Increased Cortical Thickness in Alzheimer's Disease
Patients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in...
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Published in | Annals of neurology Vol. 95; no. 5; pp. 929 - 940 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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01.05.2024
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Abstract | Patients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in AD remain unknown. Recent work suggested neural facilitation of regions anticorrelated to atrophied regions in frontotemporal dementia. Here, we aim to determine whether increased thickness occurs in sporadic AD, whether it relates to clinical symptoms, and whether it occur in brain regions functionally connected to-but anticorrelated with-locations of atrophy.
Cross-sectional clinical, neuropsychological, and neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative were analyzed to investigate cortical thickness in AD subjects versus controls. Atrophy network mapping was used to identify brain regions functionally connected to locations of increased thickness and atrophy.
AD patients showed increased thickness in the ACC in a region-of-interest analysis and the visual cortex in an exploratory analysis. Increased thickness in the left ACC was associated with preserved cognitive function, while increased thickness in the left visual cortex was associated with hallucinations. Finally, we found that locations of increased thickness were functionally connected to, but anticorrelated with, locations of brain atrophy (r = -0.81, p < 0.05).
Our results suggest that increased cortical thickness in Alzheimer's disease is relevant to AD symptoms and preferentially occur in brain regions functionally connected to, but anticorrelated with, areas of brain atrophy. Implications for models of compensatory neuroplasticity in response to neurodegeneration are discussed. ANN NEUROL 2024;95:929-940. |
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AbstractList | Patients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in AD remain unknown. Recent work suggested neural facilitation of regions anticorrelated to atrophied regions in frontotemporal dementia. Here, we aim to determine whether increased thickness occurs in sporadic AD, whether it relates to clinical symptoms, and whether it occur in brain regions functionally connected to-but anticorrelated with-locations of atrophy.OBJECTIVEPatients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in AD remain unknown. Recent work suggested neural facilitation of regions anticorrelated to atrophied regions in frontotemporal dementia. Here, we aim to determine whether increased thickness occurs in sporadic AD, whether it relates to clinical symptoms, and whether it occur in brain regions functionally connected to-but anticorrelated with-locations of atrophy.Cross-sectional clinical, neuropsychological, and neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative were analyzed to investigate cortical thickness in AD subjects versus controls. Atrophy network mapping was used to identify brain regions functionally connected to locations of increased thickness and atrophy.METHODSCross-sectional clinical, neuropsychological, and neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative were analyzed to investigate cortical thickness in AD subjects versus controls. Atrophy network mapping was used to identify brain regions functionally connected to locations of increased thickness and atrophy.AD patients showed increased thickness in the ACC in a region-of-interest analysis and the visual cortex in an exploratory analysis. Increased thickness in the left ACC was associated with preserved cognitive function, while increased thickness in the left visual cortex was associated with hallucinations. Finally, we found that locations of increased thickness were functionally connected to, but anticorrelated with, locations of brain atrophy (r = -0.81, p < 0.05).RESULTSAD patients showed increased thickness in the ACC in a region-of-interest analysis and the visual cortex in an exploratory analysis. Increased thickness in the left ACC was associated with preserved cognitive function, while increased thickness in the left visual cortex was associated with hallucinations. Finally, we found that locations of increased thickness were functionally connected to, but anticorrelated with, locations of brain atrophy (r = -0.81, p < 0.05).Our results suggest that increased cortical thickness in Alzheimer's disease is relevant to AD symptoms and preferentially occur in brain regions functionally connected to, but anticorrelated with, areas of brain atrophy. Implications for models of compensatory neuroplasticity in response to neurodegeneration are discussed. ANN NEUROL 2024;95:929-940.INTERPRETATIONOur results suggest that increased cortical thickness in Alzheimer's disease is relevant to AD symptoms and preferentially occur in brain regions functionally connected to, but anticorrelated with, areas of brain atrophy. Implications for models of compensatory neuroplasticity in response to neurodegeneration are discussed. ANN NEUROL 2024;95:929-940. Patients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in AD remain unknown. Recent work suggested neural facilitation of regions anticorrelated to atrophied regions in frontotemporal dementia. Here, we aim to determine whether increased thickness occurs in sporadic AD, whether it relates to clinical symptoms, and whether it occur in brain regions functionally connected to-but anticorrelated with-locations of atrophy. Cross-sectional clinical, neuropsychological, and neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative were analyzed to investigate cortical thickness in AD subjects versus controls. Atrophy network mapping was used to identify brain regions functionally connected to locations of increased thickness and atrophy. AD patients showed increased thickness in the ACC in a region-of-interest analysis and the visual cortex in an exploratory analysis. Increased thickness in the left ACC was associated with preserved cognitive function, while increased thickness in the left visual cortex was associated with hallucinations. Finally, we found that locations of increased thickness were functionally connected to, but anticorrelated with, locations of brain atrophy (r = -0.81, p < 0.05). Our results suggest that increased cortical thickness in Alzheimer's disease is relevant to AD symptoms and preferentially occur in brain regions functionally connected to, but anticorrelated with, areas of brain atrophy. Implications for models of compensatory neuroplasticity in response to neurodegeneration are discussed. ANN NEUROL 2024;95:929-940. ObjectivePatients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show increase in size compared to controls. The extent, clinical significance, and mechanisms associated with increased cortical thickness in AD remain unknown. Recent work suggested neural facilitation of regions anticorrelated to atrophied regions in frontotemporal dementia. Here, we aim to determine whether increased thickness occurs in sporadic AD, whether it relates to clinical symptoms, and whether it occur in brain regions functionally connected to—but anticorrelated with—locations of atrophy.MethodsCross‐sectional clinical, neuropsychological, and neuroimaging data from the Alzheimer's Disease Neuroimaging Initiative were analyzed to investigate cortical thickness in AD subjects versus controls. Atrophy network mapping was used to identify brain regions functionally connected to locations of increased thickness and atrophy.ResultsAD patients showed increased thickness in the ACC in a region‐of‐interest analysis and the visual cortex in an exploratory analysis. Increased thickness in the left ACC was associated with preserved cognitive function, while increased thickness in the left visual cortex was associated with hallucinations. Finally, we found that locations of increased thickness were functionally connected to, but anticorrelated with, locations of brain atrophy (r = −0.81, p < 0.05).InterpretationOur results suggest that increased cortical thickness in Alzheimer's disease is relevant to AD symptoms and preferentially occur in brain regions functionally connected to, but anticorrelated with, areas of brain atrophy. Implications for models of compensatory neuroplasticity in response to neurodegeneration are discussed. ANN NEUROL 2024;95:929–940 |
Author | Phan, Tony X. Drew, William Fox, Michael D. Tetreault, Aaron M. Darby, R. Ryan Baratono, Sheena |
AuthorAffiliation | 2 Center for Brain Circuit Therapeutics, Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 1 Department of Neurology, Vanderbilt University Medical Center, Nashville, TN |
AuthorAffiliation_xml | – name: 1 Department of Neurology, Vanderbilt University Medical Center, Nashville, TN – name: 2 Center for Brain Circuit Therapeutics, Department of Neurology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA |
Author_xml | – sequence: 1 givenname: Tony X. orcidid: 0000-0003-4594-7284 surname: Phan fullname: Phan, Tony X. organization: Department of Neurology Vanderbilt University Medical Center Nashville TN – sequence: 2 givenname: Sheena surname: Baratono fullname: Baratono, Sheena organization: Center for Brain Circuit Therapeutics, Department of Neurology Brigham and Women's Hospital, Harvard Medical School Boston MA – sequence: 3 givenname: William orcidid: 0000-0002-9178-8731 surname: Drew fullname: Drew, William organization: Center for Brain Circuit Therapeutics, Department of Neurology Brigham and Women's Hospital, Harvard Medical School Boston MA – sequence: 4 givenname: Aaron M. surname: Tetreault fullname: Tetreault, Aaron M. organization: Department of Neurology Vanderbilt University Medical Center Nashville TN – sequence: 5 givenname: Michael D. orcidid: 0000-0001-8848-6399 surname: Fox fullname: Fox, Michael D. organization: Center for Brain Circuit Therapeutics, Department of Neurology Brigham and Women's Hospital, Harvard Medical School Boston MA – sequence: 6 givenname: R. Ryan orcidid: 0000-0003-0326-1268 surname: Darby fullname: Darby, R. Ryan organization: Department of Neurology Vanderbilt University Medical Center Nashville TN |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38400760$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1093_brain_awae352 crossref_primary_10_3390_cimb46070407 crossref_primary_10_3390_jpm14090948 crossref_primary_10_1016_j_neuroscience_2024_08_040 crossref_primary_10_1016_j_nicl_2024_103672 crossref_primary_10_1002_hbm_70121 crossref_primary_10_3233_JAD_240368 |
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Copyright | 2024 The Authors. Annals of Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association. 2024. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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Snippet | Patients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may even show... ObjectivePatients with Alzheimer's disease (AD) have diffuse brain atrophy, but some regions, such as the anterior cingulate cortex (ACC), are spared and may... |
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SubjectTerms | Aged Aged, 80 and over Alzheimer Disease - diagnostic imaging Alzheimer Disease - pathology Alzheimer's disease Atrophy Atrophy - pathology Brain Brain Cortical Thickness Brain mapping Cerebral Cortex - diagnostic imaging Cerebral Cortex - pathology Cognitive ability Cortex (cingulate) Cross-Sectional Studies Dementia disorders Female Frontotemporal dementia Gyrus Cinguli - diagnostic imaging Gyrus Cinguli - pathology Humans Magnetic Resonance Imaging Male Medical imaging Middle Aged Neurodegenerative diseases Neuroimaging Neuroplasticity Signs and symptoms Thickness Visual cortex |
Title | Increased Cortical Thickness in Alzheimer's Disease |
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