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Internet gaming disorder: deficits in functional and structural connectivity in the ventral tegmental area-Accumbens pathway

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Abstract

Dopamine projections from the ventral tegmental area (VTA) to the nucleus accumbens (NAc) and from the substantia nigra (SN) to the dorsal striatum are involved in addiction. However, relatively little is known about the implication of these circuits in Internet gaming disorder (IGD). This study examined the alteration of resting-state functional connectivity (RSFC) and diffusion tensor imaging (DTI) -based structural connectivity of VTA/SN circuits in 61 young male participants (33 IGD and 28 healthy controls). Correlation analysis was carried out to investigate the relationship between the neuroimaging findings and the behavioral Internet Addiction Test (IAT). Both the NAc and medial orbitofrontal cortex (mOFC) showed lower RSFC with VTA in IGD subjects compared with controls. Moreover, the RSFC strength of VTA-right NAc and VTA-left mOFC correlated negatively with IAT in IGD subjects. The IGD subjects also showed lower structural connectivity in bilateral VTA-NAc tracts compared with controls, but the connectivity did not correlate with IAT in IGD. We provide evidence that functional and structural connectivity of the VTA-NAc pathway, and functional connectivity of the VTA-mOFC pathway are implicated in IGD. Since these pathways are important for dopamine reward signals and salience attribution, the findings suggest involvement of the brain DA reward system in the neurobiology of IGD. The association of functional but not structural connectivity of VTA circuits with IAT suggests that while lower structural connectivity might underlie vulnerability for IGD, lower functional connectivity may modulate severity. These results strengthen the evidence that IGD shares similar neuropathology with other addictions.

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  • 05 November 2018

    The original version of this article contained mistakes, and the authors would like to correct them. The correct details are given below:

References

  • Baik, J. H. (2013). Dopamine signaling in reward-related behaviors. Frontiers in neural circuits, 7(7), 152.

    PubMed  PubMed Central  Google Scholar 

  • Bechara, A. (2003). Risky business: Emotion, decision-making, and addiction. Journal of Gambling Studies, 19(1), 23–51.

    Article  PubMed  Google Scholar 

  • Bi, Y., Yuan, K., Feng, D., Xing, L., Li, Y., Wang, H., et al. (2015). Disrupted inter-hemispheric functional and structural coupling in internet addiction adolescents. Psychiatry Research: Neuroimaging, 234(2), 157–163.

    Article  PubMed  Google Scholar 

  • Björklund, A., & Dunnett, S. B. (2007). Dopamine neuron systems in the brain: An update. Trends in Neurosciences, 30(5), 194–202.

    Article  CAS  PubMed  Google Scholar 

  • Blonder, L. X., & Slevin, J. T. (2011). Emotional dysfunction in Parkinson’s disease. Behavioural Neurology, 24(3), 201–217.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bromberg-Martin, E. S., Matsumoto, M., & Hikosaka, O. (2010). Dopamine in motivational control: Rewarding, aversive, and alerting. Neuron, 68(5), 815–834.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cai, C., Yuan, K., Yin, J., Feng, D., Bi, Y., Li, Y., et al. (2016). Striatum morphometry is associated with cognitive control deficits and symptom severity in internet gaming disorder. Brain Imaging and Behavior, 10(1), 12–20.

    Article  PubMed  Google Scholar 

  • David, V., Besson, M., Changeux, J.-P., Granon, S., & Cazala, P. (2006). Reinforcing effects of nicotine microinjections into the ventral tegmental area of mice: Dependence on cholinergic nicotinic and dopaminergic D1 receptors. Neuropharmacology, 50(8), 1030–1040.

    Article  CAS  PubMed  Google Scholar 

  • Di Chiara, G., Bassareo, V., Fenu, S., De Luca, M. A., Spina, L., Cadoni, C., et al. (2004). Dopamine and drug addiction: The nucleus accumbens shell connection. Neuropharmacology, 47, 227–241.

    Article  CAS  PubMed  Google Scholar 

  • Di Chiara, G., & Imperato, A. (1988). Drugs abused by humans preferentially increase synaptic dopamine concentrations in the mesolimbic system of freely moving rats. Proceedings of the National Academy of Sciences, 85(14), 5274–5278.

    Article  Google Scholar 

  • Dong, G., DeVito, E., Huang, J., & Du, X. (2012). Diffusion tensor imaging reveals thalamus and posterior cingulate cortex abnormalities in internet gaming addicts. Journal of Psychiatric Research, 46(9), 1212–1216.

    Article  PubMed  PubMed Central  Google Scholar 

  • Drui, G., Carnicella, S., Carcenac, C., Favier, M., Bertrand, A., Boulet, S., et al. (2014). Loss of dopaminergic nigrostriatal neurons accounts for the motivational and affective deficits in Parkinson's disease. Molecular Psychiatry, 19(3), 358–367.

    Article  CAS  PubMed  Google Scholar 

  • Elliott, R., Dolan, R. J., & Frith, C. D. (2000). Dissociable functions in the medial and lateral orbitofrontal cortex: Evidence from human neuroimaging studies. Cerebral Cortex, 10(3), 308–317.

    Article  CAS  PubMed  Google Scholar 

  • Everitt, B. J., & Robbins, T. W. (2016). Drug addiction: Updating actions to habits to compulsions ten years on. Annual Review of Psychology, 67, 23–50.

    Article  PubMed  Google Scholar 

  • Gu, H., Salmeron, B. J., Ross, T. J., Geng, X., Zhan, W., Stein, E. A., et al. (2010). Mesocorticolimbic circuits are impaired in chronic cocaine users as demonstrated by resting-state functional connectivity. NeuroImage, 53(2), 593–601.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hadley, J. A., Nenert, R., Kraguljac, N. V., Bolding, M. S., White, D. M., Skidmore, F. M., et al. (2014). Ventral tegmental area/midbrain functional connectivity and response to antipsychotic medication in schizophrenia. Neuropsychopharmacology, 39(4), 1020–1030.

    Article  CAS  PubMed  Google Scholar 

  • Hagmann, P., Sporns, O., Madan, N., Cammoun, L., Pienaar, R., Wedeen, V. J., et al. (2010). White matter maturation reshapes structural connectivity in the late developing human brain. Proceedings of the National Academy of Sciences, 107(44), 19067–19072.

    Article  Google Scholar 

  • Han, D. H., Lee, Y. S., Yang, K. C., Kim, E. Y., Lyoo, I. K., & Renshaw, P. F. (2007). Dopamine genes and reward dependence in adolescents with excessive internet video game play. Journal of Addiction Medicine, 1(3), 133–138.

    Article  CAS  PubMed  Google Scholar 

  • Hong, S.-B., Zalesky, A., Cocchi, L., Fornito, A., Choi, E.-J., Kim, H.-H., et al. (2013). Decreased functional brain connectivity in adolescents with internet addiction. PLoS One, 8(2), e57831.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Hou, H., Jia, S., Shu, H., Rong, F., Wen, S., Sun, T., et al. (2014). Reduced striatal dopamine transporters in people with internet addiction disorder. BioMed Research International, 2012(1), 854524.

    Google Scholar 

  • Jha, M. K., Lee, W.-H., & Suk, K. (2016). Functional polarization of neuroglia: Implications in neuroinflammation and neurological disorders. Biochemical Pharmacology, 103, 1–16.

    Article  CAS  PubMed  Google Scholar 

  • Jin, C., Zhang, T., Cai, C., Bi, Y., Li, Y., Yu, D., et al. (2016). Abnormal prefrontal cortex resting state functional connectivity and severity of internet gaming disorder. Brain Imaging and Behavior, 10(3), 719–729.

    Article  PubMed  Google Scholar 

  • Kim, S. H., Baik, S.-H., Park, C. S., Kim, S. J., Choi, S. W., & Kim, S. E. (2011). Reduced striatal dopamine D2 receptors in people with internet addiction. Neuroreport, 22(8), 407–411.

    Article  CAS  PubMed  Google Scholar 

  • Leong, J. K., Pestilli, F., Wu, C. C., Samanez-Larkin, G. R., & Knutson, B. (2016). White-matter tract connecting anterior insula to nucleus accumbens correlates with reduced preference for positively skewed gambles. Neuron, 89(1), 63–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Leroy, C., Karila, L., Martinot, J. L., Lukasiewicz, M., Duchesnay, E., Comtat, C., et al. (2012). Striatal and extrastriatal dopamine transporter in cannabis and tobacco addiction: A high-resolution PET study. Addiction Biology, 17(6), 981–990.

    Article  CAS  PubMed  Google Scholar 

  • Markey, P. M., & Ferguson, C. J. (2017). Internet gaming addiction: Disorder or moral panic? The American Journal of Psychiatry, 174(3), 195–196.

    Article  PubMed  Google Scholar 

  • Maskos, U., Molles, B., Pons, S., Besson, M., Guiard, B., Guilloux, J.-P., et al. (2005). Nicotine reinforcement and cognition restored by targeted expression of nicotinic receptors. Nature, 436(7047), 103–107.

    Article  CAS  PubMed  Google Scholar 

  • Mori, S., & van Zijl, P. (2002). Fiber tracking: Principles and strategies–a technical review. NMR in Biomedicine, 15(7–8), 468–480.

    Article  PubMed  Google Scholar 

  • Mori, T., Iwase, Y., Saeki, T., Iwata, N., Murata, A., Masukawa, D., et al. (2016). Differential activation of dopaminergic systems in rat brain basal ganglia by morphine and methamphetamine. Neuroscience, 322, 164.

    Article  CAS  PubMed  Google Scholar 

  • Murali, V., & George, S. (2007). Lost online: An overview of internet addiction. Advances in Psychiatric Treatment, 13(1), 24–30.

    Article  Google Scholar 

  • Murty, V. P., Shermohammed, M., Smith, D. V., Carter, R. M., Huettel, S. A., & Adcock, R. A. (2014). Resting state networks distinguish human ventral tegmental area from substantia nigra. NeuroImage, 100, 580–589.

    Article  PubMed  PubMed Central  Google Scholar 

  • Myrick, H., Anton, R. F., Li, X., Henderson, S., Drobes, D., Voronin, K., et al. (2004). Differential brain activity in alcoholics and social drinkers to alcohol cues: Relationship to craving. Neuropsychopharmacology Official Publication of the American College of Neuropsychopharmacology, 29(2), 393.

    Article  CAS  PubMed  Google Scholar 

  • Pascoli, V., Terrier, J., Hiver, A., & Lüscher, C. (2015). Sufficiency of mesolimbic dopamine neuron stimulation for the progression to addiction. Neuron, 88(5), 1054–1066.

    Article  CAS  PubMed  Google Scholar 

  • Petry, N. M., & O'brien, C. P. (2013). Internet gaming disorder and the DSM-5. Addiction, 108(7), 1186–1187.

    Article  Google Scholar 

  • Schultz, W., Dayan, P., & Montague, P. R. (1997). A neural substrate of prediction and reward. Science, 275(5306), 1593–1599.

    Article  CAS  PubMed  Google Scholar 

  • Sutherland, M. T., McHugh, M. J., Pariyadath, V., & Stein, E. A. (2012). Resting state functional connectivity in addiction: Lessons learned and a road ahead. NeuroImage, 62(4), 2281–2295.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tomasi, D., & Volkow, N. D. (2012). Functional connectivity of substantia nigra and ventral tegmental area: Maturation during adolescence and effects of ADHD. Cerebral Cortex, 24(4), 935–944.

    Article  PubMed  Google Scholar 

  • Volkow, N. D., Chang, L., Wang, G.-J., Fowler, J. S., Ding, Y.-S., Sedler, M., et al. (2003). Low level of brain dopamine D2 receptors in methamphetamine abusers: Association with metabolism in the orbitofrontal cortex. Focus, 1(2), 150–157.

    Article  Google Scholar 

  • Volkow, N. D., Fowler, J. S., Wang, G. J., Hitzemann, R., Logan, J., Schlyer, D. J., et al. (1993). Decreased dopamine D2 receptor availability is associated with reduced frontal metabolism in cocaine abusers. Synapse, 14(2), 169–177.

    Article  CAS  PubMed  Google Scholar 

  • Volkow, N. D., Fowler, J. S., Wang, G. J., Telang, F., Logan, J., Jayne, M., et al. (2010). Cognitive control of drug craving inhibits brain reward regions in cocaine abusers. NeuroImage, 49(3), 2536–2543.

    Article  PubMed  Google Scholar 

  • Volkow, N. D., & Morales, M. (2015). The brain on drugs: From reward to addiction. Cell, 162(4), 712–725.

    Article  CAS  PubMed  Google Scholar 

  • Volkow, N. D., Wang, G.-J., Telang, F., Fowler, J. S., Logan, J., Jayne, M., et al. (2007). Profound decreases in dopamine release in striatum in detoxified alcoholics: Possible orbitofrontal involvement. Journal of Neuroscience, 27(46), 12700–12706.

    Article  CAS  PubMed  Google Scholar 

  • Volkow, N. D., Wang, G.-J., Telang, F., Fowler, J. S., Thanos, P. K., Logan, J., et al. (2008). Low dopamine striatal D2 receptors are associated with prefrontal metabolism in obese subjects: Possible contributing factors. NeuroImage, 42(4), 1537–1543.

    Article  PubMed  PubMed Central  Google Scholar 

  • Volkow, N. D., Wang, G. J., Fowler, J. S., Logan, J., Hitzemann, R., Ding, Y. S., et al. (1996). Decreases in dopamine receptors but not in dopamine transporters in alcoholics. Alcoholism: Clinical and Experimental Research, 20(9), 1594–1598.

    Article  CAS  Google Scholar 

  • Volkow, N. D., Wang, G. J., Fowler, J. S., & Tomasi, D. (2012). Addiction circuitry in the human brain. Annual Review of Pharmacology & Toxicology, 52(3), 321.

    Article  CAS  Google Scholar 

  • Volkow, N. D., Wang, G. J., Fowler, J. S., Tomasi, D., & Telang, F. (2011). Addiction: Beyond dopamine reward circuitry. Proceedings of the National Academy of Sciences of the United States of America, 108(37), 15037–15042.

    Article  PubMed  PubMed Central  Google Scholar 

  • Volkow, N. D., Wise, R. A., & Baler, R. (2017). The dopamine motive system: Implications for drug and food addiction. Nature Reviews Neuroscience, 18(12), 741.

    Article  CAS  PubMed  Google Scholar 

  • Weinstein, A., Livny, A., & Weizman, A. (2017). New developments in brain research of internet and gaming disorder. Neuroscience & Biobehavioral Reviews.

  • Wiers, C. E., Cabrera, E. A., Tomasi, D., Wong, C. T., Demiral, Ş. B., Kim, S. W., et al. (2017). Striatal dopamine D2/D3 receptor availability varies across smoking status. Neuropsychopharmacology, 42(12), 2325.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wise, R. A. (2004). Dopamine, learning and motivation. Nature Reviews Neuroscience, 5(6), 483.

    Article  CAS  PubMed  Google Scholar 

  • Wise, R. A. (2009). Roles for nigrostriatal—Not just mesocorticolimbic—Dopamine in reward and addiction. Trends in Neurosciences, 32(10), 517–524.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wise, R. A., & Rompre, P.-P. (1989). Brain dopamine and reward. Annual Review of Psychology, 40(1), 191–225.

    Article  CAS  PubMed  Google Scholar 

  • Xing, L., Yuan, K., Bi, Y., Yin, J., Cai, C., Feng, D., et al. (2014). Reduced fiber integrity and cognitive control in adolescents with internet gaming disorder. Brain Research, 1586, 109–117.

    Article  CAS  PubMed  Google Scholar 

  • Young, K. S. (1996). Psychology of computer use: XL. Addictive use of the internet: A case that breaks the stereotype. Psychological Reports, 79(3), 899–902.

    Article  CAS  Google Scholar 

  • Young, K. S. (1998). Internet addiction: The emergence of a new clinical disorder. Cyberpsychology & Behavior, 1(3), 237–244.

    Article  Google Scholar 

  • Yuan, K., Cheng, P., Dong, T., Bi, Y., Xing, L., Yu, D., et al. (2013a). Cortical thickness abnormalities in late adolescence with online gaming addiction. PLoS One, 8(1), e53055.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yuan, K., Jin, C., Cheng, P., Yang, X., Dong, T., Bi, Y., et al. (2013b). Amplitude of low frequency fluctuation abnormalities in adolescents with online gaming addiction. PLoS One, 8(11), e78708.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yuan, K., Qin, W., Wang, G., Zeng, F., Zhao, L., Yang, X., et al. (2011). Microstructure abnormalities in adolescents with internet addiction disorder. PLoS One, 6(6), e20708.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Yuan, K., Qin, W., Yu, D., Bi, Y., Xing, L., Jin, C., et al. (2016). Core brain networks interactions and cognitive control in internet gaming disorder individuals in late adolescence/early adulthood. Brain Structure and Function, 221(3), 1427–1442.

    Article  PubMed  Google Scholar 

  • Yuan, K., Yu, D., Bi, Y., Wang, R., Li, M., Zhang, Y., et al. (2017a). The left dorsolateral prefrontal cortex and caudate pathway: New evidence for cue-induced craving of smokers. Human Brain Mapping, 38(9), 4644–4656.

    Article  PubMed  Google Scholar 

  • Yuan, K., Yu, D., Cai, C., Feng, D., Li, Y., Bi, Y., et al. (2017b). Frontostriatal circuits, resting state functional connectivity and cognitive control in internet gaming disorder. Addiction Biology, 22(3), 813–822.

    Article  PubMed  Google Scholar 

  • Zastrow, M. (2017). News feature: Is video game addiction really an addiction? Proceedings of the National Academy of Sciences of the United States of America, 114(17), 4268.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang, J., Ma, S., Yip, S., Wang, L., Chen, C., Yan, C., et al. (2015). Decreased functional connectivity between ventral tegmental area and nucleus accumbens in internet gaming disorder: Evidence from resting state functional magnetic resonance imaging. Behavioral and Brain Functions, 11(1), 37.

    Article  CAS  PubMed  Google Scholar 

  • Zhang, S., Hu, S., Chao, H. H., & Li, C.-S. R. (2016). Resting-state functional connectivity of the locus coeruleus in humans: In comparison with the ventral tegmental area/substantia nigra pars compacta and the effects of age. Cerebral Cortex, 26(8), 3413–3427.

    Article  PubMed  Google Scholar 

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Acknowledgments

This work is supported by the National Natural Science Foundation of China under Grant Nos. 81571751, 81571753, 61771266, 81701780, the Fundamental Research Funds for the Central Universities under the Grant No. JB151204, the program for Young Talents of Science and Technology in Universities of Inner Mongolia Autonomous Region NJYT-17-B11, the Natural Science Foundation of Inner Mongolia under Grant No. 2017MS(LH)0814, the program of Science and Technology in Universities of Inner Mongolia Autonomous Region NJZY17262, the Innovation Fund Project of Inner Mongolia University of Science and Technology No. 2015QNGG03, National Natural Science Foundation of Shaanxi Province under Grant Nos. 2018JM7075, 2017JM6051.

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Correspondence to Kai Yuan.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The original version of this article was revised: 1.) Fig.2b, the 9 in the IAT axis of the correlation plot between VTA-right NAc RSFC and IAT should be 90; 2.) Fig.4d, the “right VTA-NAc mean FA” should be “right VTA-OFC mean FA”.

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Wang, R., Li, M., Zhao, M. et al. Internet gaming disorder: deficits in functional and structural connectivity in the ventral tegmental area-Accumbens pathway. Brain Imaging and Behavior 13, 1172–1181 (2019). https://doi.org/10.1007/s11682-018-9929-6

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