Lupus & antiphospholipid syndrome

Altered structural and functional homotopic connectivity associated with cognitive changes in SLE

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

The structural and functional changes of insula and parahippocampal gyrus might be potential neuroimaging markers, and specific antibodies associated with lupus might be involved in the pathophysiological mechanisms of brain dysfunction.

Study context

Population
Patients with SLE and age- and sex-matched healthy controls (HCs) undergoing MRI and neuropsychological testing
Participants
54 vs 32
Exposure
SLE vs age- and sex-matched HCs
  • SLEn = 54
  • HCsn = 32reference
Outcome
VMHC values and grey matter volume between hemispheres
Methodological detailsage-matched and sex-matched healthy controls, voxel-mirrored homotopic connectivity (VMHC), correlation analysis
  • Age-matched and sex-matched healthy controls
  • Voxel-mirrored homotopic connectivity (VMHC)
  • Correlation analysis

Main finding

As reported in the abstract

  • SLE vs HCs: increased VMHC values in the insula and parahippocampal gyrus
  • SLE vs HCs: reduced grey matter volume in the insula and parahippocampal gyrus

Observational data: associations, not effects.

Further findings

Correlations with cognition and lupus-specific antibodies in SLE

Increased insula VMHC negatively correlated with decreased orientation function and positively correlated with decreased attention function
Insula grey matter volume negatively correlated with decreased attention and abstraction
VMHC values and grey matter volume in insula and parahippocampal gyrus negatively associated with lupus-specific antibodies

Original publication

Altered structural and functional homotopic connectivity associated with cognitive changes in SLE. Lupus Sci Med. Published 24 November 2024. doi:10.1136/lupus-2024-001307

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