Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients

Abstract Brain white matter disruptions have been implicated in contributing to fatigue, brain fog and other central symptoms commonly reported in inflammatory diseases. In this study, we included 252 RA patients with 756 age and sex matched controls and 240 UC patients with 720 age and sex matched...

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Main Authors: Jennifer G. Cox, James H. Cole, Matthew J. Kempton, Steven C. R. Williams, Marius de Groot
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-83559-1
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author Jennifer G. Cox
James H. Cole
Matthew J. Kempton
Steven C. R. Williams
Marius de Groot
author_facet Jennifer G. Cox
James H. Cole
Matthew J. Kempton
Steven C. R. Williams
Marius de Groot
author_sort Jennifer G. Cox
collection DOAJ
description Abstract Brain white matter disruptions have been implicated in contributing to fatigue, brain fog and other central symptoms commonly reported in inflammatory diseases. In this study, we included 252 RA patients with 756 age and sex matched controls and 240 UC patients with 720 age and sex matched controls using the UK Biobank imaging dataset. We looked for differences in total volume of white matter hyperintensities (WMH) between patients compared to controls. Then, using voxelwise analysis, we explored the spatial distribution of these white matter hyperintensities and differences in these between patients and controls and between disease groups. A significantly higher volume of WMH was observed in both the RA (p = 1.9 × 10−8, β =  − 0.36, 95% CI =  − 0.48, − 0.23) and UC (p = 0.003, β =  − 0.18 95% CI =  − 0.31, − 0.06) patients compared to their respective control groups. Voxelwise analysis revealed only a small cluster of RA associated WMH compared to controls. These results indicate an increased risk of white matter hyperintensities in patients with RA and UC. These findings help quantify the effect of inflammation from autoimmune diseases on cerebrovascular health and white matter integrity.
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spelling doaj-art-1b4a14dfcf1d490c94150887d3fbaacd2025-01-05T12:27:02ZengNature PortfolioScientific Reports2045-23222024-12-0114111010.1038/s41598-024-83559-1Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patientsJennifer G. Cox0James H. Cole1Matthew J. Kempton2Steven C. R. Williams3Marius de Groot4Centre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonCentre for Medical Image Computing, Department of Computer Science, University College LondonCentre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonCentre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonCentre for Neuroimaging Sciences, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonAbstract Brain white matter disruptions have been implicated in contributing to fatigue, brain fog and other central symptoms commonly reported in inflammatory diseases. In this study, we included 252 RA patients with 756 age and sex matched controls and 240 UC patients with 720 age and sex matched controls using the UK Biobank imaging dataset. We looked for differences in total volume of white matter hyperintensities (WMH) between patients compared to controls. Then, using voxelwise analysis, we explored the spatial distribution of these white matter hyperintensities and differences in these between patients and controls and between disease groups. A significantly higher volume of WMH was observed in both the RA (p = 1.9 × 10−8, β =  − 0.36, 95% CI =  − 0.48, − 0.23) and UC (p = 0.003, β =  − 0.18 95% CI =  − 0.31, − 0.06) patients compared to their respective control groups. Voxelwise analysis revealed only a small cluster of RA associated WMH compared to controls. These results indicate an increased risk of white matter hyperintensities in patients with RA and UC. These findings help quantify the effect of inflammation from autoimmune diseases on cerebrovascular health and white matter integrity.https://doi.org/10.1038/s41598-024-83559-1Autoimmune diseasesWhite matter hyperintensitiesUlcerative colitisRheumatoid arthritisSystemic inflammationMagnetic resonance imaging
spellingShingle Jennifer G. Cox
James H. Cole
Matthew J. Kempton
Steven C. R. Williams
Marius de Groot
Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
Scientific Reports
Autoimmune diseases
White matter hyperintensities
Ulcerative colitis
Rheumatoid arthritis
Systemic inflammation
Magnetic resonance imaging
title Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
title_full Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
title_fullStr Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
title_full_unstemmed Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
title_short Volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
title_sort volume and distribution of white matter hyperintensities in rheumatoid arthritis and ulcerative colitis patients
topic Autoimmune diseases
White matter hyperintensities
Ulcerative colitis
Rheumatoid arthritis
Systemic inflammation
Magnetic resonance imaging
url https://doi.org/10.1038/s41598-024-83559-1
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