Sex-related differences in amyotrophic lateral sclerosis: A 2-[18F]FDG-PET study

被引:0
作者
Canosa, Antonio [1 ,2 ,3 ]
Martino, Alessio [4 ]
Manera, Umberto [1 ,2 ]
Giuliani, Alessandro [5 ]
Vasta, Rosario [1 ]
Palumbo, Francesca [1 ]
Grassano, Maurizio [1 ]
Morbelli, Silvia Daniela [6 ,7 ]
Pardini, Matteo [8 ,9 ]
Chiaravalloti, Agostino [10 ,11 ]
Schillaci, Orazio [10 ]
Leenders, Klaus Leonard [12 ,13 ]
Kogan, Rosalie Vered [13 ]
Polverari, Giulia [14 ]
Zocco, Grazia [1 ]
Di Pede, Francesca [1 ]
Mattei, Filippo De [1 ]
Cabras, Sara [1 ,15 ]
Matteoni, Enrico [1 ]
Moglia, Cristina [1 ,2 ]
Calvo, Andrea [1 ,2 ,16 ]
Chio, Adriano [1 ,2 ,3 ,16 ]
Pagani, Marco [3 ,17 ]
机构
[1] Univ Turin, Als Ctr, Rita Levi Montalcini Dept Neurosci, Via Cherasco 15, I-10126 Turin, Italy
[2] Azienda Osped Univ Citta Salute & Sci Torino, Neurol Unit 1U, Turin, Italy
[3] CNR, Inst Cognit Sci & Technol, Rome, Italy
[4] Luiss Univ, Dept Business & Management, Rome, Italy
[5] Ist Super Sanita, Environm & Hlth Dept, I-00161 Rome, Italy
[6] Univ Turin, Dept Med Sci, Turin, Italy
[7] Azienda Osped Univ Citta Salute & Sci Torino, Nucl Med Unit, Turin, Italy
[8] Univ Genoa, Dept Neurosci Rehabil Ophthalmol Genet Maternal &, Genoa, Italy
[9] IRCCS Osped Policlin San Martino, Genoa, Italy
[10] Univ Roma Tor Vergata, Dept Biomed & Prevent, Rome, Italy
[11] IRCCS Neuromed, Pozzilli, Italy
[12] Univ Groningen, Univ Med Ctr Groningen, Dept Neurol, Groningen, Netherlands
[13] Univ Groningen, Univ Med Ctr Groningen, Dept Nucl Med & Mol Imaging, Groningen, Netherlands
[14] Positron Emiss Tomog Ctr AFFIDEA IRMET SpA, Turin, Italy
[15] Univ Camerino, Ctr Neurosci, Camerino, Italy
[16] Neurosci Inst Turin, Turin, Italy
[17] Karolinska Univ Hosp, Dept Med Radiat Phys & Nucl Med, Stockholm, Sweden
关键词
2-[F-18]FDG-PET; amyotrophic lateral sclerosis; brain connectivity; brain metabolism; sex differences; MODULATE DISEASE PROGRESSION; RAT MODEL; FDG-PET; BRAIN; ALS; RISK; TOMOGRAPHY; DIMORPHISM; TRENDS;
D O I
10.1111/ene.16588
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose: We investigated sex-related brain metabolic differences in Amyotrophic Lateral Sclerosis (ALS) and healthy controls (HC). Methods: We collected two equal-sized groups of male (m-ALS) and female ALS (f-ALS) patients (n = 130 each), who underwent 2-[F-18]FDG-PET at diagnosis, matched for site of onset, cognitive status and King's stage. We included 168 age-matched healthy controls, half female (f-HC) and half male (m-HC). We compared brain metabolism of males and females separately for ALS and HC, including age as covariate. A differential network analysis was performed to evaluate brain connectivity. Results: M-ALS showed relative hypometabolism of bilateral medial frontal, parietal and occipital cortices, and left temporal cortex, compared to f-ALS. In node-wise comparison, f-ALS showed significantly higher connectivity in right middle cingulate cortex and left superior and medial frontal gyrus. In HC we did not find any sex-related differences. Conclusion: Sex resulted a major determinant of brain metabolism and connectivity in ALS patients.
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页数:11
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