rtms of the left dorsolateral prefrontal cortex modulates dopamine release in the ipsilateral anterior cingulate cortex and orbitofrontal cortexrtms左背外侧前额叶皮层的调节多巴胺释放的侧前扣带皮层和前额皮质.pdfVIP
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rtms of the left dorsolateral prefrontal cortex modulates dopamine release in the ipsilateral anterior cingulate cortex and orbitofrontal cortexrtms左背外侧前额叶皮层的调节多巴胺释放的侧前扣带皮层和前额皮质
rTMS of the Left Dorsolateral Prefrontal Cortex
Modulates Dopamine Release in the Ipsilateral Anterior
Cingulate Cortex and Orbitofrontal Cortex
Sang Soo Cho1,2, Antonio P. Strafella1,2*
1Toronto Western Research Institute and Hospital, UHN, University of Toronto, Toronto, Canada, 2 PET Imaging Centre, Centre for Addiction and Mental Health, University
of Toronto, Toronto, Canada
Abstract
Background: Brain dopamine is implicated in the regulation of movement, attention, reward and learning and plays an
important role in Parkinson’s disease, schizophrenia and drug addiction. Animal experiments have demonstrated that brain
stimulation is able to induce significant dopaminergic changes in extrastriatal areas. Given the up-growing interest of non-
invasive brain stimulation as potential tool for treatment of neurological and psychiatric disorders, it would be critical to
investigate dopaminergic functional interactions in the prefrontal cortex and more in particular the effect of dorsolateral
prefrontal cortex (DLPFC) (areas 9/46) stimulation on prefrontal dopamine (DA).
Methodology/Principal Findings: Healthy volunteers were studied with a high-affinity DA D2-receptor radioligand, [11C]FLB
457-PET following 10 Hz repetitive transcranial magnetic stimulation (rTMS) of the left and right DLPFC. rTMS on the left
DLPFC induced a significant reduction in [11C]FLB 457 binding potential (BP) in the ipsilateral subgenual anterior cingulate
cortex (ACC) (BA 25/12), pregenual ACC (BA 32) and medial orbitofrontal cortex (BA 11). There were no significant changes
in [11C]FLB 457 BP following right DLPFC rTMS.
Conclusions/Significance: To our knowledge, this is the first study to provide evidence of extrastriatal DA modulation
following acute rTMS of DLPFC with its effect limited to the specific areas of medial prefrontal cortex. [11C]FLB 457-PET
co
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