Evidence map›Paper›PMID 19280185›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2009

Riluzole protects Huntington disease patients from brain glucose hypometabolism and grey matter volume loss and increases production of neurotrophins.

Ferdinando Squitieri, Sara Orobello, Milena Cannella, Tiziana Martino, Pantaleo Romanelli, Giampiero Giovacchini, Luigi Frati, Luigi Mansi, Andrea Ciarmiello

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. [European journal of nuclear medicine and molecular imaging · 2023
    Pooled it
  2. Pooled it
  3. Current status of PET imaging in Huntington's disease.European journal of nuclear medicine and molecular imaging · 2016
    Pooled it
  4. Review
  5. Observational
  6. Review
  7. Review
  8. Review
  9. HSF1 and Its Role in Huntington's Disease Pathology.Advances in experimental medicine and biology · 2023
    Review
  10. Review
  11. Review
  12. Review
  13. New Avenues for the Treatment of Huntington's Disease.International journal of molecular sciences · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Induced Pluripotent HD Monkey Stem Cells Derived Neural Cells for Drug Discovery.SLAS discovery : advancing life sciences R & D · 2017
    Article
  19. Review
  20. Striatal hypometabolism in premanifest and manifest Huntington's disease patients.European journal of nuclear medicine and molecular imaging · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Ferdinando SquitieriNeurogenetics Unit & Centre for Rare Disease, IRCCS Neuromed, Località Camerelle, 86077, Pozzilli, Italy. squitieri@neuromed.it
Sara Orobello
Milena Cannella
Tiziana Martino
Pantaleo Romanelli
Giampiero Giovacchini
Luigi Frati
Luigi Mansi
Andrea Ciarmiello
Istituto Neurologico Mediterraneo · ITCTO Andrea Alesini · ITOspedale Civile di Vittorio Veneto · ITSapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

Telethon GGP06181
6 · The paper itself

Abstract

purposeHuntington disease (HD) mutation increases gain-of-toxic functions contributing to glutamate-mediated excitotoxicity. Riluzole interferes with glutamatergic neurotransmission, thereby reducing excitotoxicity, enhancing neurite formation in damaged motoneurons and increasing serum concentrations of BDNF, a brain cortex neurotrophin protecting striatal neurons from degeneration.

methodsWe investigated metabolic and volumetric differences in distinct brain areas between 11 riluzole-treated and 12 placebo-treated patients by MRI and (18)F-fluoro-2-deoxy-D-glucose (FDG) PET scanning, according to fully automated protocols. We also investigated the influence of riluzole on peripheral growth factor blood levels.

resultsPlacebo-treated patients showed significantly greater proportional volume loss of grey matter and decrease in metabolic FDG uptake than patients treated with riluzole in all cortical areas (p<0.05). The decreased rate of metabolic FDG uptake correlated with worsening clinical scores in placebo-treated patients, compared to those who were treated with riluzole. The progressive decrease in metabolic FDG uptake observed in the frontal, parietal and occipital cortex correlated linearly with the severity of motor scores calculated by Unified Huntington Disease Rating Scale (UHDRS-I) in placebo-treated patients. Similarly, the rate of metabolic changes in the frontal and temporal areas of the brain cortex correlated linearly with worsening behavioural scores calculated by UHDRS-III in the placebo-treated patients. Finally, BDNF and transforming growth factor beta-1 serum levels were significantly higher in patients treated with riluzole.

conclusionThe linear correlation between decreased metabolic FDG uptake and worsening clinical scores in the placebo-treated patients suggests that FDG-PET may be a valuable procedure to assess brain markers of HD.

Indexed as

AdultAgedBiomarkersBrainFluorodeoxyglucose F18GlucoseHumansHuntington DiseaseLinear ModelsMagnetic Resonance ImagingMaleMiddle AgedNerve Growth FactorsPlacebosPositron-Emission TomographyRiluzoleBiomarkersFluorodeoxyglucose F18GlucoseNerve Growth FactorsPlacebosRiluzole

Identifiers

PMID19280185
OpenAlexW2078401644

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.