Progressive Supranuclear Palsy: Subcortical Tau Depositions Are Associated with Cortical Perfusion in Frontal and Limbic Regions

Author:

Theis Hendrik12,Barbe Michael T.2,Drzezga Alexander134,Fink Gereon R.25,Neumaier Bernd67,Bischof Gérard N.14,van Eimeren Thilo12

Affiliation:

1. Department of Nuclear Medicine, University Hospital of Cologne, Cologne, Germany

2. Department of Neurology, University Hospital of Cologne, Cologne, Germany

3. German Center for Neurodegenerative Diseases (DZNE), Gottingen, Germany

4. Institute for Neuroscience and Medicine (INM-2), Research Center Jülich, Jülich, Germany

5. Institute for Neuroscience and Medicine (INM-3), Research Center Jülich, Jülich, Germany

6. Institute of Radiochemistry and Experimental Molecular Imaging, University of Cologne, Cologne, Germany

7. Institute of Neuroscience & Medicine (INM-5), Nuclear Chemistry, Research Center Jülich, Jülich, Germany

Abstract

 In progressive supranuclear palsy (PSP), subcortical tau and cortical perfusion can be assessed using the tracer [18F]PI-2620. We investigated if subcortical tau (globus pallidus internus, dentate nucleus) and frontal/limbic perfusion correlate in a cohort of 32 PSP patients. Tau in subcortical regions showed significant negative correlation with perfusion in limbic cortex. Perfusion in frontal regions was negatively associated with tau in both subcortical regions, but the significance threshold was only passed for the dentate nucleus. A reason could be a diaschisis-like phenomenon; that is, subcortical tau could lead to reduced connectivity to frontal regions and, thereby, to decreased perfusion.

Publisher

IOS Press

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