Striatal dopamine D2/D3 receptor binding in pathological gambling is correlated with mood-related impulsivity
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Pathological gambling (PG) is a behavioural addiction associated with elevated impulsivity and suspected dopamine dysregulation. Reduced striatal dopamine D(2)/D(3) receptor availability has been reported in drug addiction, and may constitute a premorbid vulnerability marker for addictive disorders. The aim of the present study was to assess striatal dopamine D(2)/D(3) receptor availability in PG, and its association with trait impulsivity. Males with PG (n=9) and male healthy controls (n=9) underwent [11C]-raclopride positron emission tomography imaging and completed the UPPS-P impulsivity scale. There was no significant difference between groups in striatal dopamine D(2)/D(3) receptor availability, in contrast to previous reports in drug addiction. However, mood-related impulsivity ('Urgency') was negatively correlated with [11C]-raclopride binding potentials in the PG group. The absence of a group difference in striatal dopamine binding implies a distinction between behavioural addictions and drug addictions. Nevertheless, our data indicate heterogeneity in dopamine receptor availability in disordered gambling, such that individuals with high mood-related impulsivity may show differential benefits from dopamine-based medications.
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Decreases in D2 receptor binding are not seen in pathological gamblers compared with controls, despite a significant impulsive component.
“However, it should be noted that decreases in D2 receptor binding are not seen in pathological gamblers compared to control subjects, which also has a significant impulsive component (Boileau et al., 2013; Clark et al., 2012; Joutsa et al., 2012; Linnet et al., 2011).”
From Imaging addiction: D2 receptors and dopamine signaling in the striatum as biomarkers for impulsivity (2014) · cites this paper as Clark et al., 2012
In two studies of pathological gamblers, low D2 binding correlated with greater impulsivity within the group.
“Nonetheless, two of these studies (Boileau et al., 2013; Clark et al., 2012) did show that low D2 binding correlated with greater impulsivity within the group of gamblers.”
From Imaging addiction: D2 receptors and dopamine signaling in the striatum as biomarkers for impulsivity (2014) · cites this paper as Clark et al., 2012
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- Authors
- Clark, L., Stokes, P. R., Wu, K., Michalczuk, R., Benecke, A., Watson, B. J., Egerton, A., Piccini, P., Nutt, D. J., Bowden-Jones, H., & Lingford-Hughes, A. R.
- Affiliations
- University of Cambridge (GB)
- Imperial College London (GB)
- University of Bristol (GB)
- King's College London (GB)
- Central and North West London NHS Foundation Trust (GB)
- Corresponding author
- Clark, Luke
- Venue
- NeuroImage
- Publisher
- Elsevier BV
- Published
- 2012-10
- Volume
- 63
- Issue
- 1
- Pages
- 40-46
- ISSN
- 1053-8119 (ISSN-L)
- PMC
- PMC3438449
- OpenAlex
- W2084587642
- Cited by
- 193
- References
- 65
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 11 · 2022: 4 · 2021: 3 · 2020: 55 · 2019: 13 · 2018: 14 · 2017: 10 · 2016: 17 · 2015: 21 · 2014: 15 · 2013: 15 · 2012: 3
- FWCI
- 19.64
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- NeuroImage (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Wellcome Trust
- Medical Research Council (G0400575, G0802725)
- Responsible Gambling Fund
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Keywords
- gambling addiction, dopamine D2/D3 receptors, impulsivity, urgency, [11C]raclopride PET, behavioral addiction, dopamine dysregulation
- MeSH terms
- Adult, Affect, Corpus Striatum, Female, Gambling, Humans, Impulsive Behavior, Male, Middle Aged, Statistics as Topic, Receptors, Dopamine D2, Positron-Emission Tomography, Receptors, Dopamine D3
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