Neurology; Neurology (clinical); Cellular and Molecular Neuroscience
Abstract :
[en] Alterations in subcortical brain regions are linked to motor and non-motor symptoms in Parkinson's disease (PD). However, associations between clinical expression and regional morphological abnormalities of the basal ganglia, thalamus, amygdala and hippocampus are not well established. We analyzed 3D T1-weighted brain MRI and clinical data from 2525 individuals with PD and 1326 controls from 22 global sources in the ENIGMA-PD consortium. We investigated disease effects using mass univariate and multivariate models on the medial thickness of 27,120 vertices of seven bilateral subcortical structures. Shape differences were observed across all Hoehn and Yahr (HY) stages, as well as correlations with motor and cognitive symptoms. Notably, we observed incrementally thinner putamen from HY1, caudate nucleus and amygdala from HY2, hippocampus, nucleus accumbens, and thalamus from HY3, and globus pallidus from HY4-5. Subregions of the thalami were thicker in HY1 and HY2. Largely congruent patterns were associated with a longer time since diagnosis and worse motor symptoms and cognitive performance. Multivariate regression revealed patterns predictive of disease stage. These cross-sectional findings provide new insights into PD subcortical degeneration by demonstrating patterns of disease stage-specific morphology, largely consistent with ongoing degeneration.
Disciplines :
Neurology Radiology, nuclear medicine & imaging
Author, co-author :
Laansma, Max A ; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. m.laansma@amsterdamumc.nl ; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands. m.laansma@amsterdamumc.nl
Zhao, Yuji; Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, USA
van Heese, Eva M ; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands
Bright, Joanna K; Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
Owens-Walton, Conor ; Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA
Al-Bachari, Sarah; Faculty of Health and Medicine, The University of Lancaster, Lancaster, UK ; Department of Neurology, Royal Preston Hospital, Preston, UK
Anderson, Tim J ; Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand ; New Zealand Brain Research Institute, Christchurch, New Zealand ; Neurology Department, Te Wahtu Ora-Health New Zealand Waitaha Canterbury, Christchurch, New Zealand
Assogna, Francesca; Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
van Balkom, Tim D; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands ; Amsterdam UMC, Department Psychiatry, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Berendse, Henk W; Amsterdam UMC, Department Neurology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Cendes, Fernando; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Dalrymple-Alford, John C ; New Zealand Brain Research Institute, Christchurch, New Zealand ; School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand
Debove, Ines; Department of Neurology, Inselspital, University of Bern, Bern, Switzerland
Dirkx, Michiel F ; Department of Neurology and Center of Expertise for Parkinson & Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Druzgal, Jason; Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
Emsley, Hedley C A; Lancaster Medical School, Lancaster University, Lancaster, UK ; Division of Neuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
Fouche, Jean-Paul; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Garraux, Gaëtan ; Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Biochimie et physiologie du système nerveux
Guimarães, Rachel P; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Helmich, Rick C; Department of Neurology and Center of Expertise for Parkinson & Movement Disorders, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands ; Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands
Hu, Michele; Division of Clinical Neurology, Department of Clinical Neurosciences, Oxford Parkinson's Disease Centre, Nuffield, University of Oxford, Oxford, UK
van den Heuvel, Odile A; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands ; Amsterdam UMC, Department Psychiatry, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Isaev, Dmitry; Department of Biomedical Engineering, Duke University, Durham, NC, USA
Kim, Ho-Bin; Department of Neurology & Neurological Sciences, Stanford University, Palo Alto, CA, USA
Klein, Johannes C ; Division of Clinical Neurology, Department of Clinical Neurosciences, Oxford Parkinson's Disease Centre, Nuffield, University of Oxford, Oxford, UK
Lochner, Christine; SA MRC Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry, Stellenbosch University, Cape Town, South Africa
McMillan, Corey T; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
Melzer, Tracy R ; Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand ; New Zealand Brain Research Institute, Christchurch, New Zealand ; School of Psychology, Speech and Hearing, University of Canterbury, Christchurch, New Zealand
Newman, Benjamin ; Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA, USA
Parkes, Laura M ; Division of Psychology, Communication and Human Neuroscience, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK ; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance & University of Manchester, Manchester, UK
Pellicano, Clelia; Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Piras, Fabrizio; Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Pitcher, Toni L; Department of Medicine, University of Otago, Christchurch, Christchurch, New Zealand ; New Zealand Brain Research Institute, Christchurch, New Zealand
Poston, Kathleen L ; Department of Neurology & Neurological Sciences, Stanford University, Palo Alto, CA, USA
Rango, Mario; Excellence Center for Advanced MR Techniques and Parkinson's Disease Center, Neurology unit, Fondazione IRCCS Cà Granda Maggiore Policlinico Hospital, University of Milan, Milan, Italy ; Department of Neurosciences, Neurology Unit, Fondazione Ca' Granda, IRCCS, Ospedale Policlinico, Univeristy of Milan, Milano, Italy
Ribeiro, Leticia F; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Rocha, Cristiane S; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Rummel, Christian; Support Center for Advanced Neuroimaging, (SCAN) University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
Santos, Lucas S R; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Schmidt, Reinhold; Department of Neurology, Medical University of Graz, Graz, Austria
Schwingenschuh, Petra ; Department of Neurology, Medical University of Graz, Graz, Austria
Squarcina, Letizia; Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
Stein, Dan J ; SA MRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa
Vecchio, Daniela; Laboratory of Neuropsychiatry, IRCCS Santa Lucia Foundation, Rome, Italy
Vriend, Chris ; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam UMC, Department Psychiatry, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam Neuroscience, Brain Imaging, Amsterdam, The Netherlands
Wang, Jiunjie; Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan City, Taiwan ; Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Keelung Branch, Keelung City, Taiwan ; Healthy Ageing Research Center, Chang Gung University, Taoyuan City, Taiwan
Weintraub, Daniel; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
Wiest, Roland; Support Center for Advanced Neuroimaging (SCAN), University Institute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Bern, Switzerland
Yasuda, Clarissa L ; Department of Neurology, University of Campinas-UNICAMP, Campinas, Brazil ; Brazilian Institute of Neuroscience and Neurotechnology, Campinas, Brazil
Jahanshad, Neda; Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA
Thompson, Paul M; Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA
van der Werf, Ysbrand D ; Amsterdam UMC, Department of Anatomy and Neurosciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands ; Amsterdam Neuroscience, Neurodegeneration, Amsterdam, The Netherlands
Gutman, Boris A; Department of Biomedical Engineering, Illinois Institute of Technology, Chicago, IL, USA
MJFF - Michael J. Fox Foundation for Parkinson's Research FNIH - Foundation for the National Institutes of Health NINDS - National Institute of Neurological Disorders and Stroke
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