title: 'Prefrontal' cognitive performance of healthy subjects positively correlates with cerebral FDOPA influx: an exploratory [18F]-fluoro-L-DOPA-PET investigation.
abstract: Dopamine neurotransmission influences those cognitive processes, which are generally regarded as prefrontal cortical functions. In previous positron-emission-tomography (PET) studies, net blood-brain clearance of [18F]-fluoro-l-DOPA (FDOPA) correlated with impaired cognitive performance in patients with Parkinson's disease or schizophrenia. We hypothesized that FDOPA influx also correlates with performance of cognitive tasks associated with prefrontal functioning in healthy volunteers. The net blood-brain clearance of FDOPA (K(in)(app)) was mapped in a group of 11 healthy volunteers and calculated in striatal volumes-of-interest. The Wisconsin-Card-Sorting-Test (WCST), Stroop-Test, Trail-Making-Test (TMT-A/B), and Continuous-Performance-Test (CPT-M) had been administered previously to the same subjects. No correlation of K(in) (app) with perseverative errors in WCST or age could be found. However, there were significant positive correlations between the magnitude of K(in)(app) in caudate nucleus, putamen, and midbrain with performance of the TMT-B, CPT-M, and the Stroop test. Highest correlations were found between the time needed to perform the Stroop interference task and the K(in)(app) of striatal areas (Caudate nucleus: -0.780, P = 0.005; putamen: -0.870, P < 0. 001). Thus, the present findings reveal a strong correlation between dopamine synthesis capacity in striatum of healthy volunteers and performance of cognitive tasks linked to the prefrontal cortex.
authors.affiliation: Department of Psychiatry and Psychotherapy, RWTH Aachen University, Aachen, Germany. ivernaleken@ukaachen.de
authors.forename: Ingo
authors.initials: I
authors.lastname: Vernaleken
authors.forename: Hans-Georg
authors.initials: HG
authors.lastname: Buchholz
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Kumakura
authors.forename: Thomas
authors.initials: T
authors.lastname: Siessmeier
authors.forename: Peter
authors.initials: P
authors.lastname: Stoeter
authors.forename: Peter
authors.initials: P
authors.lastname: Bartenstein
authors.forename: Paul
authors.initials: P
authors.lastname: Cumming
authors.forename: Gerhard
authors.initials: G
authors.lastname: Gründer
mesh_terms: D000328:Adult; D001479:Basal Ganglia / Q000000981:diagnostic imaging / Q000378:metabolism*; D001812:Blood-Brain Barrier / Q000187:drug effects / Q000378:metabolism; D001931:Brain Mapping; D002421:Caudate Nucleus / Q000000981:diagnostic imaging / Q000378:metabolism; D003071:Cognition / Q000502:physiology*; D004295:Dihydroxyphenylalanine / Q000031:analogs & derivatives* / Q000378:metabolism / Q000493:pharmacokinetics; D004298:Dopamine / Q000378:metabolism*; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008636:Mesencephalon / Q000000981:diagnostic imaging / Q000378:metabolism*; D008657:Metabolic Clearance Rate / Q000502:physiology; D008875:Middle Aged; D009434:Neural Pathways / Q000000981:diagnostic imaging / Q000378:metabolism; D009483:Neuropsychological Tests; D049268:Positron-Emission Tomography; D017397:Prefrontal Cortex / Q000000981:diagnostic imaging / Q000378:metabolism*; D011699:Putamen / Q000000981:diagnostic imaging / Q000378:metabolism; D011930:Reaction Time / Q000502:physiology; D017448:Receptors, Dopamine D2 / Q000378:metabolism; D012016:Reference Values; D009435:Synaptic Transmission / Q000502:physiology
chemical_list: D017448:Receptors, Dopamine D2; C043437:fluorodopa F 18; D004295:Dihydroxyphenylalanine; D004298:Dopamine