Olfactory dysfunction correlates with putaminal dopamine turnover in early de novo Parkinson's disease

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Matthias Löhle - , University of Rostock (Author)
  • Martin Wolz - , Elblandklinikum Meißen-Radebeul (Author)
  • Bettina Beuthien-Baumann - , Department of Neurology (Author)
  • Liane Oehme - , Department of Neurology (Author)
  • Jörg van den Hoff - , Positron Emission Tomography Division (Author)
  • Jörg Kotzerke - , Department of Nuclear Medicine (Author)
  • Heinz Reichmann - , Department of Neurology (Author)
  • Alexander Storch - , University of Rostock (Author)

Abstract

Although olfactory dysfunction is one of the most well-established prodromal symptoms in Parkinson's disease (PD), its correlation with clinical disease progression or dopaminergic dysfunction still remains unclear. We here evaluated the association of striatal dopamine metabolism and olfactory function in a homogenous cohort of 30 patients with early untreated de novo PD. Striatal dopamine metabolism was assessed by the extended 18Fluorodopa PET scanning protocol to measure 18Fluorodopa uptake (Kocc) and the effective dopamine distribution volume ratio (EDVR) as the inverse of dopamine turnover. Olfactory function was estimated by the "Sniffin' Sticks" test including odor threshold (T), discrimination (D) and identification (I) assessment. We detected moderate correlations of the EDVR in the posterior putamen with the TDI composite score (r = 0.412; p = 0.024; Pearson's correlation test) and the odor identification score (r = 0.444; p = 0.014). These correlations were confirmed by multivariate regression analyses using age, sex, symptom duration and disease severity as measured by UPDRSIII motor score as candidate covariates. No other associations were observed between olfaction measures and Kocc and EDVR in all striatal regions. Together, olfactory dysfunction in early PD is not correlated with striatal 18Fluorodopa uptake as a measure for dopaminergic degeneration, but with putaminal dopamine turnover as a marker for dopaminergic presynaptic compensatory processes in early PD. These results should be treated as hypothesis generating and require confirmation by larger multicenter studies.

Details

Original languageEnglish
Pages (from-to)9-16
Number of pages8
JournalJournal of neural transmission
Volume127
Issue number1
Publication statusPublished - Jan 2020
Peer-reviewedYes

External IDs

Scopus 85077021392

Keywords

Keywords

  • Aged, Cohort Studies, Dihydroxyphenylalanine/analogs & derivatives, Dopamine/metabolism, Dopamine Agents/pharmacokinetics, Female, Humans, Male, Middle Aged, Olfaction Disorders/diagnosis, Parkinson Disease/complications, Positron-Emission Tomography, Putamen/diagnostic imaging

Library keywords