2011
DOI: 10.1002/hbm.21067
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Pramipexole modulates the neural network of reward anticipation

Abstract: Pramipexole is widely prescribed to treat Parkinson's disease. It has been found to cause impulse control disorders such as pathological gambling. To examine how pramipexole modulates the network of reward anticipation, we carried out a pharmacological functional magnetic resonance imaging study with a double-blind, within-subject design. During the anticipation of monetary rewards, pramipexole increased the activity of the nucleus accumbens (NAcc), enhanced the interaction between the NAcc and the anterior in… Show more

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Cited by 91 publications
(61 citation statements)
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“…Similarly, a decrease in the correlation between reward prediction error and BOLD response was observed in the orbitofrontal cortex and striatum in early-stage PD patients B1-2 h after administration of 1.0 mg of pramipexole (van Eimeren et al, 2009), suggesting impairment in reward circuitry. A recent functional connectivity analysis of healthy males demonstrated that pramipexole increases activity in the nucleus accumbens and weakens connectivity between this structure and the PFC during reward anticipation (Ye et al, 2011). Taken together, these data suggest that pramipexole induces abnormal activation patterns and connectivity within the neural circuitry critical to reward-based learning, an action that is likely to explain the IGT data in our BPD patients.…”
Section: Discussionsupporting
confidence: 61%
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“…Similarly, a decrease in the correlation between reward prediction error and BOLD response was observed in the orbitofrontal cortex and striatum in early-stage PD patients B1-2 h after administration of 1.0 mg of pramipexole (van Eimeren et al, 2009), suggesting impairment in reward circuitry. A recent functional connectivity analysis of healthy males demonstrated that pramipexole increases activity in the nucleus accumbens and weakens connectivity between this structure and the PFC during reward anticipation (Ye et al, 2011). Taken together, these data suggest that pramipexole induces abnormal activation patterns and connectivity within the neural circuitry critical to reward-based learning, an action that is likely to explain the IGT data in our BPD patients.…”
Section: Discussionsupporting
confidence: 61%
“…A purported mechanism for this effect is related to pramipexole's high selective affinity for D3 receptors, which are primarily expressed in the mesocorticolimbic DA pathway-a circuitry that is active during impulsive decision making (Madden et al, 2010). Indeed, several studies that have used pramipexole in single-dose challenge paradigms have confirmed its actions on rewardrelated neural networks, primarily at low doses and in healthy individuals (Riba et al, 2008;Ye et al, 2011). Low doses of pramipexole (eg, 0.25-0.5 mg) are thought to influence reward via a paradoxical effect related to activation of the presynaptic D2 autoreceptor, resulting in a blockade of phasic DA release and a blunted response to rewarding stimuli (Riba et al, 2008).…”
Section: Introductionmentioning
confidence: 99%
“…Indeed, the ventral striatum is implicated in general motivational salience, together with other key structures, including the midbrain dopaminergic centers and the prefrontal cortex . Dopamine agonists may modulate the activation of this complex network (Ishibashi et al, 2011;Ye et al, 2011).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, when a person faces a possible monetary gain, DA is considered to be a molecule that increases the emotional response through the bilateral overactivation of the nucleus accumbens (Ye, Hammer, Camara, & Munte, 2011). In light of these findings, there is reason to believe that patients with PD who gamble on slot machines and while taking a DA may be more sensitive to intermittent reinforcement provoked by these machines.…”
Section: Discussionmentioning
confidence: 99%