Cited by 1,864Neurotransmitter Receptor Influence on BehaviorRegulation of Appetite and ObesityEating Disorders and Behaviors

Brain dopamine and obesity

Wang, Gene-Jack, Volkow, Nora D, Logan, Jean, Pappas, Naoml R, Wong, Christopher T, Zhu, Wel, Netusll, Noelwah, Fowler, Joanna S·2001·The Lancet

Abstract

Background The cerebral mechanisms underlying the behaviours that lead to pathological overeating and obesity are poorly understood. Dopamine, a neurotransmitter that modulates rewarding properties of food, is likely to be involved. To test the hypothesis that obese individuals have abnormalities in brain dopamine activity we measured the availability of dopamine D2 receptors in brain.Methods Brain dopamine D2 receptor availability was measured with positron emission tomography (PET) and [C-11]raclopride (a radioligand for the dopamine D2 receptor). Bmax/Kd (ratio of the distribution volumes in striatum to that in cerebellum minus 1) was used as a measure of dopamine D2 receptor availability. Brain glucose metabolism was also assessed with 2-deoxy-2[18F]fluoro-D-glucose (FDG).Findings Striatal dopamine D2 receptor availability was significantly lower in the ten obese individuals (2.47 [SD 0.36]) than in controls (2.99 [0.41]; p < or = 0.0075). In the obese individuals body mass index (BMI) correlated negatively with the measures of D2 receptors (r=0.84; p < or = 0.002); the individuals with the lowest D2 values had the largest BMI. By contrast, neither whole brain nor striatal metabolism differed between obese individuals and controls, indicating that striatal reductions in D2 receptors were not due to a systematic reduction in radiotracer delivery.Interpretation The availability of dopamine D2 receptor was decreased in obese individuals in proportion to their BMI. Dopamine modulates motivation and reward circuits and hence dopamine deficiency in obese individuals may perpetuate pathological eating as a means to compensate for decreased activation of these circuits. Strategies aimed at improving dopamine function may be beneficial in the treatment of obese individuals.

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  • The same reduction in D2R is also seen in obesity, internet addiction, and trait impulsivity.

    “This same reduction in D2R is also seen in obesity, internet addiction, and trait impulsivity (Wang et al 2001; Buckholtz et al 2010; Kim et al 2011).”
  • Dopamine (DA) receptors were significantly lower in individuals with obesity.

    “For example, a landmark study showed that dopamine (DA) receptors were significantly lower in individuals with obesity [3].”
  • Obesity is associated with low D2 receptor binding, and morbidly obese individuals with the lowest D2 values had the largest body mass index, although one study did not find this.

    “Obesity has been shown to be associated with low D2 receptor binding, and morbidly obese individuals with the lowest D2 values had the largest body mass index (de Weijer et al., 2011; Volkow et al., 2008; Wang et al., 2001), although this was not seen in one study (Steele et al., 2010).”
  • Preclinical and clinical studies provide evidence of decreases in striatal D2R that are linked with reward through the NAc and with habits and routines through the dorsal striatum in obesity.

    “Both preclinical and clinical studies have provided evidence of decreases in striatal D2R, which, through the NAc, are linked with reward and through the dorsal striatum with the establishment of habits and routines in obesity (80–82).”

    From Obesity and addiction: Neurobiological overlaps (2013) · cites this paper as [81]

  • Negative correlation between BMI and striatal D2R in obese and overweight individuals, and correlation between BMI and decreased prefrontal blood flow in healthy individuals and decreased prefrontal metabolism in obese subjects, support this.

    “the negative correlation between BMI and striatal D2R reported in obese (81) and in overweight (96) individuals, as well as the correlation between BMI and decreased blood flow in prefrontal regions in healthy individuals (97,98) and decreased prefrontal metabolism in obese subjects (63) support this.”

    From Obesity and addiction: Neurobiological overlaps (2013) · cites this paper as [81]

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Research works printed but not linked: 3

  1. 11 Noble EP, Noble RE, Ritchie T, et al. D2 dopamine receptor gene and obesity. Int J Eat Disord 1994; 15: 205-17.
  2. 15 Wang G-J, Volkow ND, Fowler JS, et al. Reproducibility of repeated measures of endogenous dopamine competition with [C-11]raclopride in the human brain. J Nucl Med 1999; 40: 1285-91.
  3. 25 Yanovski SZ, Nelson JE, Dubbert BK, Spitzer RL. Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am J Psychiatry 1993; 150: 1472-79.

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Authors
Wang, G.-J., Volkow, N. D., Logan, J., Pappas, N. R., Wong, C. T., Zhu, W., Netusll, N., & Fowler, J. S.
Affiliations
  • Brookhaven National Laboratory (US)
  • Stony Brook University (US)
Corresponding author
Wang, Gene-Jack
Venue
The Lancet
Publisher
Elsevier BV
Published
2001-02
Volume
357
Issue
9253
Pages
354-357
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2164125772
Cited by
1,864
References
30
Citations by year
2026: 19 · 2025: 65 · 2024: 64 · 2023: 69 · 2022: 77 · 2021: 100 · 2020: 79 · 2019: 74 · 2018: 78 · 2017: 96 · 2016: 126 · 2015: 123 · 2014: 121 · 2013: 105 · 2012: 117
FWCI
14.16
Type
journal article
Language
en
Open access
closed
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • U.S. Department of Energy
  • National Institute on Drug Abuse (DA 06 891-02, R01DA006891)
Topics
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
obesity, dopamine D2 receptor, striatum, brain dopamine, food reward, body mass index, brain glucose metabolism, dopamine deficiency
MeSH terms
Adult, Analysis of Variance, Brain Mapping, Cerebellum, Corpus Striatum, Female, Glucose, Humans, Male, Middle Aged, Obesity, Tomography, Emission-Computed, Linear Models, Case-Control Studies, Receptors, Dopamine D2

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