Clinical features and [11C]-CFT PET analysis of PARK2, PARK6, PARK7-linked autosomal recessive early onset Parkinsonism

Neurol Sci. 2011 Feb;32(1):35-40. doi: 10.1007/s10072-010-0360-z. Epub 2010 Jul 7.

Abstract

Mutations in the Parkin, PINK1, and DJ-1 genes can cause autosomal recessive early onset Parkinsonism. We studied three families with the mutations of the Parkin, PINK1 and DJ-1 genes, respectively, with a dopamine transporter ligand [(11)C]-CFT positron emission tomography. A marked bilaterally and dissymmetrically decrement of [(11)C]-CFT uptake was found in all these patients, and putamen as well as caudate nucleus was affected. We also found asymptomatic Parkin and PINK1 heterozygotes showed a mild but significant decrement in [(11)C]-CFT uptake, but this phenomenon was not found in the DJ-1-heterozygotes. Our results suggested the three autosomal recessive forms of early onset are similar to each other on pathophysiological grounds, a sub-clinical disease process in Parkin and PINK1-heterozygotes, but not in DJ-1-heterozygotes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Mapping
  • Carbon Isotopes
  • Cocaine / analogs & derivatives
  • Family Health
  • Humans
  • Intracellular Signaling Peptides and Proteins / genetics*
  • Intracellular Signaling Peptides and Proteins / metabolism
  • Male
  • Mutation / genetics
  • Oncogene Proteins / genetics*
  • Oncogene Proteins / metabolism
  • Parkinsonian Disorders / diagnostic imaging*
  • Parkinsonian Disorders / genetics*
  • Positron-Emission Tomography / methods
  • Protein Deglycase DJ-1
  • Protein Kinases / genetics*
  • Protein Kinases / metabolism
  • Ubiquitin-Protein Ligases / genetics*
  • Ubiquitin-Protein Ligases / metabolism

Substances

  • Carbon Isotopes
  • Intracellular Signaling Peptides and Proteins
  • Oncogene Proteins
  • difluoropine
  • Ubiquitin-Protein Ligases
  • parkin protein
  • Protein Kinases
  • PTEN-induced putative kinase
  • PARK7 protein, human
  • Protein Deglycase DJ-1
  • Cocaine