Metabotropic Glutamate Receptor Type 5 (mGluR5) Cortical Abnormalities in Focal Cortical Dysplasia Identified in Vivo with [11C]ABP688 Positron-Emission Tomography (PET) Imaging

Jonathan M. Dubois, Olivier Rousset, Marie Christine Guiot, Jeffery A. Hall, Andrew J. Reader, Jean Paul Soucy, Pedro Rosa-Neto, Eliane Kobayashi

Research output: Contribution to journalArticle

Abstract

Metabotropic glutamate receptor type 5 (mGluR5) abnormalities have been described in tissue resected from epilepsy patients with focal cortical dysplasia (FCD). To determine if these abnormalities could be identified in vivo, we investigated mGluR5 availability in 10 patients with focal epilepsy and an MRI diagnosis of FCD using positron-emission tomography (PET) and the radioligand [11C]ABP688. Partial volume corrected [11C]ABP688 binding potentials (BPND) were computed using the cerebellum as a reference region. Each patient was compared to homotopic cortical regions in 33 healthy controls using region-of-interest (ROI) and vertex-wise analyses. Reduced [11C]ABP688 BPND in the FCD was seen in 7/10 patients with combined ROI and vertex-wise analyses. Reduced FCD BPND was found in 4/5 operated patients (mean follow-up: 63 months; Engel I), of whom surgical specimens revealed FCD type IIb or IIa, with most balloon cells showing negative or weak mGluR5 immunoreactivity as compared to their respective neuropil and normal neurons at the border of resections. [11C]ABP688 PET shows for the first time in vivo evidence of reduced mGluR5 availability in FCD, indicating focal glutamatergic alterations in malformations of cortical development, which cannot be otherwise clearly demonstrated through resected tissue analyses.

Original languageEnglish (US)
Pages (from-to)4170-4179
Number of pages10
JournalCerebral Cortex
Volume26
Issue number11
DOIs
Publication statusPublished - Oct 1 2016

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Keywords

  • epilepsy
  • focal cortical dysplasia
  • metabotropic glutamate receptor type 5
  • positron-emission tomography
  • [11C]ABP688

ASJC Scopus subject areas

  • Cognitive Neuroscience
  • Cellular and Molecular Neuroscience

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