Heterozygous carriers of a Parkin or PINK1 mutation share a common functional endophenotype

Autor: J. Hagenah, T. van Eimeren, Ferdinand Binkofski, Bastiaan R. Bloem, Peter P. Pramstaller, Katja Lohmann, M. M. Weiss, Kathrin Reetz, B.F.L. van Nuenen, Cliff S. Klein, Hartwig R. Siebner
Rok vydání: 2009
Předmět:
Zdroj: Neurology, 72, 1041-7
Neurology, 72, 12, pp. 1041-7
ISSN: 0028-3878
Popis: Contains fulltext : 80510.pdf (Publisher’s version ) (Open Access) OBJECTIVE: To use a combined neurogenetic-neuroimaging approach to examine the functional consequences of preclinical dopaminergic nigrostriatal dysfunction in the human motor system. Specifically, we examined how a single heterozygous mutation in different genes associated with recessively inherited Parkinson disease alters the cortical control of sequential finger movements. METHODS: Nonmanifesting individuals carrying a single heterozygous Parkin (n = 13) or PINK1 (n = 9) mutation and 23 healthy controls without these mutations were studied with functional MRI (fMRI). During fMRI, participants performed simple sequences of three thumb-to-finger opposition movements with their right dominant hand. Since heterozygous Parkin and PINK1 mutations cause a latent dopaminergic nigrostriatal dysfunction, we predicted a compensatory recruitment of those rostral premotor areas that are normally implicated in the control of complex motor sequences. We expected this overactivity to be independent of the underlying genotype. RESULTS: Task performance was comparable for all groups. The performance of a simple motor sequence task consistently activated the rostral supplementary motor area and right rostral dorsal premotor cortex in mutation carriers but not in controls. Task-related activation of these premotor areas was similar in carriers of a Parkin or PINK1 mutation. CONCLUSION: Mutations in different genes linked to recessively inherited Parkinson disease are associated with an additional recruitment of rostral supplementary motor area and rostral dorsal premotor cortex during a simple motor sequence task. These premotor areas were recruited independently of the underlying genotype. The observed activation most likely reflects a "generic" compensatory mechanism to maintain motor function in the context of a mild dopaminergic deficit.
Databáze: OpenAIRE