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@INPROCEEDINGS{Kindler:283096,
author = {Kindler, Christine and Gillis, Grace and Bhalerao, Gaurav V
and Andersson, Jesper L R and McCarthy, Paul and Miklitz,
Carolin and Stoecker, Tony and Petzold, Gabor C and
Griffanti, Ludovica},
title = {{N}ucleus {B}asalis of {M}eynert: {F}unctional
{C}onnectivity and {M}orphometry in {A}lzheimer’s
{D}isease and {F}rontotemporal {D}ementia},
journal = {Alzheimer's and dementia},
volume = {21},
number = {Suppl 8},
issn = {1552-5260},
reportid = {DZNE-2025-01503},
pages = {e110164},
year = {2025},
abstract = {The nucleus basalis of Meynert (NBM) is crucial for
learning, attention, and memory. While its involvement in
Alzheimer's disease (AD) has been widely reported, the role
in frontotemporal dementia (FTD) remains unclear. Here we
examined NBM functional connectivity (FC) as well as NBM and
cortical volume changes in AD, healthy controls (HC), and
FTD subtypes: behavioral variant FTD (bvFTD), unclassified
primary progressive aphasia (PPA), progressive nonfluent
aphasia (PNFA), semantic dementia (SemD), and progressive
logopenic aphasia (PLA).Resting-state fMRI and T1-weighted
scans were collected from HC (n = 66), individuals with AD
(n = 50), bvFTD (n = 63), PLA (n = 18), PPA (n = 20), PNFA
(n = 32), and SemD (n = 15). We performed seed-based FC
analyses in FSL with left and right NBM as seeds. We
compared HC with AD (cluster-based threshold z > 2.3, p <
0.05). Significant clusters were used to extract mean FC for
the other groups. We then compared FC values and normalized
NBM volumes across HC and FTD subtypes using the
Kruskal-Wallis test, followed by Bonferroni-corrected
pairwise comparisons where applicable. Voxel-based
morphometry (VBM) was conducted to explore cortical atrophy
patterns.HC showed stronger NBM connectivity than AD in the
hippocampus/parahippocampal gyrus, frontal pole,
paracingulate cortex, precuneus, and lateral occipital
cortex (Figure 1, left NBM results). Across HC and FTD
subtypes, we found significant group differences for the
paracingulate (H = 36.15, p < 0.001) and lateral occipital
cortex (H = 18.25, p = 0.003). Connectivity was higher in
bvFTD, PPA, and LPA than in HC, with the strongest effect
for bvFTD in the paracingulate cortex (r = 0.48) and
moderate effects across other contrasts (r = 0.28-0.42, all
p < 0.020). Volumetric analyses indicated no significant
group differences in NBM volumes but distinct cortical
atrophy patterns: PNFA, PLA, and PPA exhibited temporal-
frontal atrophy similar to AD, while bvFTD showed
predominantly frontal and SemD primarily temporal
atrophy.Differential functional connectivity of the NBM and
distinct cortical atrophy patterns were observed between HC
and AD and between HC and FTD subtypes. Ongoing analyses on
subgroup comparisons and integration of cognitive
assessments aim to elucidate these relationships and their
clinical implications.},
month = {Jul},
date = {2025-07-27},
organization = {Alzheimer’s Association
International Conference, Toronto
(Canada), 27 Jul 2025 - 31 Jul 2025},
keywords = {Humans / Alzheimer Disease: diagnostic imaging / Alzheimer
Disease: pathology / Alzheimer Disease: physiopathology /
Male / Female / Magnetic Resonance Imaging / Aged /
Frontotemporal Dementia: diagnostic imaging / Frontotemporal
Dementia: pathology / Frontotemporal Dementia:
physiopathology / Middle Aged / Basal Nucleus of Meynert:
diagnostic imaging / Basal Nucleus of Meynert: pathology /
Basal Nucleus of Meynert: physiopathology / Aphasia, Primary
Progressive},
cin = {Patient Studies (Bonn) / AG Stöcker / AG Petzold},
ddc = {610},
cid = {I:(DE-2719)1011101 / I:(DE-2719)1013026 /
I:(DE-2719)1013020},
pnm = {353 - Clinical and Health Care Research (POF4-353) / 354 -
Disease Prevention and Healthy Aging (POF4-354)},
pid = {G:(DE-HGF)POF4-353 / G:(DE-HGF)POF4-354},
typ = {PUB:(DE-HGF)1 / PUB:(DE-HGF)16},
pubmed = {pmid:41433522},
pmc = {pmc:PMC12725497},
doi = {10.1002/alz70862_110164},
url = {https://pub.dzne.de/record/283096},
}