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The Journal of Neuroscience, October 15, 2002, 22(20):9099-9103
Dopamine Modulates the Response of the Human Amygdala: A
Study in Parkinson's Disease
Alessandro
Tessitore1,
Ahmad R.
Hariri1,
Francesco
Fera1,
William G.
Smith1,
Thomas N.
Chase2,
Thomas M.
Hyde1,
Daniel R.
Weinberger1, and
Venkata S.
Mattay1
1 Clinical Brain Disorders Branch, National Institute
of Mental Health, and 2 Experimental Therapeutics Branch,
National Institute of Neurological Disorders and Stroke, National
Institutes of Health, Bethesda, Maryland 20892
In addition to classic motor signs and symptoms, Parkinson's
disease (PD) is characterized by neuropsychological and emotional deficits, including a blunted emotional response. In the present study,
we explored both the neural basis of abnormal emotional behavior in PD
and the physiological effects of dopaminergic therapy on the response
of the amygdala, a central structure in emotion processing. PD patients
and matched normal controls (NCs) were studied with blood oxygenation
level-dependent functional magnetic resonance imaging during a paradigm
that involved perceptual processing of fearful stimuli. PD patients
were studied twice, once during a relatively hypodopaminergic state
(i.e., 12 hr after their last dose of dopamimetic treatment) and
again during a dopamine-replete state. The imaging data revealed a
robust bilateral amygdala response in NCs that was absent in PD
patients during the hypodopaminergic state. Dopamine repletion
partially restored this response in PD patients. Our results
demonstrate an abnormal amygdala response in PD that may underlie the
emotional deficits accompanying the disease. Furthermore, consistent
with findings in experimental animal paradigms, our results provide
in vivo evidence of the role of dopamine in modulating
the response of the amygdala to sensory information in human subjects.
Key words:
Parkinson's disease; dopamine; amygdala; modulating
emotions; BOLD fMRI; depression
Copyright © 2002 Society for Neuroscience 0270-6474/02/22209099-05$05.00/0
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