Why the study?
In-vivo microscopical studies indicate brain CSF transport driven by blood vessel pulsations is reduced in early Alzheimer's disease, leading to the hypothesis that altered cerebrovascular-CSF coupling in AD can be measured using multi-wavelength fNIRS.
Does cerebrovascular-CSF coupling measured by fNIRS differ between Alzheimer's disease patients and healthy controls?
Does cerebrovascular-CSF coupling measured by fNIRS differ between Alzheimer's disease patients and healthy controls?
Cerebrovascular-CSF coupling measured by fNIRS is reduced in early Alzheimer's disease and correlates with cognitive decline, suggesting its potential as a non-invasive diagnostic biomarker.
In-vivo microscopical studies indicate that brain cerebrospinal fluid (CSF) transport driven by blood vessel pulsations is reduced in the early stages of Alzheimer’s disease (AD). We hypothesized that the coupling pattern between cerebrovascular pulsations and CSF is altered in AD, and this can be measured using multi-wavelength functional near-infrared spectroscopy (fNIRS). To study this, we quantified simultaneously cerebral hemo- and CSF hydrodynamics in early AD patients and age-matched healthy controls. Physiological pulsations were analysed in the vasomotor very low frequency (VLF 0.008–0.1 Hz), respiratory (Resp. 0.1–0.6 Hz), and cardiac (Card. 0.6–5 Hz) bands. A sliding time window cross-correlation approach was used to estimate the temporal stability of the cerebrovascular-CSF coupling. We investigated how the lag time series variation of the coupling differs between AD patients and control. The couplings involving deoxyhemoglobin (HbR) and CSF water, along with their first derivative, in the cardiac band demonstrated significant difference between AD patients and controls. Furthermore, the lag time series variation of HbR-CSF in the cardiac band provided a significant relationship, p-value = 0.04 and r 2 = 0.16, with the mini-mental state exam (MMSE) score. In conclusion, the coupling pattern between hemodynamics and CSF is reduced in AD and it correlates with MMSE score.
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Ferdinando et al. (2023) studied this question.
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