Altered dynamic effective connectivity of the default mode network in type 2 diabetes

IntroductionAltered functional connectivity of resting-state functional magnetic resonance imaging (rs-fMRI) within default mode network (DMN) regions has been verified to be closely associated with cognitive decline in patients with Type 2 diabetes mellitus (T2DM), but most studies neglected the fl...

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Main Authors: Kun Xu, Jun Wang, Guangyao Liu, Jiahao Yan, Miao Chang, Linzhen Jiang, Jing Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1324988/full
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author Kun Xu
Kun Xu
Jun Wang
Jun Wang
Guangyao Liu
Guangyao Liu
Jiahao Yan
Jiahao Yan
Miao Chang
Miao Chang
Linzhen Jiang
Linzhen Jiang
Jing Zhang
Jing Zhang
author_facet Kun Xu
Kun Xu
Jun Wang
Jun Wang
Guangyao Liu
Guangyao Liu
Jiahao Yan
Jiahao Yan
Miao Chang
Miao Chang
Linzhen Jiang
Linzhen Jiang
Jing Zhang
Jing Zhang
author_sort Kun Xu
collection DOAJ
description IntroductionAltered functional connectivity of resting-state functional magnetic resonance imaging (rs-fMRI) within default mode network (DMN) regions has been verified to be closely associated with cognitive decline in patients with Type 2 diabetes mellitus (T2DM), but most studies neglected the fluctuations of brain activities—the dynamic effective connectivity (DEC) within DMN of T2DM is still unknown.MethodsFor the current investigation, 40 healthy controls (HC) and 36 T2DM patients have been recruited as participants. To examine the variation of DEC between T2DM and HC, we utilized the methodologies of independent components analysis (ICA) and multivariate granger causality analysis (mGCA).ResultsWe found altered DEC within DMN only show decrease in state 1. In addition, the causal information flow of diabetic patients major affected areas which are closely associated with food craving and metabolic regulation, and T2DM patients stayed longer in low activity level and exhibited decreased transition rate between states. Moreover, these changes related negatively with the MoCA scores and positively with HbA1C level.ConclusionOur study may offer a fresh perspective on brain dynamic activities to understand the mechanisms underlying T2DM-related cognitive deficits.
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spelling doaj.art-384bd9a6461e4ca28b2944291f7a67d42024-01-15T04:13:10ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-01-011410.3389/fneur.2023.13249881324988Altered dynamic effective connectivity of the default mode network in type 2 diabetesKun Xu0Kun Xu1Jun Wang2Jun Wang3Guangyao Liu4Guangyao Liu5Jiahao Yan6Jiahao Yan7Miao Chang8Miao Chang9Linzhen Jiang10Linzhen Jiang11Jing Zhang12Jing Zhang13Second Clinical School, Lanzhou University, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaSecond Clinical School, Lanzhou University, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaGansu Province Clinical Research Center for Functional and Molecular Imaging, Lanzhou University Second Hospital, Lanzhou, ChinaSecond Clinical School, Lanzhou University, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaSecond Clinical School, Lanzhou University, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaSecond Clinical School, Lanzhou University, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaDepartment of Magnetic Resonance, Lanzhou University Second Hospital, Lanzhou, ChinaGansu Province Clinical Research Center for Functional and Molecular Imaging, Lanzhou University Second Hospital, Lanzhou, ChinaIntroductionAltered functional connectivity of resting-state functional magnetic resonance imaging (rs-fMRI) within default mode network (DMN) regions has been verified to be closely associated with cognitive decline in patients with Type 2 diabetes mellitus (T2DM), but most studies neglected the fluctuations of brain activities—the dynamic effective connectivity (DEC) within DMN of T2DM is still unknown.MethodsFor the current investigation, 40 healthy controls (HC) and 36 T2DM patients have been recruited as participants. To examine the variation of DEC between T2DM and HC, we utilized the methodologies of independent components analysis (ICA) and multivariate granger causality analysis (mGCA).ResultsWe found altered DEC within DMN only show decrease in state 1. In addition, the causal information flow of diabetic patients major affected areas which are closely associated with food craving and metabolic regulation, and T2DM patients stayed longer in low activity level and exhibited decreased transition rate between states. Moreover, these changes related negatively with the MoCA scores and positively with HbA1C level.ConclusionOur study may offer a fresh perspective on brain dynamic activities to understand the mechanisms underlying T2DM-related cognitive deficits.https://www.frontiersin.org/articles/10.3389/fneur.2023.1324988/fulltype 2 diabetes mellitusdynamic effective connectivitydefault mode networkindependent components analysismultivariate granger causality analysis
spellingShingle Kun Xu
Kun Xu
Jun Wang
Jun Wang
Guangyao Liu
Guangyao Liu
Jiahao Yan
Jiahao Yan
Miao Chang
Miao Chang
Linzhen Jiang
Linzhen Jiang
Jing Zhang
Jing Zhang
Altered dynamic effective connectivity of the default mode network in type 2 diabetes
Frontiers in Neurology
type 2 diabetes mellitus
dynamic effective connectivity
default mode network
independent components analysis
multivariate granger causality analysis
title Altered dynamic effective connectivity of the default mode network in type 2 diabetes
title_full Altered dynamic effective connectivity of the default mode network in type 2 diabetes
title_fullStr Altered dynamic effective connectivity of the default mode network in type 2 diabetes
title_full_unstemmed Altered dynamic effective connectivity of the default mode network in type 2 diabetes
title_short Altered dynamic effective connectivity of the default mode network in type 2 diabetes
title_sort altered dynamic effective connectivity of the default mode network in type 2 diabetes
topic type 2 diabetes mellitus
dynamic effective connectivity
default mode network
independent components analysis
multivariate granger causality analysis
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1324988/full
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