4.5 Article

Neurometabolic characteristics in the anterior cingulate gyrus of Alzheimer's disease patients with depression: a 1H magnetic resonance spectroscopy study

期刊

BMC PSYCHIATRY
卷 15, 期 -, 页码 -

出版社

BMC
DOI: 10.1186/s12888-015-0691-7

关键词

Alzheimer's disease; Depression; Magnetic resonance spectroscopy; Anterior cingulate gyrus

资金

  1. Key Project of the Department of Science and Technology of Zhejiang Province [2007C13053, 2013C03045-5]
  2. General Project of the Department of Science and Technology of Zhejiang Province [2013KYB065]
  3. Traditional Chinese Medicine Science and Technology Plan of Zhejiang Province [2013ZA007]
  4. General Project of Tongde Hospital of Zhejiang Province [2012010]
  5. Department of Science and Technology of Zhejiang Province [2013C33186]
  6. Science and Technology Programme of Hangzhou Municipality [20130633B28, 20142013A59]

向作者/读者索取更多资源

Background: Depression is a common comorbid psychiatric symptom in patients with Alzheimer's disease (AD), and the prevalence of depression is higher among people with AD compared with healthy older adults. Comorbid depression in AD may increase the risk of cognitive decline, impair patients' function, and reduce their quality of life. However, the mechanisms of depression in AD remain unclear. Here, our aim was to identify neurometabolic characteristics in the brain that are associated with depression in patients with mild AD. Methods: Thirty-seven patients were evaluated using the Neuropsychiatric Inventory (NPI) and Hamilton Depression Rating Scale (HAMD-17), and divided into two groups: 17 AD patients with depression (D-AD) and 20 non-depressed AD patients (nD-AD). Using proton magnetic resonance spectroscopy, we characterized neurometabolites in the anterior cingulate gyrus (ACG) of D-AD and nD-AD patients. Results: Compared with nD-AD patients, D-AD patients showed lower N-acetylaspartate/creatine (NAA/Cr) and higher myo-inositol/creatine (mI/Cr) in the left ACG. NPI score correlated with NAA/Cr and mI/Cr in the left ACG, while HAMD correlated with NAA/Cr. Conclusions: Our findings show neurometabolic alterations in D-AD patients. Thus, D-AD pathogenesis may be attributed to abnormal activity of neurons and glial cells in the left ACG.

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