Meta-analysis of functional network alterations in Alzheimer's disease: toward a network biomarker.

Abstract:

:The increasing prevalence of Alzheimer's disease (AD) emphasizes the need for sensitive biomarkers. Memory, a core deficit in AD, involves the interaction of distributed brain networks. We propose that biomarkers should be sought at the level of disease-specific disturbances in large-scale neural networks instead of alterations in a single brain region. This is the first voxel-level quantitative meta-analysis of default mode connectivity and task-related activation in 1196 patients and 1255 controls to detect robust changes in components of large-scale neural networks. We show that with disease progression, specific components of networks are widespread altered. The medial parietal regions and the subcortical areas are differentially affected depending on the disease stage. Specific compensatory mechanisms are only seen in the earliest stages, before symptoms are evident, and could become a functional network biomarker or target for interventions. These results underline the need to further fine-grain these networks spatially and temporally across disease stages. To conclude, AD should indeed be considered as a syndrome involving neural network disruption before cognitive deficits are detectable.

journal_name

Neurosci Biobehav Rev

authors

Jacobs HI,Radua J,Lückmann HC,Sack AT

doi

10.1016/j.neubiorev.2013.03.009

subject

Has Abstract

pub_date

2013-06-01 00:00:00

pages

753-65

issue

5

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(13)00069-9

journal_volume

37

pub_type

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