Oberlin Brandon G, Dzemidzic Mario, Harezlak Jaroslaw, Kudela Maria A, Tran Stella M, Soeurt Christina M, Yoder Karmen K, Kareken David A
Department of Neurology, Indiana University School of Medicine (IUSM), Indianapolis, Indiana.
Department of Radiology and Imaging Sciences, Center for Neuroimaging, IUSM, Indianapolis, Indiana.
Alcohol Clin Exp Res. 2016 Sep;40(9):1865-73. doi: 10.1111/acer.13158. Epub 2016 Jul 26.
Cue-evoked drug-seeking behavior likely depends on interactions between frontal activity and ventral striatal (VST) dopamine (DA) transmission. Using [(11) C]raclopride (RAC) positron emission tomography (PET), we previously demonstrated that beer flavor (absent intoxication) elicited VST DA release in beer drinkers, inferred by RAC displacement. Here, a subset of subjects from this previous RAC-PET study underwent a similar paradigm during functional magnetic resonance imaging (fMRI) to test how orbitofrontal cortex (OFC) and VST blood oxygenation level-dependent (BOLD) responses to beer flavor are related to VST DA release and motivation to drink.
Male beer drinkers (n = 28, age = 24 ± 2, drinks/wk = 16 ± 10) from our previous PET study participated in a similar fMRI paradigm wherein subjects tasted their most frequently consumed brand of beer and Gatorade(®) (appetitive control). We tested for correlations between BOLD activation in fMRI and VST DA responses in PET, and drinking-related variables.
Compared to Gatorade, beer flavor increased wanting and desire to drink, and induced BOLD responses in bilateral OFC and right VST. Wanting and desire to drink correlated with both right VST and medial OFC BOLD activation to beer flavor. Like the BOLD findings, beer flavor (relative to Gatorade) again induced right VST DA release in this fMRI subject subset, but there was no correlation between DA release and the magnitude of BOLD responses in frontal regions of interest.
Both imaging modalities showed a right-lateralized VST response (BOLD and DA release) to a drug-paired conditioned stimulus, whereas fMRI BOLD responses in the VST and medial OFC also reflected wanting and desire to drink. The data suggest the possibility that responses to drug-paired cues may be rightward biased in the VST (at least in right-handed males) and that VST and OFC responses in this gustatory paradigm reflect stimulus wanting.
线索诱发的觅药行为可能取决于额叶活动与腹侧纹状体(VST)多巴胺(DA)传递之间的相互作用。我们之前使用[¹¹C]雷氯必利(RAC)正电子发射断层扫描(PET)证明,啤酒味道(无醉酒状态)会引发啤酒饮用者的VST DA释放,这是通过RAC置换推断出来的。在此,来自之前这项RAC-PET研究的一部分受试者在功能磁共振成像(fMRI)期间接受了类似的范式,以测试眶额皮质(OFC)和VST对啤酒味道的血氧水平依赖(BOLD)反应如何与VST DA释放及饮酒动机相关。
我们之前PET研究中的男性啤酒饮用者(n = 28,年龄 = 24 ± 2岁,每周饮酒量 = 16 ± 10杯)参与了一项类似的fMRI范式,其中受试者品尝他们最常饮用品牌的啤酒和佳得乐(对照刺激)。我们测试了fMRI中的BOLD激活与PET中的VST DA反应以及与饮酒相关变量之间的相关性。
与佳得乐相比,啤酒味道增加了饮酒的欲望和渴求,并在双侧OFC和右侧VST中诱发了BOLD反应。饮酒的欲望和渴求与右侧VST及内侧OFC对啤酒味道的BOLD激活均相关。与BOLD结果一样,在这个fMRI受试者子集中,啤酒味道(相对于佳得乐)再次诱发了右侧VST DA释放,但DA释放与感兴趣的额叶区域BOLD反应的大小之间没有相关性。
两种成像方式均显示对药物配对条件刺激的右侧化VST反应(BOLD和DA释放),而VST和内侧OFC中的fMRI BOLD反应也反映了饮酒的欲望和渴求。数据表明,对药物配对线索的反应在VST中可能存在右侧偏向(至少在右利手男性中如此),并且在这种味觉范式中VST和OFC反应反映了刺激欲望。