Nigro-caudate dopaminergic deafferentation: a marker of REM sleep behavior disorder?

Abstract Forty-nine consecutive, drug naïve outpatients with de novo Parkinson's disease (PD) and 12 patients with idiopathic rapid eye movement sleep behavior disorder (iRBD) underwent clinical examination and dopamine transporter single photon emission computed tomography with [123 I]-2β-carb...

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Veröffentlicht in:Neurobiology of aging 2015-12, Vol.36 (12), p.3300-3305
Hauptverfasser: Arnaldi, Dario, De Carli, Fabrizio, Picco, Agnese, Ferrara, Michela, Accardo, Jennifer, Bossert, Irene, Famà, Francesco, Girtler, Nicola, Morbelli, Silvia, Sambuceti, Gianmario, Nobili, Flavio
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container_end_page 3305
container_issue 12
container_start_page 3300
container_title Neurobiology of aging
container_volume 36
creator Arnaldi, Dario
De Carli, Fabrizio
Picco, Agnese
Ferrara, Michela
Accardo, Jennifer
Bossert, Irene
Famà, Francesco
Girtler, Nicola
Morbelli, Silvia
Sambuceti, Gianmario
Nobili, Flavio
description Abstract Forty-nine consecutive, drug naïve outpatients with de novo Parkinson's disease (PD) and 12 patients with idiopathic rapid eye movement sleep behavior disorder (iRBD) underwent clinical examination and dopamine transporter single photon emission computed tomography with [123 I]-2β-carbomethoxy-3β-(4-iodophenyl)- N -(3-fluoropropyl)nortropane as a biomarker of nigro-striatal function. PD patients were grouped into rapid eye movement sleep behavior disorder (RBD) negative (PD-RBD−) and RBD positive (PD-RBD+). Repeated measures and univariate analysis of variance were used to compare dopaminergic and clinical impairment among groups. The variations of dopamine transporter–single photon emission computed tomography specific binding ratios (SBR) as a function of group belonging were significantly different ( p  = 0.0013) at caudate with respect to putamen level. Indeed, putamen SBR progressively decreased from iRBD to PD-RBD− and PD-RBD+ groups while caudate SBR were higher in PD-RBD− group than in PD-RBD+ and even than in iRBD group. Motor impairment was more severe in PD patients with RBD than in those without RBD. Our data suggest that a more severe nigro-caudate dopaminergic deafferentation is related to RBD, both in its idiopathic form and in PD patients.
doi_str_mv 10.1016/j.neurobiolaging.2015.08.025
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PD patients were grouped into rapid eye movement sleep behavior disorder (RBD) negative (PD-RBD−) and RBD positive (PD-RBD+). Repeated measures and univariate analysis of variance were used to compare dopaminergic and clinical impairment among groups. The variations of dopamine transporter–single photon emission computed tomography specific binding ratios (SBR) as a function of group belonging were significantly different ( p  = 0.0013) at caudate with respect to putamen level. Indeed, putamen SBR progressively decreased from iRBD to PD-RBD− and PD-RBD+ groups while caudate SBR were higher in PD-RBD− group than in PD-RBD+ and even than in iRBD group. Motor impairment was more severe in PD patients with RBD than in those without RBD. 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PD patients were grouped into rapid eye movement sleep behavior disorder (RBD) negative (PD-RBD−) and RBD positive (PD-RBD+). Repeated measures and univariate analysis of variance were used to compare dopaminergic and clinical impairment among groups. The variations of dopamine transporter–single photon emission computed tomography specific binding ratios (SBR) as a function of group belonging were significantly different ( p  = 0.0013) at caudate with respect to putamen level. Indeed, putamen SBR progressively decreased from iRBD to PD-RBD− and PD-RBD+ groups while caudate SBR were higher in PD-RBD− group than in PD-RBD+ and even than in iRBD group. Motor impairment was more severe in PD patients with RBD than in those without RBD. 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PD patients were grouped into rapid eye movement sleep behavior disorder (RBD) negative (PD-RBD−) and RBD positive (PD-RBD+). Repeated measures and univariate analysis of variance were used to compare dopaminergic and clinical impairment among groups. The variations of dopamine transporter–single photon emission computed tomography specific binding ratios (SBR) as a function of group belonging were significantly different ( p  = 0.0013) at caudate with respect to putamen level. Indeed, putamen SBR progressively decreased from iRBD to PD-RBD− and PD-RBD+ groups while caudate SBR were higher in PD-RBD− group than in PD-RBD+ and even than in iRBD group. Motor impairment was more severe in PD patients with RBD than in those without RBD. 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subjects Aged
Aged, 80 and over
Biomarkers - metabolism
Caudate Nucleus - metabolism
Dopamine - metabolism
Dopamine Plasma Membrane Transport Proteins - metabolism
Female
Humans
Internal Medicine
Male
Middle Aged
Neurology
Parkinson Disease - complications
Parkinson's disease
REM sleep behavior disorder
REM Sleep Behavior Disorder - complications
REM Sleep Behavior Disorder - diagnosis
Severity of Illness Index
SPECT
Substantia Nigra - metabolism
Tomography, Emission-Computed, Single-Photon
title Nigro-caudate dopaminergic deafferentation: a marker of REM sleep behavior disorder?
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