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Lifelong bilingualism and mechanisms of neuroprotection in Alzheimer dementia. ...
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Lifelong bilingualism and mechanisms of neuroprotection in Alzheimer dementia.
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Sala, Arianna; Malpetti, Maura; Farsad, Mohsen; Lubian, Francesca; Magnani, Giuseppe; Frasca Polara, Giulia; Epiney, Jean-Benoit; Abutalebi, Jubin; Assal, Frédéric; Garibotto, Valentina; Perani, Daniela. - : Wiley, 2021. : Hum Brain Mapp, 2021
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Abstract:
Lifelong bilingualism is associated with delayed dementia onset, suggesting a protective effect on the brain. Here, we aim to study the effects of lifelong bilingualism as a dichotomous and continuous phenomenon, on brain metabolism and connectivity in individuals with Alzheimer's dementia. Ninety-eight patients with Alzheimer's dementia (56 monolinguals; 42 bilinguals) from three centers entered the study. All underwent an [18F]-fluorodeoxyglucose positron emission tomography (PET) imaging session. A language background questionnaire measured the level of language use for conversation and reading. Severity of brain hypometabolism and strength of connectivity of the major neurocognitive networks was compared across monolingual and bilingual individuals, and tested against the frequency of second language life-long usage. Age, years of education, and MMSE score were included in all above mentioned analyses as nuisance covariates. Cerebral hypometabolism was more severe in bilingual compared to monolingual patients; severity of hypometabolism positively correlated with the degree of second language use. The metabolic connectivity analyses showed increased connectivity in the executive, language, and anterior default mode networks in bilingual compared to monolingual patients. The change in neuronal connectivity was stronger in subjects with higher second language use. All effects were most pronounced in the left cerebral hemisphere. The neuroprotective effects of lifelong bilingualism act both against neurodegenerative processes and through the modulation of brain networks connectivity. These findings highlight the relevance of lifelong bilingualism in brain reserve and compensation, supporting bilingual education and social interventions aimed at usage, and maintenance of two or more languages, including dialects, especially crucial in the elderly people.
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Keyword:
Alzheimer disease; default mode network; fluorodeoxyglucose F18; multilingualism; positron‐emission tomography; RESEARCH ARTICLE; RESEARCH ARTICLES
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URL: https://doi.org/10.17863/CAM.77664 https://www.repository.cam.ac.uk/handle/1810/330222
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Speech production differences in English and Italian speakers with nonfluent variant PPA
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In: Neurology (2020)
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The clinico-metabolic correlates of language impairment in corticobasal syndrome and progressive supranuclear palsy
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In: ISSN: 2213-1582 ; NeuroImage: Clinical (2019) P. 102009 (2019)
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Northwestern Anagram Test-Italian (Nat-I) for primary progressive aphasia
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In: Cortex (2019)
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Prevalence of amyloid‐β pathology in distinct variants of primary progressive aphasia
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In: ISSN: 0364-5134 ; EISSN: 1531-8249 ; Annals of Neurology ; https://hal-univ-fcomte.archives-ouvertes.fr/hal-03630161 ; Annals of Neurology, Wiley, 2018, 84 (5), pp.729-740. ⟨10.1002/ana.25333⟩ (2018)
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Prevalence of amyloid‐β pathology in distinct variants of primary progressive aphasia
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In: ISSN: 0364-5134 ; EISSN: 1531-8249 ; Annals of Neurology ; https://www.hal.inserm.fr/inserm-02749861 ; Annals of Neurology, Wiley, 2018, 84 (5), pp.729-740. ⟨10.1002/ana.25333⟩ (2018)
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Prevalence of Amyloid-β Pathology in Distinct Variants of Primary Progressive Aphasia
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Prevalence of amyloid-β pathology in distinct variants of primary progressive aphasia: Amyloid-β Pathology in PPA
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In: Annals of Neurology. - 84, 5 (2018) , 729-740, ISSN: 0364-5134 (2018)
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The impact of bilingualism on brain reserve and metabolic connectivity in Alzheimer's dementia
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The Role of Single-Subject Brain Metabolic Patterns in the Early Differential Diagnosis of Primary Progressive Aphasias and in Prediction of Progression to Dementia
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A multimodal neuroimaging study of a case of crossed nonfluent/agrammatic primary progressive aphasia
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The Semantic Variant of Primary Progressive Aphasia: Clinical and Neuroimaging Evidence in Single Subjects
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In vivo signatures of nonfluent/agrammatic primary progressive aphasia caused by FTLD pathology
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In vivo signatures of nonfluent/agrammatic primary progressive aphasia caused by FTLD pathology
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Nonfluent/agrammatic PPA with in-vivo cortical amyloidosis and Pick's disease pathology.
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In: Behavioural neurology, vol 26, iss 1-2 (2013)
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Nonfluent/agrammatic PPA with in-vivo cortical amyloidosis and Pick’s disease pathology
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