患有糖尿病前期的老年人的小脑灰质和白质损伤。

IF 6.1 3区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Yaojing Chen , Ziyun Li , Yuan Chen , Mingxi Dang , Kewei Chen , Feng Sang , Hongjuan Fang , Zhanjun Zhang
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引用次数: 0

摘要

目的:研究糖尿病前期患者大脑和小脑的改变。糖尿病的小脑损伤是有迹可循的,但尚未进行过系统研究,糖尿病前期是否会发生小脑损伤以及损伤程度尚不清楚:本研究调查了78名糖代谢正常者、92名糖尿病前期患者和108名2型糖尿病患者的T1加权、T2加权流体加权反转恢复和弥散张量成像扫描的大脑和小脑灰质体积、白质体积、白质微结构和白质高密度:结果发现:糖尿病前期患者的灰质和白质明显萎缩,小脑和大脑区域的微结构受损。此外,在糖尿病阶段也观察到广泛的结构改变。Neurosynth对受损脑区的功能进行了进一步解码,发现糖尿病前期病变的小脑受损区域与运动功能密切相关,而糖尿病影响的区域除运动功能外,还与复杂的认知功能有关:结论:糖尿病前期已出现小脑损伤,糖尿病后期小脑损伤加重,因此小脑是糖尿病早期受损的关键区域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebellar gray matter and white matter damage among older adults with prediabetes

Aims

To investigate alterations in cerebrum and cerebellum in prediabetes. Cerebellar injury in diabetes is traceable, but it has not been systematically studied, and whether cerebellar injury occurs and the degree of damage in prediabetes are not known.

Methods

The current study investigated cerebral and cerebellar gray matter volume, white matter volume, white matter microstructure and white matter hyperintensity on T1-weighted, T2-weighted fluid-attenuated inversion recovery and diffusion tensor imaging scans in 78 individuals with normal glucose metabolism, 92 with prediabetes, and 108 with type 2 diabetes.

Results

Participants with prediabetes showed significant gray matter and white matter atrophy, microstructural damage in the cerebellar and cerebral regions. Additionally, widespread structural alterations were observed in the diabetic stage. The function of the damaged brain area was further decoded in Neurosynth, and the damaged cerebellar area with prediabetic lesions was closely related to motor function, while the area affected by diabetes was related to complex cognitive function in addition to motor function.

Conclusions

Cerebellar injury had already appeared in the prediabetic stage, and cerebellar injury was aggravated in the diabetic stage; therefore, the cerebellum is a key area that is damaged early in the development of diabetes.

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来源期刊
Diabetes research and clinical practice
Diabetes research and clinical practice 医学-内分泌学与代谢
CiteScore
10.30
自引率
3.90%
发文量
862
审稿时长
32 days
期刊介绍: Diabetes Research and Clinical Practice is an international journal for health-care providers and clinically oriented researchers that publishes high-quality original research articles and expert reviews in diabetes and related areas. The role of the journal is to provide a venue for dissemination of knowledge and discussion of topics related to diabetes clinical research and patient care. Topics of focus include translational science, genetics, immunology, nutrition, psychosocial research, epidemiology, prevention, socio-economic research, complications, new treatments, technologies and therapy.
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