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RESULTS Abnormal synchrony in alpha, but not in    disease (AD) neuropathology in their fourth decade.
            delta-theta, significantly predicted the NFT density at   However, there is a lack of specific markers for charac-
            post mortem neuropathological examination.         terizing the disease stages while considering this popu-
                                                               lation's differential features. Methods: Forty-one DS
            DISCUSSION Reduced alpha synchrony is a sensitive   individuals participated in the study, and were classi-
            neurophysiological index associated with pathological   fied into three groups according to their clinical status:
            tau, and a potential network biomarker for clinical tri-  Alzheimer's disease (AD-DS), mild cognitive impairment
            als, to gauge the extent of network dysfunction and the   (MCI-DS), and controls (CN-DS). We performed an ex-
            degree of rescue in treatments targeting tau pathways   haustive neuropsychological evaluation and assessed
            in AD.                                             brain functional connectivity (FC) from magnetoen-
                                                               cephalographic recordings. Results: Compared with
            Keywords: Alzheimer's disease, alpha oscillations, mag-  CN-DS, both MCI-DS and AD-DS showed a pattern of
            netoencephalography, neurofibrillary tangle density,   increased FC within the high alpha band. The neuropsy-
            neuropathology, neurophysiology                    chological assessment showed a generalized cognitive
                                                               impairment, especially affecting mnestic functions, in
            Alzheimer's & dementia: the journal of the Alzheimer's   MCI-DS and, more pronouncedly, in AD-DS. Discussion:
            Association (2021), Vol. 17, No. 12 (33884753) (7 citations)  These findings might help to characterize the AD-con-
                                                               tinuum in DS. In addition, they support the role of the
                                                               excitatory/inhibitory imbalance as a key pathophysi-
            Hypersynchronized Magnetoencephalography           ological factor in AD. Impact statement The pattern
            Brain Networks in Patients with Mild Cognitive     of functional connectivity (FC) hypersynchronization
            Impairment and Alzheimer's Disease in Down         found in this study resembles the largely reported Al-
            Syndrome (2021)                                    zheimer's disease (AD) FC evolution pattern in popula-
                                                               tion with typical development. This study supports the
                        Ramírez-Toraño, Federico; García-Alba, Javier; Bruña,   hypothesis of the excitatory/inhibitory imbalance as a
            Ricardo; Esteba-Castillo, Susanna; Vaquero, Lucía;   key pathophysiological factor in AD, and its conclusions
            Pereda, Ernesto; Maestú, Fernando; Fernández, Alberto  could help in the characterization and prediction of
                                                               Down syndrome individuals with a greater likelihood of
            Department of Experimental Psychology, Universidad Com-  converting to dementia.
            plutense de Madrid, Madrid, Spain; Research and Psychology
            in Education Department, Complutense University of Madrid,   Keywords: Alzheimer's disease, Down syndrome, func-
            Madrid, Spain; Networking Research Center on Bioengineer-  tional connectivity, hypersynchronization, magnetoen-
            ing, Biomaterials, and Nanomedicine (CIBER-BBN), Madrid,   cephalography, mild cognitive impairment
            Spain; Specialized Department in Mental Health and
            Intellectual Disability, Parc Hospitalari Martí i Julià-Institut   Brain connectivity (2021), Vol. 11, No. 9 (33858203) (5
            'd'Assistència Sanitària, Institut 'd'Assistència Sanitària (IAS),   citations)
            Girona, Spain; Department of Legal Medicine, Psychiatry and
            Pathology, Complutense University of Madrid, Spain; Electri-
            cal Engineering and Bioengineering Group, Department of   Altered mismatch response precedes gray matter
            Industrial Engineering and IUNE and ITB Universidad de La   atrophy in subjective cognitive decline (2021)
            Laguna, Santa Cruz de Tenerife, Spain; Institute of Sanitary
            Investigation (IdISSC), San Carlos University Hospital, Madrid,                                 Cheng, Chia-Hsiung; Chang, Chiung-Chih; Chao, Yi-
            Spain                                              Ping; Lu, Hsinjie; Peng, Shih-Wei; Wang, Pei-Ning


            ABSTRACT Introduction: The majority of individuals   Department of Psychiatry, Chang Gung Memorial Hospital,
            with Down syndrome (DS) show signs of Alzheimer's   Linkou, Taiwan; Department of Neurology and Institute for







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