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Vlassenko, A. G.

Publications and source records attributed to Vlassenko, A. G..

10 recordsLinked to original sources

Task-evoked deactivations: dissociation between BOLD fMRI and FDG

Task-evoked decreases in blood-oxygenation-level-dependent (BOLD) signals are a well-recognized phenomenon in functional magnetic resonance imaging (fMRI) studies. These deactivations are most prominent in the default mode network (DMN), a set of regions most active at rest. The metabolic basis of task-induced BOLD fMRI deactivations remains unclear. To address this question, we used PET/MRI to simultaneously measure BOLD fMRI and cerebral glucose consumption (CMRglc) during visuomotor and language tasks in 22 cognitively unimpaired older adults (15 female, 7 male). Task performance increased BOLD signals in task-relevant regions and decreased BOLD signals in the DMN. Positive BOLD responses generally coincided with increases in CMRglc. In contrast, CMRglc did not decrease in regions showing negative BOLD responses; instead, it typically increased. In particular, the posterior cingulate cortex showed significant CMRglc elevations in conjunction with negative BOLD responses. Whole-brain intensity normalization partially restored task-induced decreases in CMRglc, indicating that relative reductions appear in regions in which CMRglc increases are smaller than the global average. Overall, our results imply that BOLD fMRI deactivations can occur in conjunction with stable or even increased glucose consumption.

neuroscience↗

Individual-level metabolic connectivity captures cortical morphology and their coupling strengthens with age

PurposeCerebral glucose metabolism and cortical morphology are known to undergo significant changes across the lifespan, yet their network-level coordination remains poorly understood. This study aimed to investigate whether individual-level metabolic connectivity (MC) reflects underlying inter-areal morphometric similarity, and to determine how this metabolic-morphometric coupling evolves across the adult lifespan. MethodsDynamic [18F]FDG-PET and structural MRI data were acquired from 67 healthy adults (age range: 38-86 years). Individual MC networks were estimated based on the similarity between regional time-activity curves. Corresponding structural similarity networks were generated using the morphometric inverse divergence (MIND) framework, which integrates multiple vertex-wise features of cortical morphology. The correspondence between metabolic and structural networks was quantified at both global and local scales using Spearman correlations. General linear models were employed to assess age-related effects on MC-MIND similarity. ResultsMC demonstrated a robust positive association with cortical morphometric similarity ({rho} = 0.32, p < 0.0001), an association that persisted after distance correction and was replicated at the individual level. Regional coupling followed a topographic gradient, peaking in heteromodal association cortices and reaching its minimum in paralimbic areas. Crucially, morphology-metabolism alignment systematically strengthened with age at the global level ({beta} = 0.59, p < 0.001). Local age-related increases were spatially heterogeneous, predominantly affecting visual, dorsal parietal, and premotor cortices alongside adjacent multimodal regions. ConclusionIndividual-level MC captures the morphometric organisation of the brain. The age-related increase in morphology-metabolism coupling indicates that metabolic coordination becomes progressively more aligned with cortical architecture, consistent with reduced neuroenergetic flexibility in the ageing brain.

neuroscience↗

HypoAD: volumetric and single-cell analysis reveals changes in the human hypothalamus in aging and Alzheimer's disease

Alterations in metabolism, stress response, sleep, circadian rhythms, and neuroendocrine processes are key features of aging and neurodegeneration. These fundamental processes are regulated by the hypothalamus, yet how its functionally distinct subregions and cell types change during human aging and Alzheimers Disease (AD) remains largely unexplored. Here, we present HypoAD, a comprehensive atlas of the human hypothalamus in aging and AD, integrating high-resolution MRI from 202 individuals with single-nucleus RNA-seq (snRNA-seq) of 614,403 nuclei from young, AD, and age-matched non-dementia controls. Our analysis reveals that hypothalamic subregions governing metabolism, stress, and circadian rhythms are particularly vulnerable, exhibiting significant changes in both volumes and gene expression during aging and AD. At the molecular level, machine learning models identified the inflammatory response and regulators of circadian rhythms as key cellular predictors of AD. These signatures were reflected in specific cell types: microglia transitioned to a pro-inflammatory state, while inhibitory neurons within sleep-and circadian-regulating hypothalamic subregions showed the most profound transcriptional alterations, including disruptions in ligand-receptor interactions and G-protein-coupled receptor signaling. Together, HypoAD provides a high-resolution volumetric map and a comprehensive transcriptomic atlas of the human hypothalamus in aging and AD, linking lifestyle and behavioral changes to their underlying volumetric and molecular pathways. Additionally, HypoAD provides a framework to investigate hypothalamic dysfunction and establishes a roadmap for targeted interventions aimed at mitigating physiological disruptions to potentially slow disease progression.

neuroscience↗

Glucose Metabolism echoes Long-Range Temporal Correlations in the Human Brain

Intrinsic brain activity is characterized by pervasive long-range temporal correlations. While these scale-invariant dynamics are a fundamental hallmark of brain function, their implications for individual-level metabolic regulation remain poorly understood. Here, we address this gap by integrating resting-state functional Magnetic Resonance Imaging (fMRI) and dynamic [18F]FDG Positron Emission Tomography (PET) data acquired from the same cohort of participants. We uncover a systematic relationship between long-range temporal correlations, quantified via the Hurst exponent, and glucose metabolism. Our findings reveal that persistent temporal dependencies impose a measurable metabolic cost, with brains exhibiting higher long-range temporal correlations incurring greater energetic demands. Beyond glucose metabolism, we also show that these dynamics are likely supported by continuous biosynthetic processes, such as protein synthesis, which are critical for neural circuit maintenance and remodeling. Overall, our results suggest that a significant fraction of the brains so-called "Dark Energy" is actively spent to power spontaneous long-range temporal correlations.

neuroscience↗

Unveiling functional-metabolic synergy in the healthy brain: multivariate integration of dynamic FDG-PET and resting-state fMRI

IntroductionDespite accounting for only 2% of body weight, the human brain requires significant amounts of glucose, even at rest, underscoring the importance of functional-metabolic relationships. Previous studies revealed moderate associations between resting-state fMRI functional connectivity (FC) and local metabolism via [18F]FDG-PET, yet much remains to be understood, particularly regarding their coupling between functional and metabolic networks. MethodsTo this end, we employed multivariate Partial Least Squares Correlation (PLSC) to investigate the functional-metabolic relationship at both nodal and network level. From dynamic [18F]FDG-PET data we estimated parameters describing glucose metabolism --delivery rate (K1), phosphorylation rate (k3), and fractional uptake (Ki)-- and generated within-individual metabolic connectivity (MC) networks. FC was derived from fMRI data filtered into two frequency bands and summarized as region-wise strength to capture nodal characteristics. ResultsOur findings revealed that glucose delivery is linked with FC strength, particularly when fMRI signal frequencies include greater hemodynamic contributions. Even stronger functional-metabolic coupling occurs at the network level in the low-frequency fMRI band, with higher MC between sensory/attention and transmodal networks supporting stronger FC within sensory/attention areas. ConclusionsBy leveraging PLSC, this work deepens our understanding of the functional-metabolic synergy in the healthy brain, providing new insights into its organization. Key PointsO_LIWe identified robust functional-metabolic synergy in the healthy brain using multivariate Partial Least Squares Correlation (PLSC), revealing strong associations between fMRI-derived functional connectivity and glucose metabolism from dynamic [{superscript 1}F]FDG-PET. C_LIO_LIAt the nodal level, glucose delivery (K1) is more strongly linked to FC strength than phosphorylation (k3) or uptake (Ki), especially in fMRI bands enriched with hemodynamic components. C_LIO_LIAt the network level, coupling between metabolic and functional connectivity is strongest in the canonical low-frequency fMRI band, suggesting that integrated metabolic support underpins large-scale functional integration across brain systems. C_LI

neuroscience↗

Precision measurements of brain oxygen utilization with positron emission tomography

Oxygen utilization is important for studies of brain metabolism, alongside other measurements such as for glucose metabolism. Oxygen and other measurements with [15O] tracers and PET, however, are significantly more challenging than measurements of [18F]fluorodeoxyglucose, the standard for probing tissue glucose metabolism in vivo, in part due to the much shorter radioactive half-life of [15O]. This work examines details of precision measurement of [15O] tracers and their kinetics. Investigations of arterial input functions (AIFs) and image-derived input functions (IDIFs) have figured prominently for PET, but [15O] tracers are rarely studied given the small numbers of PET facilities equipped to work with these tracers, particularly in their inhaled form. Estimates of IDIFs and AIFs for [15O] tracers have demonstrably distinct characteristics arising from instrumentation as well as circulatory physiology. To reconcile IDIFs and AIFs, we developed a generalizable model for bolus tracer transport, corrected for known effects of instrumentation for measuring IDIFs and AIFs, and found intravascular [15O]CO to be especially suited for constructing a robust recovery coefficient for IDIFs compared against AIFs. Within a Bayesian framework for posterior estimation and estimating data evidence, IDIFs provide parameter estimates compatible with AIFs in the setting of biological variability. IDIFs also provide data evidence that exceeds that of results from AIFs. These suggest that scalar recovery coefficients may be adequate to estimate partial volume effects, and that the circulatory consistency of internal carotid IDIFs with brain tissue perfusion provides greater precision than what can be estimated using radial artery AIFs, which exhibit greater variability of recirculation wave forms.

bioengineering↗

Aging and the Spectral Properties of Brain Hemodynamics

Cerebral glucose metabolism (CMRGlc) systematically decreases with advancing age. We sought to identify correlates of decreased CMRGlc in the spectral properties of fMRI signals imaged in the task-free state. We analyzed lifespan resting-state fMRI data acquired in 455 healthy adults (ages 18-87 years) and cerebral metabolic data acquired in a separate cohort of 94 healthy adults (ages 25-45 years, 65-85 years). We characterized the spectral properties of the fMRI data in terms of the relative predominance of slow vs. fast activity using the spectral slope (SS) measure. We found that the relative proportion of fast activity increases with advancing age (SS flattening) across most cortical regions. The regional distribution of spectral slope was topographically correlated with CMRGlc in young adults. Notably, whereas most older adults maintained a youthful pattern of SS topography, a distinct subset of older adults significantly diverged from the youthful pattern. This subset of older adults also diverged from the youthful pattern of CMRGlc metabolism. This divergent pattern was associated with T2-weighted signal changes in frontal lobe white matter, an independent marker of small vessel disease. These findings suggest that BOLD signal spectral slope flattening may represent a biomarker of age-associated neurometabolic pathology. Significance StatementAging is associated with a decline in cerebral glucose metabolism (CMRGlc). Here, we identified correlates of CMRGlc in the spectral properties of resting-state fMRI data using spectral slope (SS), which quantifies the relative predominance of slow vs. fast activity. We found that SS flattening with advancing age is most prominent in regions characterized by high CMRGlc in youth. A subset of older adults who diverged from the youthful pattern of SS topography also exhibited evidence of frontal lobe white matter pathology. These findings suggest that the spectral properties of rs-fMRI data provide mechanistic insights into age-related neuropathology. In particular, spectral slope measures may serve as early indicators of age-related neurometabolic decline and potentially identify individuals in whom intervention is indicated.

neuroscience↗

The brain's "dark energy" puzzle upgraded: FDG uptake, delivery and phosphorylation, and their coupling with resting-state brain activity

The brains resting-state energy consumption is expected to be mainly driven by spontaneous activity. In our previous work, we extracted a wide range of features from resting-state fMRI (rs-fMRI), and used them to predict [18F]FDG PET SUVR as a proxy of glucose metabolism. Here, we expanded upon our previous effort by estimating [18F]FDG kinetic parameters according to Sokoloffs model, i.e., Ki (irreversible uptake rate), K1 (delivery), k3 (phosphorylation), in a large healthy control group. The parameters spatial distribution was described at a high spatial resolution. We showed that while K1 is the least redundant, there are relevant differences between Ki and k3 (occipital cortices, cerebellum and thalamus). Using multilevel modeling, we investigated how much of the regional variability of [18F]FDG parameters could be explained by a combination of rs-fMRI variables only, or with the addition of cerebral blood flow (CBF) and metabolic rate of oxygen (CMRO2), estimated from 15O PET data. We found that combining rs-fMRI and CMRO2 led to satisfactory prediction of individual Ki variance (45%). Although more difficult to describe, Ki and k3 were both most sensitive to local rs-fMRI variables, while K1 was sensitive to CMRO2. This work represents the most comprehensive assessment to date of the complex functional and metabolic underpinnings of brain glucose consumption.

neuroscience↗

A new framework for metabolic connectivity mapping using bolus FDG PET and kinetic modelling

PurposeMetabolic connectivity (MC) has been previously proposed as the covariation of static [18F]FDG PET images across participants, which we call across-individual MC (ai-MC). In few cases, MC has also been inferred from dynamic [18F]FDG signals, similarly to fMRI functional connectivity (FC), which we term within-individual MC (wi-MC). The validity and interpretability of both MC approaches is an important open issue. Here we reassess this topic, aiming to 1) develop a novel methodology for wi-MC estimation; 2) compare ai-MC maps obtained using different [18F]FDG parameters (K1, i.e. tracer transport rate, k3, i.e. phosphorylation rate, Ki, i.e. tracer uptake rate, and the standardized uptake value ratio, SUVR); 3) assess the interpretability of ai-MC and wi-MC in comparison to structural and functional connectivity (FC) measures. MethodsWe analyzed dynamic [18F]FDG data from 54 healthy adults using kinetic modelling to quantify the macro- and microparameters describing the tracer behavior (i.e. Ki, K1, k3). We also calculated SUVR. From the across-individual correlation of SUVR, Ki, K1, k3, we obtained four different ai-MC matrices. A new approach based on Euclidean distance was developed to calculate wi-MC from PET time-activity curves. ResultsWe identified Euclidean similarity as the most appropriate metric to calculate wi-MC. ai-MC networks changed with different [18F]FDG parameters (k3 MC vs. SUVR MC, r = 0.44). We found that wi-MC and ai-MC matrices are dissimilar (maximum r = 0.37), and that the match with FC is higher for wi-MC (Dice similarity: 0.47-0.63) than for ai-MC (0.24-0.39). ConclusionOur data demonstrate that individual-level MC from dynamic [18F]FDG data using Euclidean similarity is feasible and yields interpretable matrices that bear similarity to resting-state fMRI FC measures.

bioengineering↗

Brain aerobic glycolysis and resilience in Alzheimer disease

The distribution of brain aerobic glycolysis (AG) in normal young adults correlates spatially with amyloid-beta (A{beta}) deposition in individuals with dementia of the Alzheimer type (DAT) and asymptomatic individuals with brain amyloid deposition. Brain AG decreases with age but the functional significance of this decrease with regard to the development of DAT symptomatology is poorly understood. Using PET measurements of regional blood flow, oxygen consumption and glucose utilization--from which we derive AG--we find that cognitive impairment is strongly associated with loss of the typical youthful pattern of AG. In contrast, amyloid positivity without cognitive impairment was associated with preservation of youthful brain AG, which was even higher than that seen in typical, cognitively unimpaired, amyloid negative adults. Similar findings were not seen for blood flow nor oxygen consumption. Finally, in cognitively unimpaired adults, white matter hyperintensity burden was found to be specifically associated with decreased youthful brain AG. Our results implicate preserved AG as a factor in brain resilience to amyloid pathology and suggest that white matter disease may be a cause and/or consequence of this impaired resilience.

neuroscience↗