1. Increased long distance event-related gamma band connectivity in Alzheimer's disease
- Author
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Bahar Güntekin, Banu Femir, Görsev Yener, Derya Durusu Emek-Savaş, and Erol Başar
- Subjects
Male ,Bipolar Disorder ,Visual perception ,Electroencephalography ,lcsh:RC346-429 ,0302 clinical medicine ,Gamma Rhythm ,EEG ,Healthy-Subjects ,Oddball paradigm ,Aged, 80 and over ,Connectivity ,Sensory stimulation therapy ,medicine.diagnostic_test ,Event Related ,Theta-Oscillations ,05 social sciences ,Memantine ,Regular Article ,Cognition ,Middle Aged ,Alzheimer's disease ,3. Good health ,Neurology ,Disease Progression ,lcsh:R858-859.7 ,Female ,Psychology ,Coherence ,medicine.drug ,Mild Cognitive Impairment ,Sensory Evoked ,Cognitive Neuroscience ,Sensory system ,lcsh:Computer applications to medicine. Medical informatics ,Functional Connectivity ,050105 experimental psychology ,03 medical and health sciences ,Neuroimaging ,Alzheimer Disease ,Psychophysics ,medicine ,Humans ,0501 psychology and cognitive sciences ,Radiology, Nuclear Medicine and imaging ,Gamma ,Delta Oscillatory Responses ,lcsh:Neurology. Diseases of the nervous system ,Aged ,Auditory Pathway ,Analysis of Variance ,Sensory-evoked ,Memory Task ,Case-Control Studies ,Reticular-Formation ,Evoked-Potentials ,Evoked Potentials, Visual ,Neurology (clinical) ,Neuroscience ,Photic Stimulation ,Event-related ,030217 neurology & neurosurgery - Abstract
Background Brain oscillatory responses can be used for non-invasive analyses of cortico-cortical connectivity, local neuronal synchronization, and coherence of oscillations in many neuropsychiatric conditions including Alzheimer's disease (AD). In the present paper, we examine sensory-evoked and event-related gamma coherences elicited by visual stimuli in three sub-gamma bands in two sub-groups of patients with AD (i.e., acetylcholinesterase-inhibitor treated and untreated) and healthy controls. Methods We studied a total of 39 patients with probable mild AD (according to NINCDS-ADRDA criteria) who had been sub-divided into untreated (n = 21) and treated (n = 18) (patients either on cholinergic monotherapy or combined therapy with memantine) AD groups, and 21 age-, gender-, and education-matched healthy elderly controls. A simple flash visual paradigm was applied for the acquisition of sensory-evoked coherences. Event-related coherences were elicited using a classical visual oddball paradigm. Both sensory-evoked and event-related gamma coherences were calculated for long-distance intrahemispheric pairs for three frequency ranges: 25–30 Hz, 30–35 Hz, and 40–48 Hz in post-stimulus 0–800 ms duration. The long-distance intrahemispheric pairs from both sides were fronto-parietal, fronto-temporal, fronto-temporoparietal, fronto-occipital, centro-occipital and parieto-occipital. Results The sensory-evoked or event-related gamma coherences revealed that both treated and untreated AD patients had significantly increased values compared to healthy controls in all three sub-gamma bands. Moreover, the treated AD patients demonstrated significantly higher fronto-parietal gamma coherences during both sensory stimulation and oddball paradigm and lower occipito-parietal coherences during oddball paradigm in comparison to untreated AD patients. Conclusion The present study demonstrated that an increase of gamma coherences was present in response to both visual sensory and cognitive stimulation in AD patients in all gamma sub-bands. Therefore, gamma oscillatory activity seems to be fundamental in brain functions at both the sensory and cognitive levels. The increase of gamma coherence values was not due to cholinergic treatment to any significant extent, as both treated and untreated AD patients had increased gamma coherence values compared to healthy controls. The use of coherence values reflecting brain connectivity holds potential for neuroimaging of AD and understanding brain dynamics related to the effects of medication., Highlights • Treated and untreated Alzheimer's disease (AD) patients and controls were examined. • Visual sensory-evoked and event-related gamma coherences were investigated. • Long-distance intrahemispheric pairs for three sub-gamma bands were calculated. • Gamma coherences were significantly higher in AD patients than healthy controls.
- Published
- 2017
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