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. 1999 Sep;156(9):1440-3.
doi: 10.1176/ajp.156.9.1440.

Prediction of reinforcing responses to psychostimulants in humans by brain dopamine D2 receptor levels

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Prediction of reinforcing responses to psychostimulants in humans by brain dopamine D2 receptor levels

N D Volkow et al. Am J Psychiatry. 1999 Sep.

Abstract

Objective: This study assessed whether brain dopamine D2 receptor levels, which show significant intersubject variability, predict reinforcing responses to psychostimulants in humans.

Method: [11C]Raclopride and positron emission tomography were used to measure D2 receptor levels in 23 healthy men (mean age = 34 years, SD = 7) who had no drug abuse histories in order to assess if there were differences between the subjects who liked and those who disliked the effects of intravenous methylphenidate (0.5 mg/kg).

Results: Subjects who liked the effects of methylphenidate had significantly lower D2 receptor levels (mean = 2.72 Bmax/Kd, SD = 0.3) than subjects who disliked its effects (mean = 3.16, SD = 0.3). Moreover, the higher the D2 levels found, the more intense were methylphenidate's unpleasant effects.

Conclusions: These results provide preliminary evidence that D2 receptor levels predict response to psychostimulants in humans and that low D2 receptors may contribute to psychostimulant abuse by favoring pleasant response.

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Comment in

  • Measuring dopamine D(2) receptors.
    Dagher A. Dagher A. Am J Psychiatry. 2000 Oct;157(10):1708-10. doi: 10.1176/appi.ajp.157.10.1708. Am J Psychiatry. 2000. PMID: 11007741 No abstract available.

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