Mesolimbic dopaminergic dysfunction in Parkinson's disease depression: evidence from a 123I-FP-CIT SPECT investigation

J Neural Transm (Vienna). 2015 Aug;122(8):1143-7. doi: 10.1007/s00702-015-1370-z. Epub 2015 Jan 23.

Abstract

We investigated the striatal and extrastriatal DAT availability (SPM8) by [(123)I]FP-CIT-SPECT in 15 PD patients with depression and 35 PD patients without depression. A cluster with significant (p < 0.05) lower tracer binding in PD with depression was found in left cingulate cortex, persistent after correction for age, disease severity and duration, and inversely correlated with depression scores (r -0.336, p < 0.05). Our data indicate a significant association between PD depression and cingulate dopaminergic denervation supporting the dopaminergic hypothesis of PD depression.

MeSH terms

  • Aged
  • Brain Mapping
  • Caudate Nucleus / diagnostic imaging
  • Caudate Nucleus / metabolism*
  • Depressive Disorder / complications
  • Depressive Disorder / metabolism
  • Dopamine / metabolism
  • Gyrus Cinguli / diagnostic imaging
  • Gyrus Cinguli / metabolism*
  • Humans
  • Parkinson Disease / complications
  • Parkinson Disease / diagnostic imaging
  • Parkinson Disease / metabolism*
  • Parkinson Disease / psychology
  • Putamen / diagnostic imaging
  • Putamen / metabolism*
  • Radiopharmaceuticals
  • Tomography, Emission-Computed, Single-Photon
  • Tropanes

Substances

  • Radiopharmaceuticals
  • Tropanes
  • 2-carbomethoxy-8-(3-fluoropropyl)-3-(4-iodophenyl)tropane
  • Dopamine