Ludovica Griffanti1, Philipp Stratmann2,3, Michal Rolinski2, Nicola Filippini1,2, Enikő Zsoldos2, Abda Mahmood2, Mika Kivimäki4, Archana Singh-Manoux4, Klaus P. Ebmeier2, and Clare E. Mackay2
1FMRIB centre, University of Oxford, Oxford, United Kingdom, 2Department of Psychiatry, University of Oxford, Oxford, United Kingdom, 3Department of Informatics, Technische Universität München, München, Germany, 4Department of Epidemiology and Public Health, University College London, London, United Kingdom
Synopsis
This exploratory study aims to identify factors that may account for variability
in functional connectivity within the basal ganglia resting state network (BGN) in healthy
subjects, to help the development of an imaging biomarker for Parkinson’s
disease. To this
purpose we explored the relationship between functional connectivity measures derived
from resting state fMRI and several demographic, behavioral and motor variables,
in a large population-based sample of healthy elderly subjects, participating in the Whitehall II imaging sub-study.Background
Functional
connectivity (FC) within the basal ganglia resting state network (BGN) has been
found to be altered in patients with Parkinson’s disease (PD) compared to
healthy controls (HC)
1,2, suggesting that resting state fMRI (rfMRI)
may have potential to identify early PD. Interestingly, the variability of FC
in the healthy control group in these studies was quite large. A better
characterization of this spread may help to: (i) understand the biological
reason of the difference found between PD patients and HC; (ii) increase the
specificity of a biomarker based on the BGN by regressing out the effect of
factors related to the FC spread in HC; (iii) understand whether a link with
motor performance is present in HC.
Purpose
The
aim of this exploratory study was to identify factors that may account
for variability in FC within the BGN, including demographic, behavioral and
motor variables, in a large population-based sample of healthy elderly
subjects.
Methods
MRI
data from 380 participants in the Whitehall II imaging sub-study
3
were analysed (age 69.3±5.3 years, range 60 to 82 years, M:F=298:82). rfMRI data were
acquired and preprocessed as previously described
3. Data from 50
subjects were randomly selected and group-ICA (dimensionality d=50) was
performed to create a template of resting state networks (RSN) where the BGN
could be clearly identified. Dual-regression was then used to generate
subject-specific maps of parameter estimates (PE) for the RSN. Subject-specific
BGN maps entered subsequent FC analyses using both a region-of-interest (ROI)
and voxel-wise approach. The explanatory variables of interest were
demographical variables (age and sex), behavioural variables (handedness,
alcohol consumption, smoking habits), and motor variables from the CANTAB test
(reaction time and movement speed) and from a Purdue pegboard task (dexterity
left and right). For the ROI approach, average PE were extracted for each
subject within the basal ganglia (BG) structures (Caudate, Putamen and Globus
Pallidum, previously segmented on T1 images using FIRST and registered in MNI
space) and multiple
linear regression was performed with SPSS to evaluate how much variance of the
FC in the BGN is explained by the variables explored in our study. Further correlations were
performed on the single variables. Voxel-wise
analysis of the BGN maps was performed using linear regression to investigate
the possible relationships between the explanatory variables and FC within the
whole BGN. Significant correlations were tested using a non-parametric
permutation test and results were considered significant for p<0.05 after
correction for multiple comparisons with TFCE approach.
Results
ROI
analysis: the
overall model fit was R
2 (adjusted) = 0.076 (p=0.009), with age
(beta = -0.276, p=0.001) and sex (beta = 0.178, p=0.027) as significant
predictors. A significant negative
correlation was found between FC in the BG and age (p=0.002), in particular between age and bilateral caudate
and right pallidum and putamen (p<0.05, corrected across 6 structures). No significant differences
between men and women were observed, although the rate of decline in FC with
age was non-significantly higher in males (Figure 1). Voxel-wise analysis:
significant negative correlation between FC in the BGN and age was found in the
caudate nucleus bilaterally, in line with the results obtained in the ROI
analysis, in addition to bilateral putamen, bilateral thalamus and bilateral
parahippocampus (Figure 2).
Discussion and Conclusion
Our
results support the following conclusions: (i) the adverse effect of aging on
FC within the BGN may be related to the biological alterations of the
dopaminergic system involved in PD, as the effect of age in the BG has been
previously evaluated with SPECT showing an association between age and loss of
striatal dopamine transporters
4; (ii) since age accounts for some
of the spread in FC of healthy subjects, regressing out its effect might help to
increase the specificity of a biomarker for PD based on BGN functional
connectivity; (iii) the
decrease in FC may be unrelated to motor performance, emphasizing the promising
nature of the BG resting state network as a tool for pre-clinical diagnosis of PD.
This encourages future studies on populations at risk of PD, to determine
whether FC differences
in the BGN found between PD patients and HC were due to pre-clinical changes
before the onset of motor symptoms.
Acknowledgements
This
work was funded by the “Lifelong Health and Wellbeing” Programme Grant:
“Predicting MRI abnormalities with longitudinal data of the Whitehall II
Substudy” (UK Medical Research Council: G1001354), and supported by the
National Institute for Health Research (NIHR) Oxford Biomedical Research Centre
based at Oxford University Hospitals NHS Trust and University of Oxford.
References
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