Lancet Neurology:LRRK2 突变的帕金森病患者多巴胺和非多巴胺能系统神经化学变化

2017-04-02 MedSci MedSci原创

LRRK2 突变的显着帕金森病患者中,多巴胺和5-羟色胺改变与散发性帕金森病患者类似;但是LRRK2 突变的非显着性帕金森病患者其下丘脑、纹状体及脑干中5-羟色胺转运体的结合能力上升

帕金森病患者会表现出多巴胺和非多巴胺能系统神经化学变化,研究人员使用PET评估LRRK2基因突变的、显着或非显着帕金森病人与散发性帕金森病病人相比,在多巴胺和5-羟色胺转运体上的变化。

研究的对象为LRRK2 突变的帕金森病患者。在第一项研究,通过PET扫描LRRK2 突变的帕金森病患者多巴胺转运,合成和储存情况,并将结果与散发性帕金森患者或健康者比较;第二项研究是比较LRRK2 突变患者、散发性帕金森患者及健康者之间 5-羟色胺转运体、囊泡单胺转运体2与相应配体的结合能力差异

试验第一阶段招募了40名LRRK2 突变的帕金森病患者、63名散发性帕金森患者以及35名健康志愿者,研究发现各组之间在纹状体多巴胺转运体结合、 18F-FDOPA摄取存在很大差异:LRRK2 突变的显着帕金森病患者(n=15)较散发性帕金森患者在多巴胺转运体合、 18F-FDOPA摄取方面减少; LRRK2 突变的非显着帕金森病患者(n=25)在多巴胺转运体结合、 18F-FDOPA摄取方面较散发性帕金森患者增多。

试验的第二阶段招募了16名LRRK2 突变的帕金森病患者、13名散发性帕金森患者以及9名志愿者。研究发现,LRRK2 突变的非显着帕金森病患者(n=25)在下丘脑、纹状体及脑干中5-羟色胺转运体结合能力升高;在所有帕金森病患者中,纹状体囊泡单胺转运体2结合能力下降

研究表明在LRRK2 突变的显着帕金森病患者中,多巴胺和5-羟色胺改变与散发性帕金森病患者类似;但是LRRK2 突变的非显着性帕金森病患者其下丘脑、纹状体及脑干中5-羟色胺转运体的结合能力上升,可能反映了帕金森病发病前的5-羟色胺神经支配代偿性变化,这种变化将有助于临床上对于不同类型LRRK2 突变的帕金森病患者的区分。

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    2017-12-15 howi
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    2017-09-11 yinhl1978
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    2017-04-04 虈亣靌

    学习了谢谢作者分享!

    0

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  7. [GetPortalCommentsPageByObjectIdResponse(id=1828850, encodeId=4392182885028, content=<a href='/topic/show?id=1b6210686b2' target=_blank style='color:#2F92EE;'>#Lancet#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=10686, encryptionId=1b6210686b2, topicName=Lancet)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3f0227, createdName=howi, createdTime=Fri Dec 15 09:19:00 CST 2017, time=2017-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1801771, encodeId=b6361801e7190, content=<a href='/topic/show?id=b8dee42297b' target=_blank style='color:#2F92EE;'>#神经化学#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74229, encryptionId=b8dee42297b, topicName=神经化学)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d70341, createdName=zhishijing, createdTime=Wed Dec 06 01:19:00 CST 2017, time=2017-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1999863, encodeId=cbf219998639c, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Sep 11 22:19:00 CST 2017, time=2017-09-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1757409, encodeId=48e01e5740990, content=<a href='/topic/show?id=058e4852e63' target=_blank style='color:#2F92EE;'>#帕金森病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48527, encryptionId=058e4852e63, topicName=帕金森病患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a17f37322741, createdName=ms6832696159214430, createdTime=Thu Oct 19 09:19:00 CST 2017, time=2017-10-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185142, encodeId=289d185142e6, content=学习了谢谢作者分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Tue Apr 04 18:06:22 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1573922, encodeId=9ded15e392226, content=<a href='/topic/show?id=6b3348526a0' target=_blank style='color:#2F92EE;'>#帕金森病患#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=48526, encryptionId=6b3348526a0, topicName=帕金森病患)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=73fe15977481, createdName=saikp, createdTime=Tue Apr 04 01:19:00 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184800, encodeId=597518480029, content=文章不错,值得分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Mon Apr 03 09:16:28 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184657, encodeId=503718465eeb, content=期待更多的病例研究, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3xjZ9qh3bhXrJtUlmycKGfQKPuADVZQsdNAQj5IrHHlzbGsDwScictBgogYRk8KhicpgEKwTEfOHgqw/0, createdBy=bc931611963, createdName=jin321, createdTime=Sun Apr 02 21:55:50 CST 2017, time=2017-04-02, status=1, ipAttribution=)]
    2017-04-03 1e10c84am36(暂无匿称)

    文章不错,值得分享

    0

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    2017-04-02 jin321

    期待更多的病例研究

    0