Congnitive deficits and associated ERP N400 abnormalities in FXTAS with parkinsonism

Xiao Hong Wang, Jin Chen Yang, Robert Soohoo, Devyn Cotter, Mei Yuan, Jiangyi Xia, Shuja Yaqub, Jesse Doty, Yu Qiong Niu, Flora Tassone, Randi J Hagerman, Lin Zhang, John M Olichney

Research output: Contribution to journalArticle

Abstract

Objective: To examine cognitive deficits and associated brain activity in fragile X-associated tremor/ataxia syndrome (FXTAS) patients with parkinsonism (FXTp+), in relation to FXTAS patients without parkinsonism (FXTp-), and normal elderly controls (NC). Methods: Retrospective reviews were performed in 65 FXTAS patients who participated in the event-related brain potential (ERP) study and also had either a videotaped neurological examination or a neurological examination for extrapyramidal signs. Parkinsonism was defined as having bradykinesia with at least one of the following: rest tremor, postural instability, hypermyotonia, or rigidity. Eleven FXTp+ patients were identified and compared to 11 matched FXTp- and 11 NC. Main ERP measures included the N400 congruity effect, N400 repetition effect, and the late positive component (LPC) repetition effect. Results: When compared with FXTp- and NC, the FXTp+ group showed more severe deficits in executive function, cued-recall, recognition memory, along with a significantly reduced N400 repetition effect (thought to index semantic processing and verbal learning/memory) which was correlated with poorer verbal memory. Across all patients, FMR1 mRNA levels were inversely correlated with delayed recall on the California Verbal Learning Test (CVLT). Interpretation: The findings of more prominent executive dysfunction and verbal learning/memory deficits in FXTp+ than FXTp- are consistent with findings in Parkinson's disease (PD), and may indicate that concomitant and/or synergistic pathogenetic mechanisms associated with PD play a role in FXTAS. These results have implications not only for understanding the cognitive impairments associated with the parkinsonism subtype of FXTAS, but also for the development of new interventions for these patients.

Original languageEnglish (US)
Article number327
JournalFrontiers in Genetics
Volume9
Issue numberSEP
DOIs
StatePublished - Sep 18 2018

Fingerprint

Parkinsonian Disorders
Evoked Potentials
Verbal Learning
Brain
Neurologic Examination
Parkinson Disease
Muscle Hypertonia
Hypokinesia
Executive Function
Memory Disorders
Tremor
Semantics
Fragile X Tremor Ataxia Syndrome
Control Groups
Messenger RNA

Keywords

  • Cognition
  • Event-related potential (ERP)
  • FMR1 premutation
  • Parkinsonism
  • Semantic processing

ASJC Scopus subject areas

  • Molecular Medicine
  • Genetics
  • Genetics(clinical)

Cite this

Congnitive deficits and associated ERP N400 abnormalities in FXTAS with parkinsonism. / Wang, Xiao Hong; Yang, Jin Chen; Soohoo, Robert; Cotter, Devyn; Yuan, Mei; Xia, Jiangyi; Yaqub, Shuja; Doty, Jesse; Niu, Yu Qiong; Tassone, Flora; Hagerman, Randi J; Zhang, Lin; Olichney, John M.

In: Frontiers in Genetics, Vol. 9, No. SEP, 327, 18.09.2018.

Research output: Contribution to journalArticle

Wang, Xiao Hong ; Yang, Jin Chen ; Soohoo, Robert ; Cotter, Devyn ; Yuan, Mei ; Xia, Jiangyi ; Yaqub, Shuja ; Doty, Jesse ; Niu, Yu Qiong ; Tassone, Flora ; Hagerman, Randi J ; Zhang, Lin ; Olichney, John M. / Congnitive deficits and associated ERP N400 abnormalities in FXTAS with parkinsonism. In: Frontiers in Genetics. 2018 ; Vol. 9, No. SEP.
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T1 - Congnitive deficits and associated ERP N400 abnormalities in FXTAS with parkinsonism

AU - Wang, Xiao Hong

AU - Yang, Jin Chen

AU - Soohoo, Robert

AU - Cotter, Devyn

AU - Yuan, Mei

AU - Xia, Jiangyi

AU - Yaqub, Shuja

AU - Doty, Jesse

AU - Niu, Yu Qiong

AU - Tassone, Flora

AU - Hagerman, Randi J

AU - Zhang, Lin

AU - Olichney, John M

PY - 2018/9/18

Y1 - 2018/9/18

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AB - Objective: To examine cognitive deficits and associated brain activity in fragile X-associated tremor/ataxia syndrome (FXTAS) patients with parkinsonism (FXTp+), in relation to FXTAS patients without parkinsonism (FXTp-), and normal elderly controls (NC). Methods: Retrospective reviews were performed in 65 FXTAS patients who participated in the event-related brain potential (ERP) study and also had either a videotaped neurological examination or a neurological examination for extrapyramidal signs. Parkinsonism was defined as having bradykinesia with at least one of the following: rest tremor, postural instability, hypermyotonia, or rigidity. Eleven FXTp+ patients were identified and compared to 11 matched FXTp- and 11 NC. Main ERP measures included the N400 congruity effect, N400 repetition effect, and the late positive component (LPC) repetition effect. Results: When compared with FXTp- and NC, the FXTp+ group showed more severe deficits in executive function, cued-recall, recognition memory, along with a significantly reduced N400 repetition effect (thought to index semantic processing and verbal learning/memory) which was correlated with poorer verbal memory. Across all patients, FMR1 mRNA levels were inversely correlated with delayed recall on the California Verbal Learning Test (CVLT). Interpretation: The findings of more prominent executive dysfunction and verbal learning/memory deficits in FXTp+ than FXTp- are consistent with findings in Parkinson's disease (PD), and may indicate that concomitant and/or synergistic pathogenetic mechanisms associated with PD play a role in FXTAS. These results have implications not only for understanding the cognitive impairments associated with the parkinsonism subtype of FXTAS, but also for the development of new interventions for these patients.

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KW - Event-related potential (ERP)

KW - FMR1 premutation

KW - Parkinsonism

KW - Semantic processing

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