Incongruent reduction of dopamine transporter availability in different subgroups of alcohol dependence

The dopamine transporter (DAT) plays a crucial role in the pathogenesis of alcohol dependence (AD) and major depression (MD), and males have more risk factors for the development of AD. However, imaging studies on brain DAT availability in males with AD comorbid with MD (AD/MD) are limited, and the...

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Veröffentlicht in:Medicine (Baltimore) 2016-08, Vol.95 (33), p.e4048-e4048
Hauptverfasser: Yen, Che-Hung, Shih, Mei-Chen, Cheng, Cheng-Yi, Ma, Kuo-Hsing, Lu, Ru-Band, Huang, San-Yuan
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container_issue 33
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container_title Medicine (Baltimore)
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creator Yen, Che-Hung
Shih, Mei-Chen
Cheng, Cheng-Yi
Ma, Kuo-Hsing
Lu, Ru-Band
Huang, San-Yuan
description The dopamine transporter (DAT) plays a crucial role in the pathogenesis of alcohol dependence (AD) and major depression (MD), and males have more risk factors for the development of AD. However, imaging studies on brain DAT availability in males with AD comorbid with MD (AD/MD) are limited, and the association of DAT availability with cognitive function and depressive scores in patients with AD/MD has not been analyzed. Hence, this study examined the relationship between brain DAT availability, cognitive function, and depressive symptoms in different subgroups of males with AD.Single-photon emission computed tomography imaging with Tc-TRODAT-1 as a ligand was used to measure striatal DAT availability in 49 patients with AD (28 pure AD and 21 AD/MD) and 24 age- and sex-matched healthy volunteers. The Wisconsin Card Sorting Test (WCST) and 17-item Hamilton Depression Rating Scale were used to assess neurocognitive function and depressive scores, respectively. Patients with AD showed a significant reduction of DAT availability in 3 brain regions (P 
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However, imaging studies on brain DAT availability in males with AD comorbid with MD (AD/MD) are limited, and the association of DAT availability with cognitive function and depressive scores in patients with AD/MD has not been analyzed. Hence, this study examined the relationship between brain DAT availability, cognitive function, and depressive symptoms in different subgroups of males with AD.Single-photon emission computed tomography imaging with Tc-TRODAT-1 as a ligand was used to measure striatal DAT availability in 49 patients with AD (28 pure AD and 21 AD/MD) and 24 age- and sex-matched healthy volunteers. The Wisconsin Card Sorting Test (WCST) and 17-item Hamilton Depression Rating Scale were used to assess neurocognitive function and depressive scores, respectively. Patients with AD showed a significant reduction of DAT availability in 3 brain regions (P &lt; 0.001), and this reduction was more pronounced in the patients with pure AD compared to healthy controls. The patients with AD showed significantly poorer performance on the WCST, but only in the control group was DAT availability significantly negatively correlated with total errors and perseverative errors (P &lt; 0.001).These preliminary findings suggest that DAT availability is associated with neurocognitive function, and incongruent reduction of DAT may play a pathophysiological role in different subgroups of AD. In addition, decreased DAT availability may be associated with the severity of depressive symptoms in patients with AD/MD.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000004048</identifier><identifier>PMID: 27537550</identifier><language>eng</language><publisher>United States: The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Alcoholism - diagnostic imaging ; Alcoholism - metabolism ; Alcoholism - psychology ; Brain - diagnostic imaging ; Brain - metabolism ; Case-Control Studies ; Cognition ; Depression - metabolism ; Dopamine Plasma Membrane Transport Proteins - metabolism ; Humans ; Male ; Neuropsychological Tests ; Observational Study ; Psychiatric Status Rating Scales ; Tomography, Emission-Computed, Single-Photon</subject><ispartof>Medicine (Baltimore), 2016-08, Vol.95 (33), p.e4048-e4048</ispartof><rights>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. 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However, imaging studies on brain DAT availability in males with AD comorbid with MD (AD/MD) are limited, and the association of DAT availability with cognitive function and depressive scores in patients with AD/MD has not been analyzed. Hence, this study examined the relationship between brain DAT availability, cognitive function, and depressive symptoms in different subgroups of males with AD.Single-photon emission computed tomography imaging with Tc-TRODAT-1 as a ligand was used to measure striatal DAT availability in 49 patients with AD (28 pure AD and 21 AD/MD) and 24 age- and sex-matched healthy volunteers. The Wisconsin Card Sorting Test (WCST) and 17-item Hamilton Depression Rating Scale were used to assess neurocognitive function and depressive scores, respectively. Patients with AD showed a significant reduction of DAT availability in 3 brain regions (P &lt; 0.001), and this reduction was more pronounced in the patients with pure AD compared to healthy controls. The patients with AD showed significantly poorer performance on the WCST, but only in the control group was DAT availability significantly negatively correlated with total errors and perseverative errors (P &lt; 0.001).These preliminary findings suggest that DAT availability is associated with neurocognitive function, and incongruent reduction of DAT may play a pathophysiological role in different subgroups of AD. In addition, decreased DAT availability may be associated with the severity of depressive symptoms in patients with AD/MD.</description><subject>Adult</subject><subject>Alcoholism - diagnostic imaging</subject><subject>Alcoholism - metabolism</subject><subject>Alcoholism - psychology</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - metabolism</subject><subject>Case-Control Studies</subject><subject>Cognition</subject><subject>Depression - metabolism</subject><subject>Dopamine Plasma Membrane Transport Proteins - metabolism</subject><subject>Humans</subject><subject>Male</subject><subject>Neuropsychological Tests</subject><subject>Observational Study</subject><subject>Psychiatric Status Rating Scales</subject><subject>Tomography, Emission-Computed, Single-Photon</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkNtKxDAQhoMouh6eQJC-QDXHpr0RxDMo3uh1SJvJbjSblKRVfHu7rooaGAKZ-f4JH0KHBB8T3MiT-4tj_OtwzOsNNCOCVaVoKr6JZhhTUcpG8h20m_MzxoRJyrfRDpWCSSHwDM1vQxfDPI0QhiKBGbvBxVBEW5jY66ULUAxJh9zHNEAq9Kt2XrfOu-G9cKEwzlpIKzaP7TzFsc8rVvsuLqIvDPQQDIQO9tGW1T7Dwde9h56uLh_Pb8q7h-vb87O7suMC09JCxYFSWUvGa9pIywVUDcO4tZZIU0PNNLOUgqS6qmVLOlNXxIBmhLWUMbaHTte5_dguwXTT15L2qk9uqdO7itqpv53gFmoeX9UkBEsppwC2DuhSzDmB_WEJVivv6v5C_fc-UUe_1_4w36KnAb4eeIt-Eplf_PgGSS1A-2HxmSdkQ0uKSYXrqcrVE2UfP2OQsg</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Yen, Che-Hung</creator><creator>Shih, Mei-Chen</creator><creator>Cheng, Cheng-Yi</creator><creator>Ma, Kuo-Hsing</creator><creator>Lu, Ru-Band</creator><creator>Huang, San-Yuan</creator><general>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20160801</creationdate><title>Incongruent reduction of dopamine transporter availability in different subgroups of alcohol dependence</title><author>Yen, Che-Hung ; Shih, Mei-Chen ; Cheng, Cheng-Yi ; Ma, Kuo-Hsing ; Lu, Ru-Band ; Huang, San-Yuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4502-fe64e22787348297f45e69300bff17d8e83a3f22e72a687b1cd861dea313b2333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Alcoholism - diagnostic imaging</topic><topic>Alcoholism - metabolism</topic><topic>Alcoholism - psychology</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - metabolism</topic><topic>Case-Control Studies</topic><topic>Cognition</topic><topic>Depression - metabolism</topic><topic>Dopamine Plasma Membrane Transport Proteins - metabolism</topic><topic>Humans</topic><topic>Male</topic><topic>Neuropsychological Tests</topic><topic>Observational Study</topic><topic>Psychiatric Status Rating Scales</topic><topic>Tomography, Emission-Computed, Single-Photon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yen, Che-Hung</creatorcontrib><creatorcontrib>Shih, Mei-Chen</creatorcontrib><creatorcontrib>Cheng, Cheng-Yi</creatorcontrib><creatorcontrib>Ma, Kuo-Hsing</creatorcontrib><creatorcontrib>Lu, Ru-Band</creatorcontrib><creatorcontrib>Huang, San-Yuan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yen, Che-Hung</au><au>Shih, Mei-Chen</au><au>Cheng, Cheng-Yi</au><au>Ma, Kuo-Hsing</au><au>Lu, Ru-Band</au><au>Huang, San-Yuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incongruent reduction of dopamine transporter availability in different subgroups of alcohol dependence</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>95</volume><issue>33</issue><spage>e4048</spage><epage>e4048</epage><pages>e4048-e4048</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>The dopamine transporter (DAT) plays a crucial role in the pathogenesis of alcohol dependence (AD) and major depression (MD), and males have more risk factors for the development of AD. However, imaging studies on brain DAT availability in males with AD comorbid with MD (AD/MD) are limited, and the association of DAT availability with cognitive function and depressive scores in patients with AD/MD has not been analyzed. Hence, this study examined the relationship between brain DAT availability, cognitive function, and depressive symptoms in different subgroups of males with AD.Single-photon emission computed tomography imaging with Tc-TRODAT-1 as a ligand was used to measure striatal DAT availability in 49 patients with AD (28 pure AD and 21 AD/MD) and 24 age- and sex-matched healthy volunteers. The Wisconsin Card Sorting Test (WCST) and 17-item Hamilton Depression Rating Scale were used to assess neurocognitive function and depressive scores, respectively. Patients with AD showed a significant reduction of DAT availability in 3 brain regions (P &lt; 0.001), and this reduction was more pronounced in the patients with pure AD compared to healthy controls. The patients with AD showed significantly poorer performance on the WCST, but only in the control group was DAT availability significantly negatively correlated with total errors and perseverative errors (P &lt; 0.001).These preliminary findings suggest that DAT availability is associated with neurocognitive function, and incongruent reduction of DAT may play a pathophysiological role in different subgroups of AD. In addition, decreased DAT availability may be associated with the severity of depressive symptoms in patients with AD/MD.</abstract><cop>United States</cop><pub>The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>27537550</pmid><doi>10.1097/MD.0000000000004048</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Alcoholism - diagnostic imaging
Alcoholism - metabolism
Alcoholism - psychology
Brain - diagnostic imaging
Brain - metabolism
Case-Control Studies
Cognition
Depression - metabolism
Dopamine Plasma Membrane Transport Proteins - metabolism
Humans
Male
Neuropsychological Tests
Observational Study
Psychiatric Status Rating Scales
Tomography, Emission-Computed, Single-Photon
title Incongruent reduction of dopamine transporter availability in different subgroups of alcohol dependence
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