Volume 49, Issue 1 pp. 110-113
Brief Communication

Decreased binding of [11C]flumazenil in Angelman syndrome patients with GABAA receptor β3 subunit deletions

Irma E. Holopainen MD, PhD

Corresponding Author

Irma E. Holopainen MD, PhD

Department of Pharmacology and Clinical Pharmacology, University of Turku, Turku, Finland

Department of Pediatric Neurology, University Hospital of Turku, Turku, Finland

Department of Pharmacology and Clinical Pharmacology, University of Turku, Kiinamyllynkatu 10, FIN-20520 Turku, FinlandSearch for more papers by this author
E.-Liisa Metsähonkala MD

E.-Liisa Metsähonkala MD

Department of Pediatric Neurology, University Hospital of Turku, Turku, Finland

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Hannaleena Kokkonen MD

Hannaleena Kokkonen MD

Department of Clinical Genetics, University Hospital of Oulu, Oulu

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Riitta K. Parkkola MD

Riitta K. Parkkola MD

Department of Diagnostic Radiology, University Hospital of Turku, Turku, Finland

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Tuula E. Manner MD

Tuula E. Manner MD

Department of Anesthesia, University Hospital of Turku, Turku, Finland

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Kjell Någren PhD

Kjell Någren PhD

Turku PET Centre, Turku, Finland

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Esa R. Korpi MD, PhD

Esa R. Korpi MD, PhD

Department of Pharmacology and Clinical Pharmacology, University of Turku, Turku, Finland

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Abstract

We used positron emission tomography (PET) to study brain [11C]flumazenil (FMZ) binding in four Angelman syndrome (AS) patients. Patients 1 to 3 had a maternal deletion of 15q11-q13 leading to the loss of β3 subunit of γ-aminobutyric acidA/benzodiazepine (GABAA/BZ) receptor, whereas Patient 4 had a mutation in the ubiquitin protein ligase (UBE3A) saving the β3 subunit gene. [11C]FMZ binding potential in the frontal, parietal, hippocampal, and cerebellar regions was significantly lower in Patients 1 to 3 than in Patient 4. We propose that the 15q11-q13 deletion leads to a reduced number of GABAA/BZ receptors, which could partly explain the neurological deficits of the AS patients. Ann Neurol 2001;49:110–113

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