Movement Disorders (revue)

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Midbrain SERT in Degenerative Parkinsonisms: A 123I-FP-CIT SPECT Study

Identifieur interne : 002400 ( PascalFrancis/Curation ); précédent : 002399; suivant : 002401

Midbrain SERT in Degenerative Parkinsonisms: A 123I-FP-CIT SPECT Study

Auteurs : Francesco Roselli [Italie, Allemagne] ; Nicola M. Pisciotta [Italie] ; Michele Pennelli [Italie] ; Maria S. Aniello [Italie] ; Angelo Gigante [Italie] ; Maria F. De Caro [Italie] ; Ermanno Ferrannini [Italie] ; Bruno Tartaglione [Italie] ; Artor Niccoli-Asabella [Italie] ; Giovanni Defazio [Italie] ; Paolo Livrea [Italie] ; Giuseppe Rubini [Italie]

Source :

RBID : Pascal:10-0446312

Descripteurs français

English descriptors

Abstract

SPECT imaging is widely used for the differential diagnosis of degenerative parkinsonisms by exploiting the high affinitiy of the radiotracer 123I-FP-CIT for the dopamine transporter. Reduced levels of DAT are found in Parkinson Disease (PD), Dementia with Lewy Bodies (DLB), and Progressive Supranuclear Palsy (PSP) compared to in Essential Tremor (ET) and Healthy Controls (HC). However, the extent of the neurodegenerative process may extend beyond nigrostriatal system. We have exploited the affinity of the same radiotracer 123I-FP-CIT for the serotonin transporter to investigate SERT levels in the midbrain of patients with PD, DLB, PSP, and ET compared to HC. Using MRI images as anatomical templates for midbrain uptake quantification, we found a mild decrease in SERT levels in PD compared to ET and HC, with marked inter-individual variability; on the other side, PSP and DLB patients displayed markedly reduced to undetectable levels of SERT, respectively. These findings show that the neurodegenerative process affects serotoninergic neurons in parkinsonisms, with much more severe involvement in DLB than in PD patients, despite the comparable loss of striatal DAT. SERT-dependent 123I-FP-CIT uptake may allow a more comprehensive assessment of neurochemical disturbances in degenerative parkinsonisms and may have a value for differential diagnosis.
pA  
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A08 01  1  ENG  @1 Midbrain SERT in Degenerative Parkinsonisms: A 123I-FP-CIT SPECT Study
A11 01  1    @1 ROSELLI (Francesco)
A11 02  1    @1 PISCIOTTA (Nicola M.)
A11 03  1    @1 PENNELLI (Michele)
A11 04  1    @1 ANIELLO (Maria S.)
A11 05  1    @1 GIGANTE (Angelo)
A11 06  1    @1 DE CARO (Maria F.)
A11 07  1    @1 FERRANNINI (Ermanno)
A11 08  1    @1 TARTAGLIONE (Bruno)
A11 09  1    @1 NICCOLI-ASABELLA (Artor)
A11 10  1    @1 DEFAZIO (Giovanni)
A11 11  1    @1 LIVREA (Paolo)
A11 12  1    @1 RUBINI (Giuseppe)
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A14 04      @1 "Santa Chiara" Institute @2 Lecce @3 ITA @Z 2 aut.
A14 05      @1 Department of Neurology, "Madonnina" Hospital @2 Bari @3 ITA @Z 7 aut.
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A21       @1 2010
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C01 01    ENG  @0 SPECT imaging is widely used for the differential diagnosis of degenerative parkinsonisms by exploiting the high affinitiy of the radiotracer 123I-FP-CIT for the dopamine transporter. Reduced levels of DAT are found in Parkinson Disease (PD), Dementia with Lewy Bodies (DLB), and Progressive Supranuclear Palsy (PSP) compared to in Essential Tremor (ET) and Healthy Controls (HC). However, the extent of the neurodegenerative process may extend beyond nigrostriatal system. We have exploited the affinity of the same radiotracer 123I-FP-CIT for the serotonin transporter to investigate SERT levels in the midbrain of patients with PD, DLB, PSP, and ET compared to HC. Using MRI images as anatomical templates for midbrain uptake quantification, we found a mild decrease in SERT levels in PD compared to ET and HC, with marked inter-individual variability; on the other side, PSP and DLB patients displayed markedly reduced to undetectable levels of SERT, respectively. These findings show that the neurodegenerative process affects serotoninergic neurons in parkinsonisms, with much more severe involvement in DLB than in PD patients, despite the comparable loss of striatal DAT. SERT-dependent 123I-FP-CIT uptake may allow a more comprehensive assessment of neurochemical disturbances in degenerative parkinsonisms and may have a value for differential diagnosis.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Parkinsonisme @2 NM @5 01
C03 01  X  ENG  @0 Parkinsonism @2 NM @5 01
C03 01  X  SPA  @0 Parkinson síndrome @2 NM @5 01
C03 02  X  FRE  @0 Démence à corps de Lewy @2 NM @5 02
C03 02  X  ENG  @0 Lewy body dementia @2 NM @5 02
C03 02  X  SPA  @0 Demencia cuerpos Lewy @2 NM @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Mésencéphale @5 09
C03 04  X  ENG  @0 Midbrain @5 09
C03 04  X  SPA  @0 Mesencéfalo @5 09
C03 05  X  FRE  @0 Tomoscintigraphie émission monophotonique @5 10
C03 05  X  ENG  @0 Single photon emission tomography @5 10
C03 05  X  SPA  @0 Tomografía emisión fotón único @5 10
C03 06  X  FRE  @0 Photon @5 11
C03 06  X  ENG  @0 Photon @5 11
C03 06  X  SPA  @0 Fotón @5 11
C03 07  X  FRE  @0 Transporteur sérotonine @4 CD @5 96
C03 07  X  ENG  @0 Serotonin transporter @4 CD @5 96
C07 01  X  FRE  @0 Système nerveux central @5 37
C07 01  X  ENG  @0 Central nervous system @5 37
C07 01  X  SPA  @0 Sistema nervioso central @5 37
N21       @1 291
N44 01      @1 OTO
N82       @1 OTO

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Pascal:10-0446312

Le document en format XML

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<div type="abstract" xml:lang="en">SPECT imaging is widely used for the differential diagnosis of degenerative parkinsonisms by exploiting the high affinitiy of the radiotracer
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I-FP-CIT for the dopamine transporter. Reduced levels of DAT are found in Parkinson Disease (PD), Dementia with Lewy Bodies (DLB), and Progressive Supranuclear Palsy (PSP) compared to in Essential Tremor (ET) and Healthy Controls (HC). However, the extent of the neurodegenerative process may extend beyond nigrostriatal system. We have exploited the affinity of the same radiotracer
<sup>123</sup>
I-FP-CIT for the serotonin transporter to investigate SERT levels in the midbrain of patients with PD, DLB, PSP, and ET compared to HC. Using MRI images as anatomical templates for midbrain uptake quantification, we found a mild decrease in SERT levels in PD compared to ET and HC, with marked inter-individual variability; on the other side, PSP and DLB patients displayed markedly reduced to undetectable levels of SERT, respectively. These findings show that the neurodegenerative process affects serotoninergic neurons in parkinsonisms, with much more severe involvement in DLB than in PD patients, despite the comparable loss of striatal DAT. SERT-dependent
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I-FP-CIT uptake may allow a more comprehensive assessment of neurochemical disturbances in degenerative parkinsonisms and may have a value for differential diagnosis.</div>
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