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

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Reduced dopamine transporter density in the ventral striatum of patients with Parkinson's disease and pathological gambling.

Identifieur interne : 001997 ( Main/Exploration ); précédent : 001996; suivant : 001998

Reduced dopamine transporter density in the ventral striatum of patients with Parkinson's disease and pathological gambling.

Auteurs : Roberto Cilia [Canada] ; Ji Hyun Ko ; Sang Soo Cho ; Thilo Van Eimeren ; Giorgio Marotta ; Giovanna Pellecchia ; Gianni Pezzoli ; Angelo Antonini ; Antonio P. Strafella

Source :

RBID : pubmed:20338240

English descriptors

Abstract

Pathological gambling (PG) represents a behavioral side effect of dopamine replacement therapy in a minority of patients with Parkinson's disease (PD). Using striatal dopamine transporter (DAT) with single photon emission tomography we assessed presynaptic dopaminergic function in 8 PD patients with PG, 21 matched PD control subjects, and 14 healthy subjects. Statistical Parametric Mapping was applied for image analysis. The analysis of variance (ANOVA) revealed that the three groups differed in dorsal and ventral striata bilaterally. The post-hoc analysis displayed a reduced tracer binding in the ventral striatum of PD patients with PG compared to PD controls, possibly reflecting either a reduction of mesolimbic projections or, alternatively, a lower membrane DAT expression on presynaptic terminals. The latter hypothesis is most likely given that the functional reduction of presynaptic reuptake would be more consistent with the increased dopamine levels in the ventral striatum recently reported in PD gamblers.

DOI: 10.1016/j.nbd.2010.03.013
PubMed: 20338240


Affiliations:


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Le document en format XML

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<name sortKey="Pellecchia, Giovanna" sort="Pellecchia, Giovanna" uniqKey="Pellecchia G" first="Giovanna" last="Pellecchia">Giovanna Pellecchia</name>
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<name sortKey="Pezzoli, Gianni" sort="Pezzoli, Gianni" uniqKey="Pezzoli G" first="Gianni" last="Pezzoli">Gianni Pezzoli</name>
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<term>Dopamine (metabolism)</term>
<term>Dopamine Plasma Membrane Transport Proteins (antagonists & inhibitors)</term>
<term>Dopamine Plasma Membrane Transport Proteins (metabolism)</term>
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<term>Gambling (metabolism)</term>
<term>Gambling (psychology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neostriatum (drug effects)</term>
<term>Neostriatum (metabolism)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Protein Binding (drug effects)</term>
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<term>Tropanes (antagonists & inhibitors)</term>
<term>Tropanes (metabolism)</term>
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<term>Dopamine Plasma Membrane Transport Proteins</term>
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<term>Basal Ganglia</term>
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<term>Parkinson Disease</term>
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<div type="abstract" xml:lang="en">Pathological gambling (PG) represents a behavioral side effect of dopamine replacement therapy in a minority of patients with Parkinson's disease (PD). Using striatal dopamine transporter (DAT) with single photon emission tomography we assessed presynaptic dopaminergic function in 8 PD patients with PG, 21 matched PD control subjects, and 14 healthy subjects. Statistical Parametric Mapping was applied for image analysis. The analysis of variance (ANOVA) revealed that the three groups differed in dorsal and ventral striata bilaterally. The post-hoc analysis displayed a reduced tracer binding in the ventral striatum of PD patients with PG compared to PD controls, possibly reflecting either a reduction of mesolimbic projections or, alternatively, a lower membrane DAT expression on presynaptic terminals. The latter hypothesis is most likely given that the functional reduction of presynaptic reuptake would be more consistent with the increased dopamine levels in the ventral striatum recently reported in PD gamblers.</div>
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<name sortKey="Ko, Ji Hyun" sort="Ko, Ji Hyun" uniqKey="Ko J" first="Ji Hyun" last="Ko">Ji Hyun Ko</name>
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