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Thalamic metabolism and symptom onset in preclinical Huntington's disease.

Thalamic metabolism and symptom onset in preclinical Huntington's disease. Research Abstract Details 

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  • Thalamic metabolism and symptom onset in preclinical Huntington's disease. Abstract Text:

    a feiginA Feigin,c tangC Tang,y maY Ma,p mattisP Mattis,d zgaljardicD Zgaljardic,m guttmanM Guttman,j s paulsenJ S Paulsen,v dhawanV Dhawan,d eidelbergD Eidelberg,a feiginA Feigin,c tangC Tang,y maY Ma,p mattisP Mattis,d zgaljardicD Zgaljardic,m guttmanM Guttman,j s paulsenJ S Paulsen,v dhawanV Dhawan,d eidelbergD Eidelberg,

    The neural basis for the transition from preclinical to symptomatic Huntington's disease (HD) is unknown. We used serial positron emission tomography (PET) imaging in preclinical HD gene carriers (p-HD) to assess the metabolic changes that occur during this period. Twelve p-HD subjects were followed longitudinally with [11C]-raclopride and [18F]-fluorodeoxyglucose PET imaging, with scans at baseline, 18 and 44 months. Progressive declines in striatal D2-receptor binding were correlated with concurrent changes in regional metabolism and in the activity of an HD-related metabolic network. We found that striatal D2 binding declined over time (P < 0.005). The activity of a reproducible HD-related metabolic covariance pattern increased between baseline and 18 months (P < 0.003) but declined at 44 months (P < 0.04). These network changes coincided with progressive declines in striatal and thalamic metabolic activity (P < 0.01). Striatal metabolism was abnormally low at all time points (P < 0.005). By contrast, thalamic metabolism was elevated at baseline (P < 0.01), but fell to subnormal levels in the p-HD subjects who developed symptoms. These findings were confirmed with an MRI-based atrophy correction for each individual PET scan. Increases in network expression and thalamic glucose metabolism may be compensatory for early neuronal losses in p-HD. Declines in these measures may herald the onset of symptoms in gene carriers.

    Thalamic metabolism and symptom onset in preclinical Huntington's disease. Publishing Authors By Initials

    a feiginA Feigin,c tangC Tang,y maY Ma,p mattisP Mattis,d zgaljardicD Zgaljardic,m guttmanM Guttman,js paulsenJS Paulsen,v dhawanV Dhawan,d eidelbergD Eidelberg,a feiginA Feigin,c tangC Tang,y maY Ma,p mattisP Mattis,d zgaljardicD Zgaljardic,m guttmanM Guttman,js paulsenJS Paulsen,v dhawanV Dhawan,d eidelbergD Eidelberg,

    For similar abstracts research abstracts see: abstracts research

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    Thalamic metabolism and symptom onset in preclinical Huntington's disease. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Brain : a journal of neurology

    VOLUME: 130

    Page Numbers: 2858-67

    Journal Abbreviation: Brain

    ISSN: 1460-2156

    DAY: 24

    MONTH: 09

    YEAR: 2007

    Thalamic metabolism and symptom onset in preclinical Huntington's disease. Information

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    LANGUAGE: eng

    NlmUniqueID: 372537

    Thalamic metabolism and symptom onset in preclinical Huntington's disease. Keywords Mesh Terms:

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    Grant and Affiliation Information for Thalamic metabolism and symptom onset in preclinical Huntington's disease.

    AFFILIATION: Center for Neurosciences, The Feinstein Institute for Medical Research, North Shore-Long Island Jewish Health System, Manhasset, NY 11030, USA.

    Country: England

    England Research PublicationEngland Research Publication

    AGENCY: United States NINDS

    GRANT: R01 NS 37564

    ACRONYM: NS

    MEDLINETA: Brain

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