“…For instance, using the 2-deoxyglucose technique to measure local cerebral glucose utilization in quinpirole-sensitized animals (Carpenter et al, 2003;Richards et al, 2005), alterations had been found in cortical (the cingulate -4-cortex-area 1, frontal cortex-area 3, lateral orbital cortex, medial/ventral orbital cortex, and parietal cortex) and subcortical areas (ventral pallidum and nucleus accumbens); more recently, changes in the cortico-striato-thalamico-cortical circuit had been observed by PET neuroimaging in quinpirole-sensitized rats (Servaes et al, 2016). Others report in quinpirole-sensitized animals: increased high-affinity states of dopamine D2 receptors (D2 High ) (Seeman et al, 2006;Perreault et al, 2007;Culver et al, 2008); decreased dopamine levels in the left pre-frontal cortex (Sullivan et al, 1998); reduced dopamine and glutamate neurotransmission in the nucleus accumbens (Escobar et al, 2015); as well alterations in dopamine-serotonin interaction (Alkhatib et al, 2013;Tucci et al, 2013;Johnson and Szechtman, 2016). However, it remains to be established which of those findings, if any, are necessary for the pathophysiology of compulsive checking (Szechtman et al, 2014).…”