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Several lines of evidence imply early alterations in metabolic and endocannabinoid neurotransmission in Huntington disease (HD). Using [
18F]MK-9470 and small animal PET, we investigated for the first time cerebral changes in type 1 cannabinoid (CB1) receptor binding
in vivo in pre-symptomatic and early symptomatic rats of HD (tgHD), in relation to glucose metabolism, morphology and behavioral testing for motor and cognitive function. Twenty-three Sprague–Dawley rats (14 tgHD and 9 wild-types) were investigated between the age of 2 and 11
months. Relative glucose metabolism and parametric CB1 receptor images were anatomically standardized to Paxinos space and analyzed voxel-wise. Volumetric microMRI imaging was performed to assess HD neuropathology. Within the first 10
months, bilateral volumes of caudate–putamen and lateral ventricles did not significantly differ between genotypes. Longitudinal- and genotype evolution showed that relative [
18F]MK-9470 binding progressively decreased in the caudate–putamen and lateral globus pallidus of tgHD rats (−
8.3%,
p
≤
1.1
×
10
−
5
at 5
months vs. −
10.9%,
p
<
1.5
×
10
−
5
at 10
months). In addition, relative glucose metabolism increased in the bilateral sensorimotor cortex of 2-month-old tgHD rats (+
8.1%,
p
≤
1.5
×
10
−
5
), where it was positively correlated to motor function at that time point. TgHD rats developed cognitive deficits at 6 and 11
months of age. Our findings point to early regional dysfunctions in endocannabinoid signalling, involving the lateral globus pallidus and caudate–putamen.
In vivo CB1 receptor measurements using [
18F]MK-9470 may thus be a useful early biomarker for HD. Our results also provide evidence of subtle motor and cognitive deficits at earlier stages than previously described.
►We characterized brain CB1 receptor alterations in Huntington disease
in vivo. ►Transgenic rats were investigated in pre-symptomatic and early symptomatic phase. ►CB1 receptor binding decreased in basal ganglia areas upon disease progression. ►We suggest that [
18F]MK-9470 may be useful as early biomarker of HD.