Expectation modulates human brain responses to acute cocaine: a functional magnetic resonance imaging study. Biol Psychiatry 2008 Jan 15;63(2):222-30
Date
07/24/2007Pubmed ID
17644071DOI
10.1016/j.biopsych.2007.03.021Scopus ID
2-s2.0-37349070329 (requires institutional sign-in at Scopus site) 51 CitationsAbstract
BACKGROUND: Human expectation of psychoactive drugs significantly alters drug effects and behavioral responses. However, their neurophysiological mechanisms are not clear. This study investigates how cocaine expectation modulates human brain responses to acute cocaine administration.
METHODS: Twenty-six right-handed non-treatment-seeking regular cocaine abusers participated in this study. Changes in blood oxygenation level-dependent (BOLD) signals were measured, and online behavioral ratings during cocaine expectation and acute cocaine administration were recorded.
RESULTS: Distinct regional characteristics in BOLD responses to expected and unexpected cocaine infusions were observed in the medial orbitofrontal gyrus (Brodmann area [BA] 11), frontal pole (BA 10), and anterior cingulate gyrus regions. Active engagement in the amygdala and the lateral orbitofrontal cortex (OFC; BA 47) by unexpected but not expected cocaine infusion was discovered. Cocaine expectation did not change BOLD responses to acute cocaine administration in a set of subcortical substrates, the nucleus accumbens, ventral putamen, ventral tegmental area, and thalamus.
CONCLUSIONS: These results suggest that cocaine expectation modulates neural-sensitivity adaptation between the expected events and the actual outcomes but did not modulate the pharmacological characteristics of cocaine. In addition, the amygdala-lateral OFC circuitry plays an important role in mediating stimulus-outcome relations and contextual factors of drug abuse.
Author List
Kufahl P, Li Z, Risinger R, Rainey C, Piacentine L, Wu G, Bloom A, Yang Z, Li SJAuthor
Linda Piacentine BS,MS,NP,PhD Assistant Professor in the College of Nursing department at Marquette UniversityMESH terms used to index this publication - Major topics in bold
AdultBrain
Brain Mapping
Case-Control Studies
Cocaine
Cocaine-Related Disorders
Dopamine Uptake Inhibitors
Female
Humans
Image Processing, Computer-Assisted
Magnetic Resonance Imaging
Male
Middle Aged
Oxygen
Pain Measurement