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
Hauptverfasser: Seraji-Bozorgzad, Navid, Bao, Fen, George, Edwin, Krstevska, Shana, Gorden, Veronica, Chorostecki, Jessica, Santiago, Carla, Zak, Imad, Caon, Christina, Khan, Omar
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container_end_page 1404
container_issue 10
container_start_page 1400
container_title Movement disorders
container_volume 30
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
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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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