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

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Impulse control disorders in Parkinson's disease: decreased striatal dopamine transporter levels

Identifieur interne : 000D54 ( Main/Exploration ); précédent : 000D53; suivant : 000D55

Impulse 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 :

RBID : PMC:4031642

Abstract

Objective

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.

Methods

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.

Results

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.

Conclusions

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:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Chakravartty, Riddhika" sort="Chakravartty, Riddhika" uniqKey="Chakravartty R" first="Riddhika" last="Chakravartty">Riddhika Chakravartty</name>
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,
<addr-line>London</addr-line>
,
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</nlm:aff>
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,
<institution>University of Cambridge</institution>
,
<addr-line>Cambridge</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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,
<addr-line>Toronto</addr-line>
,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Harrison, Neil" sort="Harrison, Neil" uniqKey="Harrison N" first="Neil" last="Harrison">Neil Harrison</name>
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<institution>University of Toronto</institution>
,
<addr-line>Toronto</addr-line>
,
<country>Canada</country>
</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<name sortKey="Vivian, Gill" sort="Vivian, Gill" uniqKey="Vivian G" first="Gill" last="Vivian">Gill Vivian</name>
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<nlm:aff id="af5">
<addr-line>Department of Nuclear Imaging</addr-line>
,
<institution>Kings College Hospital</institution>
,
<addr-line>London</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
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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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<nlm:aff id="af4">
<institution>National Parkinson Foundation Centre of Excellence, Kings College Hospital, and Kings College</institution>
,
<addr-line>London</addr-line>
,
<country>UK</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<title level="j">Journal of Neurology, Neurosurgery, and Psychiatry</title>
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<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>
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