Title
Reduced serotonin transporter binding in the insular cortex in patients with obsessive-compulsive disorder: A [C]DASB PET study.
Abstract
The serotonin transporter (5-HTT) and other markers of the serotonergic system have been of interest in the pathophysiology of obsessive-compulsive disorder (OCD). Previous studies using single photon emission computed tomography (SPECT) with [123I]β-CIT or positron emission tomography (PET) with [11C]McN5652 have not shown consistent findings about 5-HTT in OCD patients. The aim of the present study was to investigate 5-HTT binding using [11C]DASB, which has higher selectivity or specific binding-to-nonspecific binding ratios for 5-HTT compared to the aforementioned radioligands. Four drug-naive and 6 drug-free patients with OCD who were free of comorbid depression and 18 gender and age-matched healthy subjects underwent PET scans with [11C]DASB. The severity of OCD was assessed by Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) (mean±SD: 22±7.6, range: 7–32). The binding potential (BPND) of [11C]DASB was calculated using a two-parameter multilinear reference tissue model (MRTM2). The parametric images of BPND were analyzed using a statistical parametric mapping system. Significant reductions of BPND were observed in the right posterior and left anterior insular cortices in patients with OCD compared to controls. Region-of-interest analysis has also confirmed significant reduction of BPND in the insular cortex. Although significantly reduced BPND in the orbitofrontal cortex was also observed in patients with OCD compared to controls, this finding should be considered with caution because of the very low 5-HTT binding in the region. On the other hand, no significant correlation was observed between the Y-BOCS score and BPND. The change in [11C]DASB binding in the insular cortex suggests that dysfunction of the serotonergic system in the limbic area might be involved in the pathophysiology of OCD.
Year
DOI
Venue
2010
10.1016/j.neuroimage.2009.07.069
NeuroImage
Keywords
Field
DocType
Obsessive–compulsive disorder (OCD),Positron emission tomography (PET),Serotonin transporter,Insular cortex,Voxel based analysis
Nuclear medicine,Obsessive-compulsive disorder (OCD),Statistical parametric mapping,Serotonin transporter,Developmental psychology,Internal medicine,DASB,McN5652,Psychology,Insular cortex,Orbitofrontal cortex,Binding potential,Endocrinology
Journal
Volume
Issue
ISSN
49
1
1053-8119
Citations 
PageRank 
References 
1
0.63
0
Authors
14