PMID- 31040769 OWN - NLM STAT- MEDLINE DCOM- 20200113 LR - 20200309 IS - 1662-5110 (Electronic) IS - 1662-5110 (Linking) VI - 13 DP - 2019 TI - Lower Posttraumatic alpha-Synuclein Level Associated With Altered Default Mode Network Connectivity Following Acute Mild Traumatic Brain Injury. PG - 26 LID - 10.3389/fncir.2019.00026 [doi] LID - 26 AB - This study aimed to investigate the changes of alpha-synuclein in serum and its relationship with default mode network (DMN) connectivity after acute mild traumatic brain injury (mild TBI). Fifty-two patients with mild TBI at the acute phase and 47 matched healthy controls were enrolled in the study. All participants received resting-state functional magnetic resonance imaging (fMRI) and neuropsychological assessments. Relations between the levels of alpha-synuclein in serum and clinical assessments were obtained using multivariate linear regression. Results showed that the patients with lower alpha-synuclein presented more complaints on post-concussion symptoms and depression. Moreover, patients with high levels of alpha-synuclein exhibited significantly decreased functional connectivity in the left precuneus and increased functional connectivity in both the left anterior cingulate cortex and ventro-medial prefrontal cortex (MPFC) compared with patients with low levels of alpha-synuclein. These findings supported that alpha-synuclein may modulate the functional connectivity within the DMN and suggest the feasibility of using alpha-synuclein as an objective biomarker for diagnosis and prognosis of mild TBI. FAU - Ye, Limei AU - Ye L AD - Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. AD - Department of Radiology, Jinhua Municipal Central Hospital and Jinhua Hospital of Zhejiang University, Jinhua, China. FAU - Zhang, Danbin AU - Zhang D AD - Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Shao, Meihua AU - Shao M AD - Department of Radiology, Tongde Hospital of Zhejiang Province, Hangzhou, China. FAU - Zhao, Pinghui AU - Zhao P AD - Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Yin, Bo AU - Yin B AD - Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Zhuang, Jinfei AU - Zhuang J AD - Department of Rehabilitation, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Wang, Feifei AU - Wang F AD - Department of MRI, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Yan, Zhihan AU - Yan Z AD - Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Bai, Guanghui AU - Bai G AD - Department of Radiology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190416 PL - Switzerland TA - Front Neural Circuits JT - Frontiers in neural circuits JID - 101477940 RN - 0 (Biomarkers) RN - 0 (alpha-Synuclein) SB - IM MH - Adolescent MH - Adult MH - Biomarkers/blood MH - Brain Concussion/*blood/*physiopathology MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neural Pathways/physiology/*physiopathology MH - Post-Concussion Syndrome/*blood MH - Young Adult MH - alpha-Synuclein/*blood PMC - PMC6476917 OTO - NOTNLM OT - default mode network OT - functional connectivity OT - mild traumatic brain injury OT - rs-fMRI OT - alpha-synuclein EDAT- 2019/05/02 06:00 MHDA- 2020/01/14 06:00 PMCR- 2019/01/01 CRDT- 2019/05/02 06:00 PHST- 2019/01/12 00:00 [received] PHST- 2019/03/26 00:00 [accepted] PHST- 2019/05/02 06:00 [entrez] PHST- 2019/05/02 06:00 [pubmed] PHST- 2020/01/14 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fncir.2019.00026 [doi] PST - epublish SO - Front Neural Circuits. 2019 Apr 16;13:26. doi: 10.3389/fncir.2019.00026. eCollection 2019.