Alzheimer’s disease; cognition; cognitive reserve; functional MRI; intrinsic network connectivity; resting-state functional connectivity; Humans; Cognition; Neural Pathways; Nerve Net; Magnetic Resonance Imaging; Brain/diagnostic imaging; Alzheimer Disease/pathology; Cognitive Reserve; Brain; Neuroscience (all); Clinical Psychology; Geriatrics and Gerontology; Psychiatry and Mental Health; General Medicine; General Neuroscience
Abstract :
[en] BACKGROUND: Cognitive reserve (CR) explains inter-individual differences in the impact of the neurodegenerative burden on cognitive functioning. A residual model was proposed to estimate CR more accurately than previous measures. However, associations between residual CR markers (CRM) and functional connectivity (FC) remain unexplored.
OBJECTIVE: To explore the associations between the CRM and intrinsic network connectivity (INC) in resting-state networks along the neuropathological-continuum of Alzheimer's disease (ADN).
METHODS: Three hundred eighteen participants from the DELCODE cohort were stratified using cerebrospinal fluid biomarkers according to the A(myloid-β)/T(au)/N(eurodegeneration) classification. CRM was calculated utilizing residuals obtained from a multilinear regression model predicting cognition from markers of disease burden. Using an independent component analysis in resting-state fMRI data, we measured INC of resting-state networks, i.e., default mode network (DMN), frontoparietal network (FPN), salience network (SAL), and dorsal attention network. The associations of INC with a composite memory score and CRM and the associations of CRM with the seed-to-voxel functional connectivity of memory-related were tested in general linear models.
RESULTS: CRM was positively associated with INC in the DMN in the entire cohort. The A+T+N+ group revealed an anti-correlation between the SAL and the DMN. Furthermore, CRM was positively associated with anti-correlation between memory-related regions in FPN and DMN in ADN and A+T/N+.
CONCLUSION: Our results provide evidence that INC is associated with CRM in ADN defined as participants with amyloid pathology with or without cognitive symptoms, suggesting that the neural correlates of CR are mirrored in network FC in resting-state.
Disciplines :
Neurology
Author, co-author :
Ersoezlue, Ersin ✱; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany ; Department of Gerontopsychiatry and Developmental Disorders, kbo-Isar-Amper-Klinikum Haar, University Teaching Hospital of LMU Munich, Germany
Perneczky, Robert ✱; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany ; German Center for Neurodegenerative Diseases (DZNE) Munich, Germany ; Ageing Epidemiology (AGE) Research Unit, School of Public Health, Imperial College, London, UK ; Munich Cluster for Systems Neurology (SyNergy), Munich, Germany ; Sheffield Institute for Translational Neurology (SITraN), University of Sheffield, Sheffield, UK
Tato, Maia; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Utecht, Julia; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Kurz, Carolin; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Häckert, Jan; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Guersel, Selim; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Burow, Lena; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Koller, Gabriele; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Stoecklein, Sophia; Department of Radiology, University Hospital, LMU Munich, Germany
Keeser, Daniel; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Papazov, Boris; Department of Radiology, University Hospital, LMU Munich, Germany
Totzke, Marie; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany
Ballarini, Tommaso; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany
Brosseron, Frederic; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany
Buerger, Katharina; German Center for Neurodegenerative Diseases (DZNE Munich), Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital LMU Munich, Germany
Dechent, Peter; MR-Research in Neurosciences Department of Cognitive Neurology, Georg-August-University Goettingen, Germany
Dobisch, Laura; German Center for Neurodegenerative Diseases (DZNE) Magdeburg, Germany ; Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University Magdeburg, Germany
Ewers, Michael; German Center for Neurodegenerative Diseases (DZNE Munich), Munich, Germany ; Institute for Stroke and Dementia Research (ISD), University Hospital LMU Munich, Germany
Fliessbach, Klaus; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany
Glanz, Wenzel; German Center for Neurodegenerative Diseases (DZNE) Magdeburg, Germany
Haynes, John Dylan; Bernstein Center for Computational Neuroscience Charité - Universitätsmedizin Berlin, Germany
HENEKA, Michael ; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany
Janowitz, Daniel; Institute for Stroke and Dementia Research (ISD), University Hospital LMU Munich, Germany
Kilimann, Ingo; German Center for Neurodegenerative Diseases (DZNE) Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany
Kleineidam, Luca; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany
Laske, Christoph; German Center for Neurodegenerative Diseases (DZNE) Tübingen, Germany ; Section for Dementia Research, Hertie Institute for Clinical Brain Research and Department of Psychiatry and Psychotherapy, University of Tübingen, Germany
Maier, Franziska; Department of Psychiatry, Medical Faculty of University of Cologne, Germany
Munk, Matthias H; German Center for Neurodegenerative Diseases (DZNE) Tübingen, Germany ; Section for Dementia Research, Hertie Institute for Clinical Brain Research and Department of Psychiatry and Psychotherapy, University of Tübingen, Germany
Peters, Oliver; Department of Psychiatry, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Germany ; German Center for Neurodegenerative Diseases (DZNE) Berlin, Germany
Priller, Josef; Department of Psychiatry and Psychotherapy, Charité Berlin, Germany ; Department of Psychiatry and Psychotherapy, School of Medicine Technical University of Munich, Germany ; University of Edinburgh and UK DRI Edinburgh, UK
Ramirez, Alfredo; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany ; Division of Neurogenetics and Molecular Psychiatry, Department of Psychiatry and Psychotherapy, Faculty of Medicine and University Hospital Cologne, Germany ; Department of Psychiatry & Glenn Biggs Institute for Alzheimer's and Neurodegenerative Diseases, San Antonio, TX, USA
Roeske, Sandra; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany
Roy, Nina; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany
Scheffler, Klaus; Department for Biomedical Magnetic Resonance, University of Tübingen, Germany
Schneider, Anja; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany
Schott, Björn H; German Center for Neurodegenerative Diseases (DZNE) Goettingen, Germany ; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Germany ; Leibniz Institute for Neurobiology, Magdeburg, Germany
Spottke, Annika; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Department of Neurology, University of Bonn, Germany
Spruth, Eike J; German Center for Neurodegenerative Diseases (DZNE) Berlin, Germany ; Department of Psychiatry and Psychotherapy, Charité Berlin, Germany
Teipel, Stefan; German Center for Neurodegenerative Diseases (DZNE) Rostock, Germany ; Department of Psychosomatic Medicine, Rostock University Medical Center, Rostock, Germany
Unterfeld, Chantal; Department of Psychiatry, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Germany
Wagner, Michael; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany
Wang, Xiao; Department of Psychiatry, Campus Benjamin Franklin, Charité-Universitätsmedizin Berlin, Germany
Wiltfang, Jens; German Center for Neurodegenerative Diseases (DZNE) Goettingen, Germany ; Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, University of Goettingen, Germany ; Neurosciences and Signaling Group, Institute of Biomedicine (iBiMED), Department of Medical Sciences, University of Aveiro, Portugal
Wolfsgruber, Steffen; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Medical Center of Neurodegenerative Disease and Geriatric Psychiatry, University of Bonn, Germany
Yakupov, Renat; German Center for Neurodegenerative Diseases (DZNE) Magdeburg, Germany
Duezel, Emrah; German Center for Neurodegenerative Diseases (DZNE) Magdeburg, Germany ; Institute of Cognitive Neurology and Dementia Research (IKND), Otto-von-Guericke University Magdeburg, Germany
Jessen, Frank; German Center for Neurodegenerative Diseases (DZNE) Bonn, Germany ; Department of Psychiatry, Medical Faculty of University of Cologne, Germany ; Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD) University of Cologne, Germany
Rauchmann, Boris-Stephan; Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Germany ; German Center for Neurodegenerative Diseases (DZNE) Munich, Germany ; Sheffield Institute for Translational Neurology (SITraN), University of Sheffield, Sheffield, UK ; Department of Neuroradiology, University Hospital, LMU Munich, Germany
The DZNE-Longitudinal Cognitive Impairment and Dementia Study (DELCODE) study was funded by the German Center for Neurodegenerative Diseases (Deutsches Zentrum für Neurodegenerative Erkrankungen, DZNE), reference number BN012.
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