PMID- 25272033 OWN - NLM STAT- MEDLINE DCOM- 20160101 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 10 DP - 2014 TI - Spontaneous brain activity in type 2 diabetics revealed by amplitude of low-frequency fluctuations and its association with diabetic vascular disease: a resting-state FMRI study. PG - e108883 LID - 10.1371/journal.pone.0108883 [doi] LID - e108883 AB - PURPOSE: To investigate correlations between altered spontaneous brain activity, diabetic vascular disease, and cognitive function for patients with type 2 diabetes mellitus (T2DM) using resting-state functional magnetic resonance imaging (rs-fMRI). METHODS: Rs-fMRI was performed for T2DM patients (n = 26) and age-, gender-, and education-matched non-diabetic control subjects (n = 26). Amplitude of low frequency fluctuations (ALFF) were computed from fMRI signals to measure spontaneous neuronal activity. Differences in the ALFF patterns between patients and controls, as well as their correlations with clinical variables, were evaluated. RESULTS: Compared with healthy controls, T2DM patients exhibited significantly decreased ALFF values mainly in the frontal and parietal lobes, the bilateral thalumi, the posterior lobe of the cerebellum, and increased ALFF values mainly in the visual cortices. Furthermore, lower ALFF values in the left subcallosal gyrus correlated with lower ankle-brachial index values (r = 0.481, p = 0.020), while lower ALFF values in the bilateral medial prefrontal gyri correlated with higher urinary albumin-creatinine ratio (r = -0.418, p = 0.047). In addition, most of the regions with increased ALFF values in the visual cortices were found to negatively correlate with MoCA scores. CONCLUSIONS: These results confirm that ALFF are altered in many brain regions in T2DM patients, and this is associated with the presence of diabetic vascular disease and poor cognitive performance. These findings may provide additional insight into the neurophysiological mechanisms that mediate T2DM-related cognitive dysfunction, and may also serve as a reference for future research. FAU - Wang, Chun-Xia AU - Wang CX AD - Department of Medical Imaging, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Fu, Kai-Liang AU - Fu KL AD - Department of Medical Imaging, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Liu, Huai-Jun AU - Liu HJ AD - Department of Medical Imaging, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Xing, Fei AU - Xing F AD - Department of Medical Imaging, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. FAU - Zhang, Song-Yun AU - Zhang SY AD - Department of Endocrinology, the Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. LA - eng PT - Journal Article DEP - 20141001 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Aged MH - Brain/pathology/*physiopathology MH - Brain Mapping MH - Cognition/*physiology MH - Diabetes Mellitus, Type 2/pathology/*physiopathology MH - Diabetic Angiopathies/pathology/*physiopathology MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Rest/physiology PMC - PMC4182760 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/10/02 06:00 MHDA- 2016/01/02 06:00 PMCR- 2014/10/01 CRDT- 2014/10/02 06:00 PHST- 2014/02/25 00:00 [received] PHST- 2014/09/04 00:00 [accepted] PHST- 2014/10/02 06:00 [entrez] PHST- 2014/10/02 06:00 [pubmed] PHST- 2016/01/02 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - PONE-D-14-08794 [pii] AID - 10.1371/journal.pone.0108883 [doi] PST - epublish SO - PLoS One. 2014 Oct 1;9(10):e108883. doi: 10.1371/journal.pone.0108883. eCollection 2014.