Volumetric measures obtained with analysis of high-definition 3D structural MRI images capture neuroanatomical variability which may be associated with long-standing traits or may help explain why certain brain areas or individuals are vulnerable to neurodegenerative processes. This last year, I applied a data reduction technique called group-level independent component analysis (ICA) to structural MRI images to uncover patterns of structural covariance (Independent Components). We applied ICA to MRI data collected in the ADNI study and examined how they can discriminate between participants with normal cognition, mild cognitive impairment (MCI) and Alzheimer's disease (AD). We showed that ICs can be useful as classifiers and predictors of future AD diagnosis or conversion to AD from MCI (the manuscript was published in Psychiatry Research: Neuroimaging). In addition, given the association between insulin resistance and Alzheimer's disease, we examined how volumetric and FDG-PET uptake measures for several key regions of interest for AD relate to peripheral insulin resistance. We found that insulin resistance promotes two abnormal and pathogenic compensations: it increases glucose metabolism in the hippocampus and medial temporal lobe at the stage of mild cognitive impairment and increases glucose metabolism in default mode network nodes at the stage of AD. Prior fMRI studies suggest that these compensatory increases in metabolism are associated with disease progression; therefore, insulin resistance seems to promote a maladaptive compensation. The manuscript was published in the journal Diabetes. Together with a post-doctoral fellow I mentor, Dr. Auriel Willette, we conducted a systematic review of neuroimaging studies looking at associations of obesity and brain volume across the age-span. We found that increased obesity is associated with atrophy mainly in the frontal lobes. Our review was published by the journal Aging Research Reviews. Finally, in collaboration with Drs. Chia and Egan, we completed the RISE study, a multi-faceted randomized placebo-controlled cross-over clinical study of the effects of a CB1 receptor agonist and antagonist on peripheral metabolism, brain function and brain metabolic control. The study included a robust neuroimaging component including fMRI and MRS. We performed two activation-paradigm fMRI studies, one to discover brain correlates of cephalic insulin secretion and the effects of CB1 receptors, the second to assess the effects of CB1 receptors on food appetitiveness. The goal of the first study was to demonstrate a rise in insulin levels in response to food visual stimuli (cephalic insulin response) as a result of activation of certain brain areas (insula, anterior cingulate, hypothalamus, ventral tegmental area, etc). Moreover, given the presence of CB1 receptors in the candidate areas, we aimed to demonstrate a difference in their level of activation with CB1 agonists and antagonists. The goal of the second study was to demonstrate dissociable effects of CB1 receptor stimulation on food value (food choices) and salience (intensity of such choices). In addition, we performed a resting fMRI study to assess CB1 modulation of functional connectivity of the various brain networks. Finally, we performed MRS to assess CB1 modulation of brain metabolism (glucose, lactate) and neurotransmission (glutamate, GABA, glycine). We are currently in the process of analyzing and interpreting the data from these studies.
| Mullins, Roger; Reiter, David; Kapogiannis, Dimitrios (2018) Magnetic resonance spectroscopy reveals abnormalities of glucose metabolism in the Alzheimer's brain. Ann Clin Transl Neurol 5:262-272 |
| Mullins, Roger J; Diehl, Thomas C; Chia, Chee W et al. (2017) Insulin Resistance as a Link between Amyloid-Beta and Tau Pathologies in Alzheimer's Disease. Front Aging Neurosci 9:118 |
| Willette, Auriel A; Modanlo, Nina; Kapogiannis, Dimitrios et al. (2015) Insulin resistance predicts medial temporal hypermetabolism in mild cognitive impairment conversion to Alzheimer disease. Diabetes 64:1933-40 |
| Willette, Auriel A; Kapogiannis, Dimitrios (2015) Does the brain shrink as the waist expands? Ageing Res Rev 20:86-97 |
| Kapogiannis, Dimitrios; Deshpande, Gopikrishna; Krueger, Frank et al. (2014) Brain networks shaping religious belief. Brain Connect 4:70-9 |
| Willette, Auriel A; Calhoun, Vince D; Egan, Josephine M et al. (2014) Prognostic classification of mild cognitive impairment and Alzheimer's disease: MRI independent component analysis. Psychiatry Res 224:81-8 |
| Kapogiannis, Dimitrios; Reiter, David A; Willette, Auriel A et al. (2013) Posteromedial cortex glutamate and GABA predict intrinsic functional connectivity of the default mode network. Neuroimage 64:112-9 |
| Kapogiannis, Dimitrios; Sutin, Angelina; Davatzikos, Christos et al. (2013) The five factors of personality and regional cortical variability in the Baltimore longitudinal study of aging. Hum Brain Mapp 34:2829-40 |
| Kapogiannis, Dimitrios; Kisser, Jason; Davatzikos, Christos et al. (2012) Alcohol consumption and premotor corpus callosum in older adults. Eur Neuropsychopharmacol 22:704-10 |
| Makrogiannis, Sokratis; Ramachandran, Ramona; Fishbein, Kenneth W et al. (2011) Towards segmentation of the thymus in fat and water parametric MR images. Conf Proc IEEE Eng Med Biol Soc 2011:8078-81 |
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