Cited by 40Dementia and Cognitive Impairment ResearchAlzheimer's disease research and treatmentsFunctional Brain Connectivity Studies

In vivo MRI Structural and PET Metabolic Connectivity Study of Dopamine Pathways in Alzheimer’s Disease

Iaccarino, Leonardo, Sala, Arianna, Caminiti, Silvia Paola, Presotto, Luca, Perani, Daniela, for the Alzheimer’s Disease Neuroimaging Initiative·2020·Journal of Alzheimer s Disease

Abstract

BACKGROUND: Alzheimer's disease (AD) is characterized by an involvement of brain dopamine (DA) circuitry, the presence of which has been associated with emergence of both neuropsychiatric symptoms and cognitive deficits. OBJECTIVE: In order to investigate whether and how the DA pathways are involved in the pathophysiology of AD, we assessed by in vivo neuroimaging the structural and metabolic alterations of subcortical and cortical DA pathways and targets. METHODS: We included 54 healthy control participants, 53 amyloid-positive subjects with mild cognitive impairment due to AD (MCI-AD), and 60 amyloid-positive patients with probable dementia due to AD (ADD), all with structural 3T MRI and 18F-FDG-PET scans. We assessed MRI-based gray matter reductions in the MCI-AD and ADD groups within an anatomical a priori-defined Nigrostriatal and Mesocorticolimbic DA pathways, followed by 18F-FDG-PET metabolic connectivity analyses to evaluate network-level metabolic connectivity changes. RESULTS: We found significant tissue loss in the Mesocorticolimbic over the Nigrostriatal pathway. Atrophy was evident in the ventral striatum, orbitofrontal cortex, and medial temporal lobe structures, and already plateaued in the MCI-AD stage. Degree of atrophy in Mesocorticolimbic regions positively correlated with the severity of depression, anxiety, and apathy in MCI-AD and ADD subgroups. Additionally, we observed significant alterations of metabolic connectivity between the ventral striatum and fronto-cingulate regions in ADD, but not in MCI-AD. There were no metabolic connectivity changes within the Nigrostriatal pathway. CONCLUSION: Our cross-sectional data support a clinically-meaningful, yet stage-dependent, involvement of the Mesocorticolimbic system in AD. Longitudinal and clinical correlation studies are needed to further establish the relevance of DA system involvement in AD.

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Crossref · 10.3233/jad-190954

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  • Our data confirm the very recent clinical evidence from MCI and AD patients showing that functional, structural and metabolic changes affecting the VTA and its projection areas in the mesocorticolimbic pathway occur at the earlier stages of the disease.

    “Our data confirm the very recent clinical evidence from MCI and AD patients showing that functional, structural and metabolic changes affecting the VTA and its projection areas in the mesocorticolimbic pathway occur at the earlier stages of the disease (De Marco and Ven­ neri, 2018; Iaccarino et al., 2020; Serra et al., 2018).”

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Authors
Iaccarino, L., Sala, A., Caminiti, S. P., Presotto, L., Perani, D., & Initiative, F. T. A. D. N.
Affiliations
  • Vita-Salute San Raffaele University (IT)
  • IRCCS Ospedale San Raffaele (IT)
Corresponding author
Perani, Daniela
Venue
Journal of Alzheimer s Disease
Published
2020-05-04
Volume
75
Issue
3
Pages
1003-1016
ISSN
  • 1387-2877 (ISSN-L)
  • 1875-8908
OpenAlex
W3023784418
Cited by
40
References
99
Citations by year
2026: 3 · 2025: 6 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 8 · 2020: 3
FWCI
4.37
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Alzheimer s Disease (publishedVersion)
  • PubMed (publishedVersion)
  • BOA (University of Milano-Bicocca) (submittedVersion)
  • Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
  • ORBi (University of Liège) (submittedVersion)
Funders
  • National Institutes of Health (5u01ag024904-10)
  • Canadian Institutes of Health Research
  • National Institute on Aging (U01-AG-024904)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
Keywords
Alzheimer's disease, dopaminergic pathways
MeSH terms
Aged, Alzheimer Disease, Brain, Dopamine, Female, Humans, Magnetic Resonance Imaging, Male, Neural Pathways, Retrospective Studies, Positron-Emission Tomography, Gray Matter

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