White Matter Lesions: Pathological Analysis and Prognosis

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Neurobiology and Clinical Neuroscience".

Deadline for manuscript submissions: closed (31 March 2024) | Viewed by 764

Special Issue Editors


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Guest Editor
Department of Neurology, School of Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece
Interests: cognition; advanced neuroimaging techniques; volumetry; diffusion tensor imaging; functional MRI; brain-behavior relationship; neuropsychological assessment

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Guest Editor
Department of Neurology, School of Medicine, University Hospital of Alexandroupolis, Democritus University of Thrace, 68100 Alexandroupolis, Greece
Interests: epilepsy; clinical neurophysiology; stroke; neuromuscular disorders
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Special Issue Information

Dear Colleagues,

White matter (WM) contains neural networks shaped by bundles of axons to mediate fundamental connectivity between different cortical and subcortical regions that are important for several aspects of our behavior. White matter lesions (WMLs) constitute areas of abnormal myelination that can result from several causes, including vascular and non-vascular causes. Vascular causes include small vessel disease, atherosclerosis, migraine, amyloid angiopathy, vasculitis, etc. On the other hand, non-vascular causes may be inflammatory, infectious, toxic, metabolic, neoplastic, traumatic, or genetic. The pathophysiology, management, and prognosis of WMLs depend on the etiology of the lesions. Severe white matter lesions are associated with cognitive decline, functional impairment, mood disorders, gait and balance dysfunction, as well as an increased risk for comorbidities (e.g., cerebrovascular accidents). They are also associated with grey matter atrophy and accelerate neurodegeneration. A multidisciplinary clinical and research approach is therefore crucial for the management of patients with white matter lesions. This Special Issue aims to cover the newest advancements in the field of WMLs, and invites authors to contribute original studies and reviews regarding blood and cerebrospinal fluid, cellular, molecular, neuroimaging and neurophysiological biomarkers that depict the underlying mechanisms of disease, provide insight into the pathogenesis of functional deficits, as well as compensatory mechanisms on a microstructural level, assess corticospinal tract integrity and brain connectivity and characterize WML recovery mechanisms for various deficits, including motor, language, and cognition deficits. Other types of advanced data analytics techniques that attempt to construct WML prognosis algorithms are also welcome.

Dr. Foteini Christidi
Dr. Dimitrios Tsiptsios
Guest Editors

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Keywords

  • white matter lesions
  • normal-appearing white matter
  • white matter hyperintensities
  • leukoaraiosis
  • white matter injury
  • neuroimaging
  • Fazekas scale
  • lesion volume
  • voxel-based lesion symptom mapping

Published Papers (1 paper)

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Research

12 pages, 934 KiB  
Article
Essential Nutrients and White Matter Hyperintensities: A Two-Sample Mendelian Randomization Study
by Zhengrui Wang, Kailin Xia, Jiayi Li, Yanru Liu, Yumou Zhou, Linjing Zhang, Lu Tang, Xiangzhu Zeng, Dongsheng Fan and Qiong Yang
Biomedicines 2024, 12(4), 810; https://doi.org/10.3390/biomedicines12040810 - 06 Apr 2024
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Abstract
Stroke and dementia have been linked to the appearance of white matter hyperintensities (WMHs). Meanwhile, diffusion tensor imaging (DTI) might capture the microstructural change in white matter early. Specific dietary interventions may help to reduce the risk of WMHs. However, research on the [...] Read more.
Stroke and dementia have been linked to the appearance of white matter hyperintensities (WMHs). Meanwhile, diffusion tensor imaging (DTI) might capture the microstructural change in white matter early. Specific dietary interventions may help to reduce the risk of WMHs. However, research on the relationship between specific nutrients and white matter changes is still lacking. We aimed to investigate the causal effects of essential nutrients (amino acids, fatty acids, mineral elements, and vitamins) on WMHs and DTI measures, including fraction anisotropy (FA) and mean diffusivity (MD), by a Mendelian randomization analysis. We selected single nucleotide polymorphisms (SNPs) associated with each nutrient as instrumental variables to assess the causal effects of nutrient-related exposures on WMHs, FA, and MD. The outcome was from a recently published large-scale European Genome Wide Association Studies pooled dataset, including WMHs (N = 18,381), FA (N = 17,663), and MD (N = 17,467) data. We used the inverse variance weighting (IVW) method as the primary method, and sensitivity analyses were conducted using the simple median, weighted median, and MR-Egger methods. Genetically predicted serum calcium level was positively associated with WMHs risk, with an 8.1% increase in WMHs risk per standard deviation unit increase in calcium concentration (OR = 1.081, 95% CI = 1.006–1.161, p = 0.035). The plasma linoleic acid level was negatively associated with FA (OR = 0.776, 95% CI = 0.616–0.978, p = 0.032). Our study demonstrated that genetically predicted calcium was a potential risk factor for WMHs, and linoleic acid may be negatively associated with FA, providing evidence for interventions from the perspective of gene-environment interactions. Full article
(This article belongs to the Special Issue White Matter Lesions: Pathological Analysis and Prognosis)
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