101. Spatial working memory impairment in primary onset middle-age type 2 diabetes mellitus: An ethology and BOLD-fMRI study.
- Author
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Huang RR, Jia BH, Xie L, Ma SH, Yin JJ, Sun ZB, Le HB, Xu WC, Huang JZ, and Luo DX
- Subjects
- Adult, Brain Mapping methods, Cognition Disorders etiology, Diabetes Mellitus, Type 2 complications, Diabetes Mellitus, Type 2 diagnosis, Female, Humans, Magnetic Resonance Imaging methods, Male, Memory Disorders diagnosis, Memory Disorders etiology, Memory, Short-Term, Middle Aged, Reproducibility of Results, Sensitivity and Specificity, Cognition Disorders diagnosis, Cognition Disorders physiopathology, Diabetes Mellitus, Type 2 physiopathology, Hippocampus physiopathology, Memory Disorders physiopathology
- Abstract
Purpose: To explore mild cognitive dysfunction and/or spatial working memory impairment in patients with primary onset middle-age type 2 diabetes mellitus (T2DM] using ethology (behavior tests) and blood oxygen level-dependent functional magnetic resonance imaging (BOLD-fMRI)., Materials and Methods: Eighteen primary onset T2DM patients and 18 matched subjects with normal blood glucose levels were all tested using the Montreal cognitive assessment scale test, the Wechsler Memory Scale Chinese-revised test, and scanned using BOLD-fMRI (1.5T, EPI sequence) while performing the n-back task to find the activation intensity of some cognition-related areas., Results: The ethology results showed that T2DM patients had a mild cognitive impairment and memory dysfunction (P < 0.05). The fMRI scan identified a neural network consisting of bilateral dorsolateral prefrontal cortex (DLPFC), bilateral premotor area (PreMA), bilateral parietal lobe (PA), and anterior cingulate cortex (ACC) / supplementary motor area (SMA) that was activated during the n-back task, with right hemisphere dominance. However, only the right PA and ACC/SMA showed a load effect via quantitative analysis in the T2DM group; the activation intensity of most working memory-related brain areas for the T2DM group were lower than for the control group under three memory loads. Furthermore, we found that the activation intensity of some cognition-related areas, including the right insular lobe, left caudate nucleus, and bilateral hippocampus/parahippocampal gyrus were lower than the control group under the memory loads., Conclusion: Diabetes-related brain damage of primary onset middle-age T2DM patients with right DLPFC-posterior parietal lobe and parahippocampal gyrus default network causes impairment of spatial working memory and mild cognitive dysfunction., (© 2015 Wiley Periodicals, Inc.)
- Published
- 2016
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