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Regional nigral neuromelanin degeneration in asymptomatic leucine-rich repeat kinase 2 gene carrier using MRI

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机构: [1]Tianjin Union Med Ctr, Dept Gen Practice, Tianjin, Peoples R China [2]Sorbonne Univ, Pitie Salpetriere Hosp, CNRS, INSERM,Paris Brain Inst ICM,U1127,UMR 7225, Paris, France [3]Paris Brain Inst ICM, Movement Invest & Therapeut Team MOV IT, Paris, France [4]Hop La Pitie Salpetriere, Paris Brain Inst ICM, Ctr NeuroImaging Res CENIR, 47 Blvd Hop, F-75013 Paris, France [5]Univ Hosp Heidelberg, Dept Neurol HJ, Heidelberg, Germany [6]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [7]Capital Med Univ, Beijing Tiantan Hosp, Ctr Movement Disorders, Dept Neurol, Beijing, Peoples R China [8]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China [9]China Acad Chinese Med Sci, Guanganmen Hosp, Dept Radiol, Beijing, Peoples R China [10]Capital Med Univ, Xuanwu Hosp, Dept Radiol, Beijing, Peoples R China [11]Univ Southern Calif, Keck Sch Med, Dept Radiol, Los Angeles, CA 90033 USA [12]Hop La Pitie Salpetriere, AP HP, Dept Neuroradiol, Paris, France
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关键词: Asymptomatic leucine-rich repeat kinase 2 (LRRK2) gene carrier Parkinson's disease (PD) MRI Neuromelanin Substantia nigra (SN)

摘要:
Asymptomatic Leucine-Rich Repeat Kinase 2 Gene (LRRK2) carriers are at risk for developing Parkinson's disease (PD). We studied presymptomatic substantia nigra pars compacta (SNc) regional neurodegeneration in asymptomatic LRRK2 carriers compared to idiopathic PD patients using neuromelanin-sensitive MRI technique (NM-MRI). Fifteen asymptomatic LRRK2 carriers, 22 idiopathic PD patients, and 30 healthy controls (HCs) were scanned using NM-MRI. We computed volume and contrast-to-noise ratio (CNR) derived from the whole SNc and the sensorimotor, associative, and limbic SNc regions. An analysis of covariance was performed to explore the differences of whole and regional NM-MRI values among the groups while controlling the effect of age and sex. In whole SNc, LRRK2 had significantly lower CNR than HCs but non-significantly higher volume and CNR than PD patients, and PD patients significantly lower volume and CNR compared to HCs. Inside SNc regions, there were significant group effects for CNR in all regions and for volumes in the associative region, with a trend in the sensorimotor region but no significant changes in the limbic region. PD had reduced volume and CNR in all regions compared to HCs. Asymptomatic LRRK2 carriers showed globally decreased SNc volume and CNR suggesting early nigral neurodegeneration in these subjects at risk of developing PD.

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大类 | 2 区 综合性期刊
小类 | 2 区 综合性期刊
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大类 | 2 区 综合性期刊
小类 | 2 区 综合性期刊
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Q2 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Tianjin Union Med Ctr, Dept Gen Practice, Tianjin, Peoples R China
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通讯机构: [2]Sorbonne Univ, Pitie Salpetriere Hosp, CNRS, INSERM,Paris Brain Inst ICM,U1127,UMR 7225, Paris, France [3]Paris Brain Inst ICM, Movement Invest & Therapeut Team MOV IT, Paris, France [4]Hop La Pitie Salpetriere, Paris Brain Inst ICM, Ctr NeuroImaging Res CENIR, 47 Blvd Hop, F-75013 Paris, France [7]Capital Med Univ, Beijing Tiantan Hosp, Ctr Movement Disorders, Dept Neurol, Beijing, Peoples R China [8]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China [12]Hop La Pitie Salpetriere, AP HP, Dept Neuroradiol, Paris, France
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