Dissociable Functional Brain Networks Associated With Apathy in Subcortical Ischemic Vascular Disease and Alzheimer’s Disease

Bibliographic Details
Title: Dissociable Functional Brain Networks Associated With Apathy in Subcortical Ischemic Vascular Disease and Alzheimer’s Disease
Authors: Sabri Altunkaya, Sheng-Min Huang, Yen-Hsuan Hsu, Jir-Jei Yang, Chien-Yuan Lin, Li-Wei Kuo, Min-Chien Tu
Source: Frontiers in Aging Neuroscience, Vol 13 (2022)
Publisher Information: Frontiers Media S.A., 2022.
Publication Year: 2022
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
Subject Terms: functional magnetic resonance imaging, resting-state functional connectivity, disconnection syndrome, apathy, subcortical ischemic vascular disease, Alzheirmer’s disease, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
More Details: Few studies have investigated differences in functional connectivity (FC) between patients with subcortical ischemic vascular disease (SIVD) and Alzheimer’s disease (AD), especially in relation to apathy. Therefore, the aim of this study was to compare apathy-related FC changes among patients with SIVD, AD, and cognitively normal subjects. The SIVD group had the highest level of apathy as measured using the Apathy Evaluation Scale-clinician version (AES). Dementia staging, volume of white matter hyperintensities (WMH), and the Beck Depression Inventory were the most significant clinical predictors for apathy. Group-wise comparisons revealed that the SIVD patients had the worst level of “Initiation” by factor analysis of the AES. FCs from four resting state networks (RSNs) were compared, and the connectograms at the level of intra- and inter-RSNs revealed dissociable FC changes, shared FC in the dorsal attention network, and distinct FC in the salient network across SIVD and AD. Neuronal correlates for “Initiation” deficits that underlie apathy were explored through a regional-specific approach, which showed that the right inferior frontal gyrus, left middle frontal gyrus, and left anterior insula were the critical hubs. These findings broaden the disconnection theory by considering the effect of FC interactions across multiple RSNs on apathy formation.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1663-4365
Relation: https://www.frontiersin.org/articles/10.3389/fnagi.2021.717037/full; https://doaj.org/toc/1663-4365
DOI: 10.3389/fnagi.2021.717037
Access URL: https://doaj.org/article/473fd85b399f48e2a39f2a2ed95381dc
Accession Number: edsdoj.473fd85b399f48e2a39f2a2ed95381dc
Database: Directory of Open Access Journals
More Details
ISSN:16634365
DOI:10.3389/fnagi.2021.717037
Published in:Frontiers in Aging Neuroscience
Language:English