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Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration

BACKGROUND: Despite improvement in motor symptoms, the effect of dopaminergic medications on cognition in patients with Parkinson’s disease (PD) is less clear. The purpose of this study was to reveal levodopa-induced acute changes in the functional connectivity of the striatum in patients with PD co...

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Autores principales: Yang, Wanqun, Liu, Bin, Huang, Biao, Huang, Ruiwang, Wang, Lijuan, Zhang, Yuhu, Zhang, Xiong, Wu, Kai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017636/
https://www.ncbi.nlm.nih.gov/pubmed/27611959
http://dx.doi.org/10.1371/journal.pone.0161935
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author Yang, Wanqun
Liu, Bin
Huang, Biao
Huang, Ruiwang
Wang, Lijuan
Zhang, Yuhu
Zhang, Xiong
Wu, Kai
author_facet Yang, Wanqun
Liu, Bin
Huang, Biao
Huang, Ruiwang
Wang, Lijuan
Zhang, Yuhu
Zhang, Xiong
Wu, Kai
author_sort Yang, Wanqun
collection PubMed
description BACKGROUND: Despite improvement in motor symptoms, the effect of dopaminergic medications on cognition in patients with Parkinson’s disease (PD) is less clear. The purpose of this study was to reveal levodopa-induced acute changes in the functional connectivity of the striatum in patients with PD compared with matched untreated patients and healthy volunteers. METHODS: Twenty-two patients with PD underwent functional magnetic resonance imaging both ON and OFF dopamine-replacement therapy on two consecutive days. Twenty-eight normal aging volunteers also did them without taking in levodopa. Three caudate seeds and two putamen seeds were selected to calculate functional connectivity intensity. RESULTS: Motor symptoms measured by UPDRS were significantly worse in PD OFF than PD ON. Decreased functional connectivity in PD OFF compared to controls was detected in the following seed regions: dorsal caudate, ventral putamen and dorsal putamen. Increases in connectivity in PD ON compared to controls were found in the primary and supplementary motor areas and the associative prefrontal and parietal regions, while decreases in anterior cingulate, ventromedial prefrontal cortex, and parahippocampal gyrus. For the ventral striatal seeds, decreased connectivity in PD ON compared to PD OFF was found in the ventromedial prefrontal and orbitofrontal regions, dorsolateral prefrontal regions. For the dorsal striatal seeds, increased connectivity in PD ON compared to PD OFF was observed in the primary and secondary motor areas. CONCLUSION: Our results suggest that levodopa significantly changes the motor and cognitive networks of the cortico-striatal pathways. This knowledge will lead clinicians to survey a broader range of symptoms in determining optimal therapy.
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spelling pubmed-50176362016-09-27 Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration Yang, Wanqun Liu, Bin Huang, Biao Huang, Ruiwang Wang, Lijuan Zhang, Yuhu Zhang, Xiong Wu, Kai PLoS One Research Article BACKGROUND: Despite improvement in motor symptoms, the effect of dopaminergic medications on cognition in patients with Parkinson’s disease (PD) is less clear. The purpose of this study was to reveal levodopa-induced acute changes in the functional connectivity of the striatum in patients with PD compared with matched untreated patients and healthy volunteers. METHODS: Twenty-two patients with PD underwent functional magnetic resonance imaging both ON and OFF dopamine-replacement therapy on two consecutive days. Twenty-eight normal aging volunteers also did them without taking in levodopa. Three caudate seeds and two putamen seeds were selected to calculate functional connectivity intensity. RESULTS: Motor symptoms measured by UPDRS were significantly worse in PD OFF than PD ON. Decreased functional connectivity in PD OFF compared to controls was detected in the following seed regions: dorsal caudate, ventral putamen and dorsal putamen. Increases in connectivity in PD ON compared to controls were found in the primary and supplementary motor areas and the associative prefrontal and parietal regions, while decreases in anterior cingulate, ventromedial prefrontal cortex, and parahippocampal gyrus. For the ventral striatal seeds, decreased connectivity in PD ON compared to PD OFF was found in the ventromedial prefrontal and orbitofrontal regions, dorsolateral prefrontal regions. For the dorsal striatal seeds, increased connectivity in PD ON compared to PD OFF was observed in the primary and secondary motor areas. CONCLUSION: Our results suggest that levodopa significantly changes the motor and cognitive networks of the cortico-striatal pathways. This knowledge will lead clinicians to survey a broader range of symptoms in determining optimal therapy. Public Library of Science 2016-09-09 /pmc/articles/PMC5017636/ /pubmed/27611959 http://dx.doi.org/10.1371/journal.pone.0161935 Text en © 2016 Yang et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Yang, Wanqun
Liu, Bin
Huang, Biao
Huang, Ruiwang
Wang, Lijuan
Zhang, Yuhu
Zhang, Xiong
Wu, Kai
Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title_full Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title_fullStr Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title_full_unstemmed Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title_short Altered Resting-State Functional Connectivity of the Striatum in Parkinson's Disease after Levodopa Administration
title_sort altered resting-state functional connectivity of the striatum in parkinson's disease after levodopa administration
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5017636/
https://www.ncbi.nlm.nih.gov/pubmed/27611959
http://dx.doi.org/10.1371/journal.pone.0161935
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