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Many neurological diseases, including AIDS dementia, Alzheimer's disease and schizophrenia, involve an inflammatory component thought to specifically involve glial cell activation. The Investigators has been concerned with the development of tools for noninvasive imaging of inflammatory processes in psychotic disease. Here, the investigators aim to use PET-based neuroimaging with carbon-11 N,N-diethyl-2-(4-methoxyphenyl)-5,7-dimethylpyrazolo[1,5-a]pyrimidine-3-acetamide, ([11C]DPA)-713 to quantify regional distribution of translocator protein (TSPO), a putative marker of inflammation, in the brains of patients with schizophrenia and bipolar disorder, type I. The investigators will focus on patients in the early stages of disease (within first five years of onset of schizophrenia diagnosis and within first five years of first manis, respectively) to minimize the confounds of age-, chronic illness-, and medication- effects on our results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with Schizophrenia Disorder | Experimental | Patients with Schizophrenia Disorder will be imaged with [11C] DPA-713 |
|
| Patients with Bipolar Disorder | Experimental | Patients with Bipolar Disorder will be imaged with [11C] DPA-713 |
|
| Control | Experimental | Normal volunteers will be imaged with [11C] DPA-713 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| [11C]DPA-713 | Drug | [11C]DPA-713 PET imaging |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sensitivity and Specificity of ([11C]DPA)-713 PET brain imaging in patients with recent onset schizophrenia and in patients with recent onset of mania | To determine regional brain uptake of this radioligand in patients with recent onset schizophrenia and in patients with recent onset of mania | within five years of onset of schizophrenia or within five years of first manic episode |
| Measure | Description | Time Frame |
|---|---|---|
| PET Imaging of microglial activation | To evaluate changes in activation of microglia in patients with acute schizophrenia and bipolar disorder relative to controls | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martin Pomper, MD,PhD | Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Johns Hopkins University | Baltimore | Maryland | 21287 | United States |
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| ID | Term |
|---|---|
| D012559 | Schizophrenia |
| D001714 | Bipolar Disorder |
| ID | Term |
|---|---|
| D019967 | Schizophrenia Spectrum and Other Psychotic Disorders |
| D001523 | Mental Disorders |
| D000068105 | Bipolar and Related Disorders |
| D019964 | Mood Disorders |
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