AANS Neurosurgeon | Volume 27, Number 1, 2018


Alzheimer’s Disease and the Complex Systems Perspective

Mayo Clinic researchers are using the emerging field of complex systems to target the mystery behind the misfolded proteins and dying cells inside the brains of those with Alzheimer’s disease. Complex systems is a field that studies how parts of systems give rise to collective behaviors and how the system interacts with its environment. In a study of 128 participants in the Alzheimer’s Disease Neuroimaging Initiative, published in the February issue of the journal Brain, the team of researchers led by a Mayo Clinic neurologist, proposed a disease model as a pathologic interaction within a complex system composed of large-scale brain networks and small-scale molecules. Researchers looked into the activity of the default mode network or DMN (a brain system known for being active when we perform tasks involving memory or when invoking mental constructs), and related this activity to measures of Alzheimer’s proteins. Building on their previous work on DMN activity, the team found that a failure that starts in this system cascades through the brain via increases in activity. These increases in activity traditionally have been understood as a compensatory process; however, this new study suggests that they also may be propagating the disease process throughout brain systems — just like rerouting of power surges can cause blackouts in a power grid. “We found that this load-shifting process itself may be a major culprit for the development of the Alzheimer’s disease,” said the study’s lead investigator and author. “It is not unlike a cascading failure of a power grid. When a hub goes down, other areas of the network are forced to compensate. If the burden shift is too high, it blows off the circuits, and the power is down. This type of failure in our large brain networks may be responsible for the development of the Alzheimer’s disease.” To read more about this study, click here


Second International Brain Mapping Course
April 26-27, 2018; New Orleans

Surgical Approaches to Skull Base
April 26-28, 2018; St. Louis, MO

2018 AANS Annual Scientific Meeting
April 28-May 2, 2018; New Orleans

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