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

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Dopamine transporter relation to dopamine turnover in Parkinson's disease: a positron emission tomography study.

Identifieur interne : 001035 ( PubMed/Corpus ); précédent : 001034; suivant : 001036

Dopamine transporter relation to dopamine turnover in Parkinson's disease: a positron emission tomography study.

Auteurs : Vesna Sossi ; Raúl De La Fuente-Fernández ; Michael Schulzer ; Andre R. Troiano ; Thomas J. Ruth ; A Jon Stoessl

Source :

RBID : pubmed:17886297

English descriptors

Abstract

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.

DOI: 10.1002/ana.21204
PubMed: 17886297

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pubmed:17886297

Le document en format XML

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<title xml:lang="en">Dopamine transporter relation to dopamine turnover in Parkinson's disease: a positron emission tomography study.</title>
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<name sortKey="Sossi, Vesna" sort="Sossi, Vesna" uniqKey="Sossi V" first="Vesna" last="Sossi">Vesna Sossi</name>
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<nlm:affiliation>University of British Columbia, Vancouver, British Columbia, Canada. vesna@physics.ubc.ca</nlm:affiliation>
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<name sortKey="De La Fuente Fernandez, Raul" sort="De La Fuente Fernandez, Raul" uniqKey="De La Fuente Fernandez R" first="Raúl" last="De La Fuente-Fernández">Raúl De La Fuente-Fernández</name>
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<name sortKey="Schulzer, Michael" sort="Schulzer, Michael" uniqKey="Schulzer M" first="Michael" last="Schulzer">Michael Schulzer</name>
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<name sortKey="Troiano, Andre R" sort="Troiano, Andre R" uniqKey="Troiano A" first="Andre R" last="Troiano">Andre R. Troiano</name>
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<name sortKey="Ruth, Thomas J" sort="Ruth, Thomas J" uniqKey="Ruth T" first="Thomas J" last="Ruth">Thomas J. Ruth</name>
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<name sortKey="Stoessl, A Jon" sort="Stoessl, A Jon" uniqKey="Stoessl A" first="A Jon" last="Stoessl">A Jon Stoessl</name>
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<title level="j">Annals of neurology</title>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (metabolism)</term>
<term>Positron-Emission Tomography (methods)</term>
<term>Presynaptic Terminals (metabolism)</term>
<term>Protein Binding (physiology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en">
<term>Dopamine</term>
<term>Dopamine Plasma Membrane Transport Proteins</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en">
<term>Parkinson Disease</term>
<term>Presynaptic Terminals</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Positron-Emission Tomography</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Protein Binding</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">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.</div>
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<Month>Nov</Month>
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<ArticleTitle>Dopamine transporter relation to dopamine turnover in Parkinson's disease: a positron emission tomography study.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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 (11)C-methylphenidate (MP, a DAT marker), (11)C-dihydrotetrabenazine (a vesicular monoamine transporter 2 marker), and (18)F-fluorodopa, leading to the determination of the MP and (11)C-dihydrotetrabenazine binding potentials (BPs) and the effective distribution volume for (18)F-fluorodopa, the inverse of DA turnover. Seven patients also underwent positron emission tomography with (11)C-raclopride before and 1 hour after levodopa administration to estimate levodopa-induced changes in synaptic DA concentration.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We found a significant positive correlation between effective distribution volume and BP(MP) (r = 0.93; p < 0.001) and a significant negative correlation between changes in synaptic DA concentration and BP(MP) (r = -0.93; p = 0.04), independent of disease severity and duration.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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