The left frontal cortex supports reserve in aging by enhancing functional network efficiency

Authors Organisations
  • Nicolai Franzmeier(Author)
    Ludwig Maximilian University of Munich
  • Julia Hartmann(Author)
    Ludwig Maximilian University of Munich
  • Alexander Taylor(Author)
  • Miguel A. Araque Caballero(Author)
    Ludwig Maximilian University of Munich
  • Lee Simon-Vermot(Author)
    Ludwig Maximilian University of Munich
  • Lana Kambeitz-Ilankovic(Author)
    Ludwig Maximilian University of Munich
  • Katharina Buerger(Author)
    Ludwig Maximilian University of Munich
    German Center for Neurodegenerative Diseases (DZNE Munich)
  • Cihan Catak(Author)
    Ludwig Maximilian University of Munich
  • Daniel Janowitz(Author)
    Ludwig Maximilian University of Munich
  • Claudia Mueller(Author)
    Ludwig Maximilian University of Munich
  • Birgit Ertl-Wagner(Author)
    Ludwig Maximilian University of Munich
  • Robert Stahl(Author)
    Ludwig Maximilian University of Munich
  • Martin Dichgans(Author)
    Munich Cluster for Systems Neurology (SyNergy)
    Ludwig Maximilian University of Munich
    German Center for Neurodegenerative Diseases (DZNE Munich)
  • Marco Duering(Author)
    Ludwig Maximilian University of Munich
  • Michael Ewers(Author)
    Ludwig Maximilian University of Munich
Type Article
Original languageEnglish
Article number28
Number of pages12
JournalAlzheimer's Research & Therapy
Volume10
Issue number1
DOI
Publication statusPublished - 06 Mar 2018
Links
Permanent link
Show download statistics
View graph of relations
Citation formats

Abstract

Background
Recent evidence derived from functional magnetic resonance imaging (fMRI) studies suggests that functional hubs (i.e., highly connected brain regions) are important for mental health. We found recently that global connectivity of a hub in the left frontal cortex (LFC connectivity) is associated with relatively preserved memory abilities and higher levels of protective factors (education, IQ) in normal aging and Alzheimer’s disease. These results suggest that LFC connectivity supports reserve capacity, alleviating memory decline. An open question, however, is why LFC connectivity is beneficial and supports memory function in the face of neurodegeneration. We hypothesized that higher LFC connectivity is associated with enhanced efficiency in connected major networks involved in episodic memory. We further hypothesized that higher LFC-related network efficiency predicts higher memory abilities.

Methods
We assessed fMRI during a face-name association learning task performed by 26 healthy, cognitively normal elderly participants. Using beta-series correlation analysis, we computed task-related LFC connectivity to key memory networks, including the default mode network (DMN) and dorsal attention network (DAN). Network efficiency within the DMN and DAN was estimated by the graph theoretical small-worldness statistic. We applied linear regression analyses to test the association between LFC connectivity with the DMN/DAN and small-worldness of these networks. Mediation analysis was applied to test LFC connectivity to the DMN and DAN as a mediator of the association between education and higher DMN and DAN small-worldness. Last, we tested network small-worldness as a predictor of memory performance.

Results
We found that higher LFC connectivity to the DMN and DAN during successful memory encoding and recognition was associated with higher small-worldness of those networks. Higher task-related LFC connectivity mediated the association between education and higher small-worldness in the DMN and DAN. Further, higher smallworldness of these networks predicted better performance in the memory task.

Conclusions
The present results suggest that higher education-related LFC connectivity to key memory networks during a memory task is associated with higher network efficiency and thus enhanced reserve of memory abilities in aging.

Keywords

  • Cognitive reserve, Aging, Memory task fMRI, Small-worldness, Fronto-parietal network