PMID- 35016171 OWN - NLM STAT- MEDLINE DCOM- 20220603 LR - 20220603 IS - 1423-0224 (Electronic) IS - 0302-282X (Linking) VI - 81 IP - 3 DP - 2022 TI - Extrastriatal Dopamine D2/3 Receptor Availability in Alcohol Use Disorder and Individuals at High Risk. PG - 215-224 LID - 10.1159/000521103 [doi] AB - INTRODUCTION: Reduced striatal dopamine D2/3 receptor availability in alcohol use disorder (AUD) has been demonstrated in recent clinical studies and meta-analyses. However, only a limited number of studies investigated extrastriatal D2/3 availability in AUD or in at-risk populations. In line with a dimensional understanding of addiction, extrastriatal dopaminergic neuroadaptations have been suggested to be relevant from a pathobiological perspective. METHODS: We investigated D2/3 receptor availability via 18F-fallypride positron emission tomography applying a region of interest (ROI) approach. We selected ROIs for the prefrontal cortex (PFC) and the anterior cingulate cortex (ACC). Our sample included 19 healthy controls (low risk [LR]), 19 individuals at high risk (HR) to develop addiction, and 20 recently detoxified AUD patients. RESULTS: We found significantly higher D2/3 receptor availability of HR compared to AUD in the left and right rostral ACC (rACC), as well as in the left ventrolateral PFC (vlPFC). We did not observe a significant difference between AUD and LR. After corrections for multiple comparisons none of the ROIs reached significance throughout the group comparison. The D2/3 receptor availability in the left rACC was inversely correlated with symptom severity assessed with the Alcohol Dependency Scale. DISCUSSION: To our knowledge, the present work is the first study investigating extrastriatal D2/3 receptor availabilities in individuals at HR and patients with AUD. The observation that D2/3 receptor availabilities are highest in HR might suggest that their pathobiology differs from subjects with AUD. Future studies are necessary to clarify the intraindividual course of this biomarker over different disease stages and its possible role as a risk or protective factor. CI - (c) 2022 S. Karger AG, Basel. FAU - Spitta, Gianna AU - Spitta G AD - Department of Psychiatry and Psychotherapy, Charite Campus Mitte (CCM), Charite Universitatsmedizin Berlin, Berlin, Germany. FAU - Gleich, Tobias AU - Gleich T AD - Department of Psychiatry and Psychotherapy, Charite Campus Mitte (CCM), Charite Universitatsmedizin Berlin, Berlin, Germany. FAU - Zacharias, Kristin AU - Zacharias K AD - Department of Psychiatry and Psychotherapy, Charite Campus Mitte (CCM), Charite Universitatsmedizin Berlin, Berlin, Germany. FAU - Butler, Oisin AU - Butler O AD - Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany. FAU - Buchert, Ralph AU - Buchert R AD - Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. FAU - Gallinat, Jurgen AU - Gallinat J AD - Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany. LA - eng PT - Journal Article DEP - 20220111 PL - Switzerland TA - Neuropsychobiology JT - Neuropsychobiology JID - 7512895 RN - 0 (Pyrrolidines) RN - 0 (Receptors, Dopamine D3) RN - VTD58H1Z2X (Dopamine) SB - IM MH - *Alcoholism/diagnostic imaging MH - Corpus Striatum/metabolism MH - Dopamine MH - Humans MH - Positron-Emission Tomography/methods MH - Pyrrolidines MH - *Receptors, Dopamine D3 OTO - NOTNLM OT - Alcohol use disorder OT - D2/3 receptor availability OT - Dopamine D2/3 receptor OT - Extrastriatal OT - High risk OT - Positron emission tomography EDAT- 2022/01/12 06:00 MHDA- 2022/06/07 06:00 CRDT- 2022/01/11 20:18 PHST- 2021/07/18 00:00 [received] PHST- 2021/11/18 00:00 [accepted] PHST- 2022/01/12 06:00 [pubmed] PHST- 2022/06/07 06:00 [medline] PHST- 2022/01/11 20:18 [entrez] AID - 000521103 [pii] AID - 10.1159/000521103 [doi] PST - ppublish SO - Neuropsychobiology. 2022;81(3):215-224. doi: 10.1159/000521103. Epub 2022 Jan 11.