Psychostimulants affect dopamine transmission through both dopamine transporter-dependent and independent mechanisms
Open accessAbstract
The precise mechanisms by which cocaine and amphetamine-like psychostimulants exert their reinforcing effects are not yet fully defined. It is widely believed, however, that these drugs produce their effects by enhancing dopamine neurotransmission in the brain, especially in limbic areas such as the nucleus accumbens, by inducing dopamine transporter-mediated reverse transport and/or blocking dopamine reuptake though the dopamine transporter. Here, we present the evidence that aside from dopamine transporter, non-dopamine transporter-mediated mechanisms also participate in psychostimulant-induced dopamine release and contribute to the behavioral effects of these drugs, such as locomotor activation and reward. Accordingly, psychostimulants could increase norepinephrine release in the prefrontal cortex, the latter then alters the firing pattern of dopamine neurons resulting in changes in action potential-dependent dopamine release. These alterations would further affect the temporal pattern of dopamine release in the nucleus accumbens, thereby modifying information processing in that area. Hence, a synaptic input to a nucleus accumbens neuron may be enhanced or inhibited by dopamine depending on its temporal relationship to dopamine release. Specific temporal patterns of dopamine release may also be required for certain forms of synaptic plasticity in the nucleus accumbens. Together, these effects induced by psychostimulants, mediated through a non-dopamine transporter-mediated mechanism involving norepinephrine and the prefrontal cortex, may also contribute importantly to the reinforcing properties of these drugs.
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For college students with ADHD who have difficulties with attention and neuropsychological deficits due to dopamine deficits, stimulant medication helps by increasing dopamine to typical levels.
“For college students with ADHD who have difficulties with attention and neuropsychological deficits (NPDs; e.g., difficulties with EFs) due to dopamine deficits, stimulant medication helps these students by increasing dopamine to typical levels (Arnsten, 2006; Dela Peña et al., 2015; Willcutt, 2015).”
From Effects of stimulant medication on neuropsychological functioning in college students without ADHD. (2026) · cites this paper as Dela Peña et al., 2015
The Introduction (section 2; page unavailable) says psychostimulants, including methylphenidate, increase brain dopamine levels and enhance dopamine transmission. It does not establish that college students with ADHD have dopamine deficits or that stimulant medication raises their dopamine to typical levels and thereby improves attention or executive-function difficulties. (LLM, conf=0.88)
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Dopamine, learning and motivation.
Wise, R. A. (2004) · Nature Reviews Neuroscience · doi:10.1038/nrn1406 · Cited by 3,379 · cited 1× · see citing works
“Role of dopamine in the effects of psychostimulants Many lines of evidence suggest that dopamine plays a central role in the above-mentioned effects of psychostimulants (for reviews see Nutt et al., 2015; Wise, 2004, 2008).”
BackgroundDysfunction of the prefrontal cortex in addiction: neuroimaging findings and clinical implications
Goldstein, R. Z., & Volkow, N. D. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3119 · Cited by 2,749 · see citing works
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Prefrontal nicotinic receptors control novel social interaction between mice
Avale, M. E., Chabout, J., Pons, S., Serreau, P., De Chaumont, F., Olivo‐Marin, J., Bourgeois, J., Maskos, U., Changeux, J., & Granon, S. (2011) · The FASEB Journal · doi:10.1096/fj.10-178558 · Cited by 114 · see citing works
Phasic Dopamine Signaling During Behavior, Reward, and Disease States
Wightman, R., & Heien, M. (2006) · CNS & Neurological Disorders - Drug Targets · doi:10.2174/187152706784111605 · Cited by 68 · cited 1× · see citing works
“In contrast with single-spike firing, rhythmic bursting or slow oscillation in firing has been reported to induce more dopamine release (Gonon, 1988; for review see Heien and Wightman, 2006).”
BackgroundPsychostimulants induce low-frequency oscillations in the firing activity of dopamine neurons
Shi, W.-X., Pun, C.-L., & Zhou, Y. (2004) · Neuropsychopharmacology · doi:10.1038/sj.npp.1300534 · Cited by 66 · cited 5× · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript Importantly, the effect of d-amphetamine is mimicked by all psychostimulants tested, but not by non-psychostimulant dopamine agonists including L-3,4-dihydroxyphenylalanine (Ldopa) (Shi et al., 2004).”
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Effects of stimulant medication on neuropsychological functioning in college students without ADHD.
Vasko, J. M., Looby, A., Serrano, J. W., Abu-Ramadan, T. M., Miller, E. A., McGee, N., Smith, D. T., & Hartung, C. M. (2026) · Experimental and Clinical Psychopharmacology · doi:10.1037/pha0000853
- Authors
- dela Peña, I., Gevorkiana, R., & Shi, W.-X.
- Affiliations
- Loma Linda University (US)
- Corresponding author
- Shi, Wei-Xing
- ORCID
- Shi, Wei-Xing
- Venue
- European Journal of Pharmacology
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 764
- Pages
- 562-570
- ISSN
- 0014-2999 (ISSN-L)
- PMC
- PMC4600454
- OpenAlex
- W941716110
- Cited by
- 116
- References
- 6
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 12 · 2023: 8 · 2022: 12 · 2021: 15 · 2020: 10 · 2019: 9 · 2018: 15 · 2017: 6 · 2016: 2 · 2015: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- European Journal of Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- The Scholars Repository - LLU (Loma Linda University) (submittedVersion)
- Funders
- Loma Linda University
- National Institute on Drug Abuse (DA032857)
- National Institutes of Health
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- psychostimulants, cocaine, amphetamine, dopamine release, dopamine transporter, dopamine reuptake, norepinephrine, prefrontal cortex, nucleus accumbens, locomotor activation, reward, synaptic plasticity, dopaminergic neurons
- MeSH terms
- Action Potentials, Amphetamine, Central Nervous System Stimulants, Animals, Brain, Cocaine, Dopamine, Humans, Kinetics, Neuronal Plasticity, Norepinephrine, Nucleus Accumbens, Prefrontal Cortex, Dopamine Plasma Membrane Transport Proteins, Dopaminergic Neurons, Adrenergic Neurons
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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