Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease

Abstract Parkinson’s disease (PD) is characterized by motor and non-motor symptoms. Cognitive decline is crucial in disease progression and affect quality of life; however, their underlying mechanisms in PD remain unclear. We explored the relationship between cognitive impairment and functional conn...

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Main Authors: Kaoru Kinugawa, Tomoo Mano, Kazuma Sugie
Format: Article
Language:English
Published: Nature Portfolio 2024-11-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-78642-6
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author Kaoru Kinugawa
Tomoo Mano
Kazuma Sugie
author_facet Kaoru Kinugawa
Tomoo Mano
Kazuma Sugie
author_sort Kaoru Kinugawa
collection DOAJ
description Abstract Parkinson’s disease (PD) is characterized by motor and non-motor symptoms. Cognitive decline is crucial in disease progression and affect quality of life; however, their underlying mechanisms in PD remain unclear. We explored the relationship between cognitive impairment and functional connectivity (FC) using resting-state functional magnetic resonance imaging in 26 patients with sporadic PD, focusing on the changes in FC between on and off states. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) score. The correlation between MMSE scores and changes in FC values during on and off states was assessed using Pearson’s correlation coefficient. The correlation between changes in FC during the on and off periods and cognitive function differed for each cognitive function item. MMSE memory scores were positively correlated with FC between the brainstem and the left cerebral hemisphere. MMSE attention scores were positively correlated with FC between the bilateral thalamus and frontal lobes and negatively correlated with FC between the left cerebral hemispheres. These findings may facilitate our understanding of the neural correlates underlying cognitive impairment in PD and help develop treatment strategies to preserve cognitive function.
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spelling doaj-art-485bc77e04a448a3ac89e3052ed782b32025-08-20T02:49:58ZengNature PortfolioScientific Reports2045-23222024-11-0114111010.1038/s41598-024-78642-6Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s diseaseKaoru Kinugawa0Tomoo Mano1Kazuma Sugie2Department of Neurology, Nara Medical UniversityDepartment of Neurology, Nara Medical UniversityDepartment of Neurology, Nara Medical UniversityAbstract Parkinson’s disease (PD) is characterized by motor and non-motor symptoms. Cognitive decline is crucial in disease progression and affect quality of life; however, their underlying mechanisms in PD remain unclear. We explored the relationship between cognitive impairment and functional connectivity (FC) using resting-state functional magnetic resonance imaging in 26 patients with sporadic PD, focusing on the changes in FC between on and off states. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) score. The correlation between MMSE scores and changes in FC values during on and off states was assessed using Pearson’s correlation coefficient. The correlation between changes in FC during the on and off periods and cognitive function differed for each cognitive function item. MMSE memory scores were positively correlated with FC between the brainstem and the left cerebral hemisphere. MMSE attention scores were positively correlated with FC between the bilateral thalamus and frontal lobes and negatively correlated with FC between the left cerebral hemispheres. These findings may facilitate our understanding of the neural correlates underlying cognitive impairment in PD and help develop treatment strategies to preserve cognitive function.https://doi.org/10.1038/s41598-024-78642-6Parkinson’s disease (PD)Functional connectivityResting-state functional MRIOn and off states in PDMini-mental state examinationMotor and non-motor symptoms
spellingShingle Kaoru Kinugawa
Tomoo Mano
Kazuma Sugie
Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
Scientific Reports
Parkinson’s disease (PD)
Functional connectivity
Resting-state functional MRI
On and off states in PD
Mini-mental state examination
Motor and non-motor symptoms
title Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
title_full Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
title_fullStr Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
title_full_unstemmed Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
title_short Changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in Parkinson’s disease
title_sort changes in brain functional connectivity between on and off states and their relationship with cognitive impairment in parkinson s disease
topic Parkinson’s disease (PD)
Functional connectivity
Resting-state functional MRI
On and off states in PD
Mini-mental state examination
Motor and non-motor symptoms
url https://doi.org/10.1038/s41598-024-78642-6
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