Dopamine Agonists and Pathologic Behaviors

The dopamine agonists ropinirole and pramipexole exhibit highly specific affinity for the cerebral dopamine D3 receptor. Use of these medications in Parkinson’s disease has been complicated by the emergence of pathologic behavioral patterns such as hypersexuality, pathologic gambling, excessive hobb...

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Main Authors: Brendan J. Kelley, Andrew P. Duker, Peter Chiu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2012/603631
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author Brendan J. Kelley
Andrew P. Duker
Peter Chiu
author_facet Brendan J. Kelley
Andrew P. Duker
Peter Chiu
author_sort Brendan J. Kelley
collection DOAJ
description The dopamine agonists ropinirole and pramipexole exhibit highly specific affinity for the cerebral dopamine D3 receptor. Use of these medications in Parkinson’s disease has been complicated by the emergence of pathologic behavioral patterns such as hypersexuality, pathologic gambling, excessive hobbying, and other circumscribed obsessive-compulsive disorders of impulse control in people having no history of such disorders. These behavioral changes typically remit following discontinuation of the medication, further demonstrating a causal relationship. Expression of the D3 receptor is particularly rich within the limbic system, where it plays an important role in modulating the physiologic and emotional experience of novelty, reward, and risk assessment. Converging neuroanatomical, physiological, and behavioral science data suggest the high D3 affinity of these medications as the basis for these behavioral changes. These observations suggest the D3 receptor as a therapeutic target for obsessive-compulsive disorder and substance abuse, and improved understanding of D3 receptor function may aid drug design of future atypical antipsychotics.
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spelling doaj-art-3e361ca77c6041639c104db73779c8ad2025-02-03T01:32:02ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/603631603631Dopamine Agonists and Pathologic BehaviorsBrendan J. Kelley0Andrew P. Duker1Peter Chiu2Departments of Neurology and Psychology, University of Cincinnati, Suite 2300, Cincinnati, OH 45267, USADepartments of Neurology and Psychology, University of Cincinnati, Suite 2300, Cincinnati, OH 45267, USADepartments of Neurology and Psychology, University of Cincinnati, Suite 2300, Cincinnati, OH 45267, USAThe dopamine agonists ropinirole and pramipexole exhibit highly specific affinity for the cerebral dopamine D3 receptor. Use of these medications in Parkinson’s disease has been complicated by the emergence of pathologic behavioral patterns such as hypersexuality, pathologic gambling, excessive hobbying, and other circumscribed obsessive-compulsive disorders of impulse control in people having no history of such disorders. These behavioral changes typically remit following discontinuation of the medication, further demonstrating a causal relationship. Expression of the D3 receptor is particularly rich within the limbic system, where it plays an important role in modulating the physiologic and emotional experience of novelty, reward, and risk assessment. Converging neuroanatomical, physiological, and behavioral science data suggest the high D3 affinity of these medications as the basis for these behavioral changes. These observations suggest the D3 receptor as a therapeutic target for obsessive-compulsive disorder and substance abuse, and improved understanding of D3 receptor function may aid drug design of future atypical antipsychotics.http://dx.doi.org/10.1155/2012/603631
spellingShingle Brendan J. Kelley
Andrew P. Duker
Peter Chiu
Dopamine Agonists and Pathologic Behaviors
Parkinson's Disease
title Dopamine Agonists and Pathologic Behaviors
title_full Dopamine Agonists and Pathologic Behaviors
title_fullStr Dopamine Agonists and Pathologic Behaviors
title_full_unstemmed Dopamine Agonists and Pathologic Behaviors
title_short Dopamine Agonists and Pathologic Behaviors
title_sort dopamine agonists and pathologic behaviors
url http://dx.doi.org/10.1155/2012/603631
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