Evidence map›Paper›PMID 39351014›Full record

ArticleFrontiers in aging neuroscience2024

Correspondence between white matter hyperintensities and regional grey matter volumes in Alzheimer's disease.

Fangyuan Yi, Jirui Wang, Meiqing Lin, Baizhu Li, Shiyu Han, Shan Wang, Yingbin Jin, Ning Hu, Yutong Chen, Xiuli Shang

Abstract readLetter
In one paragraph

Article in Frontiers in aging neuroscience, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
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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

10 authors.

Fangyuan YiDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Jirui WangDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Meiqing LinDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Baizhu LiDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Shiyu HanDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Shan WangDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Yingbin JinDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Ning HuDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Yutong ChenDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.
Xiuli ShangDepartment of Neurology, The First Affiliated Hospital of China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: White matter hyperintensities (WMH) are the most common neuroimaging manifestation of cerebral small vessel disease, and is frequently observed in Alzheimer's disease (AD). This study aimed to investigate the relationship between WMH and cognition and to verify the mediation of grey matter atrophy in this relationship. Methods: The diffusion tensor imaging (DTI) technique analyses white matter fiber tract to assess white matter integrity. Voxel-based morphometry was applied to measure the grey matter volume (GMV). A linear regression model was applied to examine the associations between WMH and GMV, and mediation analyses was performed to determine the mediating role of regional GMV in the effect of WMH on cognitive function. Results: Compared to the HC group, AD group have 8 fiber tract fractional anisotropy (FA) decreased and 16 fiber tract mean diffusivity (MD) increased. Compared to AD without WMH, AD with high WMH had 9 fiber tracts FA decreased and 13 fiber tracts MD increased. High WMH volume was negatively correlated with GMV in the frontal-parietal region. Low WMH volume was also negatively correlated with GMV except for the three regions (right angular gyrus, right superior frontal gyrus and right middle/inferior parietal gyrus), where GMV was positively correlated. Mediation analysis showed that the association between WMH and executive function or episodic memory were mediated by GMV in the frontal-parietal region. Conclusion: Damage to white matter integrity was more severe in AD with WMH. Differential changes in DTI metrics may be caused by progressive myelin and axonal damage. There was a negative correlation between WMH and grey matter atrophy in frontal-parietal regions in a volume-dependent manner. This study indicates the correspondence between WMH volume and GMV in cognition, and GMV being a key modulator between WMH and cognition in AD. This result will contribute to understanding the progression of the disease process and applying targeted therapeutic intervention in the earlier stage to delay neurodegenerative changes in frontal-parietal regions to achieve better treatment outcomes and affordability.

Indexed as

Alzheimer’s diseasecognitiongrey matter atrophywhite matter fiber tractswhite matter hyperintensity

Identifiers

PMID39351014
PMCPMC11439820

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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.