Impulse control disorders in Parkinson’s disease: seeking a roadmap toward a better understanding

The development of an impulse control disorder (ICD) is now recognized as a potential nonmotor adverse effect of dopamine replacement therapy in Parkinson’s disease (PD). Here, recent epidemiological, neurophysiological and genetic advances are summarized to outline potential mechanisms involved. It is safe to say that dopaminergic drugs, particularly dopamine agonists, are able to induce ICDs only in a minority of patients, while the majority are somehow protected from this adverse effect. While it seems clear that men with early-onset PD are more vulnerable, other predisposing factors, such as various current or pre-PD personality traits, are a matter of debate. In terms of neurophysiological advances, one may find striking analogies to the addiction literature suggesting a causal chain beginning with certain predisposing conditions of striatal dopamine synapses, an “unnatural” increase of dopamine stimulation and a characteristic pattern of resulting functional changes in remote networks of appetitive drive and impulse control. Future prospects include potential add-on medications and the possible identification of genetic predispositions at a genome-wide scale. Functional imaging of pharmacogenetic interactions (imaging pharmacogenomics) may be an important tool on that road

Mapping of Asbestos Cement Roofs and Their Weathering Status Using Hyperspectral Aerial Images

and (ii) the development of a spectral index related to the roof weathering status. Aerial images were collected through the Multispectral Infrared and Visible Imaging Spectrometer (MIVIS) sensor, which acquires data in 102 channels from the visible to the thermal infrared spectral range. An image based supervised classification was performed using the Spectral Angle Mapper (SAM) algorithm. The SAM was trained through a set of pixels selected on roofs of different materials. The map showed an average producer's accuracy (PA) of 86% and a user's accuracy (UA) of 89% for the asbestos cement class. A novel spectral index, the "Index of Surface Deterioration" (ISD), was defined based on measurements collected with a portable spectroradiometer on asbestos cement roofs that were characterized by different weathering statuses. The ISD was then calculated on the MIVIS images, allowing the distinction of two weathering classes (i.e., high and low). The asbestos cement map was handled in a Geographic Information System (GIS) in order to supply the municipalities with the cadastral references of each property having an asbestos cement roof. This tool can be purposed for municipalities as an aid to prioritize asbestos removal, based on roof weathering status

Forest species mapping using airborne hyperspectral APEX data

Abstract The accurate mapping of forest species is a very important task in relation to the increasing need to better understand the role of the forest ecosystem within environmental dynamics. The objective of this paper is the investigation of the potential of a multi-temporal hyperspectral dataset for the production of a thematic map of the dominant species in the Forêt de Hardt (France). Hyperspectral data were collected in June and September 2013 using the Airborne Prism EXperiment (APEX) sensor, covering the visible, near-infrared and shortwave infrared spectral regions with a spatial resolution of 3 m by 3 m. The map was realized by means of a maximum likelihood supervised classification. The classification was first performed separately on images from June and September and then on the two images together. Class discrimination was performed using as input 3 spectral indices computed as ratios between red edge bands and a blue band for each image. The map was validated using a testing set selected on the basis of a random stratified sampling scheme. Results showed that the algorithm performances improved from an overall accuracy of 59.5% and 48% (for the June and September images, respectively) to an overall accuracy of 74.4%, with the producer's accuracy ranging from 60% to 86% and user's accuracy ranging from 61% to 90%, when both images (June and September) were combined. This study demonstrates that the use of multi-temporal high-resolution images acquired in two different vegetation development stages (i.e., 17 June 2013 and 4 September 2013) allows accurate (overall accuracy 74.4%) local-scale thematic products to be obtained in an operational way

Nitrogen status assessment for variable rate fertilization in maize through hyperspectral imagery

This paper presents a method for mapping the nitrogen (N) status in a maize field using hyperspectral remote sensing imagery. An airborne survey was conducted with an AISA Eagle hyperspectral sensor over an experimental farm where maize (Zea mays L.) was grown with two N fertilization levels (0 and 100 kg N ha-1) in four replicates. Leaf and canopy field data were collected during the flight. The nitrogen (N) status has been estimated in this work based on the Nitrogen Nutrition Index (NNI) defined as the ratio between the leaf actual N concentration (%Na) of the crop and the minimum N content required for the maximum biomass production (critical N concentration (%Nc)) calculated through the dry mass at the time of the flight (Wflight). The inputs required to calculate the NNI (i.e. %Na and Wflight) have been estimated through regression analyses between field data and remotely sensed vegetation indices. MCARI/MTVI2 (Modified Chlorophyll Absorption Ratio Index / Modified Triangular Vegetation Index 2) showed the best performances in estimating the %Na (R2 = 0.59) and MTVI2 in estimating the Wflight (R2 = 0.80). The %Na and the Wflight were then mapped and used to compute the NNI map over the entire field. The NNI map agreed with the NNI estimated using field data through traditional destructive measurements (R2 = 0.70) confirming the potential of using remotely sensed indices to assess the crop N condition. Finally, a method to derive a pixel based variable rate N fertilization map was proposed as the difference between the actual N content and the optimal N content. We think that the proposed operational methodology is promising for precision farming since it represents an innovative attempt to derive from an aerial hyperspectral image a variable rate N fertilization map based on the actual crop N status.JRC.H.4-Monitoring Agricultural Resource

Nitrogen status assessment for variable rate fertilization in maize through hyperspectral imagery

JRC.H.4-Monitoring Agricultural Resource

Mucuna pruriens for Parkinson's disease: Low-cost preparation method, laboratory measures and pharmacokinetics profile

Abstract Background Parkinson's disease (PD) is a progressive neurological condition. Levodopa (LD) is the gold standard therapy for PD patients. Most PD patients in low-income areas cannot afford long-term daily Levodopa therapy. The aim of our study was to investigate if Mucuna pruriens (MP), a legume with high LD content that grows in tropical regions worldwide, might be potential alternative for poor PD patients. Methods We analyzed 25 samples of MP from Africa, Latin America and Asia. We measured the content in LD in various MP preparations (dried, roasted, boiled). LD pharmacokinetics and motor response were recorded in four PD patients, comparing MP vs. LD+Dopa-Decarboxylase Inhibitor (DDCI) formulations. Results Median LD concentration in dried MP seeds was 5.29%; similar results were obtained in roasted powder samples (5.3%), while boiling reduced LD content up to 70%. Compared to LD+DDCI, MP extract at similar LD dose provided less clinical benefit, with a 3.5-fold lower median AUC. Conclusion Considering the lack of a DDCI, MP therapy may provide clinical benefit only when content of LD is at least 3.5-fold the standard LD+DDCI. If long-term MP proves to be safe and effective in controlled clinical trials, it may be a sustainable alternative therapy for PD in low-income countries

PMCA-based detection of prions in the olfactory mucosa of patients with Sporadic Creutzfeldt-Jakob Disease

Sporadic Creutzfeldt-Jakob disease (sCJD) is a rare neurodegenerative disorder caused by the conformational conversion of the prion protein (PrPC) into an abnormally folded form, named prion (or PrPSc). The combination of the polymorphism at codon 129 of the PrP gene (coding either methionine or valine) with the biochemical feature of the proteinase-K resistant PrP (generating either PrPSc type 1 or 2) gives rise to different PrPSc strains, which cause variable phenotypes of sCJD. The definitive diagnosis of sCJD and its classification can be achieved only post-mortem after PrPSc identification and characterization in the brain. By exploiting the Real-Time Quaking-Induced Conversion (RT-QuIC) assay, traces of PrPSc were found in the olfactory mucosa (OM) of sCJD patients, thus demonstrating that PrPSc is not confined to the brain. Here, we have optimized another technique, named protein misfolding cyclic amplification (PMCA) for detecting PrPSc in OM samples of sCJD patients. OM samples were collected from 27 sCJD and 2 genetic CJD patients (E200K). Samples from 34 patients with other neurodegenerative disorders were included as controls. Brains were collected from 26 sCJD patients and 16 of them underwent OM collection. Brain and OM samples were subjected to PMCA using the brains of transgenic mice expressing human PrPC with methionine at codon 129 as reaction substrates. The amplified products were analyzed by Western blot after proteinase K digestion. Quantitative PMCA was performed to estimate PrPSc concentration in OM. PMCA enabled the detection of prions in OM samples with 79.3% sensitivity and 100% specificity. Except for a few cases, a predominant type 1 PrPSc was generated, regardless of the tissues analyzed. Notably, all amplified PrPSc were less resistant to PK compared to the original strain. In conclusion, although the optimized PMCA did not consent to recognize sCJD subtypes from the analysis of OM collected from living patients, it enabled us to estimate for the first time the amount of prions accumulating in this biological tissue. Further assay optimizations are needed to faithfully amplify peripheral prions whose recognition could lead to a better diagnosis and selection of patients for future clinical trials

Molecular imaging to track Parkinson's disease and atypical parkinsonisms: New imaging frontiers

Molecular imaging has proven to be a powerful tool for investigation of parkinsonian disorders. One current challenge is to identify biomarkers of early changes that may predict the clinical trajectory of parkinsonian disorders. Exciting new tracer developments hold the potential for in vivo markers of underlying pathology. Herein, we provide an overview of molecular imaging advances and how these approaches help us to understand PD and atypical parkinsonisms. © 2016 International Parkinson and Movement Disorder Society.Peer reviewe

Dopamine Transporter SPECT Imaging in Corticobasal Syndrome

evidence of preserved nigral neuronal density. imaging evidence of preserved nigral terminals have been recently described.In this multicenter study, we investigated presynaptic nigrostriatal function in 36 outpatients fulfilling clinical criteria for “probable corticobasal degeneration” (age 71±7.3 years; disease duration 3.9±1.6 years), 37 PD and 24 healthy control subjects using FP-CIT single photon emission computed tomography. Clinical, neuropsychological, and magnetic resonance imaging assessment was performed to characterize CBS patients. Linear discriminant analysis was used to categorize normal vs. pathological scans.FP-CIT binding reduction in patients with CBS was characterized by larger variability, more uniform reduction throughout the striatum and greater hemispheric asymmetry compared to PD. Moreover, there was no significant correlation between tracer uptake values and clinical features such as disease duration and severity. Despite all CBS subjects showed obvious bilateral extrapyramidal signs, FP-CIT uptake was found to be normal bilaterally in four CBS patients and only unilaterally in other four cases. Extensive clinical, neuropsychological and imaging assessment did not reveal remarkable differences between CBS subjects with normal vs. pathological FP-CIT uptake.Our findings support the hypothesis that extrapyramidal motor symptoms in CBS are not invariably associated with SNc neuronal degeneration and that supranigral factors may play a major role in several cases. CBS individuals with normal FP-CIT uptake do not show any clinical or cognitive feature suggesting a different pathology than CBD

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.Peer reviewe