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. 2023 Jan:121:1-14.
doi: 10.1016/j.neurobiolaging.2022.09.006. Epub 2022 Sep 22.

Cerebral blood flow predicts multiple demand network activity and fluid intelligence across the adult lifespan

Affiliations

Cerebral blood flow predicts multiple demand network activity and fluid intelligence across the adult lifespan

Shuyi Wu et al. Neurobiol Aging. 2023 Jan.

Abstract

The preservation of cognitive function in old age is a public health priority. Cerebral hypoperfusion is a hallmark of dementia but its impact on maintaining cognitive ability across the lifespan is less clear. We investigated the relationship between baseline cerebral blood flow (CBF) and blood oxygenation level-dependent (BOLD) response during a fluid reasoning task in a population-based adult lifespan cohort. As age differences in CBF could lead to non-neuronal contributions to the BOLD signal, we introduced commonality analysis to neuroimaging to dissociate performance-related CBF effects from the physiological confounding effects of CBF on the BOLD response. Accounting for CBF, we confirmed that performance- and age-related differences in BOLD responses in the multiple-demand network were implicated in fluid reasoning. Age differences in CBF explained not only performance-related BOLD responses but also performance-independent BOLD responses. Our results suggest that CBF is important for maintaining cognitive function, while its non-neuronal contributions to BOLD signals reflect an age-related confound. Maintaining perfusion into old age may serve to support brain function and preserve cognitive performance.

Keywords: Ageing; Cerebral blood flow; Commonality analysis; Functional magnetic resonance imaging (fMRI); Multiple demand network.

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Conflict of interest statement

Competing Interests statement

J.B.R. serves as an associate editor to Brain and is a non- remunerated trustee of the Guarantors of Brain, Darwin College Cambridge, and the PSP Association (UK). He has provided consultancy to Asceneuron, Biogen, UCB and has research grants from AZ-Medimmune, Janssen, Lilly and WAVE as industry partners in the Dementias Platform UK. The other authors have no disclosures.

Figures

Figure 1
Figure 1
Schematic represenation of various modality datasets in the study, their processing pipelines on a within-subject level, and analytical strategy on between-subject level to test for uniuque and common effects of performance, CBF and age on Cattell task activity. P, performance; A, age; V, vascular; CBF – cerebral blood flow; Covs – covariates of no interest; U – union.
Figure 2
Figure 2
Experimental design and performance on the fMRI Cattell task. (a) The task consisted of eight 30-second blocks with two difficulties (Easy and Hard). In each trial (each row in grey and green panels), participants selected the odd-one-out of four patterns by pressing a corresponding button with one of their fingers (green and red button presses for correct and incorrect responses, respectively). (b) scatter plots of the relationship between performance on fMRI Cattell task and age (left panel) and performance on the standard Cattell task, where participants age is colour coded using yellow-purple gradient palette (right panel).
Figure 3
Figure 3
Main and age effects on task-based activity and cerebral blood flow (CBF) maps. (a) Main effects of BOLD activity in response to Hard vs Easy blocks with over- and underactivations shown in warm and cold colours, respectively. (b) Age-related decreases (cold colours) and increases (warm colours) in Cattell task. (c) Main effect of baseline CBF across all participants. Note the use of ‘relative CBF’, i.e. ‘unquantified CBF’ in our study. (d) Age-related decreases (cold colours) and increases (warm colours) in baseline CBF. Slices are numbered by z level in Montreal Neurological Institute (MNI) space.
Figure 4
Figure 4
Unique effects in commonality analysis. (top panel) Age-related decreases (cold colours) and increases (warm colours) using TFCE-correction. (middle panel) Performance-related decreases (cold colours) and increases (warm colours) using TFCE-correction. (bottom panel) CBF-related decreases (cold colours) and increases (warm colours) in Cattell task are shown at uncorrected p-values of 0.05 for more complete description of the spatial representation. Slices are numbered by z level in Montreal Neurological Institute (MNI) space.
Figure 5
Figure 5
Common Effects in commonality analysis. Positive and negative common effects between age and performance are shown in cyan and dark blue colours, respectively. Common effects between age and baseline CBF are shown in orange colour. Common effects between age, performance and CBF are shown in black colour. P – performance, A – age, V – vascular, CBF. Slices are numbered by z level in Montreal Neurological Institute (MNI) space.

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