Qamar M A, Sauerbier A, Politis M, Carr H, Loehrer P, Chaudhuri K Ray
National Parkinson's Foundation International Center of Excellence, King's College London and King's College Hospital NHS Foundation Trust, London, UK.
Neurodegeneration Imaging Group, Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, London, UK.
NPJ Parkinsons Dis. 2017 Jan 25;3:5. doi: 10.1038/s41531-016-0006-9. eCollection 2017.
Parkinson's disease (PD) is now considered to be a multisystemic disorder consequent on multineuropeptide dysfunction including dopaminergic, serotonergic, cholinergic, and noradrenergic systems. This multipeptide dysfunction leads to expression of a range of non-motor symptoms now known to be integral to the concept of PD and preceding the diagnosis of motor PD. Some non-motor symptoms in PD may have a dopaminergic basis and in this review, we investigate the evidence for this based on imaging techniques using dopamine-based radioligands. To discuss non-motor symptoms we follow the classification as outlined by the validated PD non-motor symptoms scale.
帕金森病(PD)现在被认为是一种多系统疾病,是由包括多巴胺能、血清素能、胆碱能和去甲肾上腺素能系统在内的多种神经肽功能障碍所致。这种多神经肽功能障碍导致一系列非运动症状的出现,现在已知这些症状是帕金森病概念的组成部分,且早于运动性帕金森病的诊断。帕金森病中的一些非运动症状可能有多巴胺能基础,在本综述中,我们基于使用多巴胺类放射性配体的成像技术来研究这方面的证据。为了讨论非运动症状,我们遵循经过验证的帕金森病非运动症状量表所概述的分类方法。