Jarcho Johanna M, Wyngaarden James B, Johnston Camille R, Quarmley Megan, Smith David V, Cassidy Clifford M
Department of Psychology, Temple University, Philadelphia, PA 19122, USA.
University of Ottawa Institute of Mental Health Research, Affiliated with The Royal, Ottawa, ON K1Z 8N3, Canada.
Brain Sci. 2022 Mar 4;12(3):352. doi: 10.3390/brainsci12030352.
Perturbations in dopamine system function may increase risk of substance use disorder (SUD). We recently demonstrated that neuromelanin (NM) MRI signal in the substantia nigra, a non-invasive index of dopamine system function, is elevated in long term cocaine users (Cassidy et al., 2020). However, it is unclear whether elevated NM-MRI signal is linked to risk of SUD, or is a byproduct of long-term drug use. Our prior work failed to show relations between NM-MRI signal and functional engagement of ventral striatum during a monetary reward task. However, social experiences are commonly linked to drug use and relapse. Given that, NM-MRI signal may be more closely linked to ventral striatal engagement during social, rather than monetary reward processing. Emerging adults ( = 33, 21.88 ± 4.35 years) with varying levels of substance abuse, but without SUD, underwent NM-MRI and fMRI during social and monetary reward processing tasks. Voxelwise analysis within the substantia nigra (SN) demonstrated lower NM-MRI signal was associated with more severe substance abuse. Lower right ventral striatal engagement to social reward was also associated with more severe substance abuse. This relation was moderated by SN NM-MRI signal such that diminished striatal response to reward was associated with greater substance abuse among those with low NM-MRI signal, but lower substance abuse among those with high NM-MRI signal. Unexpectedly, higher right ventral striatal engagement during monetary reward was associated with more severe substance abuse. This relation was moderated by SN NM-MRI signal such that greater striatal response to reward was associated with greater substance abuse among those with low NM-MRI signal. Taken together, we provide preliminary evidence that, in emerging adults, low rather than high dopamine system function may increase risk of substance abuse, and strengthen the association between substance use and the brain's sensitivity to social and monetary outcomes in different ways.
多巴胺系统功能的紊乱可能会增加物质使用障碍(SUD)的风险。我们最近证明,黑质中的神经黑色素(NM)MRI信号是多巴胺系统功能的一种非侵入性指标,在长期可卡因使用者中会升高(卡西迪等人,2020年)。然而,尚不清楚升高的NM-MRI信号是与SUD风险相关,还是长期药物使用的副产品。我们之前的研究未能显示在金钱奖励任务期间NM-MRI信号与腹侧纹状体的功能参与之间的关系。然而,社会经历通常与药物使用和复发有关。鉴于此,NM-MRI信号可能在社交过程中比在金钱奖励处理过程中与腹侧纹状体的参与更密切相关。不同程度药物滥用但无SUD的新兴成年人(n = 33,21.88±4.35岁)在社交和金钱奖励处理任务期间接受了NM-MRI和功能磁共振成像(fMRI)检查。黑质(SN)内的体素分析表明,较低的NM-MRI信号与更严重的药物滥用有关。右侧腹侧纹状体对社交奖励的较低参与也与更严重的数据滥用有关。这种关系受SN的NM-MRI信号调节,因此纹状体对奖励的反应减弱与NM-MRI信号低的人群中更严重的药物滥用有关,但与NM-MRI信号高的人群中较低的药物滥用有关。出乎意料的是,在金钱奖励期间右侧腹侧纹状体较高的参与与更严重的药物滥用有关。这种关系受SN的NM-MRI信号调节,因此纹状体对奖励的更大反应与NM-MRI信号低的人群中更严重的药物滥用有关。综上所述,我们提供了初步证据,即在新兴成年人中,低而非高多巴胺系统功能可能会增加药物滥用的风险,并以不同方式加强物质使用与大脑对社交和金钱结果的敏感性之间的关联。