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A Comparative Study on Neurochemistry of Cerebrospinal Fluid in Advanced Parkinson's Disease

Identifieur interne : 001E18 ( Main/Exploration ); précédent : 001E17; suivant : 001E19

A Comparative Study on Neurochemistry of Cerebrospinal Fluid in Advanced Parkinson's Disease

Auteurs : H. Liu ; R. P. Iacono ; T. Schoonenberg ; S. Kuniyoshi ; J. Buchholz

Source :

RBID : ISTEX:3A04297B6CEF15BF027E4BE7633FFE6A5960DE50

Abstract

This study addresses two issues: (1) the comparative neurochemistry of classic tremor type of Parkinson's disease or PD-A and akinetic type of Parkinson's disease or PD-B; and (2) the neurochemistry of levodopa failure syndrome (LDFS). Cerebrospinal fluid from the lateral ventricle was collected from 50 patients with idiopathic Parkinson's disease of PD-A and PD-B. Levels of monoamine neurotransmitters and metabolites were determined using high performance liquid chromatography. We have found that (1) 5-hydroxylindoleacetic acid (5-HIAA) level is significantly lower in PD-B than in PD-A; (2) 5-HIAA level is inversely associated with score of part one of United Parkinson's Disease Rating Score (UPDRS); (3) 5-HIAA level is inversely associated with score of part four of UPDRS; (4) 3-O-methyldopa (3-OMD) level is positively associated with levodopa failure syndrome (LDFS) assessed by part four of UPDRS and inversely associates with 5-HIAA. From these data, it can be inferred that serotonergic activity is decreased in PD-B to a greater extent than in PD-A and that decreased serotonergic activity plays a role in LDFS.

Url:
DOI: 10.1006/nbdi.1998.0222


Affiliations:


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