PMID- 35833084 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 - Altered Functional Network Connectivity of Precuneus and Executive Control Networks in Type 2 Diabetes Mellitus Without Cognitive Impairment. PG - 887713 LID - 10.3389/fnins.2022.887713 [doi] LID - 887713 AB - In epidemiological studies, type 2 diabetes mellitus (T2DM) has been associated with cognitive impairment and dementia, but studies about functional network connectivity in T2DM without cognitive impairment are limited. This study aimed to explore network connectivity alterations that may help enhance our understanding of damage-associated processes in T2DM. MRI data were analyzed from 82 patients with T2DM and 66 normal controls. Clinical, biochemical, and neuropsychological assessments were conducted in parallel with resting-state functional magnetic resonance imaging, and the cognitive status of the patients was assessed using the Montreal Cognitive Assessment-B (MoCA-B) score. Independent component analysis revealed a positive correlation between the salience network and the visual network and a negative connection between the left executive control network and the default mode network in patients with T2DM. The differences in dynamic brain network connectivity were observed in the precuneus, visual, and executive control networks. Internal network connectivity was primarily affected in the thalamus, inferior parietal lobe, and left precuneus. Hemoglobin A1c level, body mass index, MoCA-B score, and grooved pegboard (R) assessments indicated significant differences between the two groups (p < 0.05). Our findings show that key changes in functional connectivity in diabetes occur in the precuneus and executive control networks that evolve before patients develop cognitive deficits. In addition, the current study provides useful information about the role of the thalamus, inferior parietal lobe, and precuneus, which might be potential biomarkers for predicting the clinical progression, assessing the cognitive function, and further understanding the neuropathology of T2DM. CI - Copyright (c) 2022 Wu, Kang, Su, Liu, Fan, Ma, Tan, Huang, Feng, Chen, Lyu, Zeng, Qiu and Hu. FAU - Wu, Jinjian AU - Wu J AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Kang, Shangyu AU - Kang S AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Su, Jianpo AU - Su J AD - College of Intelligence Science and Technology, National University of Defense Technology, Changsha, China. FAU - Liu, Kai AU - Liu K AD - College of Intelligence Science and Technology, National University of Defense Technology, Changsha, China. FAU - Fan, Liangwei AU - Fan L AD - College of Intelligence Science and Technology, National University of Defense Technology, Changsha, China. FAU - Ma, Xiaomeng AU - Ma X AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Tan, Xin AU - Tan X AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. AD - Department of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Huang, Haoming AU - Huang H AD - Department of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Feng, Yue AU - Feng Y AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Chen, Yuna AU - Chen Y AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Lyu, Wenjiao AU - Lyu W AD - The First School of Clinical Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Zeng, Lingli AU - Zeng L AD - College of Intelligence Science and Technology, National University of Defense Technology, Changsha, China. FAU - Qiu, Shijun AU - Qiu S AD - Department of Radiology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. FAU - Hu, Dewen AU - Hu D AD - College of Intelligence Science and Technology, National University of Defense Technology, Changsha, China. LA - eng PT - Journal Article DEP - 20220627 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC9271612 OTO - NOTNLM OT - cognitive impairment OT - functional magnetic resonance imaging OT - network connectivity OT - precuneus OT - type 2 diabetes mellitus 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- 2022/07/15 06:00 MHDA- 2022/07/15 06:01 PMCR- 2022/01/01 CRDT- 2022/07/14 02:34 PHST- 2022/03/01 00:00 [received] PHST- 2022/06/08 00:00 [accepted] PHST- 2022/07/14 02:34 [entrez] PHST- 2022/07/15 06:00 [pubmed] PHST- 2022/07/15 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2022.887713 [doi] PST - epublish SO - Front Neurosci. 2022 Jun 27;16:887713. doi: 10.3389/fnins.2022.887713. eCollection 2022.