51. Brain Metabolism and Microglia Activation in Mild Cognitive Impairment: A Combined [18F]FDG and [11C]-(R)-PK11195 PET Study
- Author
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Luca Presotto, Giovanni B. Frisoni, Silvia Paola Caminiti, Cecilia Boccalini, Sandro Iannaccone, Giuseppe Magnani, Daniela Perani, Massimo Filippi, Giacomo Tondo, Tondo, G, Boccalini, C, Caminiti, S, Presotto, L, Filippi, M, Magnani, G, Frisoni, G, Iannaccone, S, Perani, D, Tondo, G., Boccalini, C., Caminiti, S. P., Presotto, L., Filippi, M., Magnani, G., Frisoni, G. B., Iannaccone, S., and Perani, D.
- Subjects
Male ,0301 basic medicine ,positron emission tomography ,microglia ,tauopathie ,Correlation ,0302 clinical medicine ,Brain Mapping ,education.field_of_study ,Microglia ,medicine.diagnostic_test ,General Neuroscience ,Neurodegeneration ,Brain ,General Medicine ,Middle Aged ,Mental Status and Dementia Tests ,Psychiatry and Mental health ,Clinical Psychology ,medicine.anatomical_structure ,Positron emission tomography ,Female ,Alzheimer’s disease ,Population ,Carbohydrate metabolism ,03 medical and health sciences ,Fluorodeoxyglucose F18 ,cognitive dysfunction ,In vivo ,medicine ,Humans ,Dementia ,education ,Aged ,business.industry ,tauopathies ,Macrophage Activation ,Isoquinolines ,medicine.disease ,Glucose ,030104 developmental biology ,Positron-Emission Tomography ,Radiopharmaceuticals ,Geriatrics and Gerontology ,business ,metabolism ,Neuroscience ,Psychomotor Performance ,030217 neurology & neurosurgery ,dementia - Abstract
Background: Mild cognitive impairment (MCI) is a transitional condition between normal cognition and dementia. [18F]FDG-PET reveals brain hypometabolism patterns reflecting neuronal/synaptic dysfunction, already in the prodromal MCI phase. Activated microglia is part of the pathogenetic processes leading to neurodegeneration. Objective: Using [11C]-(R)-PK11195 and [18F]FDG-PET, we aimed to in vivo investigate the presence of microglial activation, and the relationship with brain glucose metabolism, in single MCI subjects. Methods: Eight MCI subjects underwent both [18F]FDG-PET and [11C]-(R)-PK11195 PET. We used validated quantification methods to obtain brain hypometabolism maps and microglia activation peaks in single subjects. We investigated both the spatial overlap and the relationship between brain glucose hypometabolism and microglia activation, by means of Dice similarity coefficient and using Pearson’s correlation at single subject level. Results: Each MCI showed a specific brain hypometabolism pattern indicative of different possible etiologies, as expected in MCI population (i.e., Alzheimer’s disease-like, frontotemporal dementia-like, hippocampal-type, normal aging type). [11C]-(R)-PK11195 PET analysis revealed a spatial concordance with regional hypometabolism in all subjects with several clusters of significant microglia activation showing an inverse correlation with the regional metabolism. This was proportional to the strength of between-signals correlation coefficient (β = –0.804; p = 0.016). Conclusion: Microglia activation is present in the prodromal MCI phase of different underlying etiologies, showing spatial concordance and inverse correlation with brain glucose metabolism at single-subject level. These findings suggest a possible contribution of activated microglia to neurodegeneration, showing important implications for local immune activity in the early neurodegenerative processes.
- Published
- 2021