Higher dopamine transporter density in Parkinson's disease patients with depression.

Abstract:

RATIONALE:Depression is a frequent non-motor symptom in Parkinson's disease (PD) with increasing rates with the progression of the disease. Molecular imaging studies have shown a reduction of dopamine transporter (DAT) density in depressed PD patients (dPD); however, DAT role in the pathophysiology of PD depression is not clear since clinical matching was inappropriate and DAT reduction could be attributed to PD severity. OBJECTIVES:To further examine the role of DAT in PD depression, this study compared thoroughly matched depressed vs. non-depressed PD patients (ndPD). MATERIALS AND METHODS:Twenty PD patients (n = 10 ndPD; n = 10 dPD) matched for age and disease severity were submitted to brain SPECT imaging with [(99m)Tc]-TRODAT-1, a DAT radioligand. DAT-binding potential was calculated using regions of interest bilaterally drawn in the striatum, caudate, and putamen. Depression was defined according to Beck Depression Inventory (BDI; cut-off >18). RESULTS:Mean BDI scores were higher in dPD (25.0 +/- 5.6) than in ndPD patients (8.0 +/- 1.9, p < 0.0001). DAT density was greater on dPD especially in the left caudate (dPD 0.87 +/- 0.19 vs. ndDP 0.69 +/- 0.18, p = 0.02) and right putamen (dPD 0.37 +/- 0.07 vs. ndPD 0.28 +/- 0.13, p = 0.03) than in ndPD patients. CONCLUSION:Our results suggest that in vivo DAT density is increased in dPD patients as compared to ndPD, suggesting that DAT is implicated in the pathophysiology of PD depression.

journal_title

Psychopharmacology

authors

Felicio AC,Moriyama TS,Godeiro-Junior C,Shih MC,Hoexter MQ,Borges V,Silva SM,Amaro-Junior E,Andrade LA,Ferraz HB,Bressan RA

doi

10.1007/s00213-010-1867-y

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

27-31

issue

1

eissn

0033-3158

issn

1432-2072

journal_volume

211

pub_type

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