PMID- 37322038 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230619 IS - 2373-8057 (Print) IS - 2373-8057 (Electronic) IS - 2373-8057 (Linking) VI - 9 IP - 1 DP - 2023 Jun 15 TI - Dopamine and vesicular monoamine transport loss supports incidental Lewy body disease as preclinical idiopathic Parkinson. PG - 89 LID - 10.1038/s41531-023-00514-z [doi] LID - 89 AB - Incidental Lewy body disease (ILBD) is a neuropathological diagnosis of brains with Lewy bodies without clinical neuropsychiatric symptoms. Dopaminergic deficits suggest a relationship to preclinical Parkinson's disease (PD). We now report a subregional pattern of striatal dopamine loss in ILBD cases, with dopamine found significantly decreased in the putamen (-52%) and only to a lower extent in the caudate (-38%, not statistically significant); this is similar to the pattern in idiopathic PD in various neurochemical and in vivo imaging studies. We aimed to find out if our recently reported impaired storage of dopamine in striatal synaptic vesicles prepared from striatal tissue of cases with idiopathic PD might be an early or even causative event. We undertook parallel measurements of [(3)H]dopamine uptake and vesicular monoamine transporter (VMAT)2 binding sites by the specific label [(3)H]dihydrotetrabenazine on vesicular preparation from caudate and putamen in ILBD. Neither specific uptake of dopamine and binding of [(3)H]dihydrotetrabenazine, nor mean values of the calculated ratios of dopamine uptake and VMAT2 binding, a measure of uptake rate per transport site, were significantly different between ILBD and controls. ATP-dependence of [(3)H]dopamine uptake revealed significantly higher rates in putamen than in caudate at saturating concentrations of ATP in controls, a subregional difference lost in ILBD. Our findings support a loss of the normally higher VMAT2 activity in putamen as a contributing factor to the higher susceptibility of the putamen to dopamine depletion in idiopathic PD. Moreover, we suggest ILBD postmortem tissue as a valuable source for testing hypotheses on processes in idiopathic PD. CI - (c) 2023. The Author(s). FAU - Pifl, Christian AU - Pifl C AUID- ORCID: 0000-0003-1456-4264 AD - Center for Brain Research, Medical University of Vienna, Vienna, Austria. christian.pifl@gmail.com. FAU - Reither, Harald AU - Reither H AD - Center for Brain Research, Medical University of Vienna, Vienna, Austria. FAU - Attems, Johannes AU - Attems J AD - Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK. FAU - Zecca, Luigi AU - Zecca L AUID- ORCID: 0000-0002-7409-6653 AD - Institute of Biomedical Technologies, National Research Council of Italy, Segrate, Milan, Italy. LA - eng PT - Journal Article DEP - 20230615 PL - United States TA - NPJ Parkinsons Dis JT - NPJ Parkinson's disease JID - 101675390 PMC - PMC10272141 COIS- The authors declare no competing interests. EDAT- 2023/06/16 01:08 MHDA- 2023/06/16 01:09 PMCR- 2023/06/15 CRDT- 2023/06/15 23:18 PHST- 2022/12/08 00:00 [received] PHST- 2023/04/27 00:00 [accepted] PHST- 2023/06/16 01:09 [medline] PHST- 2023/06/16 01:08 [pubmed] PHST- 2023/06/15 23:18 [entrez] PHST- 2023/06/15 00:00 [pmc-release] AID - 10.1038/s41531-023-00514-z [pii] AID - 514 [pii] AID - 10.1038/s41531-023-00514-z [doi] PST - epublish SO - NPJ Parkinsons Dis. 2023 Jun 15;9(1):89. doi: 10.1038/s41531-023-00514-z.