Journal Article DZNE-2023-00663

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Altered limbic functional connectivity in individuals with subjective cognitive decline: Converging and diverging findings across Chinese and German cohorts.

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2023
Wiley Hoboken, NJ

Alzheimer's and dementia 19(11), 4922 - 4934 () [10.1002/alz.13068]

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Abstract: It remains unclear whether functional brain networks are consistently altered in individuals with subjective cognitive decline (SCD) of diverse ethnic and cultural backgrounds and whether the network alterations are associated with an amyloid burden.Cross-sectional resting-state functional magnetic resonance imaging connectivity (FC) and amyloid-positron emission tomography (PET) data from the Chinese Sino Longitudinal Study on Cognitive Decline and German DZNE Longitudinal Cognitive Impairment and Dementia cohorts were analyzed.Limbic FC, particularly hippocampal connectivity with right insula, was consistently higher in SCD than in controls, and correlated with SCD-plus features. Smaller SCD subcohorts with PET showed inconsistent amyloid positivity rates and FC-amyloid associations across cohorts.Our results suggest an early adaptation of the limbic network in SCD, which may reflect increased awareness of cognitive decline, irrespective of amyloid pathology. Different amyloid positivity rates may indicate a heterogeneous underlying etiology in Eastern and Western SCD cohorts when applying current research criteria. Future studies should identify culture-specific features to enrich preclinical Alzheimer's disease in non-Western populations.Common limbic hyperconnectivity across Chinese and German subjective cognitive decline (SCD) cohorts was observed. Limbic hyperconnectivity may reflect awareness of cognition, irrespective of amyloid load. Further cross-cultural harmonization of SCD regarding Alzheimer's disease pathology is required.

Keyword(s): European People (MeSH) ; Humans (MeSH) ; Alzheimer Disease: pathology (MeSH) ; Amyloid beta-Peptides: metabolism (MeSH) ; Brain: pathology (MeSH) ; Cognitive Dysfunction (MeSH) ; Cross-Sectional Studies (MeSH) ; East Asian People (MeSH) ; Magnetic Resonance Imaging (MeSH) ; Positron-Emission Tomography (MeSH) ; Amyloid beta-Peptides ; Centiloid ; amyloid deposition ; cross-cultural harmonization ; functional connectivity ; hippocampus ; insula ; subjective cognitive decline

Classification:

Contributing Institute(s):
  1. Patient Studies Bonn (Patient Studies Bonn)
  2. Clinical Alzheimer’s Disease Research (AG Jessen)
  3. Positron Emissions Tomography (PET) (AG Boecker)
  4. Clinical Research Platform (CRP) (Clinical Research Platform (CRP))
  5. Neuropsychology (AG Wagner)
  6. Interdisciplinary Dementia Research (AG Endres)
  7. Clinical Neurophysiology and Memory (AG Düzel)
  8. Translational Neuropsychiatry (AG Priller)
  9. Translational Dementia Research (Bonn) (AG Schneider)
  10. Alzheimer Biomarker and Clinical Study Group (AG Wiltfang)
  11. Clinical Neurodegeneration (AG Levin)
  12. Vascular Cognitive Impairment & Post-Stroke Dementia (AG Dichgans)
  13. Clinical Dementia Research (Rostock /Greifswald) (AG Teipel)
  14. Parkinson Genetics (AG Gasser)
  15. Biomarker-Assisted Early Detection of Dementias (AG Peters)
Research Program(s):
  1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)
  2. 352 - Disease Mechanisms (POF4-352) (POF4-352)

Appears in the scientific report 2023
Database coverage:
Medline ; Creative Commons Attribution-NonCommercial-NoDerivs CC BY-NC-ND 4.0 ; OpenAccess ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; DEAL Wiley ; Essential Science Indicators ; IF >= 10 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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The record appears in these collections:
Institute Collections > BN DZNE > BN DZNE-Clinical Research Platform (CRP)
Institute Collections > BN DZNE > BN DZNE-Patient Studies (Bonn)
Document types > Articles > Journal Article
Institute Collections > GÖ DZNE > GÖ DZNE-AG Wiltfang
Institute Collections > BN DZNE > BN DZNE-AG Schneider
Institute Collections > ROS DZNE > ROS DZNE-AG Teipel
Institute Collections > TÜ DZNE > TÜ DZNE-AG Gasser
Institute Collections > BN DZNE > BN DZNE-AG Boecker
Institute Collections > BN DZNE > BN DZNE-AG Jessen
Institute Collections > MD DZNE > MD DZNE-AG Düzel
Institute Collections > BN DZNE > BN DZNE-AG Wagner
Institute Collections > M DZNE > M DZNE-AG Dichgans
Institute Collections > B DZNE > B DZNE-AG Priller
Institute Collections > B DZNE > B DZNE-AG Peters
Institute Collections > B DZNE > B DZNE-AG Endres
Institute Collections > M DZNE > M DZNE-AG Levin
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 Record created 2023-06-20, last modified 2025-01-27


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