Dwindling Nucleus Basalis: The Unlikely Heroes in Parkinson’s Disease and Progressive Supranuclear Palsy

Published on April 1, 2022

Imagine a team of heroes, each with their own unique powers. In the world of parkinsonian syndromes, the nucleus basalis of Meynert (nbM) is one such hero. A group of scientists embarked on a mission to investigate the gray matter volumes of nbM in different syndromes: progressive supranuclear palsy (PSP), multiple system atrophy (MSA), and Parkinson’s disease (PD). Using advanced imaging techniques, they discovered that the nbM volumes were significantly reduced in patients with PSP and PD compared to healthy controls or those with MSA. Surprisingly, there was no correlation between nbM volumes and cognitive measures like the Mini Mental Status Examination (MMSE). This suggests that other factors, possibly frontal atrophy, may have a greater impact on cognitive function in PSP patients. These findings open up exciting possibilities for developing new drug-targets to improve cognitive function in PSP patients. To dive deeper into the research and learn more about these intriguing heroes, click on the link below!

ObjectivesTo study in vivo gray matter (GM) volumes of the nucleus basalis of Meynert (nbM) in different parkinsonian syndromes and assess their relationship with clinical variables.MethodsT1-weighted magnetic resonance images from patients with progressive supranuclear palsy (PSP, N = 43), multiple system atrophy (MSA, N = 23), Parkinson’s disease (PD, N = 26), and healthy controls (HC, N = 29) were included. T1-weighted images were analyzed using a voxel-based morphometry approach implemented in the VBM8 toolbox, and nbM volumes were extracted from the spatially normalized GM images using a cyto-architectonically-defined nbM mask in stereotactic standard space. NbM volumes were compared between groups, while controlling for intracranial volume. Further, within each group correlation analyses between nbM volumes and the Mini Mental Status Examination (MMSE), Hoehn and Yahr stage, PSP Rating Scale, Unified Parkinson’s Disease Rating Scale part III and Frontal Assessment Battery scores were performed.ResultsSignificantly lower nbM volumes in patients with PSP and PD compared to HC or patients with MSA were found. No significant correlations between MMSE and nbM volumes were detected in any of the subgroups. No significant correlations were found between clinical scores and nbM volumes in PSP or other groups.ConclusionnbM volumes were reduced both in PD and PSP but not in MSA. The lack of significant correlations between nbM and cognitive measures suggests that other factors, such as frontal atrophy, may play a more important role than subcortical cholinergic atrophy in PSP patients. These results may indicate that other drug-targets are needed to improve cognitive function in PSP patients.

Read Full Article (External Site)

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes:

<a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <s> <strike> <strong>