Positron emission tomography after MPTP: observations relating to the cause of Parkinson's disease.

Abstract:

:The dopa analogue 6-fluorodopa (6-FD) used with positron emission tomography (PET) allows in vivo visualization of dopamine and its metabolites in nigrostriatal nerve endings. We have now found abnormal 6-FD scans in four subjects exposed to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). None had parkinsonism. The results suggest subclinical damage to the nigrostriatal pathway. This is the first direct evidence that dopaminergic impairment can exist without clinical deficits. Here we discuss this finding in the context of the hypothesis that Parkinson's disease may stem from clinically silent damage to the substantia nigra, followed by slow attrition of neurones in this region because of its particular vulnerability to cell loss as a normal consequence of ageing.

journal_name

Nature

journal_title

Nature

authors

Calne DB,Langston JW,Martin WR,Stoessl AJ,Ruth TJ,Adam MJ,Pate BD,Schulzer M

doi

10.1038/317246a0

subject

Has Abstract

pub_date

1985-09-19 00:00:00

pages

246-8

issue

6034

eissn

0028-0836

issn

1476-4687

journal_volume

317

pub_type

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