Abstract
Levodopa therapy is widely recognized as an effective treatment for PD patients, however, it is rare of the study looking at effects of levodopa therapy on the whole-brain network. This study was to evaluate the effects of levodopa on whole-brain degree centrality (DC) and seed-based functional connectivity (FC) in PD patients. We recruited 26 PD patients and acquired their resting-state fMRI data before (‘OFF’ state) and after (‘ON’ state) taking a dose of 400 mg levodopa. Through constructing the voxel-based brain functional network, we calculated distant and local DC and seed-based FC. We found that compared to the healthy controls, the PD patients at ‘OFF’ state showed significantly decreased distant DC in several occipital regions and left postcentral gyrus, but increased distant DC in the right precentral gyrus, supplementary motor area, and several frontal regions. Meanwhile, we detected decreased local DC in the left cuneus and bilateral insula but increased local DC in several temporal regions in the PD patients at ‘OFF’ state compared to the controls. Using paired-sample t-tests, we found that levodopa effectively normalized the distant DC abnormalities in the PD patients particularly in the occipital regions and postcentral gyrus. Additionally, compared to ‘OFF’ state, the PD patients at ‘ON’ state showed decreased FC of the left median cingulate gyrus to brain regions in default mode network. The decreased FC of the left median cingulate gyrus to right temporal pole was associated with improved UPDRS-III score. This study provided new evidence for understanding the neural effects of levodopa therapy on the whole-brain network in PD patients.
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Abbreviations
- ALFF:
-
amplitude of low-frequency oscillations
- ANG:
-
angular gyrus
- CUN:
-
cuneus
- DC:
-
degree centrality
- DMN:
-
default mode network
- FWHM:
-
Full-Width at Half Maximum
- FC:
-
functional connectivity
- H-Y:
-
Hoehn and Yahr stage
- ICA:
-
independent component analysis
- INS:
-
insula
- IFGoperc:
-
opercular part of inferior frontal gyrus
- IFGtriang:
-
triangular part of inferior frontal gyrus
- IOG:
-
inferior occipital gyrus
- LING:
-
lingual gyrus
- MMSE:
-
Mini-Mental State Examination
- MFG:
-
middle frontal gyrus
- MTG:
-
middle temporal gyrus
- MCG:
-
median cingulate gyrus
- MOG:
-
middle occipital gyrus
- MCI:
-
mild cognitive impairment
- ORBinf:
-
orbital part of inferior frontal gyrus
- PMC:
-
premotor cortex
- PoCG:
-
postcentral gyrus
- PreCG:
-
precentral gyrus
- PHG:
-
parahippocampal gyrus
- PCUN:
-
precuneus
- ReHo:
-
regional homogeneity
- ROI:
-
region of interest
- SMA:
-
supplementary motor area
- STG:
-
superior temporal gyrus
- SFGmed:
-
medial superior frontal gyrus
- SOG:
-
superior occipital gyrus
- TPOmid:
-
temporal pole of middle temporal gyrus
- THA:
-
thalamus
- UPDRS-III:
-
Unified Parkinson’s Disease Rating Scale-motor
- ‘OFF’ state:
-
before levodopa therapy
- ‘ON’ state:
-
after levodopa therapy
- DCi :
-
degree centrality for a given voxel i
- dij :
-
connection or edge weight from voxel i to voxel j
- \( \overline{DC} \) :
-
mean degree across all voxels in the whole brain degree centrality map
- σDC :
-
standard deviation of degree centrality
- zDC:
-
z-score of degree centrality
- szDC:
-
smoothed z-score of degree centrality
- zFC:
-
z-score of functional connectivity
- ΔDC:
-
difference in degree centrality between ‘ON’ and ‘OFF’ state
- ΔFC:
-
difference in functional connectivity between ‘ON’ and ‘OFF’ state
- ΔUPDRS-III:
-
difference in UPDRS-III score between ‘ON’ and ‘OFF’ state
- ΔMMSE :
-
difference in MMSE score between ‘ON’ and ‘OFF’ state
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Acknowledgements
The authors are grateful to the two anonymous reviewers for constructive and insightful comments on a previous version of this article.
Funding
This work was supported by the funding from the Natural Science Foundation of China (Grant numbers: 81271548, 81271560, 81371535, 81428013, and 81471654) and Planned Science and Technology Project of Guangzhou, China (Grant numbers: 20160402007).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Highlights
1. The PD patients at ‘OFF’ state showed altered distant DC mainly in several occipital, frontal and motor areas compared to the healthy controls.
2. Levodopa therapy can normalize the abnormal distant DC in the PD patients in the occipital areas and left PoCG.
3. Levodopa therapy decreased FC of the left MCG to brain regions in DMN in the PD patients. The decreased FC of the left MCG to right TPOmid was associated with improved UPDRS-III score.
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Zhong, M., Yang, W., Huang, B. et al. Effects of levodopa therapy on voxel-based degree centrality in Parkinson’s disease. Brain Imaging and Behavior 13, 1202–1219 (2019). https://doi.org/10.1007/s11682-018-9936-7
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DOI: https://doi.org/10.1007/s11682-018-9936-7