PMID- 35669490 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 16 DP - 2022 TI - Abnormal Dynamic Functional Connectivity in Patients With End-Stage Renal Disease. PG - 852822 LID - 10.3389/fnins.2022.852822 [doi] LID - 852822 AB - Dynamic functional connectivity (FC) analysis can capture time-varying properties of connectivity; however, studies focusing on dynamic FC in patients with end-stage renal disease (ESRD) are very limited. This is the first study to explore the dynamic aspects of whole-brain FC and topological properties in ESRD patients. Resting-state functional magnetic resonance imaging data were acquired from 100 ESRD patients [50 hemodialysis (HD) patients and 50 non-dialysis patients] and 64 healthy controls (HCs). Independent component analysis, a sliding-window approach and graph-theory methods were used to study the dynamic FC properties. The intrinsic brain FC were clustered into four configuration states. Compared with HCs, both patient groups spent longer time in State 3, in which decreased FC between subnetworks of the default mode network (DMN) and between the dorsal DMN and language network was observed in these patients, and a further reduction in FC between the DMN subnetworks was found in HD patients compared to non-dialysis patients. The number of transitions and the variability of global and local efficiency progressively decreased from that in HCs to that of non-dialysis patients to that of HD patients. The completion time of Trail Making Test A and Trail Making Test B positively correlated with the mean dwell time of State 3 and negatively correlated with the number of transitions in ESRD patients. Our findings suggest impaired functional flexibility of network connections and state-specific FC disruptions in patients with ESRD, which may underlie their cognitive deficits. HD may have an adverse effect on time-varying FC. CI - Copyright (c) 2022 Li, Yan, Yue, Zhang, Ren and Wu. FAU - Li, Xuekun AU - Li X AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. FAU - Yan, Ruifang AU - Yan R AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. FAU - Yue, Zheng AU - Yue Z AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. FAU - Zhang, Meng AU - Zhang M AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. FAU - Ren, Jipeng AU - Ren J AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. FAU - Wu, Baolin AU - Wu B AD - Department of Magnetic Resonance, First Affiliated Hospital of Xinxiang Medical University, Weihui, China. LA - eng PT - Journal Article DEP - 20220520 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC9163405 OTO - NOTNLM OT - dynamic functional connectivity OT - end-stage renal disease OT - graph theory OT - hemodialysis OT - resting-state functional magnetic resonance imaging COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/06/08 06:00 MHDA- 2022/06/08 06:01 PMCR- 2022/01/01 CRDT- 2022/06/07 02:37 PHST- 2022/01/11 00:00 [received] PHST- 2022/04/06 00:00 [accepted] PHST- 2022/06/07 02:37 [entrez] PHST- 2022/06/08 06:00 [pubmed] PHST- 2022/06/08 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2022.852822 [doi] PST - epublish SO - Front Neurosci. 2022 May 20;16:852822. doi: 10.3389/fnins.2022.852822. eCollection 2022.