqKey="Piovesana L" first="Luiza Gonzaga" last="Piovesana">Luiza Gonzaga Piovesana</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="De Campos, Brunno Machado" sort="De Campos, Brunno Machado" uniqKey="De Campos B" first="Brunno Machado" last="De Campos">Brunno Machado De Campos</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Laboratory of Neuroimaging, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Larcher, Kevin" sort="Larcher, Kevin" uniqKey="Larcher K" first="Kevin" last="Larcher">Kevin Larcher</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Montreal Neurological Institute, Brain Imaging Center, McGill University</institution>,<addr-line>Montreal, QC</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Zeighami, Yashar" sort="Zeighami, Yashar" uniqKey="Zeighami Y" first="Yashar" last="Zeighami">Yashar Zeighami</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Montreal Neurological Institute, Brain Imaging Center, McGill University</institution>,<addr-line>Montreal, QC</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Scarparo Amato Filho, Augusto C" sort="Scarparo Amato Filho, Augusto C" uniqKey="Scarparo Amato Filho A" first="Augusto C." last="Scarparo Amato-Filho">Augusto C. Scarparo Amato-Filho</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Department of Radiology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cendes, Fernando" sort="Cendes, Fernando" uniqKey="Cendes F" first="Fernando" last="Cendes">Fernando Cendes</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Laboratory of Neuroimaging, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="D Breu, Anelyssa Cysne Frota" sort="D Breu, Anelyssa Cysne Frota" uniqKey="D Breu A" first="Anelyssa Cysne Frota" last="D Breu">Anelyssa Cysne Frota D Breu</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurology, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Laboratory of Neuroimaging, University of Campinas</institution>,<addr-line>Campinas</addr-line>,<country>Brazil</country></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Neurology</title><idno type="eISSN">1664-2295</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="ST1"><title>Background</title><p>MRI brain changes in Parkinson’s disease (PD) are controversial.</p></sec><sec id="ST2"><title>Objectives</title><p>We aimed to describe structural and functional changes in PD.</p></sec><sec id="ST3"><title>Methods</title><p>Sixty-six patients with PD (57.94 ± 10.25 years) diagnosed according to the UK Brain Bank criteria were included. We performed a whole brain analysis using voxel-based morphometry (VBM–SPM 8 software), cortical thickness (CT) using CIVET, and resting-state fMRI using the Neuroimaging Analysis Kit software to compare patients and controls. For VBM and CT we classified subjects into three groups according to disease severity: mild PD [Hoehn and Yahr scale (HY) 1–1.5], moderate PD (HY 2–2.5), and severe PD (HY 3–5).</p></sec><sec id="ST4"><title>Results</title><p>We observed gray matter atrophy in the insula and inferior frontal gyrus in the moderate PD and in the insula, frontal gyrus, putamen, cingulated, and paracingulate gyri in the severe groups. In the CT analysis, in mild PD, cortical thinning was restricted to the superior temporal gyrus, gyrus rectus, and olfactory cortex; in the moderate group, the postcentral gyrus, supplementary motor area, and inferior frontal gyrus were also affected; in the severe PD, areas such as the precentral and postentral gyrus, temporal pole, fusiform, and occipital gyrus had reduced cortical thinning. We observed altered connectivity at the default mode, visual, sensorimotor, and cerebellar networks.</p></sec><sec id="ST5"><title>Conclusion</title><p>Subjects with mild symptoms already have cortical involvement; however, further cerebral involvement seems to follow Braak’s proposed mechanism. Similar regions are affected both structurally and functionally. We believe the combination of different MRI techniques may be useful in evaluating progressive brain involvement and they may eventually be used as surrogate markers of disease progression.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Duncan, Gw" uniqKey="Duncan G">GW Duncan</name></author><author><name sortKey="Khoo, Tk" uniqKey="Khoo T">TK Khoo</name></author><author><name sortKey="Yarnall, Aj" uniqKey="Yarnall A">AJ Yarnall</name></author><author><name sortKey="O Rien, Jt" uniqKey="O Rien J">JT O’Brien</name></author><author><name sortKey="Coleman, Sy" uniqKey="Coleman S">SY Coleman</name></author><author><name sortKey="Brooks, Dj" uniqKey="Brooks D">DJ Brooks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ashburner, J" uniqKey="Ashburner J">J Ashburner</name></author><author><name sortKey="Friston, Kj" uniqKey="Friston K">KJ 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E">E Heremans</name></author><author><name sortKey="Vandenberghe, W" uniqKey="Vandenberghe W">W Vandenberghe</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li><li>Canada</li></country></list><tree><country name="Brésil"><noRegion><name sortKey="Guimaraes, Rachel Paes" sort="Guimaraes, Rachel Paes" uniqKey="Guimaraes R" first="Rachel Paes" last="Guimarães">Rachel Paes Guimarães</name></noRegion><name sortKey="Arci Santos, Maria Cristina" sort="Arci Santos, Maria Cristina" uniqKey="Arci Santos M" first="Maria Cristina" last="Arci Santos">Maria Cristina Arci Santos</name><name sortKey="Azevedo, Paula" sort="Azevedo, Paula" uniqKey="Azevedo P" first="Paula" last="Azevedo">Paula Azevedo</name><name sortKey="Campos, Lidiane Soares" sort="Campos, Lidiane Soares" uniqKey="Campos L" first="Lidiane Soares" last="Campos">Lidiane Soares Campos</name><name sortKey="Cendes, Fernando" sort="Cendes, Fernando" uniqKey="Cendes F" first="Fernando" last="Cendes">Fernando Cendes</name><name sortKey="Cendes, Fernando" sort="Cendes, Fernando" uniqKey="Cendes F" first="Fernando" last="Cendes">Fernando Cendes</name><name sortKey="D Breu, Anelyssa Cysne Frota" sort="D Breu, Anelyssa Cysne Frota" uniqKey="D Breu A" first="Anelyssa Cysne Frota" last="D Breu">Anelyssa Cysne Frota D Breu</name><name sortKey="D Breu, Anelyssa Cysne Frota" sort="D Breu, Anelyssa Cysne Frota" uniqKey="D Breu A" first="Anelyssa Cysne Frota" last="D Breu">Anelyssa Cysne Frota D Breu</name><name sortKey="De Campos, Brunno Machado" sort="De Campos, Brunno Machado" uniqKey="De Campos B" first="Brunno Machado" last="De Campos">Brunno Machado De Campos</name><name sortKey="Guimaraes, Rachel Paes" sort="Guimaraes, Rachel Paes" uniqKey="Guimaraes R" first="Rachel Paes" last="Guimarães">Rachel Paes Guimarães</name><name sortKey="Piovesana, Luiza Gonzaga" sort="Piovesana, Luiza Gonzaga" uniqKey="Piovesana L" first="Luiza Gonzaga" last="Piovesana">Luiza Gonzaga Piovesana</name><name sortKey="Scarparo Amato Filho, Augusto C" sort="Scarparo Amato Filho, Augusto C" uniqKey="Scarparo Amato Filho A" first="Augusto C." last="Scarparo Amato-Filho">Augusto C. Scarparo Amato-Filho</name></country><country name="Canada"><noRegion><name sortKey="Guimaraes, Rachel Paes" sort="Guimaraes, Rachel Paes" uniqKey="Guimaraes R" first="Rachel Paes" last="Guimarães">Rachel Paes Guimarães</name></noRegion><name sortKey="Dagher, Alain" sort="Dagher, Alain" uniqKey="Dagher A" first="Alain" last="Dagher">Alain Dagher</name><name sortKey="Larcher, Kevin" sort="Larcher, Kevin" uniqKey="Larcher K" first="Kevin" last="Larcher">Kevin Larcher</name><name sortKey="Zeighami, Yashar" sort="Zeighami, Yashar" uniqKey="Zeighami Y" first="Yashar" last="Zeighami">Yashar Zeighami</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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