Non-linear associations of amyloid-β with resting-state functional networks and their cognitive relevance in a large community-based cohort of cognitively normal older adults

在一项基于社区的大型认知正常老年人群队列研究中,淀粉样蛋白β与静息态功能网络的非线性关联及其认知相关性

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Abstract

BACKGROUND: Non-linear alterations in brain network connectivity may represent early neural signatures of Alzheimer’s disease (AD) pathology in cognitively normal older adults. Understanding these changes and their cognitive relevance may help clarify early network vulnerability associated with AD pathology. Most prior studies recruited participants from memory clinics, often with subjective memory concerns, limiting generalizability. METHODS: We examined 14 large-scale functional brain networks in 968 cognitively normal older adults recruited from the community using resting-state functional MRI, cerebrospinal fluid (CSF) biomarkers (amyloid-β 1–42 [Aβ], total tau, phosphorylated tau 181), and neuropsychological assessments. Functional networks were identified using group independent component analysis. RESULTS: Inverted U-shaped associations between CSF Aβ and functional connectivity were observed in the precuneus network and ventral default mode network (DMN), but not in the dorsal DMN, indicating network-specific vulnerability to early amyloid pathology. Higher connectivity in Aβ-related networks, including dorsal and ventral DMN, precuneus, and posterior salience networks, was associated with better visual memory, visuospatial, and executive performance. No significant relationships were observed between CSF tau and functional connectivity. CONCLUSIONS: Using a large, community-based cohort, we demonstrate that non-linear alterations in functional connectivity occur in specific networks even during the asymptomatic phase of AD. Moreover, Aβ-related network connectivity is cognitively relevant, highlighting early network vulnerability and its functional consequences in amyloid pathology. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13195-026-01986-w.

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