Tupala Erkki, Hall Håkan, Bergström Kim, Mantere Tuija, Räsänen Pirkko, Särkioja Terttu, Hiltunen Jukka, Tiihonen Jari
Department of Forensic Psychiatry, Niuvanniemi Hospital, University of Kuopio, FIN-70240 Kuopio, Finland.
Synapse. 2003 Jun 15;48(4):205-11. doi: 10.1002/syn.10206.
It is generally agreed that there is a deterioration in brain dopamine (DA) system with aging. The role of the mesolimbic DA in brain ethanol reinforcement is well established, with nucleus accumbens (NAC) serving as a major terminal area of this system, whereas dorsal striatum is more associated with motor control. The aim of this study was to compare putative age-related alterations of dopamine transporters (DAT) in dorsal and ventral striatum of healthy controls and alcoholics. We studied the effect of age on DAT in caudate (NC), putamen (Pu), and nucleus accumbens (NAC) of eight type 1 and 2 alcoholics and 10 healthy controls by using [(125)I]PE2I as a radioligand for postmortem human whole hemisphere autoradiography. In the type 1 alcoholic group age and DAT density did not correlate significantly with any of the structures studied. The mean densities of DAT declined significantly with age in controls and type 2 alcoholics in dorsal striatum (NC, Pu) (range of correlation coefficient from -0.49 to -0.94), but not statistically significantly in NAC. In type 1 alcoholics the lack of correlation between DAT density and age may indicate a preexisting dopaminergic deficit in this patient group, whereas age-related decline among type 2 alcoholics resembled that of healthy controls. Furthermore, dorsal striatal DAT may be more vulnerable to age-related decline than DAT in NAC. This is supported by the notion that DAT in NAC and dorsal striatum have different molecular weights.
人们普遍认为,随着年龄增长,大脑多巴胺(DA)系统会出现退化。中脑边缘多巴胺在大脑乙醇强化作用中的角色已得到充分证实,伏隔核(NAC)是该系统的主要终末区域,而背侧纹状体则更多地与运动控制相关。本研究的目的是比较健康对照者和酗酒者背侧和腹侧纹状体中多巴胺转运体(DAT)的假定年龄相关变化。我们使用[(125)I]PE2I作为放射性配体,对8名1型和2型酗酒者及10名健康对照者的尾状核(NC)、壳核(Pu)和伏隔核(NAC)进行死后人类全脑半球放射自显影,研究年龄对DAT的影响。在1型酗酒者组中,年龄和DAT密度与所研究的任何结构均无显著相关性。在对照组和2型酗酒者中,背侧纹状体(NC、Pu)的DAT平均密度随年龄显著下降(相关系数范围为-0.49至-0.94),但在NAC中无统计学显著差异。在1型酗酒者中,DAT密度与年龄缺乏相关性可能表明该患者组预先存在多巴胺能缺陷,而2型酗酒者中与年龄相关的下降与健康对照者相似。此外,背侧纹状体DAT可能比NAC中的DAT更容易受到与年龄相关的下降影响。NAC和背侧纹状体中DAT具有不同分子量这一观点支持了这一点。