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Altered network stability in progressive supranuclear palsy.

Accepted version
Peer-reviewed

Type

Article

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Authors

Whiteside, David J 
Jones, P Simon 
Ghosh, Boyd CP 
Coyle-Gilchrist, Ian 
Gerhard, Alexander 

Abstract

The clinical syndromes of Progressive Supranuclear Palsy (PSP) may be mediated by abnormal temporal dynamics of brain networks, due to the impact of atrophy, synapse loss and neurotransmitter deficits. We tested the hypothesis that alterations in signal complexity in neural networks influence short-latency state transitions. Ninety-four participants with PSP and 64 healthy controls were recruited from two independent cohorts. All participants underwent clinical and neuropsychological testing and resting-state functional MRI. Network dynamics were assessed using hidden Markov models and neural signal complexity measured in terms of multiscale entropy. In both cohorts, PSP increased the proportion of time in networks associated with higher cognitive functions. This effect correlated with clinical severity as measured by the PSP-rating-scale, and with reduced neural signal complexity. Regional atrophy influenced abnormal brain-state occupancy, but abnormal network topology and dynamics were not restricted to areas of atrophy. Our findings show that the pathology of PSP causes clinically relevant changes in neural temporal dynamics, leading to a greater proportion of time in inefficient brain-states.

Description

Keywords

Complexity, Hidden Markov models, Network dynamics, Progressive supranuclear palsy, Aged, Atrophy, Brain, Cognition, Female, Humans, Magnetic Resonance Imaging, Male, Markov Chains, Middle Aged, Nerve Net, Neuropsychological Tests, Neurotransmitter Agents, Supranuclear Palsy, Progressive, Synapses

Journal Title

Neurobiol Aging

Conference Name

Journal ISSN

0197-4580
1558-1497

Volume Title

107

Publisher

Elsevier BV
Sponsorship
Wellcome Trust (103838/Z/14/Z)
PSP Association (unknown)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)
Evelyn Trust (17/09)
Medical Research Council (G1100464)
National Institute for Health and Care Research (IS-BRC-1215-20014)
Wellcome Trust (220258/Z/20/Z)
Medical Research Council (G1100464/1)