Cerebral Metabolic Differences Associated with Cognitive Impairment in Parkinson's Disease

To characterize cerebral glucose metabolism associated with different cognitive states in Parkinson's disease (PD) using 18F-fluorodeoxyglucose (FDG) and Positron Emission Tomography (PET). Three groups of patients were recruited in this study including PD patients with dementia (PDD; n = 10),...

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Veröffentlicht in:PloS one 2016-04, Vol.11 (4), p.e0152716-e0152716
Hauptverfasser: Tang, Yilin, Ge, Jingjie, Liu, Fengtao, Wu, Ping, Guo, Sisi, Liu, Zhenyang, Wang, Yixuan, Wang, Ying, Ding, Zhengtong, Wu, Jianjun, Zuo, Chuantao, Wang, Jian
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container_title PloS one
container_volume 11
creator Tang, Yilin
Ge, Jingjie
Liu, Fengtao
Wu, Ping
Guo, Sisi
Liu, Zhenyang
Wang, Yixuan
Wang, Ying
Ding, Zhengtong
Wu, Jianjun
Zuo, Chuantao
Wang, Jian
description To characterize cerebral glucose metabolism associated with different cognitive states in Parkinson's disease (PD) using 18F-fluorodeoxyglucose (FDG) and Positron Emission Tomography (PET). Three groups of patients were recruited in this study including PD patients with dementia (PDD; n = 10), with mild cognitive impairment (PD-MCI; n = 20), and with no cognitive impairment (PD-NC; n = 30). The groups were matched for age, sex, education, disease duration, motor disability, levodopa equivalent dose and Geriatric Depression Rating Scale (GDS) score. All subjects underwent a FDG-PET study. Maps of regional metabolism in the three groups were compared using statistical parametric mapping (SPM5). PD-MCI patients exhibited limited areas of hypometabolism in the frontal, temporal and parahippocampal gyrus compared with the PD-NC patients (p < 0.01). PDD patients had bilateral areas of hypometabolism in the frontal and posterior parietal-occipital lobes compared with PD-MCI patients (p < 0.01), and exhibited greater metabolic reductions in comparison with PD-NC patients (p < 0.01). Compared with PD-NC patients, hypometabolism was much higher in the PDD patients than in PD-MCI patients, mainly in the posterior cortical areas. The result might suggest an association between posterior cortical hypometabolism and more severe cognitive impairment. PD-MCI might be important for early targeted therapeutic intervention and disease modification.
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Three groups of patients were recruited in this study including PD patients with dementia (PDD; n = 10), with mild cognitive impairment (PD-MCI; n = 20), and with no cognitive impairment (PD-NC; n = 30). The groups were matched for age, sex, education, disease duration, motor disability, levodopa equivalent dose and Geriatric Depression Rating Scale (GDS) score. All subjects underwent a FDG-PET study. Maps of regional metabolism in the three groups were compared using statistical parametric mapping (SPM5). PD-MCI patients exhibited limited areas of hypometabolism in the frontal, temporal and parahippocampal gyrus compared with the PD-NC patients (p &lt; 0.01). PDD patients had bilateral areas of hypometabolism in the frontal and posterior parietal-occipital lobes compared with PD-MCI patients (p &lt; 0.01), and exhibited greater metabolic reductions in comparison with PD-NC patients (p &lt; 0.01). Compared with PD-NC patients, hypometabolism was much higher in the PDD patients than in PD-MCI patients, mainly in the posterior cortical areas. The result might suggest an association between posterior cortical hypometabolism and more severe cognitive impairment. 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This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Tang et al 2016 Tang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-c96048af595bcce0ac3ca612658dc933fe31a583bc15559bc51a602ccf042fff3</citedby><cites>FETCH-LOGICAL-c692t-c96048af595bcce0ac3ca612658dc933fe31a583bc15559bc51a602ccf042fff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827825/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4827825/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27064684$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Yilin</creatorcontrib><creatorcontrib>Ge, Jingjie</creatorcontrib><creatorcontrib>Liu, Fengtao</creatorcontrib><creatorcontrib>Wu, Ping</creatorcontrib><creatorcontrib>Guo, Sisi</creatorcontrib><creatorcontrib>Liu, Zhenyang</creatorcontrib><creatorcontrib>Wang, Yixuan</creatorcontrib><creatorcontrib>Wang, Ying</creatorcontrib><creatorcontrib>Ding, Zhengtong</creatorcontrib><creatorcontrib>Wu, Jianjun</creatorcontrib><creatorcontrib>Zuo, Chuantao</creatorcontrib><creatorcontrib>Wang, Jian</creatorcontrib><title>Cerebral Metabolic Differences Associated with Cognitive Impairment in Parkinson's Disease</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To characterize cerebral glucose metabolism associated with different cognitive states in Parkinson's disease (PD) using 18F-fluorodeoxyglucose (FDG) and Positron Emission Tomography (PET). 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Compared with PD-NC patients, hypometabolism was much higher in the PDD patients than in PD-MCI patients, mainly in the posterior cortical areas. The result might suggest an association between posterior cortical hypometabolism and more severe cognitive impairment. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Yilin</au><au>Ge, Jingjie</au><au>Liu, Fengtao</au><au>Wu, Ping</au><au>Guo, Sisi</au><au>Liu, Zhenyang</au><au>Wang, Yixuan</au><au>Wang, Ying</au><au>Ding, Zhengtong</au><au>Wu, Jianjun</au><au>Zuo, Chuantao</au><au>Wang, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cerebral Metabolic Differences Associated with Cognitive Impairment in Parkinson's Disease</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-04-11</date><risdate>2016</risdate><volume>11</volume><issue>4</issue><spage>e0152716</spage><epage>e0152716</epage><pages>e0152716-e0152716</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To characterize cerebral glucose metabolism associated with different cognitive states in Parkinson's disease (PD) using 18F-fluorodeoxyglucose (FDG) and Positron Emission Tomography (PET). Three groups of patients were recruited in this study including PD patients with dementia (PDD; n = 10), with mild cognitive impairment (PD-MCI; n = 20), and with no cognitive impairment (PD-NC; n = 30). The groups were matched for age, sex, education, disease duration, motor disability, levodopa equivalent dose and Geriatric Depression Rating Scale (GDS) score. All subjects underwent a FDG-PET study. Maps of regional metabolism in the three groups were compared using statistical parametric mapping (SPM5). PD-MCI patients exhibited limited areas of hypometabolism in the frontal, temporal and parahippocampal gyrus compared with the PD-NC patients (p &lt; 0.01). PDD patients had bilateral areas of hypometabolism in the frontal and posterior parietal-occipital lobes compared with PD-MCI patients (p &lt; 0.01), and exhibited greater metabolic reductions in comparison with PD-NC patients (p &lt; 0.01). Compared with PD-NC patients, hypometabolism was much higher in the PDD patients than in PD-MCI patients, mainly in the posterior cortical areas. The result might suggest an association between posterior cortical hypometabolism and more severe cognitive impairment. PD-MCI might be important for early targeted therapeutic intervention and disease modification.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27064684</pmid><doi>10.1371/journal.pone.0152716</doi><oa>free_for_read</oa></addata></record>
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subjects Aged
Analysis
Biology and Life Sciences
Brain - metabolism
Brain - physiopathology
Cerebral Cortex - metabolism
Cerebral Cortex - physiopathology
Cognition
Cognition & reasoning
Cognitive ability
Cognitive Dysfunction - etiology
Cognitive Dysfunction - metabolism
Cortex
Dementia
Dementia - etiology
Dementia - metabolism
Dementia disorders
Dopamine
Female
Fluorodeoxyglucose F18
Glucose metabolism
Humans
Hypometabolism
Impairment
Levodopa
Levodopa - metabolism
Male
Medicine and Health Sciences
Mental depression
Metabolism
Metabolites
Middle Aged
Movement disorders
Neurodegenerative diseases
Neurology
Neuropsychological Tests
Nuclear medicine
Occipital lobes
Parahippocampal gyrus
Parkinson disease
Parkinson Disease - complications
Parkinson Disease - metabolism
Parkinson's disease
Patients
Positron emission
Positron emission tomography
Positron-Emission Tomography - methods
Research and Analysis Methods
Risk factors
Social Sciences
Studies
Tomography
title Cerebral Metabolic Differences Associated with Cognitive Impairment in Parkinson's Disease
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