Contributions of sex, depression, and cognition on brain connectivity dynamics in Parkinson’s disease

Bibliographic Details
Title: Contributions of sex, depression, and cognition on brain connectivity dynamics in Parkinson’s disease
Authors: Maria Diez-Cirarda, Iñigo Gabilondo, Naroa Ibarretxe-Bilbao, Juan Carlos Gómez-Esteban, Jinhee Kim, Olaia Lucas-Jiménez, Rocio Del Pino, Javier Peña, Natalia Ojeda, Alexander Mihaescu, Mikaeel Valli, Maria Angeles Acera, Alberto Cabrera-Zubizarreta, Maria Angeles Gómez-Beldarrain, Antonio P. Strafella
Source: npj Parkinson's Disease, Vol 7, Iss 1, Pp 1-10 (2021)
Publisher Information: Nature Portfolio, 2021.
Publication Year: 2021
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: Neurology. Diseases of the nervous system, RC346-429
More Details: Abstract Alterations in time-varying functional connectivity (FC) have been found in Parkinson’s disease (PD) patients. To date, very little is known about the influence of sex on brain FC in PD patients and how this could be related to disease severity. The first objective was to evaluate the influence of sex on dynamic FC characteristics in PD patients and healthy controls (HC), while the second aim was to investigate the temporal patterns of dynamic connectivity related to PD motor and non-motor symptoms. Ninety-nine PD patients and sixty-two HC underwent a neuropsychological and clinical assessment. Rs-fMRI and T1-weighted MRI were also acquired. Dynamic FC analyses were performed in the GIFT toolbox. Dynamic FC analyses identified two States: State I, characterized by within-network positive coupling; and State II that showed between-network connectivity, mostly involving somatomotor and visual networks. Sex differences were found in dynamic indexes in HC but these differences were not observed in PD. Hierarchical clustering analysis identified three phenotypically distinct PD subgroups: (1) Subgroup A was characterized by mild motor symptoms; (2) Subgroup B was characterized by depressive and motor symptoms; (3) Subgroup C was characterized by cognitive and motor symptoms. Results revealed that changes in the temporal properties of connectivity were related to the motor/non-motor outcomes of PD severity. Findings suggest that while in HC sex differences may play a certain role in dynamic connectivity patterns, in PD patients, these effects may be overcome by the neurodegenerative process. Changes in the temporal properties of connectivity in PD were mainly related to the clinical markers of PD severity.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2373-8057
Relation: https://doaj.org/toc/2373-8057
DOI: 10.1038/s41531-021-00257-9
Access URL: https://doaj.org/article/dc69dd610af54ee88c132b87783a5f96
Accession Number: edsdoj.69dd610af54ee88c132b87783a5f96
Database: Directory of Open Access Journals
More Details
ISSN:23738057
DOI:10.1038/s41531-021-00257-9
Published in:npj Parkinson's Disease
Language:English