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Early remission in multiple sclerosis is linked to altered coherence of the Cerebellar Network
Tahedl, Marlene, Levine, Seth M., Weissert, Robert
, Kohl, Zacharias, Lee, De-Hyung, Linker, Ralf A. und Schwarzbach, Jens V.
(2022)
Early remission in multiple sclerosis is linked to altered coherence of the Cerebellar Network.
Journal of Translational Medicine 20, art.no.488.
Veröffentlichungsdatum dieses Volltextes: 28 Nov 2022 08:39
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.53151
Zusammenfassung
Background The development of permanent disability in multiple sclerosis (MS) is highly variable among patients, and the exact mechanisms that contribute to this disability remain unknown. Methods Following the idea that the brain has intrinsic network organization, we investigated changes of functional networks in MS patients to identify possible links between network reorganization and ...
Background The development of permanent disability in multiple sclerosis (MS) is highly variable among patients, and the exact mechanisms that contribute to this disability remain unknown. Methods Following the idea that the brain has intrinsic network organization, we investigated changes of functional networks in MS patients to identify possible links between network reorganization and remission from clinical episodes in MS. Eighteen relapsing-remitting MS patients (RRMS) in their first clinical manifestation underwent resting-state functional MRI and again during remission. We used ten template networks, identified from independent component analysis, to compare changes in network coherence for each patient compared to those of 44 healthy controls from the Human Connectome Project test-retest dataset (two-sample t-test of pre-post differences). Combining a binomial test with Monte Carlo procedures, we tested four models of how functional coherence might change between the first clinical episode and remission: a network can change its coherence (a) with itself ("one-with-self"), (b) with another network ("one-with-other"), or (c) with a set of other networks ("one-with-many"), or (d) multiple networks can change their coherence with respect to one common network ("many-with-one"). Results We found evidence supporting two of these hypotheses: coherence decreased between the Executive Control Network and several other networks ("one-with-many" hypothesis), and a set of networks altered their coherence with the Cerebellar Network ("many-with-one" hypothesis). Conclusion Given the unexpected commonality of the Cerebellar Network's altered coherence with other networks (a finding present in more than 70% of the patients, despite their clinical heterogeneity), we conclude that remission in MS may result from learning processes mediated by the Cerebellar Network.
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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Journal of Translational Medicine | ||||
| Verlag: | BMC | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | LONDON | ||||
| Band: | 20 | ||||
| Seitenbereich: | art.no.488 | ||||
| Datum | 27 Oktober 2022 | ||||
| Institutionen | Medizin > Lehrstuhl für Neurologie Medizin > Lehrstuhl für Psychiatrie und Psychotherapie Humanwissenschaften > Institut für Psychologie | ||||
| Identifikationsnummer |
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| Stichwörter / Keywords | HUMAN CONNECTOME PROJECT; FUNCTIONAL CONNECTIVITY; PURKINJE-CELL; CORTICOPONTINE PROJECTION; BRAIN; CORTEX; REHABILITATION; PLASTICITY; RECOVERY; ROBUST; Cerebellar Network; Functional connectivity; Independent component analysis; Multiple sclerosis; Remission | ||||
| Dewey-Dezimal-Klassifikation | 100 Philosophie und Psychologie > 150 Psychologie 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Zum Teil | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-531519 | ||||
| Dokumenten-ID | 53151 |
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