Movement Disorders (revue)

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β-Amyloid in Lewy body disease is related to Alzheimer's disease-like atrophy.

Identifieur interne : 000694 ( Main/Exploration ); précédent : 000693; suivant : 000695

β-Amyloid in Lewy body disease is related to Alzheimer's disease-like atrophy.

Auteurs : Hitoshi Shimada [Japon] ; Hitoshi Shinotoh ; Shigeki Hirano ; Michie Miyoshi ; Koichi Sato ; Noriko Tanaka ; Tsuneyoshi Ota ; Kiyoshi Fukushi ; Toshiaki Irie ; Hiroshi Ito ; Makoto Higuchi ; Satoshi Kuwabara ; Tetsuya Suhara

Source :

RBID : pubmed:23225334

English descriptors

Abstract

The aim of this study was to investigate whether amyloid deposition is associated with Alzheimer's disease (AD)-like cortical atrophy in Lewy body (LB) disease (LBD). Participants included 15 LBD with dementia patients (8 with dementia with Lewy bodies [DLB] and 7 with Parkinson's disease [PD] with dementia [PDD]), 13 AD patients, and 17 healthy controls. Age, gender, and Mini-Mental State Examination scores were matched between patient groups. All subjects underwent PET scans with [(11)C]Pittsburgh Compound B to measure brain amyloid deposition as well as three-dimensional T1-weighted MRI. Gray-matter volumes (GMVs) were estimated by voxel-based morphometry. Volumes-of-interest analyses were also performed. Forty percent of the 15 DLB/PDD patients were amyloid positive, whereas all AD patients and none of the healthy controls were amyloid positive. Amyloid-positive DLB/PDD and AD patients showed very similar patterns of cortical atrophy in the parahippocampal area and lateral temporal and parietal cortices, with 95.2% of cortical atrophy distribution being overlapped. In contrast, amyloid-negative DLB/PDD patients had no significant cortical atrophy. Compared to healthy controls, parahippocampal GMVs were reduced by 26% in both the amyloid-positive DLB/PDD and AD groups and by 10% in the amyloid-negative DLB/PDD group. The results suggest that amyloid deposition is associated with AD-like atrophy in DLB/PDD patients. Early intervention against amyloid may prevent or delay AD-like atrophy in DLB/PDD patients with amyloid deposition.

DOI: 10.1002/mds.25286
PubMed: 23225334


Affiliations:


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Le document en format XML

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<name sortKey="Tanaka, Noriko" sort="Tanaka, Noriko" uniqKey="Tanaka N" first="Noriko" last="Tanaka">Noriko Tanaka</name>
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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Aging (physiology)</term>
<term>Alzheimer Disease (metabolism)</term>
<term>Alzheimer Disease (pathology)</term>
<term>Alzheimer Disease (radionuclide imaging)</term>
<term>Amyloid beta-Peptides (analysis)</term>
<term>Amyloid beta-Peptides (metabolism)</term>
<term>Analysis of Variance</term>
<term>Atrophy</term>
<term>Benzothiazoles (diagnostic use)</term>
<term>Dementia (metabolism)</term>
<term>Dementia (pathology)</term>
<term>Dementia (psychology)</term>
<term>Female</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Lewy Body Disease (metabolism)</term>
<term>Lewy Body Disease (pathology)</term>
<term>Lewy Body Disease (radionuclide imaging)</term>
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<term>Parkinson Disease (metabolism)</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (psychology)</term>
<term>Positron-Emission Tomography</term>
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<term>Benzothiazoles</term>
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<term>Alzheimer Disease</term>
<term>Amyloid beta-Peptides</term>
<term>Dementia</term>
<term>Lewy Body Disease</term>
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<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this study was to investigate whether amyloid deposition is associated with Alzheimer's disease (AD)-like cortical atrophy in Lewy body (LB) disease (LBD). Participants included 15 LBD with dementia patients (8 with dementia with Lewy bodies [DLB] and 7 with Parkinson's disease [PD] with dementia [PDD]), 13 AD patients, and 17 healthy controls. Age, gender, and Mini-Mental State Examination scores were matched between patient groups. All subjects underwent PET scans with [(11)C]Pittsburgh Compound B to measure brain amyloid deposition as well as three-dimensional T1-weighted MRI. Gray-matter volumes (GMVs) were estimated by voxel-based morphometry. Volumes-of-interest analyses were also performed. Forty percent of the 15 DLB/PDD patients were amyloid positive, whereas all AD patients and none of the healthy controls were amyloid positive. Amyloid-positive DLB/PDD and AD patients showed very similar patterns of cortical atrophy in the parahippocampal area and lateral temporal and parietal cortices, with 95.2% of cortical atrophy distribution being overlapped. In contrast, amyloid-negative DLB/PDD patients had no significant cortical atrophy. Compared to healthy controls, parahippocampal GMVs were reduced by 26% in both the amyloid-positive DLB/PDD and AD groups and by 10% in the amyloid-negative DLB/PDD group. The results suggest that amyloid deposition is associated with AD-like atrophy in DLB/PDD patients. Early intervention against amyloid may prevent or delay AD-like atrophy in DLB/PDD patients with amyloid deposition.</div>
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