LPS challenge in PD using TSPO PET-MR imaging

  • Research type

    Research Study

  • Full title

    Molecular imaging of LPS-induced microglial activation in Parkinson's disease (PD): a TSPO PET-MR imaging study.

  • IRAS ID

    289952

  • Contact name

    Marios Politis

  • Contact email

    m.politis@exeter.ac.uk

  • Sponsor organisation

    University of Exeter

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    The mechanisms that lead to Parkinson's disease (PD) are still unknown. Among the possible hypotheses, neuroinflammation has been consistently detected in the brains of patients with PD. Until a few years ago, it was impossible to study directly neuroinflammation in living patients. Fortunately, the advent of Positron Emission Tomography (PET) with the use of tracers that bind to a selected target called Translocator Protein (TSPO), has made it possible to study neuroinflammation. Nevertheless, one PET scan gives a static picture of neuroinflammation, and neuroinflammation is a dynamic process. It would be desirable to measure how the cells that mediate neuroinflammation react in response to stimuli. It has been discovered that one substance called Lipopolysaccharide (LPS) is capable to induce brief, reversible inflammatory reactions in humans.
    In this study, we will ask a group of patients with PD and a group of healthy volunteers, to perform one PET scan with the tracer [11C]PBR28, that studies neuroinflammation, before, and after four hours from the injection of a small quantity (1 ng/Kg) of LPS. We hypothesize that patients with PD are more susceptible to neuroinflammatory triggers and show higher inflammatory reactions in their brains, compared with healthy volunteers. By measuring the changes in the blood of substances linked to inflammation called cytokines, we will also understand the levels of which specific protein increase in PD and we may understand considerably more with regards to this potential critical mechanism leading to PD.

  • REC name

    North West - Greater Manchester West Research Ethics Committee

  • REC reference

    21/NW/0232

  • Date of REC Opinion

    1 Sep 2021

  • REC opinion

    Further Information Favourable Opinion