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Sex differences in default mode network connectivity in healthy aging adults

Bronte Ficek-Tani, Corey Horien, Suyeon Ju, Nancy Li, Cheryl Lacadie, Xilin Shen, Dustin Scheinost, R Todd Constable, Carolyn A. Fredericks

preprint DOI: 10.1101/2022.07.21.500964 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort
Sample size 595
Population Cognitively healthy participants from the Human Connectome Project - Aging cohort
Topics Default mode network
Key findings Women showed increased DMN connectivity with age in posterior nodes and decreased connectivity in the medial prefrontal cortex compared with men, with differences most prominent around menopause. Increased connectivity from the posterior cingulate to the angular gyrus and parahippocampal gyrus correlated with declarative memory measures. The authors argue these aging-related patterns in women resemble changes previously observed in preclinical Alzheimer's disease.

Abstract

Abstract: Women show an increased lifetime risk of Alzheimer’s disease (AD) compared to men. Characteristic brain connectivity changes, particularly within the default mode network (DMN), have been associated with both symptomatic and preclinical AD, but the impact of sex on DMN function throughout aging is poorly understood. We investigated sex differences in DMN connectivity over the lifespan in 595 cognitively healthy participants from the Human Connectome Project - Aging cohort. We used the intrinsic connectivity distribution (a robust voxel-based metric of functional connectivity) and a seed connectivity approach to determine sex differences within the DMN and between the DMN and whole brain. Compared with men, women demonstrated increased connectivity with age in posterior DMN nodes and decreased connectivity in the medial prefrontal cortex. Differences were most prominent in the decades surrounding menopause. Seed-based analysis revealed increased connectivity in women from the posterior cingulate to angular gyrus and parahippocampal gyrus, which correlated with neuropsychological measures of declarative memory. Taken together, we show significant sex differences in DMN subnetworks over the lifespan, including patterns in aging women that resemble changes previously seen in preclinical AD. These findings highlight the importance of considering sex in neuroimaging studies of aging and neurodegeneration.

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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