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Articles, Neurobiology of Disease

Alpha-Band Hypersynchronization in Progressive Mild Cognitive Impairment: A Magnetoencephalography Study

María Eugenía López, Ricardo Bruña, Sara Aurtenetxe, José Ángel Pineda-Pardo, Alberto Marcos, Juan Arrazola, Ana Isabel Reinoso, Pedro Montejo, Ricardo Bajo and Fernando Maestú
Journal of Neuroscience 29 October 2014, 34 (44) 14551-14559; https://doi.org/10.1523/JNEUROSCI.0964-14.2014
María Eugenía López
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
2Department of Basic Psychology II, Complutense University of Madrid (UCM), 28040 Madrid, Spain,
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Ricardo Bruña
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
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Sara Aurtenetxe
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
2Department of Basic Psychology II, Complutense University of Madrid (UCM), 28040 Madrid, Spain,
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José Ángel Pineda-Pardo
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
3Laboratory of Neuroimaging (Universidad Politécnica de Madrid) (National Pedagogic University), Centre for Biomedical Technology (CTB), 28223 Madrid, Spain,
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Alberto Marcos
4Departments of Neurology and
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Juan Arrazola
5Radiology, San Carlos University Hospital, 28040 Madrid, Spain,
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Ana Isabel Reinoso
6Centre for Prevention of Cognitive Impairment, Madrid Health, 28006, Madrid, Spain, and
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Pedro Montejo
6Centre for Prevention of Cognitive Impairment, Madrid Health, 28006, Madrid, Spain, and
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Ricardo Bajo
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
7Department of Mathematics, International University of La Rioja (UNIR), 26006 Logroño, Spain
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Fernando Maestú
1Laboratories of Cognitive and Computational Neuroscience (Complutense University of Madrid–Universidad Politécnica of Madrid) and
2Department of Basic Psychology II, Complutense University of Madrid (UCM), 28040 Madrid, Spain,
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  • Figure 1.
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    Figure 1.

    Box plots depicting the behavior of the subjects for each group. Left, Scores achieved by the subjects in the four statistically significant neuropsychological tests. Right, Connectivity values for the subjects in the five statistically significant links. *p < 0.05, **p < 0.001.

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    Figure 2.

    Cortical areas implied in the five connectivity links that showed significant differences between groups. A, Different views of the brain based on the MNI template and Harvard–Oxford cortical areas involved in those links. B, Relation of areas, numbers, and colors. C, Significant connectivity links established between those areas.

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    Table 1.

    Demographic, anatomical, and neuropsychological information

    sMCI patients (n = 30)pMCI patients (n = 19)p values
    Age (years)74.0 ± 5.376.7 ± 5.30.104
    Gender (males/females)14/168/110.777
    Educational level2.8 ± 1.32.7 ± 1.00.934
    MMSE score27.9 ± 1.927.4 ± 2.00.455
    GDS3.0 ± 0.03.0 ± 0.01.000
    FAQ1.9 ± 1.81.8 ± 2.80.501
    GDS-SF3.8 ± 3.13.5 ± 3.80.647
    Immediate recall20.7 ± 8.210.0 ± 5.03.26 × 10−6*
    Delayed recall8.6 ± 7.41.8 ± 2.27.18 × 10−5*
    Rule shift cards2.4 ± 1.31.6 ± 1.20.028*
    Semantic fluency13.0 ± 2.811.6 ± 4.40.041*
    Phonemic fluency10.8 ± 4.28.8 ± 4.10.119
    BNT50.4 ± 10.746.3 ± 9.40.510
    Clock drawing test (copy)7.6 ± 2.68.0 ± 4.20.600
    Clock drawing test (order)6.4 ± 2.67.4 ± 3.60.615
    Direct digit spam6.7 ± 1.66.4 ± 1.50.413
    Inverse digit spam4.7 ± 1.34.0 ± 1.40.103
    VOSP6.7 ± 3.57.2 ± 3.10.593
    TMTA (time)78.7 ± 36.082.8 ± 33.60.580
    TMTA (accuracy)24.0 ± 0.623.8 ± 1.80.401
    TMTB (time)223.2 ± 107.8258.4 ± 121.70.329
    TMTB (accuracy)20.1 ± 4.815.2 ± 8.60.050
    Ideomotor praxis7.3 ± 1.77.2 ± 1.10.374
    Left hippocampal volume0.002217 ± 0.0005080.001992 ± 0.0002540.056
    Right hippocampal volume0.002197 ± 0.0004660.001965 ± 0.0003880.063
    Left entorhinal volume0.000527 ± 0.0001000.000452 ± 0.0001060.038*
    Right entorhinal volume0.000481 ± 0.0000720.000452 ± 0.0001550.954
    Left parahippocampal volume0.000663 ± 0.0000720.000596 ± 0.0001690.153
    Right parahippocampal volume0.000645 ± 0.0001130.000604 ± 0.0001750.864
    • ↵Mean ± SD values of the demographic and clinical characteristics of the sMCI and pMCI patients. MMSE, Mini Mental State Examination; GDS, Global Deterioration Scale; FAQ, Functional Activity Questionnaire; GDS-SF, Geriatric Depression Scale-Short Form; BNT, Boston Naming Test; VOSP, Visual Object and Space Perception Battery; TMTA, Trail-Making Test part A; TMTB, Trail-Making Test part B. Educational level was grouped into five levels: 1, illiterate; 2, primary studies; 3, elemental studies; 4, high school studies; 5, university studies. p values for between-groups differences were introduced, and *p < 0.05. Wilcoxon–Mann–Whitney test was used for continuous variables (age, educational level, MMSE, or immediate and delayed recall) and Fisher's exact test for gender differences.

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    Table 2.

    The five significant links in the alpha band between sMCI and pMCI patients were obtained with a Mann–Whitney U test after the FDR

    sMCI patients (n = 30)pMCI patients (n = 19)p valuesClassification statistics (%)
    ACC (95% CI)SENSPEPPVNPV
    Link 10.11 ± 0.030.14 ± 0.022.04 × 10−477.6 (63.4–88.2)78.976.768.285.2
    Link 20.10 ± 0.030.14 ± 0.033.40 × 10−581.6 (68.0–91.2)84.280.072.788.9
    Link 30.10 ± 0.020.13 ± 0.031.73 × 10−477.6 (63.4–88.2)73.780.070.082.8
    Link 40.14 ± 0.030.18 ± 0.031.35 × 10−477.6 (63.4–88.2)78.976.768.285.2
    Link 50.10 ± 0.030.14 ± 0.032.81 × 10−469.4 (54.6–81.7)68.470.059.177.8
    • Link 1, right cingulate gyrus, anterior division, with right middle temporal gyrus, temporo-occipital part; Link 2, right cingulate gyrus, anterior division, with right lateral occipital cortex, inferior division; Link 3, right cingulate gyrus, anterior division, with right occipital pole; Link 4, right cingulate gyrus, anterior division, with left supracalcarine cortex; Link 5, right cingulate gyrus, anterior division, with left lateral occipital cortex, inferior division; ACC, accuracy; SEN, sensitivity; SPE, specificity; PPV, positive predictive value; NPV, negative predictive value; 95% CI, 95% confidence interval.

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    Table 3.

    Spearman's correlation analyses of the five significant links obtained in the alpha band with neuropsychological test scores and hippocampal volumes in the whole sample

    Link 1Link 2Link 3Link 4Link 5
    MMSEr = −0.195r = −0.300r = −0.207r = −0.143r = −0.097
    n.s.p = 0.047n.s.n.s.n.s.
    Immediate recallr = −0.268r = −0.394r = −0.366r = −0.300r = −0.350
    n.s.p = 0.005p = 0.010p = 0.036p = 0.014
    Semantic fluencyr = −0.172r = −0.286r = −0.264r = −0.145r = −0.135
    n.s.p = 0.047n.s.n.s.n.s.
    Left hippocampal volumer = −0.322r = −0.370r = −0.170r = −0.336r = −0.213
    p = 0.046p = 0.020n.s.p = 0.036n.s.
    Right hippocampal volumer = −0.223r = −0.302r = −0.342r = −0.368r = −0.431
    n.s.n.s.p = 0.033p = 0.021p = 0.006
    Left entorhinal volumer = −0.374r = −0.411r = −0.209r = −0.475r = −0.318
    p = 0.021p = 0.010n.s.p = 0.003n.s.
    • Shown are the r (correlation index) and p values that were significant (p < 0.05). MMSE, Mini Mental State Examination.

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The Journal of Neuroscience: 34 (44)
Journal of Neuroscience
Vol. 34, Issue 44
29 Oct 2014
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Alpha-Band Hypersynchronization in Progressive Mild Cognitive Impairment: A Magnetoencephalography Study
María Eugenía López, Ricardo Bruña, Sara Aurtenetxe, José Ángel Pineda-Pardo, Alberto Marcos, Juan Arrazola, Ana Isabel Reinoso, Pedro Montejo, Ricardo Bajo, Fernando Maestú
Journal of Neuroscience 29 October 2014, 34 (44) 14551-14559; DOI: 10.1523/JNEUROSCI.0964-14.2014

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Alpha-Band Hypersynchronization in Progressive Mild Cognitive Impairment: A Magnetoencephalography Study
María Eugenía López, Ricardo Bruña, Sara Aurtenetxe, José Ángel Pineda-Pardo, Alberto Marcos, Juan Arrazola, Ana Isabel Reinoso, Pedro Montejo, Ricardo Bajo, Fernando Maestú
Journal of Neuroscience 29 October 2014, 34 (44) 14551-14559; DOI: 10.1523/JNEUROSCI.0964-14.2014
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Keywords

  • alpha band
  • anterior cingulate
  • functional connectivity
  • MEG
  • mild cognitive impairment
  • phase locking value

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