Na Wang, JiaYing Lu, XueLing Liu, JianPeng Liu, YuCheng Lu, ChengLing Xu, SiRong Piao, LiQin Yang, FengTao Liu, YuXin Li
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引用次数: 0
Abstract
Objective: The choroid plexus (CP) has gained renewed attention for its role in waste clearance in neurodegenerative disorders. However, its involvement in progressive supranuclear palsy (PSP) remains unclear. This study aimed to investigate CP volume changes in patients with PSP compared to Parkinson's disease (PD), and explore its relationship with tau deposition in PSP patients.
Methods: A total of 204 participants (92 PSP, 78 PD, 34 healthy controls (HC)) underwent structural MRI, with 63 PSP patients receiving 18F-Florzolotau positron emission tomography. CP volume was compared across the three groups, and its ability to differentiate PSP from PD was assessed. Mean standardized uptake value ratios (SUVRs) from bilateral subcortical regions were extracted: ROIs1 including early involved nuclei of red nucleus, subthalamic nucleus, raphe nuclei, and globus pallidus; ROIs2 including late involved nuclei of substantia nigra, locus coeruleus, putamen, and thalamus. The relationship between CP volume, tau deposition and clinical assessments was analyzed.
Results: PSP patients exhibited increased CP volume compared to PD and HC groups. The area under the curve value was 0.84 in differentiating PSP from PD, with CP volume and age as predictive variables. In the PSP group, CP volume was positively correlated with mean 18F-Florzolotau SUVRs in the ROIs2. Furthermore, in the PSP and PD groups, CP volume was negatively correlated with cognitive scores, but positively correlated with motor scores.
Conclusions: CP enlargement is a distinguishing feature of PSP and may serve as an imaging biomarker for tau accumulation, offering potential for differentiating PSP from PD.
期刊介绍：
"Fluids and Barriers of the CNS" is a scholarly open access journal that specializes in the intricate world of the central nervous system's fluids and barriers, which are pivotal for the health and well-being of the human body. This journal is a peer-reviewed platform that welcomes research manuscripts exploring the full spectrum of CNS fluids and barriers, with a particular focus on their roles in both health and disease.
At the heart of this journal's interest is the cerebrospinal fluid (CSF), a vital fluid that circulates within the brain and spinal cord, playing a multifaceted role in the normal functioning of the brain and in various neurological conditions. The journal delves into the composition, circulation, and absorption of CSF, as well as its relationship with the parenchymal interstitial fluid and the neurovascular unit at the blood-brain barrier (BBB).
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