2020
DOI: 10.1212/wnl.0000000000009249
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In vivo mitochondrial and glycolytic impairments in patients with Alzheimer disease

Abstract: ObjectiveIn vivo glycolysis-related glucose metabolism and electron transport chain-related mitochondrial activity may be different regionally in the brains of patients with Alzheimer disease (AD). To test this hypothesis regarding AD pathophysiology, we measured the availability of mitochondrial complex-I (MC-I) with the novel PET probe [18F]2-tert- butyl-4-chloro-5–2H- pyridazin-3-one ([18F]BCPP-EF), which binds to MC-I, and compared [18F]BCPP-EF uptake with 18F-fluorodeoxyglucose ([18F]FDG) uptake in the li… Show more

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Cited by 83 publications
(55 citation statements)
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“…While various pathophysiological mechanisms including genetic and environmental factors have been proposed for the pathogenesis of Alzheimer's disease [163], a number of investigations using postmortem specimens or serum samples have emphasized the involvement of oxidative stress and mitochondrial dysfunction, similar to other neurodegenerative disorders [6,167,168]. In support of this hypothesis, a recent PET study with 18 F-BCPP-EF, a radioligand to image mitochondrial complex I activity, demonstrated decreased uptake in the parahippocampus in patients with early-stage Alzheimer's disease [169], which supports the involvement of mitochondrial dysfunction.…”
Section: Pet Imaging For Oxidative Stress In Patients With Alzheimer'mentioning
confidence: 94%
“…While various pathophysiological mechanisms including genetic and environmental factors have been proposed for the pathogenesis of Alzheimer's disease [163], a number of investigations using postmortem specimens or serum samples have emphasized the involvement of oxidative stress and mitochondrial dysfunction, similar to other neurodegenerative disorders [6,167,168]. In support of this hypothesis, a recent PET study with 18 F-BCPP-EF, a radioligand to image mitochondrial complex I activity, demonstrated decreased uptake in the parahippocampus in patients with early-stage Alzheimer's disease [169], which supports the involvement of mitochondrial dysfunction.…”
Section: Pet Imaging For Oxidative Stress In Patients With Alzheimer'mentioning
confidence: 94%
“…For example, a recent study measured mitochondrial complex I availability quantitatively in the human brain, suggesting that mitochondrial dysfunction in the parahippocampus manifests in the early stages of AD. 144 Janelidze et al found that both of neuroinflammation and cerebrovascular dysfunction were early events occurring at the presymptomatic stage of AD by measure of biomarkers in cerebrospinal fluid (CSF). 145 Schöll et al used 18F-AV-1451 tau positron emission tomography (PET) and structural magnetic resonance imaging (MRI) to examine whether early-and late-onset AD showed differential, regional tau pathology and atrophy patterns.…”
Section: Endophenotype Impact On Different Stages Of Ad Pathologymentioning
confidence: 99%
“…The PET data were analyzed with PMOD image software (version 3.7; PMOD Technologies Ltd, Zurich, Switzerland). The SUVRs for 11 C-PiB and 18 F-BCPP-EF were estimated by dividing the target SUV by the cerebellar SUV, with the latter being taken to indicate the background level [8,15]. The SUVs were calculated as the measured radioactivity divided by the ratio of the total injected dose to the mouse body weight.…”
Section: Data and Statistical Analysesmentioning
confidence: 99%
“…Speci cally, this probe can visualize the availability of complex I, the rst component of four electron transport complexes in the inner mitochondrial membrane, and which can be speci cally inhibited by rotenone. Using this probe, we successfully monitored dysfunction in mitochondrial activity in a rat cortical ischemia model [7] and in the parahippocampal region of the early-stage human AD brain [8].…”
Section: Introductionmentioning
confidence: 99%