Relationships between striatal dopamine denervation and frontal executive tests in Parkinson's disease

Neurosci Lett. 1999 Jan 29;260(2):77-80. doi: 10.1016/s0304-3940(98)00928-8.

Abstract

Indirect evidence from human and monkey investigations supports the idea that impaired frontal tasks in Parkinson's disease (PD) may result from striato-frontal disruption caused by dopamine (DA) denervation of the caudate nucleus. To directly investigate this hypothesis, we used PET with 11C-S-Nomifensine (11C-S-NMF), a sensitive marker of striatal DA denervation, in 10 non-demented PD patients in whom two frontal executive tests, the object alternation (OA) and the conditional associative learning (CAL) tasks, thought to reflect mainly set-shifting/inhibition and planning, respectively, were given. In addition, the central executive function of verbal working memory was assessed with the Brown Peterson paradigm (BPP). We found a highly significant correlation between right caudate 11C-S-NMF specific binding and OA performance, less significant and reverse-direction correlations between CAL performance and putamen 11C-S-NMF binding, and no significant correlation with BPP performance. Thus, caudate DA denervation may subtend poor set-shifting/inhibition process in PD. Our results also point to distinct and complex relationships between striatal DA and specific frontal tasks.

MeSH terms

  • Adult
  • Aged
  • Caudate Nucleus / physiopathology
  • Corpus Striatum / physiopathology*
  • Dopamine / adverse effects
  • Dopamine Uptake Inhibitors / pharmacology
  • Female
  • Frontal Lobe / drug effects*
  • Frontal Lobe / physiology
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests*
  • Nomifensine / analogs & derivatives
  • Nomifensine / pharmacology
  • Parkinson Disease / physiopathology*
  • Sympathectomy, Chemical / adverse effects*
  • Tomography, Emission-Computed

Substances

  • Dopamine Uptake Inhibitors
  • Nomifensine
  • Dopamine