Movement Disorders (revue)

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Elevated Arteriolar Cerebral Blood Volume in Prodromal Huntington’s Disease

Identifieur interne : 000A05 ( Main/Exploration ); précédent : 000A04; suivant : 000A06

Elevated Arteriolar Cerebral Blood Volume in Prodromal Huntington’s Disease

Auteurs : Jun Hua [États-Unis] ; Paul G. Unschuld [États-Unis, Suisse] ; Russell L. Margolis [États-Unis] ; Peter C. M. Van Zijl [États-Unis] ; Christopher A. Ross [États-Unis]

Source :

RBID : PMC:3834086

English descriptors

Abstract

Background

Neurovascular alterations have been implicated in the pathophysiology of Huntington’s Disease (HD). As arterioles are most responsive to metabolic alterations, arteriolar-cerebral-blood-volume (CBVa) is an important indicator of cerebrovascular regulation. This pilot study is intended to investigate potential neurovascular (CBVa) abnormality in prodromal-HD, and compare it with the widely used imaging marker brain atrophy.

Methods

CBVa and brain volumes were measured with ultra-high field (7T) magnetic-resonance-imaging in seven prodromal-HD patients and nine age-matched controls.

Results

Cortical CBVa was significantly elevated in prodromal-HD patients (relative difference=38.5%, effect size=1.48). Significant correlations were found between CBVa in frontal cortex and genetic measures. By contrast, no significant brain atrophy was detected in these prodromal-HD patients.

Conclusions

CBVa may be abnormal in prodromal-HD, even before substantial brain atrophy occurs. Further investigation with a larger cohort and longitudinal follow-up is merited to determine whether it could be used as a potential biomarker for clinical trials.


Url:
DOI: 10.1002/mds.25591
PubMed: 23847161
PubMed Central: 3834086


Affiliations:


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Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Background</title>
<p id="P1">Neurovascular alterations have been implicated in the pathophysiology of Huntington’s Disease (HD). As arterioles are most responsive to metabolic alterations, arteriolar-cerebral-blood-volume (CBV
<sub>a</sub>
) is an important indicator of cerebrovascular regulation. This pilot study is intended to investigate potential neurovascular (CBV
<sub>a</sub>
) abnormality in prodromal-HD, and compare it with the widely used imaging marker brain atrophy.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">CBV
<sub>a</sub>
and brain volumes were measured with ultra-high field (7T) magnetic-resonance-imaging in seven prodromal-HD patients and nine age-matched controls.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Cortical CBV
<sub>a</sub>
was significantly elevated in prodromal-HD patients (relative difference=38.5%, effect size=1.48). Significant correlations were found between CBV
<sub>a</sub>
in frontal cortex and genetic measures. By contrast, no significant brain atrophy was detected in these prodromal-HD patients.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">CBV
<sub>a</sub>
may be abnormal in prodromal-HD, even before substantial brain atrophy occurs. Further investigation with a larger cohort and longitudinal follow-up is merited to determine whether it could be used as a potential biomarker for clinical trials.</p>
</sec>
</div>
</front>
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