Alteration of the striatal dopaminergic system in human narcolepsy

Abstract
Striatal D2/D3 dopaminergic receptors have been proposed to play a role in cataplexy. The authors studied the striatal presynaptic dopamine transporter and postsynaptic D2-receptors in seven patients with narcolepsy and seven control subjects using [123I](N )-(3-iodopropene-2-yl)-2β-carbomethoxy-3β-(4-chlorophenyl)tropane and [123I](S )-2-hydroxy-3-iodo-6-methoxy-([1-ethyl-2-pyrrolidinyl]methyl)benzamide SPECT. D2-Receptor binding was elevated in narcolepsy (p = 0.017) and correlated with the frequency of cataplectic and sleep attacks (R ≥ 0.844, p ≤ 0.017). The human striatal dopaminergic system is altered in vivo in narcolepsy/cataplexy.