PMID- 30415448 OWN - NLM STAT- MEDLINE DCOM- 20190311 LR - 20200225 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 40 IP - 2 DP - 2019 Feb TI - Lack of association between dopamine transporter loss and non-motor symptoms in patients with Parkinson's disease: a detailed PET analysis of 12 striatal subregions. PG - 311-317 LID - 10.1007/s10072-018-3632-7 [doi] AB - INTRODUCTION: Patients with Parkinson's disease (PD) present a variety of non-motor symptoms. However, it remains unclear whether dopamine depletion is related to non-motor symptoms, and which non-motor symptoms are significantly dependent on dopaminergic deficit. METHODS: Forty-one patients with PD who underwent positron emission tomography imaging of dopamine transporters (DATs) were recruited for this study. The striatum was divided into 12 subregions, and DAT activity, as striatal dopaminergic concentration, was calculated in each subregion. In addition to measuring motor symptoms using the Unified Parkinson's Disease Rating Scale-part III (UPDRS-III), various non-motor symptoms were assessed using the Montreal cognitive assessment, frontal assessment battery, Beck depression inventory (BDI), Beck anxiety inventory, PD sleep scale (PDSS), PD fatigue scale, and non-motor symptoms scale (NMSS) for PD. RESULTS: For simple linear regression analyses, dopaminergic depletion in all striatal subregions was negatively correlated with the UPDRS-III score. The most relevant non-motor symptom assessment related to dopaminergic loss in the 12 subregions was NMSS, followed by BDI and PDSS. However, following multiple linear regression analyses, dopaminergic depletion in the 12 striatal subregions was not related with any of the non-motor symptoms. Conversely, dopaminergic deficit in the right anterior and posterior putamen was associated with the UPDRS-III score. CONCLUSIONS: Striatal dopaminergic depletion was not significantly correlated with any of the various non-motor symptoms in PD. Our findings suggest that non-dopaminergic systems are significantly implicated in the pathogenesis of non-motor symptoms in patients with PD. FAU - Park, Soo Bin AU - Park SB AD - Department of Radiology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea. FAU - Kwon, Kyum-Yil AU - Kwon KY AUID- ORCID: 0000-0001-5443-0952 AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. denovo78@schmc.ac.kr. FAU - Lee, Jeong-Yoon AU - Lee JY AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Im, Kayeong AU - Im K AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Sunwoo, Jun-Sang AU - Sunwoo JS AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Lee, Kyung Bok AU - Lee KB AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Roh, Hakjae AU - Roh H AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Ahn, Moo-Young AU - Ahn MY AD - Department of Neurology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, 59 Daesagwan-ro, Yongsan-gu, Seoul, 04401, Republic of Korea. FAU - Park, Suyeon AU - Park S AD - Department of Biostatistics, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Republic of Korea. FAU - Kim, Soo-Jong AU - Kim SJ AD - Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. FAU - Oh, Jungsu S AU - Oh JS AD - Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. FAU - Kim, Jae Seung AU - Kim JS AD - Department of Nuclear Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea. LA - eng GR - Not applicable/Soonchunhyang University/ GR - NRF-2018R1C1B5045312/National Research Foundation of Korea/ PT - Journal Article DEP - 20181110 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 0 (Antiparkinson Agents) RN - 0 (Dopamine Agents) RN - 0 (Dopamine Plasma Membrane Transport Proteins) RN - 0 (Radiopharmaceuticals) RN - 0 (Tropanes) RN - 155797-99-2 (2-carbomethoxy-8-(3-fluoropropyl)-3-(4-iodophenyl)tropane) RN - VTD58H1Z2X (Dopamine) SB - IM CIN - Neurol Sci. 2019 Dec;40(12):2635-2636. PMID: 31209585 MH - Aged MH - Antiparkinson Agents/therapeutic use MH - Brain Mapping MH - Corpus Striatum/*diagnostic imaging/*metabolism MH - Dopamine/deficiency MH - Dopamine Agents/therapeutic use MH - Dopamine Plasma Membrane Transport Proteins/*metabolism MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Parkinson Disease/*diagnostic imaging/drug therapy/*metabolism/psychology MH - *Positron-Emission Tomography MH - Psychiatric Status Rating Scales MH - Radiopharmaceuticals MH - Retrospective Studies MH - Severity of Illness Index MH - Tropanes OTO - NOTNLM OT - 18F-FP-CIT PET OT - Dopamine depletion OT - Dopamine transporter imaging OT - Non-motor symptom OT - Parkinson's disease EDAT- 2018/11/12 06:00 MHDA- 2019/03/12 06:00 CRDT- 2018/11/12 06:00 PHST- 2018/06/22 00:00 [received] PHST- 2018/11/01 00:00 [accepted] PHST- 2018/11/12 06:00 [pubmed] PHST- 2019/03/12 06:00 [medline] PHST- 2018/11/12 06:00 [entrez] AID - 10.1007/s10072-018-3632-7 [pii] AID - 10.1007/s10072-018-3632-7 [doi] PST - ppublish SO - Neurol Sci. 2019 Feb;40(2):311-317. doi: 10.1007/s10072-018-3632-7. Epub 2018 Nov 10.