Altered mismatch response of inferior parietal lobule in amnestic mild cognitive impairment: A magnetoencephalographic study

• Published in: CNS neuroscience & therapeutics 2021-10, Vol.27 (10), p.1136-1145
• Main Authors: Chen, Pin‐Yu, Hsu, Hui‐Yun, Chao, Yi‐Ping, Nouchi, Rui, Wang, Pei‐Ning, Cheng, Chia‐Hsiung
• Format: Article
• Language: English
• Subjects: Activities of daily living; Aged; Alzheimer's disease; Amnesia - diagnostic imaging; Amnesia - psychology; amnestic mild cognitive impairment (aMCI); Attention; Auditory discrimination; Biomarkers; Brain - diagnostic imaging; Cognitive ability; Cognitive Dysfunction - physiopathology; Dementia; Female; Frontal gyrus; Hearing; Humans; Image Processing, Computer-Assisted; inferior parietal lobule (IPL); Magnetoencephalography; magnetoencephalography (MEG); Male; Males; Memory; Mismatch negativity; mismatch negativity (MMN); Neuropsychological Tests; Neuropsychology; Original; Parietal Lobe - physiopathology; Patients; Psychomotor Performance; ROC Curve; Superior temporal gyrus; Temporal gyrus; Verbal Learning; Wechsler Scales
• ISSN: 1755-5930; 1755-5949
• DOI: 10.1111/cns.13691

Background Mismatch negativity (MMN) reflects the functional integrity of sensory memory function. With the advantages of independence of individual's focused attention and behavioral cooperation, this neurophysiological signal is particularly suitable for investigating elderly with cognitive decline such as amnestic mild cognitive impairment (aMCI). However, the existing results remain substantially inconsistent whether these patients show deficits of MMN. In order to reconcile the previous disputes, the present study used magnetoencephalography combined with distributed source imaging methods to determine the source‐level magnetic mismatch negativity (MMNm) in aMCI. Methods A total of 26 healthy controls (HC) and 26 patients with aMCI underwent an auditory oddball paradigm during the MEG recordings. MMNm amplitudes and latencies in the bilateral superior temporal gyrus, inferior frontal gyrus, and inferior parietal lobule (IPL) were compared between HC and aMCI groups. The correlations of MMNm responses with performance of auditory/verbal memory tests were examined. Finally, MMNm and its combination with verbal/auditory memory tests were submitted to receiver operating characteristic (ROC) curve analysis. Results Compared to HC, patients with aMCI showed significantly delayed MMNm latencies in the IPL. Among the patients with aMCI, longer MMNm latencies of left IPL were associated with lower scores of Chinese Version Verbal Learning Test (CVVLT). The ROC curve analysis revealed that the combination of MMNm latencies of left IPL and CVVLT scores yielded a moderate accuracy in the discrimination of aMCI from HC at an individual level. Conclusions Our data suggest dysfunctional MMNm in patients with aMCI, particularly in the IPL. This study uses MEG to compare source‐level magnetic mismatch negativity (MMNm) in healthy elderly and patients with amnestic mild cognitive impairment (aMCI). Patients with aMCI show MMNm prolongation in the inferior parietal lobule, and such a deficit correlates with poorer verbal learning test.