Abnormal intrinsic functional hubs and connectivity in stable patients with COPD: a resting-state MRI study.

Chronic obstructive pulmonary disease (COPD) affects a large population and is closely associated with cognitive impairment. However, the mechanisms of cognitive impairment in COPD patients have not been unraveled. This study investigated the change in patterns of intrinsic functional hubs using a d...

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Publicado en:Brain Imaging & Behavior Vol. 14; no. 2; pp. 573 - 586
Autores principales: Li, Haijun, Xin, Huizhen, Yu, Jingjing, Yu, Honghui, Zhang, Juan, Wang, Wenjing, Peng, Dechang
Formato: Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Abnormal intrinsic functional hubs and connectivity in stable patients with COPD: a resting-state MRI study.
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          Li, Haijun
          Xin, Huizhen
          Yu, Jingjing
          Yu, Honghui
          Zhang, Juan
          Wang, Wenjing
          Peng, Dechang
        affil: Department of Radiology, the First Affiliated Hospital of Nanchang University, No.17, Yongwai Zheng Street, Donghu District, 330006, Nanchang, Jiangxi Province, People's Republic of China
      sug:
        subj:
          Brain Physiopathology
          Cognition
          Pulmonary Disease, Chronic Obstructive Physiopathology
          Middle Age
          Frontal Lobe Physiopathology
          Aged
          Limbic System Physiopathology
          Magnetic Resonance Imaging Methods
          Cerebral Cortex Physiopathology
          Female
          Male
          Occipital Lobe Physiopathology
          Relaxation Physiology
          Brain Mapping Methods
          Checklists
          Clinical Assessment Tools
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Chronic obstructive pulmonary disease (COPD) affects a large population and is closely associated with cognitive impairment. However, the mechanisms of cognitive impairment in COPD patients have not been unraveled. This study investigated the change in patterns of intrinsic functional hubs using a degree centrality (DC) analysis. The connectivity between these abnormal hubs with the remaining brain was also investigated using functional connectivity (FC). Nineteen stable patients with COPD and 20 normal controls(NC) underwent functional magnetic resonance imaging (MRI) examinations and clinical and neuropsychologic assessments. We measured the voxel-wise DC across the whole brain gray matter and the seed-based FC between these abnormal hubs in the remaining brain matter; the group difference was calculated. A partial correlation analysis was performed to assess the relationship between the abnormal DC and clinical variables in COPD patients. Compared to NC, the patients with COPD exhibited significantly decreased DC in the right lingual gyrus (LG), bilateral supplementary motor area (SMA), and right paracentral lobule (PCL). A further seed-based FC analysis found that COPD patients demonstrated significantly decreased FC between these abnormal hubs in several brain areas, including the left cerebellum anterior lobe, left lingual gyrus, left fusiform gyrus, right insula, right inferior frontal gyrus, limbic lobe, cingulate gyrus, left putamen, lentiform nucleus, right precuneus, and right paracentral lobule. A partial correlation analysis showed that the decreased DC in the right PCL was positively correlated with the FEV1 and FEV1/FVC, and the decreased DC in the SMA was positively correlated with naming and pH in COPD patients. This study demonstrates that there are intrinsic functional hubs and connectivity alterations that may reflect the aberrant information communication in the brain of COPD patients. These findings may help provide new insight for understanding the mechanisms of COPD-related cognitive impairment from whole brain functional connections.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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