Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease
Abstract Using a fixel-based analysis (FBA), we assessed the fiber-specific white matter (WM) alterations in nonmedicated patients with early-stage Parkinson’s disease (PD) with tremor-dominant (TD; n = 53; mean age, 61.7 ± 8.7 years) and postural instability and gait disorder (PIGD; n = 27; mean ag...
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2021
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oai:doaj.org-article:a62949e23bc44e2eb28679d9ca2f84622021-12-02T18:02:50ZFiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease10.1038/s41531-021-00197-42373-8057https://doaj.org/article/a62949e23bc44e2eb28679d9ca2f84622021-06-01T00:00:00Zhttps://doi.org/10.1038/s41531-021-00197-4https://doaj.org/toc/2373-8057Abstract Using a fixel-based analysis (FBA), we assessed the fiber-specific white matter (WM) alterations in nonmedicated patients with early-stage Parkinson’s disease (PD) with tremor-dominant (TD; n = 53; mean age, 61.7 ± 8.7 years) and postural instability and gait disorder (PIGD; n = 27; mean age, 57.8 ± 8.1 years) motor subtypes and age- and sex-matched healthy controls (HC; n = 43; mean age, 61.6 ± 9.2 years) from Parkinson’s Progression Markers Initiative dataset. FBA revealed significantly increased macrostructural fiber cross section and a combination of fiber density and cross section metrics within the corticospinal tract in patients with TD-PD compared with HC. Nonetheless, no significant changes in FBA-derived metrics were found in patients with PIGD-PD compared with HC or patients with TD-PD. Our results may provide evidence of WM neural compensation mechanisms in patients with TD-PD marked by increases in fiber bundle size and the ability to relay information between brain regions.Christina AndicaKoji KamagataYuya SaitoWataru UchidaShohei FujitaAkifumi HagiwaraToshiaki AkashiAkihiko WadaTakashi OgawaTaku HatanoNobutaka HattoriShigeki AokiNature PortfolioarticleNeurology. Diseases of the nervous systemRC346-429ENnpj Parkinson's Disease, Vol 7, Iss 1, Pp 1-8 (2021) |
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Neurology. Diseases of the nervous system RC346-429 |
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Neurology. Diseases of the nervous system RC346-429 Christina Andica Koji Kamagata Yuya Saito Wataru Uchida Shohei Fujita Akifumi Hagiwara Toshiaki Akashi Akihiko Wada Takashi Ogawa Taku Hatano Nobutaka Hattori Shigeki Aoki Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
description |
Abstract Using a fixel-based analysis (FBA), we assessed the fiber-specific white matter (WM) alterations in nonmedicated patients with early-stage Parkinson’s disease (PD) with tremor-dominant (TD; n = 53; mean age, 61.7 ± 8.7 years) and postural instability and gait disorder (PIGD; n = 27; mean age, 57.8 ± 8.1 years) motor subtypes and age- and sex-matched healthy controls (HC; n = 43; mean age, 61.6 ± 9.2 years) from Parkinson’s Progression Markers Initiative dataset. FBA revealed significantly increased macrostructural fiber cross section and a combination of fiber density and cross section metrics within the corticospinal tract in patients with TD-PD compared with HC. Nonetheless, no significant changes in FBA-derived metrics were found in patients with PIGD-PD compared with HC or patients with TD-PD. Our results may provide evidence of WM neural compensation mechanisms in patients with TD-PD marked by increases in fiber bundle size and the ability to relay information between brain regions. |
format |
article |
author |
Christina Andica Koji Kamagata Yuya Saito Wataru Uchida Shohei Fujita Akifumi Hagiwara Toshiaki Akashi Akihiko Wada Takashi Ogawa Taku Hatano Nobutaka Hattori Shigeki Aoki |
author_facet |
Christina Andica Koji Kamagata Yuya Saito Wataru Uchida Shohei Fujita Akifumi Hagiwara Toshiaki Akashi Akihiko Wada Takashi Ogawa Taku Hatano Nobutaka Hattori Shigeki Aoki |
author_sort |
Christina Andica |
title |
Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
title_short |
Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
title_full |
Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
title_fullStr |
Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
title_full_unstemmed |
Fiber-specific white matter alterations in early-stage tremor-dominant Parkinson’s disease |
title_sort |
fiber-specific white matter alterations in early-stage tremor-dominant parkinson’s disease |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/a62949e23bc44e2eb28679d9ca2f8462 |
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