Cue-induced striatal dopamine release in Parkinson's disease-associated impulsive-compulsive behaviours
Abstract
Impulsive-compulsive behaviours are a significant source of morbidity for patients with Parkinson's disease receiving dopaminergic therapy. The development of these behaviours may reflect sensitization of the neural response to non-drug rewards, similar to that proposed for sensitization to drug rewards in addiction. Here, by using (11)C-raclopride positron emission tomography imaging, we investigated the effects of reward-related cues and L-dopa challenge in patients with Parkinson's disease with and without impulsive-compulsive behaviours on striatal levels of synaptic dopamine. Eighteen patients (11 with and seven without impulsive-compulsive behaviours) underwent three (11)C-raclopride positron emission tomography scans. The impulsive-compulsive behaviours included hypersexuality, binge eating, punding, compulsive use of dopamine replacement therapy, compulsive buying and pathological gambling, with eight patients exhibiting more than one impulsive-compulsive behaviour. There were no significant differences in baseline dopamine D2 receptor availability between the Parkinson's disease groups. No differences were found when comparing the percentage change of raclopride binding potential between the two Parkinson's disease groups following L-dopa challenge with neutral cues. The group with Parkinson's disease with impulsive-compulsive behaviours had a greater reduction of ventral striatum (11)C-raclopride binding potential following reward-related cue exposure, relative to neutral cue exposure, following L-dopa challenge (16.3% compared with 5.8% in Parkinson's disease controls, P = 0.016). The heightened response of striatal reward circuitry to heterogeneous reward-related visual cues among a group of patients with different impulsive-compulsive behaviours is consistent with a global sensitization to appetitive behaviours with dopaminergic therapy in vulnerable individuals. Our findings are relevant for the broader debate on the relation between impulsive-compulsive behaviours and addictions and may have important implications with regards to advertisement legislation in an effort to prevent the onset of behavioural addictions.
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Parkinson's patients with hypersexuality also reveal sensitization of the system.
“They also reveal sensitization of the system (O 'Sullivan, et al., 2011).”
From A motivation model of sex addiction – Relevance to the controversy over the concept (2022) · cites this paper as O 'Sullivan, et al., 2011
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“Studies have also indicated that dopamine‐related disorders such as ADHD (Nigg et al., 2002) and parkinsonism (Menza et al., 1993; O'Sullivan et al., 2011; Terracciano et al., 2021) have associations with novelty seeking and neuroticism personality traits.”
Background
- Authors
- O'Sullivan, S. S., Wu, K., Politis, M., Lawrence, A. D., Evans, A. H., Bose, S. K., Djamshidian, A., Lees, A. J., & Piccini, P.
- Affiliations
- Hammersmith Hospital (GB)
- Cardiff University (GB)
- The Royal Melbourne Hospital (AU)
- University College London (GB)
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-02-24
- Volume
- 134
- Issue
- 4
- Pages
- 969-978
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2120927079
- Cited by
- 297
- References
- 64
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 14 · 2021: 15 · 2020: 56 · 2019: 20 · 2018: 19 · 2017: 25 · 2016: 15 · 2015: 28 · 2014: 21 · 2013: 27 · 2012: 21
- FWCI
- 16.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Parkinson's UK (J-0704)
- University of Illinois at Chicago
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, dopamine release, striatum, ventral striatum, dopaminergic therapy, hypersexuality, binge eating, punding, gambling addiction, compulsive buying, behavioral addiction
- MeSH terms
- Aged, Brain Mapping, Compulsive Behavior, Corpus Striatum, Cues, Dopamine, Female, Humans, Impulsive Behavior, Male, Middle Aged, Parkinson Disease, Radionuclide Imaging
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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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