PET imaging reveals brain functional changes in internet gaming disorder
Abstract
Background Internet gaming disorder is an increasing problem worldwide, resulting in critical academic, social, and occupational impairment. However, the neurobiological mechanism of internet gaming disorder remains unknown. The aim of this study is to assess brain dopamine D2 (D2)/Serotonin 2A (5-HT2A) receptor function and glucose metabolism in the same subjects by positron emission tomography (PET) imaging approach, and investigate whether the correlation exists between D2 receptor and glucose metabolism. Methods Twelve drug-naive adult males who met criteria for internet gaming disorder and 14 matched controls were studied with PET and (11)C-N-methylspiperone ((11)C-NMSP) to assess the availability of D2/5-HT2A receptors and with (18)F-fluoro-D-glucose ((18)F-FDG) to assess regional brain glucose metabolism, a marker of brain function. (11)C-NMSP and (18)F-FDG PET imaging data were acquired in the same individuals under both resting and internet gaming task states. Results In internet gaming disorder subjects, a significant decrease in glucose metabolism was observed in the prefrontal, temporal, and limbic systems. Dysregulation of D2 receptors was observed in the striatum, and was correlated to years of overuse. A low level of D2 receptors in the striatum was significantly associated with decreased glucose metabolism in the orbitofrontal cortex. Conclusions For the first time, we report the evidence that D2 receptor level is significantly associated with glucose metaboli…
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The same molecular pathways, such as dopaminergic pathways, that operate in substance addictions are implicated in internet addiction.
“Third, the same molecular pathways (e.g., dopaminergic) that operate in substance addictions are implicated in internet addiction (Hou, Jia, Hu, Fan, Sun, Sun, & Zhang, 2012; Shaffer et al., 2004; Tian et al., 2014).”
From Ethics of the Attention Economy: The Problem of Social Media Addiction (2021) · cites this paper as Tian et al., 2014
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- Authors
- Tian, M., Chen, Q., Zhang, Y., Du, F., Hou, H., Chao, F., & Zhang, H.
- Affiliations
- Zhejiang University (CN)
- Second Affiliated Hospital of Zhejiang University (CN)
- Corresponding author
- Zhang, Hong
- Venue
- European Journal of Nuclear Medicine and Molecular Imaging
- Published
- 2014-04-16
- Volume
- 41
- Issue
- 7
- Pages
- 1388-1397
- ISSN
- 1619-7070 (ISSN-L)
- 1619-7089
- OpenAlex
- W2034250255
- Cited by
- 108
- References
- 52
- Citations by year
- 2026: 1 · 2025: 13 · 2024: 13 · 2023: 10 · 2022: 9 · 2021: 11 · 2020: 9 · 2019: 6 · 2018: 7 · 2017: 10 · 2016: 7 · 2015: 7 · 2014: 4
- FWCI
- 30.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Nuclear Medicine and Molecular Imaging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- internet gaming disorder, dopamine D2 receptor, 5-HT2A receptor, brain glucose metabolism, orbitofrontal cortex, striatum, compulsive behavior, loss of control, 18F-FDG
- MeSH terms
- Adult, Brain, Glucose, Humans, Male, Synapses, Case-Control Studies, Behavior, Addictive, Receptors, Dopamine D2, Video Games, Internet, Positron-Emission Tomography, Young Adult
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