Reduced dopamine transporter density in the ventral striatum of patients with Parkinson's disease and pathological gambling.

Abstract:

:Pathological gambling (PG) represents a behavioral side effect of dopamine replacement therapy in a minority of patients with Parkinson's disease (PD). Using striatal dopamine transporter (DAT) with single photon emission tomography we assessed presynaptic dopaminergic function in 8 PD patients with PG, 21 matched PD control subjects, and 14 healthy subjects. Statistical Parametric Mapping was applied for image analysis. The analysis of variance (ANOVA) revealed that the three groups differed in dorsal and ventral striata bilaterally. The post-hoc analysis displayed a reduced tracer binding in the ventral striatum of PD patients with PG compared to PD controls, possibly reflecting either a reduction of mesolimbic projections or, alternatively, a lower membrane DAT expression on presynaptic terminals. The latter hypothesis is most likely given that the functional reduction of presynaptic reuptake would be more consistent with the increased dopamine levels in the ventral striatum recently reported in PD gamblers.

journal_name

Neurobiol Dis

journal_title

Neurobiology of disease

authors

Cilia R,Ko JH,Cho SS,van Eimeren T,Marotta G,Pellecchia G,Pezzoli G,Antonini A,Strafella AP

doi

10.1016/j.nbd.2010.03.013

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

98-104

issue

1

eissn

0969-9961

issn

1095-953X

pii

S0969-9961(10)00074-4

journal_volume

39

pub_type

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