Extremely Low Prevalence of Amyloid Positron Emission Tomography Positivity in Parkinson's Disease without Dementia

Kyoko Mashima, Daisuke Ito, Masashi Kameyama, Takashi Osada, Hajime Tabuchi, Yoshihiro Nihei, Takahito Yoshizaki, Eri Noguchi, Mariko Tanikawa, Takashi Iizuka, Yugaku Date, Yuji Ogata, Tadaki Nakahara, Yu Iwabuchi, Masahiro Jinzaki, Koji Murakami, Norihiro Suzuki

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Most cases of dementia with Lewy bodies (DLB) show Alzheimer's disease pathology-like senile plaques and neurofibrillary tangles. Several studies have also revealed a high prevalence of positive amyloid imaging with positron emission tomography (PET) in DLB and moderate prevalence in Parkinson's disease (PD) with dementia. However, it remains unclear in PD without dementia as to when the brain β amyloid (Aβ) burden begins and progresses. Our study aimed to determine the prevalence of Aβ deposition in PD without dementia using amyloid PET. Methods: This was a cross-sectional study on 33 patients with PD without dementia, of whom 21 had normal cognition and 12 met the criteria for PD-mild cognitive impairment. All subjects underwent neuropsychological assessment and [18F] florbetaben (FBB) PET. Results: All subjects had Lewy body-related disorders, displaying a significantly reduced myocardial [123I] metaiodobenzylguanidine uptake. The cortical FBB-binding pattern in all subjects, including APOE e4 carriers, suggested negative Aβ deposition. Conclusion: Patients with PD without dementia exhibit an extremely low prevalence of Aβ positivity compared with those reported in cognitively normal elderly controls. Further longitudinal imaging studies and long-term follow-up are needed; however, our findings provide novel insights for understanding Aβ metabolism in PD.

Original languageEnglish
Pages (from-to)231-237
Number of pages7
JournalEuropean Neurology
DOIs
Publication statusAccepted/In press - 2017 Mar 11

Keywords

  • Alzheimer’s disease
  • Amyloid imaging
  • Dementia
  • Florbetaben
  • Mild cognitive impairment
  • Parkinson’s disease
  • Positron emission tomography
  • β amyloid

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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    Mashima, K., Ito, D., Kameyama, M., Osada, T., Tabuchi, H., Nihei, Y., Yoshizaki, T., Noguchi, E., Tanikawa, M., Iizuka, T., Date, Y., Ogata, Y., Nakahara, T., Iwabuchi, Y., Jinzaki, M., Murakami, K., & Suzuki, N. (Accepted/In press). Extremely Low Prevalence of Amyloid Positron Emission Tomography Positivity in Parkinson's Disease without Dementia. European Neurology, 231-237. https://doi.org/10.1159/000464322