Resting-state functional MRI signal fluctuations are correlated with brain amyloid-β deposition

Abstract

AbstractMounting evidence suggests that amyloid-β (Aβ) and vascular etiologies are intertwined in the pathogenesis of Alzheimer’s disease. Spontaneous fluctuations of the brain blood-oxygen-level-dependent (BOLD) signal, as measured by resting-state functional MRI (rs-fMRI), have been shown to be associated with neuronal activities as well as cerebrovascular hemodynamics. Nevertheless, it is unclear if rs-fMRI BOLD fluctuations are associated with brain Aβ deposition in individuals with an elevated risk of Alzheimer’s disease.We recruited 33 patients with amnestic mild cognitive impairment who underwent rs-fMRI and positron emission tomography (PET). The Aβ standardized uptake value ratio (SUVR) was calculated with cortical white matter as the reference region to improve sensitivity for cortical Aβ quantification. We calculated the amplitudes of low-frequency fluctuations (ALFF) of local BOLD signals in the frequency band of 0.01-0.08 Hz. Applying physiological/vascular signal regression in stepwise increasing levels on the rs-fMRI data, we examined whether local correlations between ALFF and brain Aβ deposition were driven by vascular hemodynamics, spontaneous neuronal activities, or both.We found that ALFF and Aβ SUVR were negatively correlated in brain regions involving the default-mode and visual networks, with peak correlation at the precuneus, and angular, lingual, and fusiform gyri. Regions with higher ALFF had less Aβ accumulation. The correlated cluster sizes in MNI space were reduced from 3018 mm3 with no physiological/vascular regression to 1072 mm3 with strong physiological/vascular regression, with mean cluster r values at approximately -0.47.Results demonstrate that both vascular hemodynamics and neuronal activities, as reflected by BOLD fluctuations, are negatively associated with brain Aβ deposition. These findings further imply that local brain blood fluctuations due to either vascular hemodynamics or neuronal activities can affect Aβ homeostasis.