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Metabolic correlates of dopaminergic loss in dementia with lewy bodies

Huber, Maria (author)
Ludwig Maximilians Univ Munchen, Germany
Beyer, Leonie (author)
Ludwig Maximilians Univ Munchen, Germany
Prix, Catharina (author)
Ludwig Maximilians Univ Munchen, Germany
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Schoenecker, Sonja (author)
Karolinska Institutet,Ludwig Maximilians Univ Munchen, Germany
Palleis, Carla (author)
Ludwig Maximilians Univ Munchen, Germany
Rauchmann, Boris-Stephan (author)
Ludwig Maximilians Univ Munchen, Germany; Ludwig Maximilians Univ Munchen, Germany
Morbelli, Silvia (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Chincarini, Andrea (author)
Natl Inst Nucl Phys INFN, Italy
Bruffaerts, Rose (author)
Katholieke Univ Leuven, Belgium; Univ Hosp Leuven, Belgium
Vandenberghe, Rik (author)
Katholieke Univ Leuven, Belgium; Univ Hosp Leuven, Belgium
Van Laere, Koen (author)
Univ Hosp Leuven, Belgium
Kramberger, Milica G. (author)
Univ Med Ctr, Slovenia
Trost, Maja (author)
Univ Med Ctr, Slovenia; Univ Med Ctr, Slovenia
Grmek, Marko (author)
Univ Med Ctr, Slovenia
Garibotto, Valentina (author)
Geneva Univ Hosp, Switzerland; Univ Geneva, Switzerland
Nicastro, Nicolas (author)
Geneva Univ Hosp, Switzerland; Univ Cambridge, England
Frisoni, Giovanni B. (author)
Geneva Univ Hosp, Switzerland
Lemstra, Afina W. (author)
Vrije Univ Amsterdam Med Ctr, Netherlands
van der Zande, Jessica (author)
Vrije Univ Amsterdam Med Ctr, Netherlands
Pilotto, Andrea (author)
Univ Brescia, Italy; FERB ONLUS S Isidoro Hosp, Italy
Padovani, Alessandro (author)
Univ Brescia, Italy
Garcia-Ptacek, Sara (author)
Karolinska Inst, Sweden; Sadersjukhuset, Sweden
Savitcheva, Irina (author)
Karolinska Univ Hosp, Sweden
Ochoa-Figueroa, Miguel A. (author)
Linköpings universitet,Avdelningen för kardiovaskulär medicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Fysiologiska kliniken US,Region Östergötland, Medicinsk strålningsfysik
Davidsson, Anette, 1960- (author)
Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Fysiologiska kliniken US
Camacho, Valle (author)
Univ Autonoma Barcelona, Spain
Peira, Enrico (author)
Natl Inst Nucl Phys INFN, Italy; Univ Genoa, Italy
Arnaldi, Dario (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Bauckneht, Matteo (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Pardini, Matteo (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Sambuceti, Gianmario (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Voeglein, Jonathan (author)
Ludwig Maximilians Univ Munchen, Germany; DZNE German Ctr Neurodegenerat Dis, Germany
Schnabel, Jonas (author)
Ludwig Maximilians Univ Munchen, Germany
Unterrainer, Marcus (author)
Ludwig Maximilians Univ Munchen, Germany
Perneczky, Robert (author)
Ludwig Maximilians Univ Munchen, Germany; DZNE German Ctr Neurodegenerat Dis, Germany; Imperial Coll, England
Pogarell, Oliver (author)
Ludwig Maximilians Univ Munchen, Germany
Buerger, Katharina (author)
DZNE German Ctr Neurodegenerat Dis, Germany
Catak, Cihan (author)
University of Munich, Munich, Germany
Bartenstein, Peter (author)
Ludwig Maximilians Univ Munchen, Germany
Cumming, Paul (author)
University of Bern, Inselspital, Bern, Switzerland; Queensland University of Technology, Brisbane, Australia
Ewers, Michael (author)
DZNE German Ctr Neurodegenerat Dis, Germany
Danek, Adrian (author)
Ludwig Maximilians Univ Munchen, Germany
Levin, Johannes (author)
Ludwig Maximilians Univ Munchen, Germany; DZNE German Ctr Neurodegenerat Dis, Germany
Aarsland, Dag (author)
Karolinska Institutet,Stavanger University Hospital, Stavanger, Norway; King’s College London, London, United Kingdom
Nobili, Flavio (author)
IRCCS Osped Policlin San Martino, Italy; Univ Genoa, Italy
Rominger, Axel (author)
Ludwig Maximilians Univ Munchen, Germany
Brendel, Matthias (author)
Ludwig Maximilians Univ Munchen, Germany
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 (creator_code:org_t)
2019-12-16
2020
English.
In: Movement Disorders. - : WILEY. - 0885-3185 .- 1531-8257. ; 35, s. 595-605
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background Striatal dopamine deficiency and metabolic changes are well-known phenomena in dementia with Lewy bodies and can be quantified in vivo by I-123-Ioflupane brain single-photon emission computed tomography of dopamine transporter and F-18-fluorodesoxyglucose PET. However, the linkage between both biomarkers is ill-understood. Objective We used the hitherto largest study cohort of combined imaging from the European consortium to elucidate the role of both biomarkers in the pathophysiological course of dementia with Lewy bodies. Methods We compared striatal dopamine deficiency and glucose metabolism of 84 dementia with Lewy body patients and comparable healthy controls. After normalization of data, we tested their correlation by region-of-interest-based and voxel-based methods, controlled for study center, age, sex, education, and current cognitive impairment. Metabolic connectivity was analyzed by inter-region coefficients stratified by dopamine deficiency and compared to healthy controls. Results There was an inverse relationship between striatal dopamine availability and relative glucose hypermetabolism, pronounced in the basal ganglia and in limbic regions. With increasing dopamine deficiency, metabolic connectivity showed strong deteriorations in distinct brain regions implicated in disease symptoms, with greatest disruptions in the basal ganglia and limbic system, coincident with the pattern of relative hypermetabolism. Conclusions Relative glucose hypermetabolism and disturbed metabolic connectivity of limbic and basal ganglia circuits are metabolic correlates of dopamine deficiency in dementia with Lewy bodies. Identification of specific metabolic network alterations in patients with early dopamine deficiency may serve as an additional supporting biomarker for timely diagnosis of dementia with Lewy bodies. (c) 2019 The Authors. Movement Disorders published by Wiley Periodicals, Inc. on behalf of International Parkinson and Movement Disorder Society.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Neurologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Neurology (hsv//eng)

Keyword

dopamine deficiency; glucose metabolism; Lewy body dementia; metabolic connectivity; PET imaging

Publication and Content Type

ref (subject category)
art (subject category)

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