Abstract
In vivo studies using single-photon emission tomography (SPET) and positron emission tomography have shown an age-related decline in the number of striatal dopamine transporters in healthy subjects. We examined ten healthy subjects and 33 de novo patients with Parkinson's disease (PD) using [123I]2β-carbomethoxy-3β-(4-iodophenyl)tropane ([123I]β-CIT) SPET. A clear age-related loss of dopamine transporters was found in the healthy subjects. In the PD group, controlling for the contribution of disease severity, we found a small (compared with controls) but significant decrease with aging, though only in the ipsilateral regions. This aging effect was especially pronounced in younger patients. We conclude that the use of age-correct SPET data in PD, based on studies with healthy subjects, may lead to an underor an overestimation of the striatal binding measures.
References
Allard P, Marcusson JO. Age-correlated loss of dopamine uptake sites labeled with [3H]GBR-12935 in human putamen.Neurobiol Aging 1989; 10: 661–664.
Keyser De JD, Ebinger G, Vauquelin T. Age-related changes in the human nigrostriatal dopaminergic systemm.Ann Neurol 1990; 27: 157–161.
Zelnik N, Angel I, Paul SM, Kleinman JE. Decreased density of human striatal dopamine uptake sites with age.Eur J Pharmacol 1986; 126: 175–176.
Innis RB, Seibyl JP, Scanley BE, et al. Single photon emission computed tomographic imaging demonstrates loss of striatal dopamine transporters in Parkinson's disease.Proc Natl Acad Sci USA 1993; 90: 11965–11969.
Van Dyck CH, Seibyl JP, Malison RT., et al. Age-related decline in striatal dopamine transporter binding with iodine-123-β-CIT SPECT.J Nucl Med 1995; 36: 1175–1181.
Tedroff J, Aquilonius S-M, Hartvig P, Lundqvist H, Gee AG, Uhlin J, Långström B. Monoamine re-uptake sites in the human brain evaluated in vivo by means of11C-nomifensine and positron emission tomography: the effects of age and Parkinson's disease.Acta Neurol Scand 1988; 77: 192–201.
Marek KL, Seibyl JP, Zoghbi SS, et al. [123I]β-CIT/SPECT imaging demonstrates bilateral loss of dopamine transporters in hemi-Parkinson's disease.Neurology 1996; 46: 231–237.
Booij T, Tissingh G, Winogrodzka A, Boer GJ, Stoof JC, Wolters EC, Van Royen EA. Practical benefit of [123I]FP-CIT SPECT in the demonstration of the dopaminergic deficit in Parkinson's disease.Eur J Nucl Med 1997; 24: 68–71.
Fearnley JM, Lees AJ. Ageing and Parkinson's disease: substantia nigra regional selectivity.Brain 1991; 114: 2283–2301.
Volkow ND, Fowler JS, Wang GJ, et al. Decreased dopamine transporters with age in healthy human subjects.Ann Neurol 1994; 36: 237–239.
Volkow ND, Ding Y-S, Fowler JS, et al. Dopamine transporters decrease with age.J Nucl Med 1996; 37: 554–559.
Ishikawa T, Dhawan V, Kazumata K, et al. Comparative nigrostriatal dopaminergic imaging with iodine-123-βCIT FP/SPECT and fluorine-18-FDOPA/PET.J Nucl Med 1996; 37: 1760–1765.
Mozley PD, Kim H-J, Gur RC, et al. Iodine-123-IPT SPECT imaging of CNS dopamine transporters: nonlinear effects of normal aging on striatal uptake values.J Nucl Med 1996; 37: 1965–1970.
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Tissingh, G., Bergmans, P., Booij, J. et al. [123I]β-CIT single-photon emission tomography in Parkinson's disease reveals a smaller decline in dopamine transporters with age than in controls. Eur J Nucl Med 24, 1171–1174 (1997). https://doi.org/10.1007/BF01254252
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DOI: https://doi.org/10.1007/BF01254252