Impact of regional striatal dopaminergic function on kinematic parameters of Parkinson’s disease

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• 作者：Myung Jun Lee ; Sha-Lom Kim ; Chul Hyoung Lyoo ; J. O. Rinne…
• 关键词：FP ; CIT PET ; Finger tapping ; Kinematic analysis ; Parkinson’s disease
• 刊名：Journal of Neural Transmission
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：122
• 期：5
• 页码：669-677
• 全文大小：525 KB
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• 作者单位：Myung Jun Lee (1) (2)
  Sha-Lom Kim (2)
  Chul Hyoung Lyoo (2)
  J. O. Rinne (3)
  Myung-Sik Lee (2)
  
  1. Department of Neurology, Pusan National University Hospital, Pusan National University School of Medicine and Medical Research Institute, Busan, Republic of Korea
  2. Department of Neurology, Gangnam Severance Hospital, Yonsei University of College of Medicine, 712 Eonju-ro, Gangnam-gu, Seoul, Republic of Korea
  3. PET Center, University of Turku, Turku, Finland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Neurology
  Pharmacology and Toxicology
  Psychiatry
  
• 出版者：Springer Wien
• ISSN：1435-1463

文摘

Among the cardinal parkinsonian motor deficits, the severity of bradykinesia correlates with striatal dopamine loss. However, the impact of regional striatal dopamine loss on specific components of bradykinesia remains unknown. Using gyroscopes, we measured the amplitude, speed, and frequency of finger tapping in 24 untreated patients with Parkinson’s disease (PD) and 28 healthy controls. Using positron emission tomography (PET) studies and [18F]-N-3-fluoropropyl-2-beta-carboxymethoxy-3-beta-(4-iodophenyl) nortropane (FP-CIT) in PD patients, we investigated the relationship between the mean values, variability and decrements of various kinematic parameters of finger tapping on one side (e.g. the mean, variability and decrement) and contralateral striatal FP-CIT binding. Compared with controls, PD patients had reduced amplitudes and speeds of tapping and showed greater decrement in those parameters. PD patients also exhibited greater irregularity in amplitude, speed, and frequency. Putaminal FP-CIT uptake levels correlated with the mean speed and amplitude, and caudate uptake levels correlated with mean amplitude. The variability of amplitude and speed correlated only with the caudate uptake levels. Neither caudate nor putaminal uptake correlated with frequency-related parameters or decrement in amplitude or speed. Reduced amplitude and speed of repetitive movement may be related to striatal dopaminergic deficit. Dopaminergic action in the caudate nucleus is required to maintain consistency of amplitude and speed. Although decrement of amplitude and speed is known to be specific for PD, we found that it did not mirror the degree of striatal dopamine depletion.