MONOAMINE VESICULAR UPTAKE SITES IN PATIENTS WITH PARKINSONS-DISEASE AND ALZHEIMERS-DISEASE, AS MEASURED BY TRITIATED DIHYDROTETRABENAZINE AUTORADIOGRAPHY

The monoaminergic innervation of the caudate nucleus, putamen and vent ral striatum was investigated post mortem, in patients with Parkinson' s and Alzheimer's disease as compared to control subjects, by autoradi ographic detection of tritiated dihydrotetrabenazine (H-3-TBZOH), a sp ecific high affinity ligand of the vesicular monoamine transporter. Th e binding of H-3-TBZOH was specific and saturable (K-d 5.3 nM). In con trol striatum, the pattern of distribution of H-3-TBZOH binding was he terogeneous, with higher binding levels in the 'matrix' than in the 's triosome' compartment. Changes in ligand binding levels were observed in the pathological brains compared to controls. In Parkinson's diseas e (PD), characterized by a severe damage of mesostriatal dopaminergic neurons, the density of H-3-TBZOH binding was reduced. A severe decrea se in H-3-TBZOH binding was observed in all parts of the striatum (cau date nucleus: -80%, putamen: -86%, ventral striatum: -94%) in PD brain s. The data corroborate the deficiency in striatal dopaminergic transm ission and suggest that in PD brains dopaminergic terminals have disap peared and/or no longer contain synaptic vesicles. In Alzheimer's dise ase (AD),H-3-TBZOH binding was significantly reduced by 57% in the ven tral striatum and not in the caudate nucleus and putamen. The specific decrease of monoaminergic transporter levels in the ventral striatum confirm that this nucleus is a target area in AD.