Annals of Clinical and Translational Neurology,
Journal Year:
2023,
Volume and Issue:
10(5), P. 814 - 824
Published: March 31, 2023
Abstract
Background
Mounting
research
support
that
cholinergic
dysfunction
plays
a
prominent
role
in
freezing
of
gait
(FOG),
which
commonly
occurs
Parkinson's
disease
(PD).
Basal
forebrain
(BF),
especially
the
nuclei
4
(Ch4),
provides
primary
source
brain
input.
However,
whether
degeneration
BF
and
its
innervated
cortex
contribute
to
pathogenesis
FOG
is
unknown.
Objective
To
explore
structural
alterations
cortical
regions
PD
patients
with
freezing.
Methods
Magnetic
resonance
imaging
assessments
neurological
were
performed
on
20
(PD‐FOG),
without
(PD‐NFOG),
21
healthy
participants.
Subregion
volumes
compared
among
groups.
Local
gyrification
index
(LGI)
was
computed
reveal
alternations.
Relationships
subregional
volumes,
LGI,
severity
evaluated
by
multiple
linear
regression.
Results
Our
study
discovered
that,
PD‐NFOG,
PD‐FOG
exhibited
significant
Ch4
atrophy
(
p
=
4.6
×
10
−5
),
accompanied
decreased
LGI
values
left
entorhinal
3.00
)
parahippocampal
gyrus
2.90
).
Based
regression
analysis,
volume
negatively
associated
group
β
−12.224,
T
−2.556,
0.031).
Interpretation
results
imply
microstructural
disorganization
may
play
important
roles
PD‐FOG.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 17, 2024
Cognitive
decline
in
Parkinson
disease
(PD)
is
a
disabling
and
highly
variable
non-motor
feature.
While
cholinergic
systems
degeneration
linked
to
cognitive
impairments
PD,
most
prior
research
reported
cross-sectional
associations.
We
aimed
fill
this
gap
by
investigating
whether
baseline
regional
cerebral
vesicular
acetylcholine
transporter
ligand
[
Aging,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Oct. 27, 2023
Decreased
cholinergic
binding
within
the
recently
identified
centro-cingulate
brain
network
robustly
has
been
shown
to
correlate
with
severity
of
cognitive
impairment
in
Parkinson
disease
(PD).
This
key
hubs
cingulum,
operculum
and
peri-central
cortical
regions
also
correlates
elements
parkinsonian
motor
impairments,
including
postural
instability
gait
difficulties,
such
as
falls
or
freezing.
MRI
neuroimaging
studies
have
that
anterior
midcingulate
cortex
is
a
node
for
aspects
movement
generation,
i.e.,
intentional
control.
Recent
evidence
suggests
novel
aspect
organization
primary
cortex,
describing
âeffectorâ
fine
control
intercalated
interlinked
âinter-effectorâ
devoted
whole-body
A
distinguishing
feature
inter-effector
tight
linkage
cingular
opercular
regions.
Such
proposed
be
part
greater
somato-cognitive
action
necessary
integration
goals
movement.
points
vulnerabilities
nerve
terminals
older
non-PD
adults.
These
features
normal
aging
underscore
terminal
losses
age-associated
neurodegenerative
disorders
are
likely
not
exclusively
result
disease-specific
etiologies
but
related
otherwise
aging.
Practical
implications
this
overlap
addressing
general
involved
neurodegeneration,
may
benefit
where
significant
systems
degeneration
present.
Annals of Clinical and Translational Neurology,
Journal Year:
2023,
Volume and Issue:
10(5), P. 814 - 824
Published: March 31, 2023
Abstract
Background
Mounting
research
support
that
cholinergic
dysfunction
plays
a
prominent
role
in
freezing
of
gait
(FOG),
which
commonly
occurs
Parkinson's
disease
(PD).
Basal
forebrain
(BF),
especially
the
nuclei
4
(Ch4),
provides
primary
source
brain
input.
However,
whether
degeneration
BF
and
its
innervated
cortex
contribute
to
pathogenesis
FOG
is
unknown.
Objective
To
explore
structural
alterations
cortical
regions
PD
patients
with
freezing.
Methods
Magnetic
resonance
imaging
assessments
neurological
were
performed
on
20
(PD‐FOG),
without
(PD‐NFOG),
21
healthy
participants.
Subregion
volumes
compared
among
groups.
Local
gyrification
index
(LGI)
was
computed
reveal
alternations.
Relationships
subregional
volumes,
LGI,
severity
evaluated
by
multiple
linear
regression.
Results
Our
study
discovered
that,
PD‐NFOG,
PD‐FOG
exhibited
significant
Ch4
atrophy
(
p
=
4.6
×
10
−5
),
accompanied
decreased
LGI
values
left
entorhinal
3.00
)
parahippocampal
gyrus
2.90
).
Based
regression
analysis,
volume
negatively
associated
group
β
−12.224,
T
−2.556,
0.031).
Interpretation
results
imply
microstructural
disorganization
may
play
important
roles
PD‐FOG.