PMID- 29016710 OWN - NLM STAT- MEDLINE DCOM- 20180618 LR - 20240306 IS - 1464-3502 (Electronic) IS - 0735-0414 (Print) IS - 0735-0414 (Linking) VI - 52 IP - 6 DP - 2017 Nov 1 TI - Preliminary Evidence for Disrupted Nucleus Accumbens Reactivity and Connectivity to Reward in Binge Drinkers. PG - 647-654 LID - 10.1093/alcalc/agx062 [doi] AB - AIMS: Dysfunctional brain reward circuitry, particularly in the nucleus accumbens (NAcc), has been proposed as a risk factor for alcohol use disorder (AUD). This risk factor may be evident in binge drinkers (BD), who are at high risk for developing AUD. We examined whole-brain and NAcc reactivity to reward in BD compared to non-binge drinkers (NBD), hypothesizing that groups would differ in their neural reactivity and connectivity. METHODS: Healthy BD (N = 27) and NBD (N = 23)-none meeting AUD criteria-completed a reward-guessing game, the 'Doors' task, during functional magnetic resonance imaging. We conducted an exploratory whole-brain search for group differences, but given our a priori hypotheses, we also extracted activation from the NAcc to examine reactivity during reward (Win > Loss) and functional connectivity (FC) to the prefrontal cortex. RESULTS: Compared to NBD, BD exhibited greater activation in both the right and left NAcc during reward relative to loss. Additionally, NBD drinkers exhibited positive FC between the NAcc and dorsal anterior cingulate (dACC) whereas the BD showed negative FC between these regions. Furthermore, less NAcc-dACC FC was related to more past month alcohol use. CONCLUSIONS: Our results provide preliminary evidence that BD exhibit greater NAcc activation during reward receipt relative to loss. This is consistent with the broader AUD literature and suggests aberrant neural reactivity may precede disorder onset. In addition, BD exhibited less NAcc-dACC FC, perhaps reflecting deficient regulation of activation to rewards compared to losses. This profile of reward brain circuitry could represent neural correlates of vulnerability for AUD. SHORT SUMMARY: Healthy binge drinkers, at risk for alcohol use disorder, exhibited greater nucleus accumbens activation during reward relative to loss. In addition, binge drinkers exhibited reduced connectivity between the nucleus accumbens and dorsal anterior cingulate, which was associated with more past month alcohol use. CI - (c) The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved. FAU - Crane, Natania A AU - Crane NA AD - Department of Psychiatry, University of Illinois at Chicago, 1747 W Roosevelt Rd Chicago, IL 60608, USA. FAU - Gorka, Stephanie M AU - Gorka SM AD - Department of Psychiatry, University of Illinois at Chicago, 1747 W Roosevelt Rd Chicago, IL 60608, USA. FAU - Weafer, Jessica AU - Weafer J AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S Maryland Ave Chicago, IL 60637, USA. FAU - Langenecker, Scott A AU - Langenecker SA AD - Department of Psychiatry, University of Illinois at Chicago, 1747 W Roosevelt Rd Chicago, IL 60608, USA. FAU - de Wit, Harriet AU - de Wit H AD - Department of Psychiatry and Behavioral Neuroscience, University of Chicago, 5841 S Maryland Ave Chicago, IL 60637, USA. FAU - Phan, K Luan AU - Phan KL AD - Department of Psychiatry, University of Illinois at Chicago, 1747 W Roosevelt Rd Chicago, IL 60608, USA. AD - Mental Health Service Line, Jesse Brown VA Medical Center, 820 S Damen Ave Chicago, IL 60612, USA. LA - eng GR - CZH/4/645/CSO_/Chief Scientist Office/United Kingdom GR - R21 DA037642/DA/NIDA NIH HHS/United States GR - K23 AA025111/AA/NIAAA NIH HHS/United States GR - K01 AA024519/AA/NIAAA NIH HHS/United States GR - R01 DA002812/DA/NIDA NIH HHS/United States PT - Journal Article PL - England TA - Alcohol Alcohol JT - Alcohol and alcoholism (Oxford, Oxfordshire) JID - 8310684 SB - IM MH - Adult MH - Binge Drinking/*diagnostic imaging/psychology MH - Female MH - Gyrus Cinguli/*diagnostic imaging MH - Humans MH - Magnetic Resonance Imaging/methods MH - Male MH - Nerve Net/*diagnostic imaging MH - Neural Pathways/diagnostic imaging MH - Nucleus Accumbens/*diagnostic imaging MH - *Reward MH - Young Adult PMC - PMC5860287 EDAT- 2017/10/11 06:00 MHDA- 2018/06/19 06:00 PMCR- 2018/11/01 CRDT- 2017/10/11 06:00 PHST- 2017/03/29 00:00 [received] PHST- 2017/08/23 00:00 [accepted] PHST- 2017/10/11 06:00 [pubmed] PHST- 2018/06/19 06:00 [medline] PHST- 2017/10/11 06:00 [entrez] PHST- 2018/11/01 00:00 [pmc-release] AID - 4107889 [pii] AID - agx062 [pii] AID - 10.1093/alcalc/agx062 [doi] PST - ppublish SO - Alcohol Alcohol. 2017 Nov 1;52(6):647-654. doi: 10.1093/alcalc/agx062.