Diabetes-related clinical and microstructural white matter changes in patients with Alzheimer's disease

dc.authorid0000-0002-2306-5937
dc.contributor.authorSümbül Şekerci, Betül
dc.contributor.authorVelioğlu, Halil Aziz
dc.contributor.authorŞekerci, Abdüsselam
dc.date.accessioned2024-05-30T08:58:47Z
dc.date.available2024-05-30T08:58:47Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Sinirbilim Ana Bilim Dalı
dc.description.abstractAim: Although there exists substantial epidemiological evidence indicating an elevated risk of dementia in individuals with diabetes, our understanding of the neuropathological underpinnings of the association between Type-2 diabetes mellitus (T2DM) and Alzheimer's disease (AD) remains unclear. This study aims to unveil the microstructural brain changes associated with T2DM in AD and identify the clinical variables contributing to these changes. Methods: In this retrospective study involving 64 patients with AD, 31 individuals had concurrent T2DM. The study involved a comparative analysis of diffusion tensor imaging (DTI) images and clinical features between patients with and without T2DM. The FSL FMRIB software library was used for comprehensive preprocessing and tractography analysis of DTI data. After eddy current correction, the “bedpost” model was utilized to model diffusion parameters. Linear regression analysis with a stepwise method was used to predict the clinical variables that could lead to microstructural white matter changes. Results: We observed a significant impairment in the left superior longitudinal fasciculus (SLF) among patients with AD who also had T2DM. This impairment in patients with AD and T2DM was associated with an elevation in creatine levels. Conclusion: The white matter microstructure in the left SLF appears to be sensitive to the impairment of kidney function associated with T2DM in patients with AD. The emergence of AD in association with T2DM may be driven by mechanisms distinct from the typical AD pathology. Compromised renal function in AD could potentially contribute to impaired white matter integrity.
dc.identifier.citationSümbül Şekerci, B., Velioğlu, H. A. ve Şekerci, A. (2024). Diabetes-related clinical and microstructural white matter changes in patients with Alzheimer's disease. Brain and Behavior, 14(5). http://dx.doi.org/10.1002/brb3.3533
dc.identifier.doi10.1002/brb3.3533
dc.identifier.issn2162-3279
dc.identifier.issue5
dc.identifier.pmid38715429
dc.identifier.scopus2-s2.0-85192367088
dc.identifier.scopusqualityQ2
dc.identifier.urihttp://dx.doi.org/10.1002/brb3.3533
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12540
dc.identifier.volume14
dc.identifier.wos001215303100001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorVelioğlu, Halil Aziz
dc.language.isoen
dc.relation.ispartofBrain and Behavioren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectAlzheimer's Disease
dc.subjectCognitive Impairment
dc.subjectDiabetes
dc.subjectDiffusion Tensor Imaging
dc.subjectNephropathy
dc.titleDiabetes-related clinical and microstructural white matter changes in patients with Alzheimer's disease
dc.typeArticle

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