The availability of the α7 nicotinic acetylcholine receptor in recent-onset psychosis: a study using <sup>18</sup>F-ASEM PET.

Coughlin, Jennifer; Du, Yong; Crawford, Jeffrey L; Rubin, Leah H; Behnam Azad, Babak; Lesniak, Wojciech G; Horti, Andrew G; Schretlen, David J et al. · J Nucl Med · 2018

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Abstract

Limited postmortem evidence suggests a diminished availability of the α7 nicotinic acetylcholine receptor (α7-nAChR) in hippocampus in psychosis. <b>Methods:</b> In this cross-sectional PET study, we used <sup>18</sup>F-ASEM, a radiotracer targeting the α7-nAChR, with positron emission tomography to compare the binding of <sup>18</sup>F-ASEM in hippocampus between individuals with recent-onset psychosis and healthy controls. <b>Results:</b> Individuals with recent-onset psychosis [non-affective psychosis (NP) or affective psychosis], and particularly those with NP, showed lower hippocampal binding of <sup>18</sup>F-ASEM than healthy controls. Among patients, lower binding was associated with lower performance in two cognitive domains after controlling for age. <b>Conclusion:</b> Low availability of the α7-nAChR in hippocampus may be linked to recent-onset of psychosis. Further study is needed to assess its clinical relationship to neuropsychiatric symptoms.