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research article

Functional dynamic network connectivity differentiates biological patterns in the Alzheimer's disease continuum

Pini, Lorenzo
•
Brusini, Lorenza
•
Griffa, Alessandra  
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May 1, 2025
Neurobiology Of Disease

Alzheimer's disease (AD) can be conceptualized as a network-based syndrome. Network alterations are linked to the molecular hallmarks of AD, involving amyloid-beta and tau accumulation, and consecutively neurodegeneration. By combining molecular and resting-state functional magnetic resonance imaging, we assessed whether different biological patterns of AD identified through a data-driven approach matched specific abnormalities in brain dynamic connectivity. We identified three main patient clusters. The first group displayed mild pathological alterations. The second cluster exhibited typical behavioral impairment alongside AD pathology. The third cluster demonstrated similar behavioral impairment but with a divergent tau (low) and neurodegeneration (high) profile. Univariate and multivariate analyses revealed two connectivity patterns encompassing the default mode network and the occipito-temporal cortex, linked respectively with typical and atypical patterns. These results support the key association between macro-scale and molecular alterations. Dynamic connectivity markers can assist in identifying patients with AD-like clinical profiles but with different underlying pathologies.

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Type
research article
DOI
10.1016/j.nbd.2025.106866
Web of Science ID

WOS:001447930000001

PubMed ID

40081429

Author(s)
Pini, Lorenzo

University of Padua

Brusini, Lorenza

University of Verona

Griffa, Alessandra  

École Polytechnique Fédérale de Lausanne

Cruciani, Federica

University of Verona

Allali, Gilles

University of Lausanne

Frisoni, Giovanni B.

University of Geneva

Corbetta, Maurizio

Veneto Institute Molecular Medicine

Menegaz, Gloria

University of Verona

Galazzo, Ilaria Boscolo

University of Verona

Corporate authors
Alzheimers Dis Neuroimaging Initiative
Date Issued

2025-05-01

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE

Published in
Neurobiology Of Disease
Volume

208

Article Number

106866

Subjects

Dynamic connectivity

•

Molecular pathology

•

Brain networks

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
MIPLAB  
FunderFunding(s)Grant NumberGrant URL

Visionary Nature Based Actions For Heath, Wellbeing & Resilience in Cities (VARCITIES)

Horizon

2020-SC5-2019-2;869505

Ministry of Health, Italy

RF-2019-12369300

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Available on Infoscience
April 8, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/248908
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