单位:[1]Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China[2]Department of Neurology, China-Japan Friendship Hospital, Beijing, China
Sleep disturbances are one of the preventive factors to delay the onset and progression of Alzheimer's disease. Early identification of Alzheimer's disease patients prone to develop sleep disturbances to offer early medical intervention is important. Resting-state functional MRI is a widely used method to investigate the neural mechanisms and find neuroimaging biomarkers in neuropsychiatric diseases. In this study, we applied percent amplitude of fluctuation (PerAF) and mPerAF (divided by global mean PerAF) to test the strength of intrinsic brain activity in 38 mild Alzheimer's disease patients with sleep disturbances (ADSD) and 21 mild Alzheimer's disease patients without sleep disturbances (ADNSD). Compared with ADNSD, we found decreased intrinsic brain activity in the calcarine gyrus, the lingual gyrus, the fusiform gyrus extending to the parahippocampal gyrus, the precentral gyrus, the postcentral gyrus (all in the left hemisphere) and the left brainstem. Conclusively, ADSD exhibited reduced neural activity in specific brain regions related to the sensorimotor network and the visual network, which indicated the contribution of sleep disturbances to the progression of Alzheimer's disease. Especially, the ventral visual pathway to the hippocampus might serve for the memory impaired by sleep disturbances in Alzheimer's disease, and the brainstem might be critical in the initiation of sleep disturbances in Alzheimer's disease. These findings further elucidate the interactions between Alzheimer's disease and sleep disturbances and could help with the early recognition of Alzheimer's disease patients who tend to develop sleep disturbances.
基金:
Beijing Municipal Science and Technology CommissionBeijing Municipal Science & Technology Commission [D171100008217005]; National Key Research and Development Program of China [2016YFC1306301]
第一作者单位:[1]Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China[2]Department of Neurology, China-Japan Friendship Hospital, Beijing, China
通讯作者:
通讯机构:[1]Peking University China-Japan Friendship School of Clinical Medicine, Beijing, China[2]Department of Neurology, China-Japan Friendship Hospital, Beijing, China[*1]Department of Neurology, China-Japan Friendship Hospital, No.2 Yinghua East Street, Chaoyang District, Beijing 100029, China
推荐引用方式(GB/T 7714):
Wang Lei,Peng Dantao.Altered intrinsic brain activity in mild Alzheimer's disease patients with sleep disturbances[J].NEUROREPORT.2021,32(11):942-948.doi:10.1097/WNR.0000000000001689.
APA:
Wang, Lei&Peng, Dantao.(2021).Altered intrinsic brain activity in mild Alzheimer's disease patients with sleep disturbances.NEUROREPORT,32,(11)
MLA:
Wang, Lei,et al."Altered intrinsic brain activity in mild Alzheimer's disease patients with sleep disturbances".NEUROREPORT 32..11(2021):942-948