PMID- 33071743 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201022 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 14 DP - 2020 TI - Altered Cerebellar-Cerebral Circuits in Patients With Type 2 Diabetes Mellitus. PG - 571210 LID - 10.3389/fnins.2020.571210 [doi] LID - 571210 AB - The role of the cerebellum in type 2 diabetes mellitus (T2DM) has been receiving increased attention. However, the functional connectivity (FC) between the cerebellar subregions and the cerebral cortex has not been investigated in T2DM. Therefore, the purpose of this study was to investigate cerebellar-cerebral FC and the relationship between FC and clinical/cognitive variables in patients with T2DM. A total of 34 patients with T2DM and 30 healthy controls were recruited for this study to receive a neuropsychological assessment and undergo resting-state FC. We selected four subregions of the cerebellum (bilateral lobules IX, right and left Crus I/II, and left lobule VI) as regions of interest (ROIs) to examine the differences in cerebellar-cerebral circuits in patients with T2DM compared to healthy controls. Correlation analysis was performed to examine the relationship between FC and clinical/cognitive variables in the patients. Compared to healthy controls, patients with T2DM showed significantly decreased cerebellar-cerebral FC in the default-mode network (DMN), executive control network (ECN), and visuospatial network (VSN). In the T2DM group, the FC between the left cerebellar lobule VI and the right precuneus was negatively correlated with the Trail Making Test A (TMT-A) score (r = -0.430, P = 0.013), after a Bonferroni correction. In conclusion, patients with T2DM have altered FC between the cerebellar subregions and the cerebral networks involved in cognitive and emotional processing. This suggests that a range of cerebellar-cerebral circuits may be involved in the neuropathology of T2DM cognitive dysfunction. CI - Copyright (c) 2020 Zhang, Qi, Gao, Yan, Wang, Tang, Zhe, Cheng, Wang, Xie, Su and Zhang. FAU - Zhang, Dongsheng AU - Zhang D AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Qi, Fei AU - Qi F AD - Department of Graduate, Xi'an Medical University, Xi'an, China. FAU - Gao, Jie AU - Gao J AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Yan, Xuejiao AU - Yan X AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Wang, Yarong AU - Wang Y AD - Department of Diagnostic Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. FAU - Tang, Min AU - Tang M AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Zhe, Xia AU - Zhe X AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Cheng, Miao AU - Cheng M AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. FAU - Wang, Man AU - Wang M AD - Department of Graduate, Xi'an Medical University, Xi'an, China. FAU - Xie, Qingming AU - Xie Q AD - Department of Graduate, Xi'an Medical University, Xi'an, China. FAU - Su, Yu AU - Su Y AD - Department of Graduate, Xi'an Medical University, Xi'an, China. FAU - Zhang, Xiaoling AU - Zhang X AD - Department of MRI, Shaanxi Provincial People's Hospital, Xi'an, China. LA - eng PT - Journal Article DEP - 20200924 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC7541847 OTO - NOTNLM OT - cerebellum OT - functional connectivity OT - neuroimaging OT - resting-state fMRI OT - subregion OT - type 2 diabetes mellitus EDAT- 2020/10/20 06:00 MHDA- 2020/10/20 06:01 PMCR- 2020/01/01 CRDT- 2020/10/19 05:54 PHST- 2020/06/10 00:00 [received] PHST- 2020/08/19 00:00 [accepted] PHST- 2020/10/19 05:54 [entrez] PHST- 2020/10/20 06:00 [pubmed] PHST- 2020/10/20 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2020.571210 [doi] PST - epublish SO - Front Neurosci. 2020 Sep 24;14:571210. doi: 10.3389/fnins.2020.571210. eCollection 2020.