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Increased occupancy of dopamine receptors in human striatum during cue-elicited cocaine craving.
Authors:Dean F Wong  Hiroto Kuwabara  David J Schretlen  Katherine R Bonson  Yun Zhou  Ayon Nandi  James R Brasi?  Alane S Kimes  Marika A Maris  Anil Kumar  Carlo Contoreggi  Jonathan Links  Monique Ernst  Olivier Rousset  Stephen Zukin  Anthony A Grace  Jae Sung Lee  Charles Rohde  Donald R Jasinski  Albert Gjedde  Edythe D London
Affiliation:The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD 21287-0807, USA. dfwong@jhmi.edu
Abstract:In all, 19 research subjects, with current histories of frequent cocaine use, were exposed to cocaine-related cues to elicit drug craving. We measured the change of occupancy of dopamine at D2-like receptors with positron emission tomography (PET) and inferred a change of intrasynaptic dopamine (endogenous dopamine release), based on the displacement of radiotracer [(11)C]raclopride. Receptor occupancy by dopamine increased significantly in putamen of participants who reported cue-elicited craving compared to those who did not. Further, the intensity of craving was positively correlated with the increase in dopamine receptor occupancy in the putamen. These results provide direct evidence that occupancy of dopamine receptors in human dorsal striatum increased in proportion to subjective craving, presumably because of increased release of intrasynaptic dopamine.
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