Evidence map›Paper›PMID 36072644›Full record

ArticleBrain communications2022

Connectivity impairment of cerebellar and sensorimotor connector hubs in Parkinson's disease.

Epifanio Bagarinao, Kazuya Kawabata, Hirohisa Watanabe, Kazuhiro Hara, Reiko Ohdake, Aya Ogura, Michihito Masuda, Toshiyasu Kato, Satoshi Maesawa, Masahisa Katsuno and 1 more

Open access · goldAbstract read
In one paragraph

Article in Brain communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Epifanio BagarinaoDepartment of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 461-8673Japan.ORCID https://orcid.org/0000-0001-5000-6943
Kazuya KawabataBrain & Mind Research Center, Nagoya University, Nagoya, Aichi, 466-8550Japan.ORCID https://orcid.org/0000-0002-8851-4377
Hirohisa WatanabeBrain & Mind Research Center, Nagoya University, Nagoya, Aichi, 466-8550Japan.
Kazuhiro HaraDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550Japan.
Reiko OhdakeDepartment of Neurology, Fujita Health University School of Medicine, Toyoake, Aichi, 470-1192Japan.ORCID https://orcid.org/0000-0001-8282-9434
Aya OguraBrain & Mind Research Center, Nagoya University, Nagoya, Aichi, 466-8550Japan.
Michihito MasudaDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550Japan.
Toshiyasu KatoDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550Japan.
Satoshi MaesawaBrain & Mind Research Center, Nagoya University, Nagoya, Aichi, 466-8550Japan.
Masahisa KatsunoDepartment of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, 466-8550Japan.
Gen SobueBrain & Mind Research Center, Nagoya University, Nagoya, Aichi, 466-8550Japan.ORCID https://orcid.org/0000-0003-4769-5922
Nagoya University · JPFujita Health University · JPAichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive and movement processes involved integration of several large-scale brain networks. Central to these integrative processes are connector hubs, brain regions characterized by strong connections with multiple networks. Growing evidence suggests that many neurodegenerative and psychiatric disorders are associated with connector hub dysfunctions. Using a network metric called functional connectivity overlap ratio, we investigated connector hub alterations in Parkinson's disease. Resting-state functional MRI data from 99 patients (male/female = 44/55) and 99 age- and sex-matched healthy controls (male/female = 39/60) participating in our cross-sectional study were used in the analysis. We have identified two sets of connector hubs, mainly located in the sensorimotor cortex and cerebellum, with significant connectivity alterations with multiple resting-state networks. Sensorimotor connector hubs have impaired connections primarily with primary processing (sensorimotor, visual), visuospatial, and basal ganglia networks, whereas cerebellar connector hubs have impaired connections with basal ganglia and executive control networks. These connectivity alterations correlated with patients' motor symptoms. Specifically, values of the functional connectivity overlap ratio of the cerebellar connector hubs were associated with tremor score, whereas that of the sensorimotor connector hubs with postural instability and gait disturbance score, suggesting potential association of each set of connector hubs with the disorder's two predominant forms, the akinesia/rigidity and resting tremor subtypes. In addition, values of the functional connectivity overlap ratio of the sensorimotor connector hubs were highly predictive in classifying patients from controls with an accuracy of 75.76%. These findings suggest that, together with the basal ganglia, cerebellar and sensorimotor connector hubs are significantly involved in Parkinson's disease with their connectivity dysfunction potentially driving the clinical manifestations typically observed in this disorder.

Indexed as

cerebellumconnector hubsParkinson’s diseaseresting-state networkssensorimotor

Identifiers

PMID36072644
PMCPMC9438962
OpenAlexW4292440736

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.