Dopamine Transporter Relation to Dopamine Turnover in Parkinson's Disease : A Positron Emission Tomography Study
Identifieur interne : 000681 ( PascalFrancis/Corpus ); précédent : 000680; suivant : 000682Dopamine Transporter Relation to Dopamine Turnover in Parkinson's Disease : A Positron Emission Tomography Study
Auteurs : Vesna Sossi ; Raul De La Fuente-Fernandez ; Michael Schulzer ; Andre R. Troiano ; Thomas J. Ruth ; A. Jon StoesslSource :
- Annals of neurology [ 0364-5134 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Objective: To investigate the role of the dopamine transporter (DAT) in the regulation of synaptic dopamine (DA) levels in Parkinson's disease and its role in the preservation of DA in presynaptic terminals. Methods: Ten Parkinson's disease patients (age, 62.9 ± 9.5 years; Unified Parkinson's Disease Rating Scale motor score in "off" state, 28.5 ± 8.2) underwent positron emission tomography with 11C-methylphenidate (MP, a DAT marker), 11C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and 18F-fluorodopa, leading to the determination of the MP and 11C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for 18F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with 11C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration. Results: We found a significant positive correlation between effective distribution volume and BPMP (r = 0.93; p < 0.001) and a significant negative correlation between changes in synaptic DA concentration and BPMP (r = -0.93; p = 0.04), independent of disease severity and duration. Interpretation: These data show that in Parkinson's disease, greater DAT levels are directly associated with lower DA turnover and lower changes in synaptic DA concentration. This implies that an important functional role of DAT is to maintain relatively constant synaptic DA levels and to preserve DA in nerve terminals. A decrease in DAT, although potentially serving as a compensatory mechanism in early disease, may ultimately result in increased DA turnover and higher oscillations in synaptic DA concentration, thereby possibly predisposing toward the occurrence of motor complications as disease progresses.
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Format Inist (serveur)
NO : | PASCAL 08-0035341 INIST |
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ET : | Dopamine Transporter Relation to Dopamine Turnover in Parkinson's Disease : A Positron Emission Tomography Study |
AU : | SOSSI (Vesna); DE LA FUENTE-FERNANDEZ (Raul); SCHULZER (Michael); TROIANO (Andre R.); RUTH (Thomas J.); STOESSL (A. Jon) |
AF : | University of British Columbia/Vancouver, British Columbia/Canada (1 aut., 3 aut., 6 aut.); Division of Neurology, Hospital Arquitecto Marcide/Ferrol (A Coruña)/Espagne (2 aut.); Pacific Parkinson's Research Centre/Canada (4 aut., 6 aut.); TRIUMF/Vancouver, British Columbia/Canada (5 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Annals of neurology; ISSN 0364-5134; Coden ANNED3; Royaume-Uni; Da. 2007; Vol. 62; No. 5; Pp. 468-474; Bibl. 33 ref. |
LA : | Anglais |
EA : | Objective: To investigate the role of the dopamine transporter (DAT) in the regulation of synaptic dopamine (DA) levels in Parkinson's disease and its role in the preservation of DA in presynaptic terminals. Methods: Ten Parkinson's disease patients (age, 62.9 ± 9.5 years; Unified Parkinson's Disease Rating Scale motor score in "off" state, 28.5 ± 8.2) underwent positron emission tomography with 11C-methylphenidate (MP, a DAT marker), 11C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and 18F-fluorodopa, leading to the determination of the MP and 11C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for 18F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with 11C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration. Results: We found a significant positive correlation between effective distribution volume and BPMP (r = 0.93; p < 0.001) and a significant negative correlation between changes in synaptic DA concentration and BPMP (r = -0.93; p = 0.04), independent of disease severity and duration. Interpretation: These data show that in Parkinson's disease, greater DAT levels are directly associated with lower DA turnover and lower changes in synaptic DA concentration. This implies that an important functional role of DAT is to maintain relatively constant synaptic DA levels and to preserve DA in nerve terminals. A decrease in DAT, although potentially serving as a compensatory mechanism in early disease, may ultimately result in increased DA turnover and higher oscillations in synaptic DA concentration, thereby possibly predisposing toward the occurrence of motor complications as disease progresses. |
CC : | 002B17; 002B17G; 002B24B07 |
FD : | Pathologie du système nerveux; Maladie de Parkinson; Dopamine; Turnover; Tomoscintigraphie; Tomographie par émission de positons |
FG : | Catécholamine; Neurotransmetteur; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central |
ED : | Nervous system diseases; Parkinson disease; Dopamine; Turnover; Emission tomography; Positron emission tomography |
EG : | Catecholamine; Neurotransmitter; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease |
SD : | Sistema nervioso patología; Parkinson enfermedad; Dopamina; Turnover; Tomocentelleografía; Tomografía emisión positrones |
LO : | INIST-16555.354000174350000070 |
ID : | 08-0035341 |
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Pascal:08-0035341Le document en format XML
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<front><div type="abstract" xml:lang="en">Objective: To investigate the role of the dopamine transporter (DAT) in the regulation of synaptic dopamine (DA) levels in Parkinson's disease and its role in the preservation of DA in presynaptic terminals. Methods: Ten Parkinson's disease patients (age, 62.9 ± 9.5 years; Unified Parkinson's Disease Rating Scale motor score in "off" state, 28.5 ± 8.2) underwent positron emission tomography with <sup>11</sup>
C-methylphenidate (MP, a DAT marker), <sup>11</sup>
C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and <sup>18</sup>
F-fluorodopa, leading to the determination of the MP and <sup>11</sup>
C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for <sup>18</sup>
F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with <sup>11</sup>
C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration. Results: We found a significant positive correlation between effective distribution volume and BP<sub>MP</sub>
(r = 0.93; p < 0.001) and a significant negative correlation between changes in synaptic DA concentration and BP<sub>MP</sub>
(r = -0.93; p = 0.04), independent of disease severity and duration. Interpretation: These data show that in Parkinson's disease, greater DAT levels are directly associated with lower DA turnover and lower changes in synaptic DA concentration. This implies that an important functional role of DAT is to maintain relatively constant synaptic DA levels and to preserve DA in nerve terminals. A decrease in DAT, although potentially serving as a compensatory mechanism in early disease, may ultimately result in increased DA turnover and higher oscillations in synaptic DA concentration, thereby possibly predisposing toward the occurrence of motor complications as disease progresses.</div>
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C-methylphenidate (MP, a DAT marker), <sup>11</sup>
C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and <sup>18</sup>
F-fluorodopa, leading to the determination of the MP and <sup>11</sup>
C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for <sup>18</sup>
F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with <sup>11</sup>
C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration. Results: We found a significant positive correlation between effective distribution volume and BP<sub>MP</sub>
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<ET>Dopamine Transporter Relation to Dopamine Turnover in Parkinson's Disease : A Positron Emission Tomography Study</ET>
<AU>SOSSI (Vesna); DE LA FUENTE-FERNANDEZ (Raul); SCHULZER (Michael); TROIANO (Andre R.); RUTH (Thomas J.); STOESSL (A. Jon)</AU>
<AF>University of British Columbia/Vancouver, British Columbia/Canada (1 aut., 3 aut., 6 aut.); Division of Neurology, Hospital Arquitecto Marcide/Ferrol (A Coruña)/Espagne (2 aut.); Pacific Parkinson's Research Centre/Canada (4 aut., 6 aut.); TRIUMF/Vancouver, British Columbia/Canada (5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of neurology; ISSN 0364-5134; Coden ANNED3; Royaume-Uni; Da. 2007; Vol. 62; No. 5; Pp. 468-474; Bibl. 33 ref.</SO>
<LA>Anglais</LA>
<EA>Objective: To investigate the role of the dopamine transporter (DAT) in the regulation of synaptic dopamine (DA) levels in Parkinson's disease and its role in the preservation of DA in presynaptic terminals. Methods: Ten Parkinson's disease patients (age, 62.9 ± 9.5 years; Unified Parkinson's Disease Rating Scale motor score in "off" state, 28.5 ± 8.2) underwent positron emission tomography with <sup>11</sup>
C-methylphenidate (MP, a DAT marker), <sup>11</sup>
C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and <sup>18</sup>
F-fluorodopa, leading to the determination of the MP and <sup>11</sup>
C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for <sup>18</sup>
F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with <sup>11</sup>
C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration. Results: We found a significant positive correlation between effective distribution volume and BP<sub>MP</sub>
(r = 0.93; p < 0.001) and a significant negative correlation between changes in synaptic DA concentration and BP<sub>MP</sub>
(r = -0.93; p = 0.04), independent of disease severity and duration. Interpretation: These data show that in Parkinson's disease, greater DAT levels are directly associated with lower DA turnover and lower changes in synaptic DA concentration. This implies that an important functional role of DAT is to maintain relatively constant synaptic DA levels and to preserve DA in nerve terminals. A decrease in DAT, although potentially serving as a compensatory mechanism in early disease, may ultimately result in increased DA turnover and higher oscillations in synaptic DA concentration, thereby possibly predisposing toward the occurrence of motor complications as disease progresses.</EA>
<CC>002B17; 002B17G; 002B24B07</CC>
<FD>Pathologie du système nerveux; Maladie de Parkinson; Dopamine; Turnover; Tomoscintigraphie; Tomographie par émission de positons</FD>
<FG>Catécholamine; Neurotransmetteur; Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Nervous system diseases; Parkinson disease; Dopamine; Turnover; Emission tomography; Positron emission tomography</ED>
<EG>Catecholamine; Neurotransmitter; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Dopamina; Turnover; Tomocentelleografía; Tomografía emisión positrones</SD>
<LO>INIST-16555.354000174350000070</LO>
<ID>08-0035341</ID>
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