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Impulse control disorders are associated with lower ventral striatum dopamine D3 receptor availability in Parkinson's disease: a [¹¹C]-PHNO PET study

Lookup NU author(s): Professor David BrooksORCiD, Professor Nicola PaveseORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).

Abstract

Introduction: Reduced postsynaptic D3 dopaminergic receptor availability has been reported in the ventral striatum of pathological gamblers without Parkinson’s disease (PD) and in patients with PD and impulse control disorders (ICD). However, a direct relationship between ventral striatum dopaminergic dysfunction and the severity of ICD in PD patients has not yet been proven using a validated tool for ICD in PD, such as the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's disease-Rating Scale (QUIP-RS). In this pilot study, we investigated the relationship between ventral striatum D3 dopamine receptor availability and severity of impulse control disorder (ICD) in Parkinson’s disease (PD). Methods: Twelve patients were assessed with PET and the high affinity dopamine D3 receptor radioligand [11C]-PHNO. Severity of ICD was assessed with the QUIPRS. Results: We found that lower ventral striatum D3 receptor availability measured with [11C]-PHNO PET was associated with greater severity of ICD, as measured by the QUIP-RS score (rho = -0.625, p = 0.03). Conclusion: These findings suggest that the occurrence and severity of ICD in Parkinson’s disease may be linked to reductions in ventral striatum dopamine D3 receptor availability. Further studies in larger cohort of patients need to be performed in order to confirm our findings and clarify whether lower ventral striatum D3 receptor may reflect a pharmacological downregulation to higher dopamine release in ventral striatum of patients with ICD or a patients’ predisposition to ICD.

Publication metadata

Author(s): Pagano G, Molloy S, Bain PG, Rabiner EA, Chaudhuri KR, Brooks DJ, Pavere N

Publication type: Article

Publication status: Published

Journal: Parkinsonism & Related Disorders

Year: 2021

Volume: 90

Pages: 52-56

Print publication date: 01/09/2021

Online publication date: 30/06/2021

Acceptance date: 28/06/2021

Date deposited: 28/06/2021

ISSN (print): 1353-8020

ISSN (electronic): 1873-5126

Publisher: Elsevier

URL: https://doi.org/10.1016/j.parkreldis.2021.06.025

DOI: 10.1016/j.parkreldis.2021.06.025

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