Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease

Abstract Parkinson’s disease (PD) is characterized by a progressive loss of dopaminergic neurons. Exercise has been reported to slow the clinical progression of PD. We evaluated the dopaminergic system of patients with mild and early PD before and after a six-month program of intense exercise. Using...

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Main Authors: Bart de Laat, Jocelyn Hoye, Gelsina Stanley, Michelle Hespeler, Jennifer Ligi, Varsha Mohan, Dustin W. Wooten, Xiaomeng Zhang, Thanh D. Nguyen, Jose Key, Giulia Colonna, Yiyun Huang, Nabeel Nabulsi, Amar Patel, David Matuskey, Evan D. Morris, Sule Tinaz
Format: Article
Language:English
Published: Nature Portfolio 2024-02-01
Series:npj Parkinson's Disease
Online Access:https://doi.org/10.1038/s41531-024-00641-1
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author Bart de Laat
Jocelyn Hoye
Gelsina Stanley
Michelle Hespeler
Jennifer Ligi
Varsha Mohan
Dustin W. Wooten
Xiaomeng Zhang
Thanh D. Nguyen
Jose Key
Giulia Colonna
Yiyun Huang
Nabeel Nabulsi
Amar Patel
David Matuskey
Evan D. Morris
Sule Tinaz
author_facet Bart de Laat
Jocelyn Hoye
Gelsina Stanley
Michelle Hespeler
Jennifer Ligi
Varsha Mohan
Dustin W. Wooten
Xiaomeng Zhang
Thanh D. Nguyen
Jose Key
Giulia Colonna
Yiyun Huang
Nabeel Nabulsi
Amar Patel
David Matuskey
Evan D. Morris
Sule Tinaz
author_sort Bart de Laat
collection DOAJ
description Abstract Parkinson’s disease (PD) is characterized by a progressive loss of dopaminergic neurons. Exercise has been reported to slow the clinical progression of PD. We evaluated the dopaminergic system of patients with mild and early PD before and after a six-month program of intense exercise. Using 18F-FE-PE2I PET imaging, we measured dopamine transporter (DAT) availability in the striatum and substantia nigra. Using NM-MRI, we evaluated the neuromelanin content in the substantia nigra. Exercise reversed the expected decrease in DAT availability into a significant increase in both the substantia nigra and putamen. Exercise also reversed the expected decrease in neuromelanin concentration in the substantia nigra into a significant increase. These findings suggest improved functionality in the remaining dopaminergic neurons after exercise. Further research is needed to validate our findings and to pinpoint the source of any true neuromodulatory and neuroprotective effects of exercise in PD in large clinical trials.
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spelling doaj.art-c6a5eae8530644409f5666e6e11e37c32024-03-05T18:03:20ZengNature Portfolionpj Parkinson's Disease2373-80572024-02-011011710.1038/s41531-024-00641-1Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s diseaseBart de Laat0Jocelyn Hoye1Gelsina Stanley2Michelle Hespeler3Jennifer Ligi4Varsha Mohan5Dustin W. Wooten6Xiaomeng Zhang7Thanh D. Nguyen8Jose Key9Giulia Colonna10Yiyun Huang11Nabeel Nabulsi12Amar Patel13David Matuskey14Evan D. Morris15Sule Tinaz16Department of Radiology and Biomedical Imaging, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityBeat Parkinson’s TodayBeat Parkinson’s TodayNeuroscience, AbbVieNeuroscience, AbbVieNeuroscience, AbbVieDepartment of Radiology, Weil Cornell MedicineDepartment of Biomedical Engineering, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Neurology, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Radiology and Biomedical Imaging, Yale UniversityDepartment of Neurology, Yale UniversityAbstract Parkinson’s disease (PD) is characterized by a progressive loss of dopaminergic neurons. Exercise has been reported to slow the clinical progression of PD. We evaluated the dopaminergic system of patients with mild and early PD before and after a six-month program of intense exercise. Using 18F-FE-PE2I PET imaging, we measured dopamine transporter (DAT) availability in the striatum and substantia nigra. Using NM-MRI, we evaluated the neuromelanin content in the substantia nigra. Exercise reversed the expected decrease in DAT availability into a significant increase in both the substantia nigra and putamen. Exercise also reversed the expected decrease in neuromelanin concentration in the substantia nigra into a significant increase. These findings suggest improved functionality in the remaining dopaminergic neurons after exercise. Further research is needed to validate our findings and to pinpoint the source of any true neuromodulatory and neuroprotective effects of exercise in PD in large clinical trials.https://doi.org/10.1038/s41531-024-00641-1
spellingShingle Bart de Laat
Jocelyn Hoye
Gelsina Stanley
Michelle Hespeler
Jennifer Ligi
Varsha Mohan
Dustin W. Wooten
Xiaomeng Zhang
Thanh D. Nguyen
Jose Key
Giulia Colonna
Yiyun Huang
Nabeel Nabulsi
Amar Patel
David Matuskey
Evan D. Morris
Sule Tinaz
Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
npj Parkinson's Disease
title Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
title_full Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
title_fullStr Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
title_full_unstemmed Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
title_short Intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in Parkinson’s disease
title_sort intense exercise increases dopamine transporter and neuromelanin concentrations in the substantia nigra in parkinson s disease
url https://doi.org/10.1038/s41531-024-00641-1
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