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Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration

Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using...

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Published in:Communications biology 2024-06, Vol.7 (1), p.741-11
Main Authors: Le Stanc, Lorna, Lunven, Marine, Giavazzi, Maria, Sliwinski, Agnès, Youssov, Katia, Bachoud-Lévi, Anne-Catherine, Jacquemot, Charlotte
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creator Le Stanc, Lorna
Lunven, Marine
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Sliwinski, Agnès
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Bachoud-Lévi, Anne-Catherine
Jacquemot, Charlotte
description Cognitive reserve is the ability to actively cope with brain deterioration and delay cognitive decline in neurodegenerative diseases. It operates by optimizing performance through differential recruitment of brain networks or alternative cognitive strategies. We investigated cognitive reserve using Huntington’s disease (HD) as a genetic model of neurodegeneration to compare premanifest HD, manifest HD, and controls. Contrary to manifest HD, premanifest HD behave as controls despite neurodegeneration. By decomposing the cognitive processes underlying decision making, drift diffusion models revealed a response profile that differs progressively from controls to premanifest and manifest HD. Here, we show that cognitive reserve in premanifest HD is supported by an increased rate of evidence accumulation compensating for the abnormal increase in the amount of evidence needed to make a decision. This higher rate is associated with left superior parietal and hippocampal hypertrophy, and exhibits a bell shape over the course of disease progression, characteristic of compensation. A study of cognitive reserve in neurodegenerative disease combining drift diffusion models with MRI highlights a reorganization of decision-making processes correlated to left parietal and hippocampal hypertrophy.
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subjects 631/378/2649
631/378/3920
692/617/375/1558
692/617/375/365
Adult
Biomedical and Life Sciences
Cognitive ability
Cognitive Reserve
Cognitive science
Decision Making
Disease
Drift
Female
Hippocampus
Hippocampus - pathology
Hippocampus - physiopathology
Humans
Huntington Disease - genetics
Huntington Disease - pathology
Huntington Disease - physiopathology
Huntington Disease - psychology
Huntington's disease
Huntingtons disease
Hypertrophy
Life Sciences
Male
Middle Aged
Neurodegeneration
Neurodegenerative diseases
Neurodegenerative Diseases - pathology
Neurodegenerative Diseases - physiopathology
Parietal Lobe - pathology
Parietal Lobe - physiopathology
title Cognitive reserve involves decision making and is associated with left parietal and hippocampal hypertrophy in neurodegeneration
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