2001
DOI: 10.1002/ana.74.abs
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Positron emission tomographic analysis of the nigrostriatal dopaminergic system in familial Parkinsonism associated with mutations in the Parkin gene

Abstract: A kindred from South Tyrol (northern Italy) with familial, adult-onset parkinsonism of pseudo-dominant inheritance and mutations in the parkin gene was recently described. To gain insight into basal ganglia dysfunction in this form of hereditary parkinsonism, positron emission tomography (PET) with 18-fluorodopa (FDOPA) and 11C-raclopride (RAC) was performed in 5 affected family members and 5 asymptomatic relatives with proven compound heterozygous or heterozygous parkin mutations. Results were compared to fin… Show more

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Cited by 105 publications
(163 citation statements)
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“…Given that recessive mutations in either of these two genes cause parkinsonism, it is likely that mutations in either parkin or DJ-1 lead to loss of dopaminergic neurons in the substantia nigra that project to the striatum. Positron-emission tomography demonstrates a loss of dopaminergic function in parkin (e.g., [3][4][5][6] and DJ-1 (7,8) patients, supporting this idea. Therefore, although detailed pathology of these two genetic forms of parkinsonism is not available, there are clear phenotypic overlaps.…”
mentioning
confidence: 77%
“…Given that recessive mutations in either of these two genes cause parkinsonism, it is likely that mutations in either parkin or DJ-1 lead to loss of dopaminergic neurons in the substantia nigra that project to the striatum. Positron-emission tomography demonstrates a loss of dopaminergic function in parkin (e.g., [3][4][5][6] and DJ-1 (7,8) patients, supporting this idea. Therefore, although detailed pathology of these two genetic forms of parkinsonism is not available, there are clear phenotypic overlaps.…”
mentioning
confidence: 77%
“…Despite extensive mutational analysis, a considerable percentage of EOP cases have been shown to carry a single heterozygous mutation in the Parkin, DJ-1, and PINK1 gene. 10,14,16,29 -31 In addition, preclinical changes have been detected in asymptomatic carriers of heterozygous Parkin mutations using positron emission tomography (PET) 32,33 or transcranial ultrasound. 34 Interestingly, haploinsufficiency or a dominant-negative effect have been suggested for heterozygous PINK1 mutations even prior to the identification of the PARK6-related gene: asymptomatic, heterozygous carriers of the PARK6-associated haplotype revealed a significant reduction in caudate (18)F-dopa uptake in a PET study in comparison with controls.…”
Section: Discussionmentioning
confidence: 99%
“…These parkin mutations include exonic deletion, duplication, and triplication as well as several missense/ nonsense substitutions. Although initially described as a recessive disorder, emerging evidence suggest that heterozygous parkin mutations may confer increased susceptibility to PD (Hilker et al, 2001(Hilker et al, , 2002Oliveira et al, 2003;Khan et al, 2005;L. N. Clark et al, 2006;Sun et al, 2006).…”
Section: Introductionmentioning
confidence: 99%