PMID- 30039563 OWN - NLM STAT- MEDLINE DCOM- 20190318 LR - 20190318 IS - 1753-0407 (Electronic) IS - 1753-0407 (Linking) VI - 11 IP - 2 DP - 2019 Feb TI - Altered brain structural topological properties in type 2 diabetes mellitus patients without complications. PG - 129-138 LID - 10.1111/1753-0407.12826 [doi] AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a risk factor for cognitive dysfunction, and white matter (WM) microstructural impairments play a critical role in T2DM-related cognitive decline. Disruptions to the WM have been detected in T2DM patients before clinical diagnosis of cognitive dysfunction. Herein, we investigated changes in brain structural topological properties and their correlation with behavior in T2DM patients without complications. METHODS: Diffusion tensor imaging (DTI) structural network topological analysis was performed on T2DM patients and healthy controls. Intergroup differences in global and nodal parameters were analyzed, and correlations between the network parameters and behavioral performance were tested. RESULTS: Type 2 diabetes mellitus patients exhibited preserved small-world properties, but altered nodal properties, including decreased efficiency in the right hippocampus, right amygdala, left pallidum, left postcentral gyrus, and right pole of the superior temporal gyrus, and increased degree in the right inferior frontal gyrus. Correlations were also found between the altered global and nodal parameters and behavioral performance. CONCLUSIONS: The results verified the existence of WM structural network changes and the association between structural properties and cognitive state in T2DM patients before the occurrence of complications. Research of structural properties may contribute to our understanding of the intrinsic links between T2DM and cognition. CI - (c) 2018 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. FAU - Zhang, Yang AU - Zhang Y AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. FAU - Cao, Yujuan AU - Cao Y AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. FAU - Xie, Yingjie AU - Xie Y AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. FAU - Liu, Linlin AU - Liu L AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. FAU - Qin, Wen AU - Qin W AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. FAU - Lu, Shan AU - Lu S AD - Department of Radiology, Tianjin Medical University Metabolic Diseases Hospital, Tianjin, China. FAU - Zhang, Quan AU - Zhang Q AD - Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China. LA - eng GR - 17JCZDJC36300/Natural Science Foundation of Tianjin, China/ PT - Journal Article DEP - 20180819 PL - Australia TA - J Diabetes JT - Journal of diabetes JID - 101504326 SB - IM MH - Adult MH - Brain/*diagnostic imaging/pathology/*physiopathology MH - Cognition/physiology MH - Diabetes Mellitus, Type 2/*physiopathology MH - Diffusion Tensor Imaging/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nerve Net/diagnostic imaging/physiopathology MH - White Matter/diagnostic imaging/pathology/physiopathology OTO - NOTNLM OT - 2型糖尿病 OT - diffusion tensor imaging OT - graph theory OT - type 2 diabetes mellitus OT - 图论 OT - 弥散张量成像 EDAT- 2018/07/25 06:00 MHDA- 2019/03/19 06:00 CRDT- 2018/07/25 06:00 PHST- 2018/03/31 00:00 [received] PHST- 2018/06/19 00:00 [revised] PHST- 2018/07/13 00:00 [accepted] PHST- 2018/07/25 06:00 [pubmed] PHST- 2019/03/19 06:00 [medline] PHST- 2018/07/25 06:00 [entrez] AID - 10.1111/1753-0407.12826 [doi] PST - ppublish SO - J Diabetes. 2019 Feb;11(2):129-138. doi: 10.1111/1753-0407.12826. Epub 2018 Aug 19.