Evidence map›Paper›PMID 36649260›Full record

ArticleHuman brain mapping2023

Unravelling neurotransmitters impairment in primary progressive aphasias.

Enrico Premi, Juergen Dukart, Irene Mattioli, Ilenia Libri, Marta Pengo, Yasmine Gadola, Maria Cotelli, Rosa Manenti, Giuliano Binetti, Stefano Gazzina and 6 more

Abstract read
In one paragraph

Article in Human brain mapping, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Trial
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  10. Cerebrospinal fluid NPTX2 and [Alzheimer's research & therapy · 2025
    Article
  11. The impact of polygenic risk for alzheimer's disease on neurotransmitter-related grey matter atrophy in the alzheimer continuum.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  12. Article
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  17. Review
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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

16 authors.

Enrico PremiStroke Unit, Department of Neurological and Vision Sciences, ASST Spedali Civili, Brescia, Italy.
Juergen DukartInstitute of Neuroscience and Medicine, Brain and Behaviour (INM-7), Research CentreJülich, Jülich, Germany.
Irene MattioliNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Ilenia LibriNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Marta PengoDepartment of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Yasmine GadolaNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Maria CotelliNeuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Rosa ManentiNeuropsychology Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Giuliano BinettiMAC Memory Clinic and Molecular Markers Laboratory, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Stefano GazzinaNeurophysiology Unit, Department of Neurological and Vision Sciences, ASST Spedali Civili, Brescia, Italy.
Antonella AlbericiNeurology Unit, Department of Neurological and Vision Sciences, ASST Spedali Civili, Brescia, Italy.
Mauro MagoniStroke Unit, Department of Neurological and Vision Sciences, ASST Spedali Civili, Brescia, Italy.
Giacomo KochDepartment of Neuroscience and Rehabilitation, University of Ferrara and Center for Translational Neurophysiology of Speech and Communication (CTNSC), Italian Institute of Technology (IIT), Ferrara, Italy.ORCID 0000-0001-6155-9439
Roberto GasparottiNeuroradiology Unit, University of Brescia, Brescia, Italy.
Alessandro PadovaniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Barbara BorroniNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID 0000-0001-9340-9814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary progressive aphasias (PPAs) are a group of neurodegenerative diseases mainly characterized by language impairment, and with variably presence of dysexecutive syndrome, behavioural disturbances and parkinsonism. Detailed knowledge of neurotransmitters impairment and its association with clinical features hold the potential to develop new tailored therapeutic approaches. In the present study, we applied JuSpace toolbox, which allowed for cross-modal correlation of magnetic resonance imaging (MRI)-based measures with nuclear imaging derived estimates covering various neurotransmitter systems including dopaminergic, serotonergic, noradrenergic, GABAergic and glutamatergic neurotransmission. We included 103 PPA patients and 80 age-matched healthy controls (HC). We tested if the spatial patterns of grey matter volume (GMV) alterations in PPA patients (relative to HC) are correlated with specific neurotransmitter systems. As compared to HC, voxel-based brain changes in PPA were significantly associated with spatial distribution of serotonin, dopamine, and glutamatergic pathways (p < .05, False Discovery Rate corrected-corrected). Disease severity was negatively correlated with the strength of GMV colocalization of D1 receptors (p = .035) and serotonin transporter (p = .020). Moreover, we observed a significant negative correlation between positive behavioural symptoms, as measured with Frontal Behavioural Inventory, and GMV colocalization of D1 receptors (p = .007) and serotonin transporter (p < .001). This pilot study suggests that JuSpace is a helpful tool to indirectly assess neurotransmitter deficits in neurodegenerative dementias and may provide novel insight into disease mechanisms and associated clinical features.

Indexed as

Aphasia, Primary ProgressiveReceptors, Dopamine D1Serotonin Plasma Membrane Transport ProteinsBrainHumansMagnetic Resonance ImagingPilot ProjectsDRD1 protein, humanReceptors, Dopamine D1Serotonin Plasma Membrane Transport ProteinsSLC6A4 protein, humanbehavioural disturbancesmagnetic resonance imagingneurotransmitterspositron emission tomographyprimary progressive aphasia

Identifiers

PMID36649260
PMCPMC10028634

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.