Limbic grey matter changes in early Parkinson's disease

The purpose of this study was to investigate local and network related changes of limbic grey matter in early Parkinson’s disease (PD) and their interrelation with non-motor symptom severity. We applied voxel-based morphometric methods in 538 T1 MRI images retrieved from the Parkinson's Progres...

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Main Authors: Li, Xingfeng, Xing, Yue, Schwarz, Stefan Theodor, Auer, Dorothee P.
Format: Article
Published: Wiley 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/42343/
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author Li, Xingfeng
Xing, Yue
Schwarz, Stefan Theodor
Auer, Dorothee P.
author_facet Li, Xingfeng
Xing, Yue
Schwarz, Stefan Theodor
Auer, Dorothee P.
author_sort Li, Xingfeng
building Nottingham Research Data Repository
collection Online Access
description The purpose of this study was to investigate local and network related changes of limbic grey matter in early Parkinson’s disease (PD) and their interrelation with non-motor symptom severity. We applied voxel-based morphometric methods in 538 T1 MRI images retrieved from the Parkinson's Progression Markers Initiative website. Grey matter densities and cross-sectional estimates of age-related grey matter change were compared between subjects with early PD (n=366) and age-matched healthy controls (n=172) within a regression model, and associations of grey matter density with symptoms were investigated. Structural brain networks were obtained using covariance analysis seeded in regions showing grey matter abnormalities in PD subject group. Patients displayed focally reduced grey matter density in the right amygdala, which was present from the earliest stages of the disease without further advance in mild-moderate disease stages. Right amygdala grey matter density showed negative correlation with autonomic dysfunction and positive with cognitive performance in patients, but no significant interrelations were found with anxiety scores. Patients with PD also demonstrated right amygdala structural disconnection with less structural connectivity of the right amygdala with the cerebellum and thalamus but increased covariance with bilateral temporal cortices compared with controls. Age-related grey matter change was also increased in PD preferentially in the limbic system. In conclusion, detailed brain morphometry in a large group of early PD highlights predominant limbic grey matter deficits with stronger age-associations compared with controls and associated altered structural connectivity pattern. This provides in vivo evidence for early limbic grey matter pathology and structural network changes that may reflect extranigral disease spread in PD.
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spelling nottingham-423432020-05-04T18:40:16Z https://eprints.nottingham.ac.uk/42343/ Limbic grey matter changes in early Parkinson's disease Li, Xingfeng Xing, Yue Schwarz, Stefan Theodor Auer, Dorothee P. The purpose of this study was to investigate local and network related changes of limbic grey matter in early Parkinson’s disease (PD) and their interrelation with non-motor symptom severity. We applied voxel-based morphometric methods in 538 T1 MRI images retrieved from the Parkinson's Progression Markers Initiative website. Grey matter densities and cross-sectional estimates of age-related grey matter change were compared between subjects with early PD (n=366) and age-matched healthy controls (n=172) within a regression model, and associations of grey matter density with symptoms were investigated. Structural brain networks were obtained using covariance analysis seeded in regions showing grey matter abnormalities in PD subject group. Patients displayed focally reduced grey matter density in the right amygdala, which was present from the earliest stages of the disease without further advance in mild-moderate disease stages. Right amygdala grey matter density showed negative correlation with autonomic dysfunction and positive with cognitive performance in patients, but no significant interrelations were found with anxiety scores. Patients with PD also demonstrated right amygdala structural disconnection with less structural connectivity of the right amygdala with the cerebellum and thalamus but increased covariance with bilateral temporal cortices compared with controls. Age-related grey matter change was also increased in PD preferentially in the limbic system. In conclusion, detailed brain morphometry in a large group of early PD highlights predominant limbic grey matter deficits with stronger age-associations compared with controls and associated altered structural connectivity pattern. This provides in vivo evidence for early limbic grey matter pathology and structural network changes that may reflect extranigral disease spread in PD. Wiley 2017-04-01 Article PeerReviewed Li, Xingfeng, Xing, Yue, Schwarz, Stefan Theodor and Auer, Dorothee P. (2017) Limbic grey matter changes in early Parkinson's disease. Human Brain Mapping . ISSN 1097-0193 Parkinson’s disease amygdala voxel-based morphometry structural connectivity brain age-related change http://onlinelibrary.wiley.com/doi/10.1002/hbm.23610/abstract doi:10.1002/hbm.23610 doi:10.1002/hbm.23610
spellingShingle Parkinson’s disease
amygdala
voxel-based morphometry
structural connectivity
brain age-related change
Li, Xingfeng
Xing, Yue
Schwarz, Stefan Theodor
Auer, Dorothee P.
Limbic grey matter changes in early Parkinson's disease
title Limbic grey matter changes in early Parkinson's disease
title_full Limbic grey matter changes in early Parkinson's disease
title_fullStr Limbic grey matter changes in early Parkinson's disease
title_full_unstemmed Limbic grey matter changes in early Parkinson's disease
title_short Limbic grey matter changes in early Parkinson's disease
title_sort limbic grey matter changes in early parkinson's disease
topic Parkinson’s disease
amygdala
voxel-based morphometry
structural connectivity
brain age-related change
url https://eprints.nottingham.ac.uk/42343/
https://eprints.nottingham.ac.uk/42343/
https://eprints.nottingham.ac.uk/42343/