Longitudinal study of the substantia nigra in Parkinson disease: A high-field (1) H-MR spectroscopy imaging study
The value of biomarkers in early diagnosis and development of therapeutics in Parkinson's disease (PD) is well established. We used proton magnetic resonance spectroscopy in a prospective, longitudinal study of 23 patients with early PD, naïve to dopaminergic therapy, and six age-matched health...
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Veröffentlicht in: | Movement disorders 2015-09, Vol.30 (10), p.1400-1404 |
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creator | Seraji-Bozorgzad, Navid Bao, Fen George, Edwin Krstevska, Shana Gorden, Veronica Chorostecki, Jessica Santiago, Carla Zak, Imad Caon, Christina Khan, Omar |
description | The value of biomarkers in early diagnosis and development of therapeutics in Parkinson's disease (PD) is well established.
We used proton magnetic resonance spectroscopy in a prospective, longitudinal study of 23 patients with early PD, naïve to dopaminergic therapy, and six age-matched healthy controls to examine the temporal changes in metabolic profile of substantia nigra over a period of 3 months.
N-acetyl aspartate to creatine ratio at month 3 was compared with baseline values in the PD and control groups, as well as the side-to-side difference of the ratio at baseline. By month 3, n-acetyl aspartate to creatine ratio had decreased by 4.4% in patients with PD (P = 0.024), without a concomitant change in healthy controls. The side-to-side asymmetry was significantly higher in the PD group (16.7%) vs. healthy controls (1.6%, P = 0.0024).
Estimation of change in the n-acetyl aspartate to creatine ratio appears to be a fast, quantifiable, and reliable marker of dopaminergic neuronal viability in PD. |
doi_str_mv | 10.1002/mds.26323 |
format | Article |
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We used proton magnetic resonance spectroscopy in a prospective, longitudinal study of 23 patients with early PD, naïve to dopaminergic therapy, and six age-matched healthy controls to examine the temporal changes in metabolic profile of substantia nigra over a period of 3 months.
N-acetyl aspartate to creatine ratio at month 3 was compared with baseline values in the PD and control groups, as well as the side-to-side difference of the ratio at baseline. By month 3, n-acetyl aspartate to creatine ratio had decreased by 4.4% in patients with PD (P = 0.024), without a concomitant change in healthy controls. The side-to-side asymmetry was significantly higher in the PD group (16.7%) vs. healthy controls (1.6%, P = 0.0024).
Estimation of change in the n-acetyl aspartate to creatine ratio appears to be a fast, quantifiable, and reliable marker of dopaminergic neuronal viability in PD.</description><identifier>EISSN: 1531-8257</identifier><identifier>DOI: 10.1002/mds.26323</identifier><identifier>PMID: 26228901</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Aspartic Acid - analogs & derivatives ; Aspartic Acid - metabolism ; Biomarkers - metabolism ; Creatine - metabolism ; Female ; Humans ; Longitudinal Studies ; Male ; Middle Aged ; Parkinson Disease - metabolism ; Proton Magnetic Resonance Spectroscopy - methods ; Substantia Nigra - metabolism</subject><ispartof>Movement disorders, 2015-09, Vol.30 (10), p.1400-1404</ispartof><rights>2015 International Parkinson and Movement Disorder Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26228901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seraji-Bozorgzad, Navid</creatorcontrib><creatorcontrib>Bao, Fen</creatorcontrib><creatorcontrib>George, Edwin</creatorcontrib><creatorcontrib>Krstevska, Shana</creatorcontrib><creatorcontrib>Gorden, Veronica</creatorcontrib><creatorcontrib>Chorostecki, Jessica</creatorcontrib><creatorcontrib>Santiago, Carla</creatorcontrib><creatorcontrib>Zak, Imad</creatorcontrib><creatorcontrib>Caon, Christina</creatorcontrib><creatorcontrib>Khan, Omar</creatorcontrib><title>Longitudinal study of the substantia nigra in Parkinson disease: A high-field (1) H-MR spectroscopy imaging study</title><title>Movement disorders</title><addtitle>Mov Disord</addtitle><description>The value of biomarkers in early diagnosis and development of therapeutics in Parkinson's disease (PD) is well established.
We used proton magnetic resonance spectroscopy in a prospective, longitudinal study of 23 patients with early PD, naïve to dopaminergic therapy, and six age-matched healthy controls to examine the temporal changes in metabolic profile of substantia nigra over a period of 3 months.
N-acetyl aspartate to creatine ratio at month 3 was compared with baseline values in the PD and control groups, as well as the side-to-side difference of the ratio at baseline. By month 3, n-acetyl aspartate to creatine ratio had decreased by 4.4% in patients with PD (P = 0.024), without a concomitant change in healthy controls. The side-to-side asymmetry was significantly higher in the PD group (16.7%) vs. healthy controls (1.6%, P = 0.0024).
Estimation of change in the n-acetyl aspartate to creatine ratio appears to be a fast, quantifiable, and reliable marker of dopaminergic neuronal viability in PD.</description><subject>Aged</subject><subject>Aspartic Acid - analogs & derivatives</subject><subject>Aspartic Acid - metabolism</subject><subject>Biomarkers - metabolism</subject><subject>Creatine - metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parkinson Disease - metabolism</subject><subject>Proton Magnetic Resonance Spectroscopy - methods</subject><subject>Substantia Nigra - metabolism</subject><issn>1531-8257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1UMFKw0AUXASxtXrwB2SP9ZC6b9Nsst5KUStEFNFzeOlu0tVkk-Ylh_69kVYYmDkMw8wwdgNiAULI-9rQQqpQhmdsClEIQSKjeMIuib6FAIhAXbCJVFImWsCU7dPGl64fjPNYcRrFgTcF73eW05BTj753yL0rO-TO83fsfpynxnPjyCLZB77iO1fugsLZyvA53PFN8PrBqbXbvmto27QH7mosnS-P8VfsvMCK7PWJZ-zr6fFzvQnSt-eX9SoNWpCqD2JpxhlaFghJAnkYYQI6irVBNEuw8RKM1qASYSEX9m_OUsncxIhKamWScMbmx9y2a_aDpT6rHW1tVaG3zUAZxEKPAKlH6-3JOuS1NVnbjY27Q_Z_U_gLqdpmIg</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Seraji-Bozorgzad, Navid</creator><creator>Bao, Fen</creator><creator>George, Edwin</creator><creator>Krstevska, Shana</creator><creator>Gorden, Veronica</creator><creator>Chorostecki, Jessica</creator><creator>Santiago, Carla</creator><creator>Zak, Imad</creator><creator>Caon, Christina</creator><creator>Khan, Omar</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Longitudinal study of the substantia nigra in Parkinson disease: A high-field (1) H-MR spectroscopy imaging study</title><author>Seraji-Bozorgzad, Navid ; Bao, Fen ; George, Edwin ; Krstevska, Shana ; Gorden, Veronica ; Chorostecki, Jessica ; Santiago, Carla ; Zak, Imad ; Caon, Christina ; Khan, Omar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p126t-72d26392fa1881b35a819579daad41e741d991680e1b0e2289462bd7aa6296d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aspartic Acid - analogs & derivatives</topic><topic>Aspartic Acid - metabolism</topic><topic>Biomarkers - metabolism</topic><topic>Creatine - metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parkinson Disease - metabolism</topic><topic>Proton Magnetic Resonance Spectroscopy - methods</topic><topic>Substantia Nigra - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seraji-Bozorgzad, Navid</creatorcontrib><creatorcontrib>Bao, Fen</creatorcontrib><creatorcontrib>George, Edwin</creatorcontrib><creatorcontrib>Krstevska, Shana</creatorcontrib><creatorcontrib>Gorden, Veronica</creatorcontrib><creatorcontrib>Chorostecki, Jessica</creatorcontrib><creatorcontrib>Santiago, Carla</creatorcontrib><creatorcontrib>Zak, Imad</creatorcontrib><creatorcontrib>Caon, Christina</creatorcontrib><creatorcontrib>Khan, Omar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Movement disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seraji-Bozorgzad, Navid</au><au>Bao, Fen</au><au>George, Edwin</au><au>Krstevska, Shana</au><au>Gorden, Veronica</au><au>Chorostecki, Jessica</au><au>Santiago, Carla</au><au>Zak, Imad</au><au>Caon, Christina</au><au>Khan, Omar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Longitudinal study of the substantia nigra in Parkinson disease: A high-field (1) H-MR spectroscopy imaging study</atitle><jtitle>Movement disorders</jtitle><addtitle>Mov Disord</addtitle><date>2015-09</date><risdate>2015</risdate><volume>30</volume><issue>10</issue><spage>1400</spage><epage>1404</epage><pages>1400-1404</pages><eissn>1531-8257</eissn><abstract>The value of biomarkers in early diagnosis and development of therapeutics in Parkinson's disease (PD) is well established.
We used proton magnetic resonance spectroscopy in a prospective, longitudinal study of 23 patients with early PD, naïve to dopaminergic therapy, and six age-matched healthy controls to examine the temporal changes in metabolic profile of substantia nigra over a period of 3 months.
N-acetyl aspartate to creatine ratio at month 3 was compared with baseline values in the PD and control groups, as well as the side-to-side difference of the ratio at baseline. By month 3, n-acetyl aspartate to creatine ratio had decreased by 4.4% in patients with PD (P = 0.024), without a concomitant change in healthy controls. The side-to-side asymmetry was significantly higher in the PD group (16.7%) vs. healthy controls (1.6%, P = 0.0024).
Estimation of change in the n-acetyl aspartate to creatine ratio appears to be a fast, quantifiable, and reliable marker of dopaminergic neuronal viability in PD.</abstract><cop>United States</cop><pmid>26228901</pmid><doi>10.1002/mds.26323</doi><tpages>5</tpages></addata></record> |
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subjects | Aged Aspartic Acid - analogs & derivatives Aspartic Acid - metabolism Biomarkers - metabolism Creatine - metabolism Female Humans Longitudinal Studies Male Middle Aged Parkinson Disease - metabolism Proton Magnetic Resonance Spectroscopy - methods Substantia Nigra - metabolism |
title | Longitudinal study of the substantia nigra in Parkinson disease: A high-field (1) H-MR spectroscopy imaging study |
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