Background: X-linked dystonia-parkinsonism (XDP) is a rare movement disorder characterized by profound neurodegeneration in the basal ganglia. The molecular consequences and the bioenergetic state of affected individuals remain largely unexplored.
Objectives: To investigate the bioenergetic state in male patients with XDP and female carriers using phosphorus magnetic resonance spectroscopy imaging and to correlate these findings with clinical manifestations.
Methods: We examined the levels of high-energy phosphorus-containing metabolites (HEP) in the basal ganglia and cerebellum of five male patients with XDP, 10 asymptomatic female heterozygous carriers, and 10 SVA-insertion-free controls.
Results: HEP levels were reduced in the basal ganglia of patients with XDP (PwXDP) compared to controls, but increased in the cerebellum of both male patients and female carriers.
Conclusions: Our findings suggest a potential compensatory mechanism in the cerebellum of female carriers regardless of sex. Our study highlights alterations in HEP levels in PwXDP patients and female carriers.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078482 | PMC |
http://dx.doi.org/10.1002/mdc3.14001 | DOI Listing |
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