Furukawa Emi, Bado Patricia, Tripp Gail, Mattos Paulo, Wickens Jeff R, Bramati Ivanei E, Alsop Brent, Ferreira Fernanda Meireles, Lima Debora, Tovar-Moll Fernanda, Sergeant Joseph A, Moll Jorge
Okinawa Institute of Science and Technology Graduate University (OIST), Okinawa, Japan.
D'Or Institute for Research and Education (IDOR), Rio de Janeiro, Brazil ; Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
PLoS One. 2014 Feb 26;9(2):e89129. doi: 10.1371/journal.pone.0089129. eCollection 2014.
Altered reward processing has been proposed to contribute to the symptoms of attention deficit hyperactivity disorder (ADHD). The neurobiological mechanism underlying this alteration remains unclear. We hypothesize that the transfer of dopamine release from reward to reward-predicting cues, as normally observed in animal studies, may be deficient in ADHD. Functional magnetic resonance imaging (fMRI) was used to investigate striatal responses to reward-predicting cues and reward delivery in a classical conditioning paradigm. Data from 14 high-functioning and stimulant-naïve young adults with elevated lifetime symptoms of ADHD (8 males, 6 females) and 15 well-matched controls (8 males, 7 females) were included in the analyses. During reward anticipation, increased blood-oxygen-level-dependent (BOLD) responses in the right ventral and left dorsal striatum were observed in controls, but not in the ADHD group. The opposite pattern was observed in response to reward delivery; the ADHD group demonstrated significantly greater BOLD responses in the ventral striatum bilaterally and the left dorsal striatum relative to controls. In the ADHD group, the number of current hyperactivity/impulsivity symptoms was inversely related to ventral striatal responses during reward anticipation and positively associated with responses to reward. The BOLD response patterns observed in the striatum are consistent with impaired predictive dopamine signaling in ADHD, which may explain altered reward-contingent behaviors and symptoms of ADHD.
奖赏处理的改变被认为与注意力缺陷多动障碍(ADHD)的症状有关。这种改变背后的神经生物学机制尚不清楚。我们假设,如在动物研究中通常观察到的那样,多巴胺释放从奖赏向奖赏预测线索的转移在ADHD中可能存在缺陷。功能磁共振成像(fMRI)被用于在经典条件反射范式中研究纹状体对奖赏预测线索和奖赏交付的反应。分析纳入了14名终身ADHD症状严重、功能高且未使用过兴奋剂的年轻成年人(8名男性,6名女性)以及15名匹配良好的对照组(8名男性,7名女性)的数据。在奖赏预期期间,对照组右侧腹侧和左侧背侧纹状体的血氧水平依赖(BOLD)反应增加,而ADHD组未观察到这种增加。在对奖赏交付的反应中观察到相反的模式;相对于对照组,ADHD组双侧腹侧纹状体和左侧背侧纹状体的BOLD反应显著更大。在ADHD组中,当前多动/冲动症状的数量与奖赏预期期间腹侧纹状体的反应呈负相关,与对奖赏的反应呈正相关。在纹状体中观察到的BOLD反应模式与ADHD中预测性多巴胺信号受损一致,这可能解释了与奖赏相关的行为改变和ADHD症状。
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