J 2020

Structural Alterations in Deep Brain Structures in Type 1 Diabetes

FILIP, Pavel, Antonietta CANNA, Amir MOHEET, Petr BEDNARIK, Heidi GROHN et. al.

Basic information

Original name

Structural Alterations in Deep Brain Structures in Type 1 Diabetes

Authors

FILIP, Pavel (703 Slovakia, belonging to the institution), Antonietta CANNA, Amir MOHEET, Petr BEDNARIK, Heidi GROHN, Xiufeng LI, Anjali F. KUMAR, Evan OLAWSKY, Lynn E. EBERLY, Elizabeth R. SEAQUIST and Silvia MANGIA (guarantor)

Edition

DIABETES, ALEXANDRIA, AMER DIABETES ASSOC, 2020, 0012-1797

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30202 Endocrinology and metabolism

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 9.461

RIV identification code

RIV/00216224:14110/20:00116812

Organization unit

Faculty of Medicine

UT WoS

000580011700020

Keywords in English

Deep Brain Structures; Type 1 Diabetes

Tags

Tags

International impact, Reviewed
Změněno: 4/11/2020 11:45, Mgr. Tereza Miškechová

Abstract

V originále

Even though well known in type 2 diabetes, the existence of brain changes in type 1 diabetes (T1D) and both their neuroanatomical and clinical features are less well characterized. To fill the void in the current understanding of this disease, we sought to determine the possible neural correlate in long-duration T1D at several levels, including macrostructural, microstructural cerebral damage, and blood flow alterations. In this cross-sectional study, we compared a cohort of 61 patients with T1D with an average disease duration of 21 years with 54 well-matched control subjects without diabetes in a multimodal MRI protocol providing macrostructural metrics (cortical thickness and structural volumes), microstructural measures (T1-weighted/T2-weighted [T1w/T2w] ratio as a marker of myelin content, inflammation, and edema), and cerebral blood flow. Patients with T1D had higher T1w/T2w ratios in the right parahippocampal gyrus, the executive part of both putamina, both thalami, and the cerebellum. These alterations were reflected in lower putaminal and thalamic volume bilaterally. No cerebral blood flow differences between groups were found in any of these structures, suggesting nonvascular etiologies of these changes. Our findings implicate a marked nonvascular disruption in T1D of several essential neural nodes engaged in both cognitive and motor processing.

Links

691110, interní kód MU
Name: Advanced MR methods for characterization of microstructural brain damage (MICROBRADAM) (Acronym: MICROBRADAM)
Investor: European Union, MSCA Marie Skłodowska-Curie Actions (Excellent Science)