A PET study for relation of adenosine receptors with involuntary movements in Parkinson's disease

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At the dopaminergic synapse, the adenosine A1 receptors (A1Rs) negatively interacts with the dopamine D1 receptor (D1R) in direct pathway neurons and the adenosine A2A receptors (A2ARs) in indirect pathway neurons. The A1R is also found presynaptically, where it is involved in regulation of the dopaminergic system. In addition, the A2AR negatively interacts with the dopamine D2 receptor (D2R) in indirect pathway neurons. The aim of this study was to investigate relationship of striatal density of A1Rs, A2ARs, dopamine transporters (DATs) and D2Rs in resting tremor and rigidity in Parkinson's disease (PD) using positron emission tomography (PET). PET demonstrated significant correlation between the subscores and the density of DATs in the posterior putamen, but not the density of A1Rs, A2ARs and D2Rs. Our study suggested that tremor at rest and rigidity was involved in reduction of DAT in posterior putamen, but not showed the significant relationship with the density of A2AR and D2R.