Work

Characterizing the Propagation Pattern of Neurodegeneration in Alzheimer's Disease by Longitudinal Network Analysis

Year: 2020
Type: conference-paper
Study design: Observational Study
Abstract: Converging evidence shows that Alzheimer's disease (AD) is a neurodegenerative disease that represents a disconnection syndrome, whereby a large-scale brain network is progressively disrupted by one or more neuropathological processes. However, the mechanism by which pathological entities spread across a brain network is largely unknown. Since pathological burden may propagate trans-neuronally, we propose to characterize the propagation pattern of neuropathological events spreading across relevant brain networks that are regulated by the organization of the network. Specifically, we present a novel mixed-effect model to quantify the relationship between longitudinal network alterations and neuropathological events observed at specific brain regions, whereby the topological distance to hub nodes, high-risk AD genetics, and environmental factors (such as education) are considered as predictor variables. Similar to many cross-section studies, we find that AD-related neuropathology preferentially affects hub nodes. Furthermore, our statistical model provides strong evidence that abnormal neuropathological burden diffuses from hub nodes to non-hub nodes in a prion-like manner, whereby the propagation pattern follows the intrinsic organization of the large-scale brain network.
Language: English
Open Access status: green
OpenAlex ID: W3028085126
FWCI: 2.275
Cites: 7
Cited by: 8
Related to: 10