01-11-2014 | Original Article
Do CSF levels of t-Tau, p-Tau and β1-42 amyloid correlate with dopaminergic system impairment in patients with a clinical diagnosis of Parkinson disease? A 123I-FP-CIT study in the early stages of the disease
Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 11/2014
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Purpose
To investigate the relationships among cerebrospinal fluid (CSF) levels of t-Tau, p-Tau and Aβ1-42 amyloid peptide and 123I-FP-CIT uptake.
Methods
The study included 58 subjects (31 men and 27 women, age 67 ± 9 years) with a clinical diagnosis of Parkinson disease diagnosed according to the United Kingdom Parkinson Disease Society Brain Bank criteria. All subjects underwent a CSF assay 28 ± 3 days before 123I-FP-CIT SPECT scanning. The relationships were evaluated by means of linear regression analysis and Pearson correlation.
Results
Striatal 123I-FP-CIT was positively related to both t-Tau and p-Tau CSF values with low levels of t-Tau and p-Tau being related to a low uptake of 123I-FP-CIT. In particular, differences with higher statistical significance were found for the striatum between the contralateral side and the side mainly affected on clinical examination (P < 0.001). No significant relationships were found between Aβ1-42 amyloid peptide and 123I-FP-CIT binding.
Conclusion
The results of our study suggest that the presynaptic dopaminergic system is more involved in Parkinson disease patients with lower t-Tau and p-Tau CSF values while values of Aβ1-42 amyloid peptide seems not to be related to nigrostriatal degeneration in our series.