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Original Article
Neuropsychopharmacology (2001) 25 213-223.10.1038/S0893-133X(01)00231-7

A Simple Method to Measure Baseline Occupancy of Neostriatal Dopamine D2 Receptors by Dopamine In Vivo in Healthy Subjects

NPLG Verhoeff MD, Ph.D, S Kapur MD, Ph.D, D Hussey BSc, M Lee BSc, B Christensen Ph.D, C Psych, G Papatheodorou MD and RB Zipursky MD
PET Centre and Schizophrenia and Continuing Care Division, Clarke Site, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada

Correspondence: Dr NPLG Verhoeff, Clinical Research Fellow Psychiatry, Centre for Addiction and Mental Health, Clarke Site, PET Centre, 250 College Street, Toronto, Ontario M5T 1R8, Canada

ABSTRACT

The effect of endogenous dopamine (DA) on measurement of neostriatal DA D2 receptor binding potential (D2RBP) in vivo was evaluated with positron emission tomography (PET) and the radiotracer [11C]raclopride by comparing the D2RBP before and after acute DA depletion. DA depletion was achieved by per-oral administration of 4.5 g alpha-methyl-para-tyrosine (AMPT) given in 25 h. Six healthy subjects completed the protocol. The AMPT treatment increased D2RBP significantly from 3.11 ± 0.25 to 3.68 ± 0.23 and decreased plasma levels of the DA metabolite homovanillic acid by 71 ± 11% and levels of the norepinephrine metabolite 3-methoxy-4-hydroxyphenethyleneglycol by 53 ± 7%. Increase in D2RBP correlated with decrease in attentiveness and with increase in errors of commission from Conners' Continuous Performance Test. On AMPT, a significant decrease in subjective happiness scores was observed. The results imply that a noninvasive [11C]raclopride PET protocol coupled with relatively brief administration of a rather low total dose of AMPT resulted in measurable acute DA depletion that might provide estimates of synaptic neostriatal DA concentration.

Keywords: Dopamine; Dopamine D2 receptors; [11C]raclopride; Positron emission tomography; alpha-methyl-para-tyrosine; In vivo binding
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