Exploring the Altered Brain Activity in Patients With Diabetic Osteoporosis

Published on May 6, 2022

Imagine your brain as a bustling city, with different regions representing different neighborhoods. In this study, scientists delved into the neighborhoods of patients with diabetic osteoporosis to understand how their cognitive abilities are affected. Using advanced brain imaging techniques, they found increased spontaneous activity in various brain regions of these patients, including the middle temporal gyrus, occipital gyrus, parietal lobule, angular gyrus, and precuneus. These changes suggest that osteoporosis worsens cognitive impairment and causes brain damage in patients with diabetes. Interestingly, they also discovered correlations between the altered brain activity and bone health markers such as bone mineral density and osteocalcin level. This insight could help track the progression of cognitive impairment in these patients. To learn more about this intriguing study and its implications for understanding the connection between diabetes, osteoporosis, and cognitive function, dive into the full article!

BackgroundThe pathophysiological mechanism of cognitive impairment by osteoporosis in type 2 diabetes mellitus (T2DM) remains unclear. This study aims to further investigate the regional spontaneous brain activity changes of patients with diabetic osteoporosis (DOP), and the correlation between abnormal brain regions and bone metabolites.MethodsA total of 29 subjects with T2DM were recruited, including fourteen patients with DOP and thirteen patients without osteoporosis (Control group). Based on the resting-state functional magnetic resonance imaging (rs-fMRI) datasets acquired from all the subjects, a two-sample t-test was performed on individual normalized regional homogeneity (ReHo) maps. Spearman correlation analysis was performed between the abnormal ReHo regions with the clinical parameters and Montreal Cognitive Assessment (MOCA) scores.ResultsIn the DOP group, we demonstrated the significantly increased ReHo values in the left middle temporal gyrus (MTG), right superior occipital gyrus (SOG), aright superior parietal lobule (SPL), right angular gyrus (AG), and left precuneus (PE). Additionally, we also found a significant positive correlation between increased ReHo values in the left MTG and the average bone mineral density (BMD AVG), and average T scores (T AVG). The ReHo values of the right SOG and right SPL showed a negative correlation with MOCA scores, as well as a negative correlation between increased ReHo values in the right SPL and osteocalcin (OC) level.ConclusionPatients with DOP showed increased spontaneous activity in multiple brain regions. The results indicated that osteoporosis exacerbated cognitive impairment and brain damage. Also, the OC might be considered as a bone marker to track the progression of cognitive impairment.

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