Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Graft-Induced Dyskinesias in Parkinson's Disease: High Striatal Serotonin/Dopamine Transporter Ratio

Politis, Marios ; Oertel, Wolfgang H. ; Wu, Kit ; Quinn, Niall P. ; Pogarell, Oliver ; Brooks, David J. ; Björklund, Anders LU orcid ; Lindvall, Olle LU and Piccini, Paola (2011) In Movement Disorders 26(11). p.1997-2003
Abstract
Graft-induced dyskinesias are a serious complication after neural transplantation in Parkinson's disease. One patient with Parkinson's disease, treated with fetal grafts 14 years ago and deep brain stimulation 6 years ago, showed marked improvement of motor symptoms but continued to suffer from OFF-medication graft-induced dyskinesias. The patient received a series of clinical and imaging assessments. Positron emission tomography and single-photon emission computed tomography 14 years posttransplantation revealed an elevated serotonin/dopamine transporter ratio in the grafted striatum compatible with serotonergic hyperinnervation. Inhibition of serotonin neuron activity by systemic administration of a 5-HT1A agonist suppressed... (More)
Graft-induced dyskinesias are a serious complication after neural transplantation in Parkinson's disease. One patient with Parkinson's disease, treated with fetal grafts 14 years ago and deep brain stimulation 6 years ago, showed marked improvement of motor symptoms but continued to suffer from OFF-medication graft-induced dyskinesias. The patient received a series of clinical and imaging assessments. Positron emission tomography and single-photon emission computed tomography 14 years posttransplantation revealed an elevated serotonin/dopamine transporter ratio in the grafted striatum compatible with serotonergic hyperinnervation. Inhibition of serotonin neuron activity by systemic administration of a 5-HT1A agonist suppressed graft-induced dyskinesias. Our data provide further evidence that serotonergic neurons mediate graft-induced dyskinesias in Parkinson's disease. Achieving a normal striatal serotonin/dopamine transporter ratio following transplantation of fetal tissue or stem cells should be necessary to avoid the development of graft-induced dyskinesias. (C) 2011 Movement Disorder Society (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Parkinson, transplantation, dyskinesias, serotonin transporter, dopamine transporter
in
Movement Disorders
volume
26
issue
11
pages
1997 - 2003
publisher
John Wiley & Sons Inc.
external identifiers
  • wos:000295456300008
  • scopus:80052971467
  • pmid:21611977
ISSN
0885-3185
DOI
10.1002/mds.23743
language
English
LU publication?
yes
id
49e357ef-141b-4583-a82a-6fd4c05ae5ad (old id 2211682)
date added to LUP
2016-04-01 10:52:55
date last changed
2022-04-12 18:35:32
@article{49e357ef-141b-4583-a82a-6fd4c05ae5ad,
  abstract     = {{Graft-induced dyskinesias are a serious complication after neural transplantation in Parkinson's disease. One patient with Parkinson's disease, treated with fetal grafts 14 years ago and deep brain stimulation 6 years ago, showed marked improvement of motor symptoms but continued to suffer from OFF-medication graft-induced dyskinesias. The patient received a series of clinical and imaging assessments. Positron emission tomography and single-photon emission computed tomography 14 years posttransplantation revealed an elevated serotonin/dopamine transporter ratio in the grafted striatum compatible with serotonergic hyperinnervation. Inhibition of serotonin neuron activity by systemic administration of a 5-HT1A agonist suppressed graft-induced dyskinesias. Our data provide further evidence that serotonergic neurons mediate graft-induced dyskinesias in Parkinson's disease. Achieving a normal striatal serotonin/dopamine transporter ratio following transplantation of fetal tissue or stem cells should be necessary to avoid the development of graft-induced dyskinesias. (C) 2011 Movement Disorder Society}},
  author       = {{Politis, Marios and Oertel, Wolfgang H. and Wu, Kit and Quinn, Niall P. and Pogarell, Oliver and Brooks, David J. and Björklund, Anders and Lindvall, Olle and Piccini, Paola}},
  issn         = {{0885-3185}},
  keywords     = {{Parkinson; transplantation; dyskinesias; serotonin transporter; dopamine transporter}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{1997--2003}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Movement Disorders}},
  title        = {{Graft-Induced Dyskinesias in Parkinson's Disease: High Striatal Serotonin/Dopamine Transporter Ratio}},
  url          = {{http://dx.doi.org/10.1002/mds.23743}},
  doi          = {{10.1002/mds.23743}},
  volume       = {{26}},
  year         = {{2011}},
}