Decreasing striatal 6-FDOPA uptake with increasing duration of cocaine withdrawal

Joseph C. Wu, Kate Bell, Ahmad Najafi, Cliff Widmark, Dave Keator, Cheuk Tang, Eric Klein, Blynn G. Bunney, James Fallon, William E. Bunney

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Abstract

It has been hypothesized that a decrease in dopaminergic presynaptic activity during abstinence or withdrawal is related to relapse in cocaine-dependent subjects (Dackis and Gold 1985; Markou and Koob 1991). This study measured striatal 6-fluorodopa (6-FDOPA) uptake, an index of dopaminergic presynaptic activity, using positron emission tomography (PET) in 11 drug-free cocaine addicts compared to eight normal subjects. Middle abstinence cocaine addicts (n = 5, off cocaine 11-30 days) had significantly lower striatal 6-FDOPA uptake compared to normal controls or early abstinence cocaine addicts (n = 6, off cocaine 1-10 days). The cocaine-dependent subjects (n 11) showed a significant negative correlation between days off cocaine and striatal 6-FDOPA uptake. The results suggest that during abstinence from cocaine there is a delayed decrease in dopamine terminal activity in the striatum.

Original languageEnglish
Pages (from-to)402-409
Number of pages8
JournalNeuropsychopharmacology
Volume17
Issue number6
DOIs
StatePublished - Dec 1997

Keywords

  • Brain radionuclide imaging
  • Cocaine
  • Dopa analogs and derivatives
  • Dopamine metabolism
  • Emission computed tomography
  • Stimulants

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