Low Brain Iron Content in Idiopathic Restless Legs Syndrome Patients Detected by Phase Imaging

被引:115
作者
Rizzo, Giovanni [1 ,2 ,3 ]
Manners, David [1 ]
Testa, Claudia [1 ]
Tonon, Caterina [1 ]
Vetrugno, Roberto [4 ]
Marconi, Sara [2 ,3 ]
Plazzi, Giuseppe [2 ,3 ]
Pizza, Fabio [2 ,3 ]
Provini, Federica [2 ,3 ]
Malucelli, Emil [5 ]
Gramegna, Laura Ludovica [1 ]
Lodi, Raffaele [1 ]
机构
[1] Univ Bologna, Dept Biomed & NeuroMotor Sci DiBiNeM, Funct MR Unit, I-40138 Bologna, Italy
[2] Univ Bologna, Dept Biomed & NeuroMotor Sci DiBiNeM, Neurol Unit, I-40138 Bologna, Italy
[3] IRCCS Ist Sci Neurol Bologna, Bologna, Italy
[4] Profess Consultant Neurol, Bologna, Italy
[5] Univ Bologna, Dept Pharm & Biotechnol, I-40138 Bologna, Italy
关键词
MRI; RLS; iron; phase imaging; SUBSTANTIA-NIGRA; T2; RELAXOMETRY; EARLY-ONSET; DEFICIENCY; METABOLISM; FERRITIN;
D O I
10.1002/mds.25576
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
BackgroundThe objective of this study was to use phase imaging to evaluate brain iron content in patients with idiopathic restless legs syndrome (RLS). MethodsFifteen RLS patients and 15 healthy controls were studied using gradient-echo imaging. Phase analysis was performed on localized brain regions of interest selected on phase maps, sensitive to paramagnetic tissue. Differences between the 2 subject groups were evaluated using ANCOVA including age as a covariate. ResultsSignificantly higher phase values were present in the RLS patients compared with healthy controls at the level of the substantia nigra, thalamus, putamen, and pallidum, indicating reduced iron content in several regions of the brain of the patients. ConclusionsWe have used MRI phase analysis to study brain iron content in idiopathic RLS in vivo for the first time. Our results support the hypothesis of reduced brain iron content in RLS patients, which may have an important role in the pathophysiology of the disorder. (c) 2013 International Parkinson and Movement Disorder Society
引用
收藏
页码:1886 / 1890
页数:5
相关论文
共 28 条
[1]
The role of iron in restless legs syndrome [J].
Allen, Richard P. ;
Earley, Christopher J. .
MOVEMENT DISORDERS, 2007, 22 :S440-S448
[2]
Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology - A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health [J].
Allen, RP ;
Picchietti, D ;
Hening, WA ;
Trenkwalder, C ;
Walters, AS ;
Montplaisi, J .
SLEEP MEDICINE, 2003, 4 (02) :101-119
[3]
MRI measurement of brain iron in patients with restless legs syndrome [J].
Allen, RP ;
Barker, PB ;
Wehrl, F ;
Song, HK ;
Earley, CJ .
NEUROLOGY, 2001, 56 (02) :263-265
[4]
T2 relaxometry and fMRI of the brain in late-onset restless legs syndrome [J].
Astrakas, L. G. ;
Konitsiotis, S. ;
Margariti, P. ;
Tsouli, S. ;
Tzarouhi, L. ;
Argyropoulou, M. I. .
NEUROLOGY, 2008, 71 (12) :911-916
[5]
Support for dopaminergic hypoactivity in restless legs syndrome:: a PET study on D2-receptor binding [J].
Cervenka, Simon ;
Palhagen, Sven E. ;
Comley, Robert A. ;
Panagiotidis, Georgios ;
Cselenyi, Zsolt ;
Matthews, Julian C. ;
Lai, Robert Y. ;
Halldin, Christer ;
Farde, Lars .
BRAIN, 2006, 129 :2017-2028
[6]
Ferritin subunits in CSF are decreased in restless legs syndrome [J].
Clardy, SL ;
Earley, CJ ;
Allen, RP ;
Beard, JL ;
Connor, JR .
JOURNAL OF LABORATORY AND CLINICAL MEDICINE, 2006, 147 (02) :67-73
[7]
Is ferroportin-hepcidin signaling altered in restless legs syndrome? [J].
Clardy, Stacey L. ;
Wang, Xinsheng ;
Boyer, Philip J. ;
Earley, Christopher J. ;
Allen, Richard P. ;
Connor, James R. .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2006, 247 (02) :173-179
[8]
Altered dopaminergic profile in the putamen and substantia nigra in restless leg syndrome [J].
Connor, James R. ;
Wang, Xin-Sheng ;
Allen, Richard P. ;
Beard, John L. ;
Wiesinger, Jason A. ;
Felt, Barbara T. ;
Earley, Christopher J. .
BRAIN, 2009, 132 :2403-2412
[9]
Decreased transferrin receptor expression by neuromelanin cells in restless legs syndrome [J].
Connor, JR ;
Wang, XS ;
Patton, SM ;
Menzies, SL ;
Troncoso, JC ;
Earley, CJ ;
Allen, RP .
NEUROLOGY, 2004, 62 (09) :1563-1567
[10]
Neuropathological examination suggests impaired brain iron acquisition in restless legs syndrome [J].
Connor, JR ;
Boyer, PJ ;
Menzies, SL ;
Dellinger, B ;
Allen, RP ;
Ondo, WG ;
Earley, CJ .
NEUROLOGY, 2003, 61 (03) :304-309