PMID- 27622870 OWN - NLM STAT- MEDLINE DCOM- 20180604 LR - 20221207 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 6 DP - 2016 Sep 13 TI - Altered Intranetwork and Internetwork Functional Connectivity in Type 2 Diabetes Mellitus With and Without Cognitive Impairment. PG - 32980 LID - 10.1038/srep32980 [doi] LID - 32980 AB - Type 2 diabetes mellitus (T2DM) is associated with cognitive impairment. We investigated whether alterations of intranetwork and internetwork functional connectivity with T2DM progression exist, by using resting-state functional MRI. MRI data were analysed from 19 T2DM patients with normal cognition (DMCN) and 19 T2DM patients with cognitive impairment (DMCI), 19 healthy controls (HC). Functional connectivity among 36 previously well-defined brain regions which consisted of 5 resting-state network (RSN) systems [default mode network (DMN), dorsal attention network (DAN), control network (CON), salience network (SAL) and sensorimotor network (SMN)] was investigated at 3 levels (integrity, network and connectivity). Impaired intranetwork and internetwork connectivity were found in T2DM, especially in DMCI, on the basis of the three levels of analysis. The bilateral posterior cerebellum, the right insula, the DMN and the CON were mainly involved in these changes. The functional connectivity strength of specific brain architectures in T2DM was found to be associated with haemoglobin A1c (HbA1c), cognitive score and illness duration. These network alterations in intergroup differences, which were associated with brain functional impairment due to T2DM, indicate that network organizations might be potential biomarkers for predicting the clinical progression, evaluating the cognitive impairment, and further understanding the pathophysiology of T2DM. FAU - Yang, Shi-Qi AU - Yang SQ AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Xu, Zhi-Peng AU - Xu ZP AD - Department of Pathophysiology, School of Basic Medicine and the Collaborative Innovation Center for Brain Science, Key Laboratory of Neurological Diseases of Education Ministry of China, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. AD - Department of Neurology, Wuhan General Hospital of Guangzhou Command, Wuhan, Hubei, 430070, China. FAU - Xiong, Ying AU - Xiong Y AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Zhan, Ya-Feng AU - Zhan YF AD - School of Biomedical Engineering, Southern Medical University, Guangzhou, Guangdong, 510515, China. AD - Brainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China. FAU - Guo, Lin-Ying AU - Guo LY AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Zhang, Shun AU - Zhang S AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Jiang, Ri-Feng AU - Jiang RF AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Yao, Yi-Hao AU - Yao YH AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Qin, Yuan-Yuan AU - Qin YY AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Wang, Jian-Zhi AU - Wang JZ AD - Department of Pathophysiology, School of Basic Medicine and the Collaborative Innovation Center for Brain Science, Key Laboratory of Neurological Diseases of Education Ministry of China, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. FAU - Liu, Yong AU - Liu Y AD - Brainnetome Center, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China. AD - National Laboratory of Pattern Recognition, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China. FAU - Zhu, Wen-Zhen AU - Zhu WZ AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160913 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Aged MH - Case-Control Studies MH - Cognitive Dysfunction/*complications/*diagnostic imaging/physiopathology MH - Connectome MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications/*diagnostic imaging/physiopathology MH - Disease Progression MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged PMC - PMC5020685 EDAT- 2016/09/14 06:00 MHDA- 2018/06/05 06:00 PMCR- 2016/09/13 CRDT- 2016/09/14 06:00 PHST- 2015/12/10 00:00 [received] PHST- 2016/08/16 00:00 [accepted] PHST- 2016/09/14 06:00 [entrez] PHST- 2016/09/14 06:00 [pubmed] PHST- 2018/06/05 06:00 [medline] PHST- 2016/09/13 00:00 [pmc-release] AID - srep32980 [pii] AID - 10.1038/srep32980 [doi] PST - epublish SO - Sci Rep. 2016 Sep 13;6:32980. doi: 10.1038/srep32980.