La maladie de Parkinson au Canada (serveur d'exploration)

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D3 dopamine receptor-preferring [11C]PHNO PET imaging in Parkinson patients with dyskinesia

Identifieur interne : 000398 ( Main/Exploration ); précédent : 000397; suivant : 000399

D3 dopamine receptor-preferring [11C]PHNO PET imaging in Parkinson patients with dyskinesia

Auteurs : Doris E. Payer ; Mark Guttman ; Stephen J. Kish ; Junchao Tong ; John R. Adams ; Pablo Rusjan ; Sylvain Houle ; Yoshiaki Furukawa ; Alan A. Wilson ; Isabelle Boileau

Source :

RBID : PMC:4733157

English descriptors

Abstract

Objective:

To investigate whether levodopa-induced dyskinesias (LID) are associated with D3 overexpression in levodopa-treated humans with Parkinson disease (PD).

Methods:

In this case-control study, we used PET with the D3-preferring radioligand [11C]-(+)-PHNO to estimate D2/3 receptor binding in patients with levodopa-treated PD with LID (n = 12) and without LID (n = 12), and healthy control subjects matched for age, sex, education, and mental status (n = 18).

Results:

Compared to nondyskinetic patients, those with LID showed heightened [11C]-(+)-PHNO binding in the D3-rich globus pallidus. Both PD groups also showed higher binding than controls in the sensorimotor division of the striatum. In contrast, D2/3 binding in the ventral striatum was lower in patients with LID than without, possibly reflecting higher dopamine levels.

Conclusions:

Dopaminergic abnormalities contributing to LID may include elevated D2/3 binding in globus pallidus, perhaps reflecting D3 receptor upregulation. The findings support therapeutic strategies that target and diminish activity at D3 to prevent LID.


Url:
DOI: 10.1212/WNL.0000000000002285
PubMed: 26718579
PubMed Central: 4733157


Affiliations:


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<term>Dyskinesia, Drug-Induced (diagnostic imaging)</term>
<term>Dyskinesia, Drug-Induced (etiology)</term>
<term>Female</term>
<term>Globus Pallidus (diagnostic imaging)</term>
<term>Humans</term>
<term>Levodopa (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Parkinson Disease (diagnostic imaging)</term>
<term>Parkinson Disease (drug therapy)</term>
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<term>Receptors, Dopamine D2 (metabolism)</term>
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<term>Receptors, Dopamine D3 (metabolism)</term>
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<term>Dopamine Agents</term>
<term>Levodopa</term>
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<term>Receptors, Dopamine D3</term>
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<term>Receptors, Dopamine D2</term>
<term>Receptors, Dopamine D3</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Carbon Radioisotopes</term>
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<term>Dyskinesia, Drug-Induced</term>
<term>Globus Pallidus</term>
<term>Neostriatum</term>
<term>Parkinson Disease</term>
<term>Ventral Striatum</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">
<sec>
<title>Objective:</title>
<p>To investigate whether levodopa-induced dyskinesias (LID) are associated with D
<sub>3</sub>
overexpression in levodopa-treated humans with Parkinson disease (PD).</p>
</sec>
<sec>
<title>Methods:</title>
<p>In this case-control study, we used PET with the D
<sub>3</sub>
-preferring radioligand [
<sup>11</sup>
C]-(+)-PHNO to estimate D
<sub>2/3</sub>
receptor binding in patients with levodopa-treated PD with LID (n = 12) and without LID (n = 12), and healthy control subjects matched for age, sex, education, and mental status (n = 18).</p>
</sec>
<sec>
<title>Results:</title>
<p>Compared to nondyskinetic patients, those with LID showed heightened [
<sup>11</sup>
C]-(+)-PHNO binding in the D
<sub>3</sub>
-rich globus pallidus. Both PD groups also showed higher binding than controls in the sensorimotor division of the striatum. In contrast, D
<sub>2/3</sub>
binding in the ventral striatum was lower in patients with LID than without, possibly reflecting higher dopamine levels.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Dopaminergic abnormalities contributing to LID may include elevated D
<sub>2/3</sub>
binding in globus pallidus, perhaps reflecting D
<sub>3</sub>
receptor upregulation. The findings support therapeutic strategies that target and diminish activity at D
<sub>3</sub>
to prevent LID.</p>
</sec>
</div>
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