PMID- 28598839 OWN - NLM STAT- MEDLINE DCOM- 20180406 LR - 20220408 IS - 1875-8908 (Electronic) IS - 1387-2877 (Linking) VI - 59 IP - 1 DP - 2017 TI - Functional Disintegration of the Default Mode Network in Prodromal Alzheimer's Disease. PG - 169-187 LID - 10.3233/JAD-161120 [doi] AB - Neurodegenerative brain changes can affect the functional connectivity strength between nodes of the default-mode network (DMN), which may underlie changes in cognitive performance. It remains unclear how the functional connectivity strength of DMN nodes differs from healthy to pathological aging and whether these changes are cognitively relevant. We used resting-state functional magnetic resonance imaging to investigate the functional connectivity strength across five DMN nodes in 25 healthy controls (HC), 28 subjective cognitive decline (SCD) participants, and 25 prodromal Alzheimer's disease (AD) patients. After identifying the ventral medial prefrontal cortex (vmPFC), posterior cingulate cortex (PCC), retrosplenial cortex (RSC), inferior parietal lobule, and the hippocampus we investigated the functional strength between DMN nodes using temporal network modeling. Functional coupling of the vmPFC and PCC in prodromal AD patients was disrupted. This vmPFC-PCC coupling correlated positively with memory performance in prodromal AD. Furthermore, the hippocampus de-coupled from posterior DMN nodes in SCD and prodromal AD patients. There was no coupling between the hippocampus and the anterior DMN. Additional mediation analyses indicated that the RSC enables communication between the hippocampus and DMN regions in HC but none of the other two groups. These results suggest an anterior-posterior disconnection and a hippocampal de-coupling from posterior DMN nodes with disease progression. Hippocampal de-coupling already occurring in SCD may provide valuable information for the development of a functional biomarker. FAU - Dillen, Kim N H AU - Dillen KNH AD - Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Centre Julich, Julich, Germany. FAU - Jacobs, Heidi I L AU - Jacobs HIL AD - Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Life Sciences, School for Mental Health and Neuroscience, Alzheimer Centre Limburg, Maastricht University, Maastricht, The Netherlands. FAU - Kukolja, Juraj AU - Kukolja J AD - Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Centre Julich, Julich, Germany. AD - Department of Neurology, University Hospital Cologne, Cologne, Germany. FAU - Richter, Nils AU - Richter N AD - Department of Neurology, University Hospital Cologne, Cologne, Germany. FAU - von Reutern, Boris AU - von Reutern B AD - Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Centre Julich, Julich, Germany. AD - Department of Neurology, University Hospital Cologne, Cologne, Germany. FAU - Onur, Ozgur A AU - Onur OA AD - Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Centre Julich, Julich, Germany. AD - Department of Neurology, University Hospital Cologne, Cologne, Germany. FAU - Langen, Karl-Josef AU - Langen KJ AD - Institute of Neuroscience and Medicine (INM-4), Research Centre Julich, Julich, Germany. AD - Department of Nuclear Medicine, University of Aachen, Aachen, Germany. FAU - Fink, Gereon R AU - Fink GR AD - Cognitive Neuroscience, Institute of Neuroscience and Medicine (INM-3), Research Centre Julich, Julich, Germany. AD - Department of Neurology, University Hospital Cologne, Cologne, Germany. LA - eng PT - Journal Article PL - Netherlands TA - J Alzheimers Dis JT - Journal of Alzheimer's disease : JAD JID - 9814863 RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - S88TT14065 (Oxygen) SB - IM MH - Aged MH - Alzheimer Disease/*diagnostic imaging/*physiopathology MH - Analysis of Variance MH - Cognition Disorders/*diagnostic imaging MH - Female MH - Fluorodeoxyglucose F18 MH - Functional Laterality MH - Humans MH - Image Processing, Computer-Assisted MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - *Models, Neurological MH - Neural Pathways/*diagnostic imaging MH - Neuropsychological Tests MH - Oxygen/blood MH - Positron-Emission Tomography MH - Prodromal Symptoms MH - Psychiatric Status Rating Scales MH - Surveys and Questionnaires OTO - NOTNLM OT - Dementia OT - functional MRI OT - hippocampus OT - memory EDAT- 2017/06/10 06:00 MHDA- 2018/04/07 06:00 CRDT- 2017/06/10 06:00 PHST- 2017/06/10 06:00 [pubmed] PHST- 2018/04/07 06:00 [medline] PHST- 2017/06/10 06:00 [entrez] AID - JAD161120 [pii] AID - 10.3233/JAD-161120 [doi] PST - ppublish SO - J Alzheimers Dis. 2017;59(1):169-187. doi: 10.3233/JAD-161120.