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Altered functional connectivity between the default mode network in diabetic retinopathy patients.

Wan Yun Chen, Yu Lin Zhong, Han Jin, Xin Huang

Neuroreport March 14, 2023 DOI: 10.1097/wnr.0000000000001895 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case-control study Peer reviewed
Sample size 71
Population 34 diabetic retinopathy patients and 37 healthy controls, matched for age, gender, and education level
Topics Default mode network
Keywords Prefrontal cortex Humans Diabetic retinopathy Diabetes mellitus Magnetic resonance imaging Brain mapping
Key findings Diabetic retinopathy patients showed increased functional connectivity between the posterior cingulate cortex and both the left medial superior frontal gyrus and the right precuneus compared with healthy controls. The authors suggest this enhanced default mode network connectivity may reflect a compensatory increase in neural activity and may help explain cognitive impairment in diabetic retinopathy.

Abstract

Objectives: Previous studies have demonstrated that diabetic retinopathy is associated with cognitive impairment. This study aimed to investigate the intrinsic functional connectivity pattern within the default mode network (DMN) and its associations with cognitive impairment in diabetic retinopathy patients using resting-state functional MRI (rs-fMRI).

Methods: A total of 34 diabetic retinopathy patients and 37 healthy controls were recruited for rs-fMRI scanning. Both groups were age, gender, and education level matched. The posterior cingulate cortex (PCC) was chosen as the region of interest for detecting functional connectivity changes.

Results: Compared with the healthy control group, diabetic retinopathy patients showed increased functional connectivity between PCC and left medial superior frontal gyrus and increased functional connectivity between PCC and right precuneus.

Conclusion: Our study highlights that diabetic retinopathy patients show enhanced functional connectivity within DMN, suggesting that a compensatory increase of neural activity might occur in DMN, which offers new insight into the potential neural mechanism of cognitive impairment in diabetic retinopathy patients.

Comparable studies

Other observational and cohort studies on default mode network, most cited first.

Study Year Design Participants
A default mode of brain function Normal adult human brain 2001 Observational study
Resting-State Functional Connectivity Reflects Structural Connectivity in the Default Mode Network Healthy subjects 2008 Observational cohort
Meditation experience is associated with increased cortical thickness Participants with extensive Insight meditation experience and matched controls 2005 Observational cohort n = 20
Meditation experience is associated with differences in default mode network activity and connectivity Experienced meditators and matched meditation-naive controls 2011 Observational cohort
The precuneus/posterior cingulate cortex plays a pivotal role in the default mode network: Evidence from a partial correlation network analysis Healthy subjects 2008 Observational study

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