Impulse control disorders in Parkinson's disease: decreased striatal dopamine transporter levels
Identifieur interne : 000D54 ( Main/Exploration ); précédent : 000D53; suivant : 000D55Impulse control disorders in Parkinson's disease: decreased striatal dopamine transporter levels
Auteurs : Valerie Voon [Royaume-Uni] ; Alexandra Rizos [Royaume-Uni] ; Riddhika Chakravartty [Royaume-Uni] ; Nicola Mulholland [Royaume-Uni] ; Stephanie Robinson [Royaume-Uni] ; Nicholas A. Howell [Royaume-Uni, Canada] ; Neil Harrison [Canada] ; Gill Vivian [Royaume-Uni] ; K. Ray Chaudhuri [Royaume-Uni]Source :
- Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 2013.
Abstract
Impulse control disorders are commonly associated with dopaminergic therapy in Parkinson's disease (PD). PD patients with impulse control disorders demonstrate enhanced dopamine release to conditioned cues and a gambling task on [11C]raclopride positron emission tomography (PET) imaging and enhanced ventral striatal activity to reward on functional MRI. We compared PD patients with impulse control disorders and age-matched and gender-matched controls without impulse control disorders using [123I]FP-CIT (2β-carbomethoxy-3β-(4-iodophenyl)tropane) single photon emission computed tomography (SPECT), to assess striatal dopamine transporter (DAT) density.
The [123I]FP-CIT binding data in the striatum were compared between 15 PD patients with and 15 without impulse control disorders using independent t tests.
Those with impulse control disorders showed significantly lower DAT binding in the right striatum with a trend in the left (right: F(1,24)=5.93, p=0.02; left: F(1,24)=3.75, p=0.07) compared to controls.
Our findings suggest that greater dopaminergic striatal activity in PD patients with impulse control disorders may be partly related to decreased uptake and clearance of dopamine from the synaptic cleft. Whether these findings are related to state or trait effects is not known. These findings dovetail with reports of lower DAT levels secondary to the effects of methamphetamine and alcohol. Although any regulation of DAT by antiparkinsonian medication appears to be modest, PD patients with impulse control disorders may be differentially sensitive to regulatory mechanisms of DAT expression by dopaminergic medications.
Url:
DOI: 10.1136/jnnp-2013-305395
PubMed: 23899625
PubMed Central: 4031642
Affiliations:
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<author><name sortKey="Ray Chaudhuri, K" sort="Ray Chaudhuri, K" uniqKey="Ray Chaudhuri K" first="K" last="Ray Chaudhuri">K. Ray Chaudhuri</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>Impulse control disorders are commonly associated with dopaminergic therapy in Parkinson's disease (PD). PD patients with impulse control disorders demonstrate enhanced dopamine release to conditioned cues and a gambling task on [<sup>11</sup>
C]raclopride positron emission tomography (PET) imaging and enhanced ventral striatal activity to reward on functional MRI. We compared PD patients with impulse control disorders and age-matched and gender-matched controls without impulse control disorders using [<sup>123</sup>
I]FP-CIT (2β-carbomethoxy-3β-(4-iodophenyl)tropane) single photon emission computed tomography (SPECT), to assess striatal dopamine transporter (DAT) density.</p>
</sec>
<sec><title>Methods</title>
<p>The [<sup>123</sup>
I]FP-CIT binding data in the striatum were compared between 15 PD patients with and 15 without impulse control disorders using independent t tests.</p>
</sec>
<sec><title>Results</title>
<p>Those with impulse control disorders showed significantly lower DAT binding in the right striatum with a trend in the left (right: F(1,24)=5.93, p=0.02; left: F(1,24)=3.75, p=0.07) compared to controls.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our findings suggest that greater dopaminergic striatal activity in PD patients with impulse control disorders may be partly related to decreased uptake and clearance of dopamine from the synaptic cleft. Whether these findings are related to state or trait effects is not known. These findings dovetail with reports of lower DAT levels secondary to the effects of methamphetamine and alcohol. Although any regulation of DAT by antiparkinsonian medication appears to be modest, PD patients with impulse control disorders may be differentially sensitive to regulatory mechanisms of DAT expression by dopaminergic medications.</p>
</sec>
</div>
</front>
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<author><name sortKey="Newberg, A" uniqKey="Newberg A">A Newberg</name>
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<author><name sortKey="Van Dyck, Ch" uniqKey="Van Dyck C">CH van Dyck</name>
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<author><name sortKey="Fischman, Mw" uniqKey="Fischman M">MW Fischman</name>
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<author><name sortKey="El Mansari, M" uniqKey="El Mansari M">M El Mansari</name>
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<name sortKey="Ray Chaudhuri, K" sort="Ray Chaudhuri, K" uniqKey="Ray Chaudhuri K" first="K" last="Ray Chaudhuri">K. Ray Chaudhuri</name>
<name sortKey="Rizos, Alexandra" sort="Rizos, Alexandra" uniqKey="Rizos A" first="Alexandra" last="Rizos">Alexandra Rizos</name>
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