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Brain iron and metabolic abnormalities in C19orf12 mutation carriers: A 7.0 tesla MRI study in mitochondrial membrane protein-associated neurodegeneration

P. Dusek, R. Mekle, M. Skowronska, J. Acosta-Cabronero, T. Huelnhagen, SD. Robinson, F. Schubert, M. Deschauer, A. Els, B. Ittermann, G. Schottmann, VI. Madai, F. Paul, T. Klopstock, T. Kmiec, T. Niendorf, J. Wuerfel, SA. Schneider,

. 2020 ; 35 (1) : 142-150. [pub] 20190913

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc20028660

Grantová podpora
NV15-25602A MZ0 CEP - Centrální evidence projektů

BACKGROUND: Mitochondrial membrane protein-associated neurodegeneration is an autosomal-recessive disorder caused by C19orf12 mutations and characterized by iron deposits in the basal ganglia. OBJECTIVES: The aim of this study was to quantify iron concentrations in deep gray matter structures using quantitative susceptibility mapping MRI and to characterize metabolic abnormalities in the pyramidal pathway using 1 H MR spectroscopy in clinically manifesting membrane protein-associated neurodegeneration patients and asymptomatic C19orf12 gene mutation heterozygous carriers. METHODS: We present data of 4 clinically affected membrane protein-associated neurodegeneration patients (mean age: 21.0 ± 2.9 years) and 9 heterozygous gene mutation carriers (mean age: 50.4 ± 9.8 years), compared to age-matched healthy controls. MRI assessments were performed on a 7.0 Tesla whole-body system, consisting of whole-brain gradient-echo scans and short echo time, single-volume MR spectroscopy in the white matter of the precentral/postcentral gyrus. Quantitative susceptibility mapping, a surrogate marker for iron concentration, was performed using a state-of-the-art multiscale dipole inversion approach with focus on the globus pallidus, thalamus, putamen, caudate nucleus, and SN. RESULTS AND CONCLUSION: In membrane protein-associated neurodegeneration patients, magnetic susceptibilities were 2 to 3 times higher in the globus pallidus (P = 0.02) and SN (P = 0.02) compared to controls. In addition, significantly higher magnetic susceptibility was observed in the caudate nucleus (P = 0.02). Non-manifesting heterozygous mutation carriers exhibited significantly increased magnetic susceptibility (relative to controls) in the putamen (P = 0.003) and caudate nucleus (P = 0.001), which may be an endophenotypic marker of genetic heterozygosity. MR spectroscopy revealed significantly increased levels of glutamate, taurine, and the combined concentration of glutamate and glutamine in membrane protein-associated neurodegeneration, which may be a correlate of corticospinal pathway dysfunction frequently observed in membrane protein-associated neurodegeneration patients. © 2019 International Parkinson and Movement Disorder Society.

2nd Department of Neurology Institute of Psychiatry and Neurology Warsaw Poland

Berlin Ultrahigh Field Facility Berlin Germany

Center for Stroke Research Berlin Charité Universitätsmedizin Berlin Berlin Germany Department of Neurosurgery Charité Universitätsmedizin Berlin Berlin Germany

Department of Neurology and Centre of Clinical Neuroscience Charles University 1st Faculty of Medicine and General University Hospital Prague Prague Czechia Department of Radiology Charles University 1st Faculty of Medicine and General University Hospital Prague Prague Czechia

Department of Neurology and Epileptology The Children's Memorial Health Institute Warsaw Poland

Department of Neurology Technical University Munich Munich Germany

Department of Neurology with Friedrich Baur Institute Ludwig Maximilians University of Munich Munich Germany German Center for Neurodegenerative Diseases Munich Germany

High Field MR Centre Department of Biomedical Imaging and Image guided Therapy Medical University of Vienna Vienna Austria

NeuroCure Clinical Research Center and Experimental and Clinical Research Center Max Delbrueck Center for Molecular Medicine and Charité Universitaetsmedizin Berlin Berlin Germany

NeuroCure Clinical Research Center and Experimental and Clinical Research Center Max Delbrueck Center for Molecular Medicine and Charité Universitaetsmedizin Berlin Berlin Germany Medical Image Analysis Center and Department Biomedical Engineering University Basel Basel Switzerland

Neurology Department Ludwig Maximilians University of Munich Germany

Physikalisch Technische Bundesanstalt Braunschweig and Berlin Germany

Physikalisch Technische Bundesanstalt Charité Universitätsmedizin Berlin Berlin Germany

Wellcome Centre for Human Neuroimaging UCL Institute of Neurology University College London London United Kingdom

Citace poskytuje Crossref.org

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