Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease

Degeneration of the locus coeruleus (LC) is recognized as a critical hallmark of Parkinson's disease (PD). Recent studies have reported that noradrenaline produced from the LC has critical effects on brain functional organization. However, it is unknown if LC degeneration in PD contributes to c...

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Autores principales: Cheng Zhou, Tao Guo, Xueqin Bai, JingJing Wu, Ting Gao, Xiaojun Guan, Xiaocao Liu, Luyan Gu, Peiyu Huang, Min Xuan, Quanquan Gu, Xiaojun Xu, Baorong Zhang, Minming Zhang
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:aa3a7370e25f4f4fa55abf41c166e85e2021-11-06T04:28:11ZLocus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease2213-158210.1016/j.nicl.2021.102873https://doaj.org/article/aa3a7370e25f4f4fa55abf41c166e85e2021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S221315822100317Xhttps://doaj.org/toc/2213-1582Degeneration of the locus coeruleus (LC) is recognized as a critical hallmark of Parkinson's disease (PD). Recent studies have reported that noradrenaline produced from the LC has critical effects on brain functional organization. However, it is unknown if LC degeneration in PD contributes to cognitive/motor manifestations through modulating brain functional organization. This study enrolled 94 PD patients and 68 healthy controls, and LC integrity was measured using the contrast-to-noise ratio of the LC (CNRLC) calculated from T1-weighted magnetic resonance imaging. We used graph-theory-based network analysis to characterize brain functional organization. The relationships among LC degeneration, network disruption, and cognitive/motor manifestations in PD were assessed. Whether network disruption was a mediator between LC degeneration and cognitive/motor impairments was assessed further. In addition, an independent PD subgroup (n = 35) having functional magnetic resonance scanning before and after levodopa administration was enrolled to evaluate whether LC degeneration-related network deficiencies were independent of dopamine deficiency. We demonstrated that PD patients have significant LC degeneration compared to healthy controls. CNRLC was positively correlated with Montreal Cognitive Assessment score and the nodal efficiency (NE) of several cognitive-related regions. Lower NE of the superior temporal gyrus was a mediator between LC degeneration and cognitive impairment in PD. However, levodopa treatment could not normalize the reduced NE of the superior temporal gyrus (mediator). In conclusion, we provided evidence for the relationship between LC degeneration and extensive network disruption in PD, and highlight the role of network disorganization in LC degeneration-related cognitive impairment.Cheng ZhouTao GuoXueqin BaiJingJing WuTing GaoXiaojun GuanXiaocao LiuLuyan GuPeiyu HuangMin XuanQuanquan GuXiaojun XuBaorong ZhangMinming ZhangElsevierarticleParkinson’s diseaseLocus coeruleusMagnetic resonance imagingGraph theoryFunctional networksComputer applications to medicine. Medical informaticsR858-859.7Neurology. Diseases of the nervous systemRC346-429ENNeuroImage: Clinical, Vol 32, Iss , Pp 102873- (2021)
institution DOAJ
collection DOAJ
language EN
topic Parkinson’s disease
Locus coeruleus
Magnetic resonance imaging
Graph theory
Functional networks
Computer applications to medicine. Medical informatics
R858-859.7
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Parkinson’s disease
Locus coeruleus
Magnetic resonance imaging
Graph theory
Functional networks
Computer applications to medicine. Medical informatics
R858-859.7
Neurology. Diseases of the nervous system
RC346-429
Cheng Zhou
Tao Guo
Xueqin Bai
JingJing Wu
Ting Gao
Xiaojun Guan
Xiaocao Liu
Luyan Gu
Peiyu Huang
Min Xuan
Quanquan Gu
Xiaojun Xu
Baorong Zhang
Minming Zhang
Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
description Degeneration of the locus coeruleus (LC) is recognized as a critical hallmark of Parkinson's disease (PD). Recent studies have reported that noradrenaline produced from the LC has critical effects on brain functional organization. However, it is unknown if LC degeneration in PD contributes to cognitive/motor manifestations through modulating brain functional organization. This study enrolled 94 PD patients and 68 healthy controls, and LC integrity was measured using the contrast-to-noise ratio of the LC (CNRLC) calculated from T1-weighted magnetic resonance imaging. We used graph-theory-based network analysis to characterize brain functional organization. The relationships among LC degeneration, network disruption, and cognitive/motor manifestations in PD were assessed. Whether network disruption was a mediator between LC degeneration and cognitive/motor impairments was assessed further. In addition, an independent PD subgroup (n = 35) having functional magnetic resonance scanning before and after levodopa administration was enrolled to evaluate whether LC degeneration-related network deficiencies were independent of dopamine deficiency. We demonstrated that PD patients have significant LC degeneration compared to healthy controls. CNRLC was positively correlated with Montreal Cognitive Assessment score and the nodal efficiency (NE) of several cognitive-related regions. Lower NE of the superior temporal gyrus was a mediator between LC degeneration and cognitive impairment in PD. However, levodopa treatment could not normalize the reduced NE of the superior temporal gyrus (mediator). In conclusion, we provided evidence for the relationship between LC degeneration and extensive network disruption in PD, and highlight the role of network disorganization in LC degeneration-related cognitive impairment.
format article
author Cheng Zhou
Tao Guo
Xueqin Bai
JingJing Wu
Ting Gao
Xiaojun Guan
Xiaocao Liu
Luyan Gu
Peiyu Huang
Min Xuan
Quanquan Gu
Xiaojun Xu
Baorong Zhang
Minming Zhang
author_facet Cheng Zhou
Tao Guo
Xueqin Bai
JingJing Wu
Ting Gao
Xiaojun Guan
Xiaocao Liu
Luyan Gu
Peiyu Huang
Min Xuan
Quanquan Gu
Xiaojun Xu
Baorong Zhang
Minming Zhang
author_sort Cheng Zhou
title Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
title_short Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
title_full Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
title_fullStr Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
title_full_unstemmed Locus coeruleus degeneration is associated with disorganized functional topology in Parkinson’s disease
title_sort locus coeruleus degeneration is associated with disorganized functional topology in parkinson’s disease
publisher Elsevier
publishDate 2021
url https://doaj.org/article/aa3a7370e25f4f4fa55abf41c166e85e
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