Functional Connectivity of Substantia Nigra and Ventral Tegmental Area: Maturation During Adolescence and Effects of ADHD

Cerebral Cortex, Apr 2014

Dopaminergic (DArgic) pathways play crucial roles in brain function and their disruption is implicated in various neuropsychiatric diseases. Here, we demonstrate in 402 healthy children/adolescents (12 ± 3 years) and 704 healthy young adults (23 ± 5 years) that the functional connectivity of DA pathways matures significantly from childhood to adulthood and is different for healthy children and children with attention-deficit/hyperactivity disorder (ADHD; N = 203; 12 ± 3 years). This transition is characterized by age-related increases in the functional connectivity of the ventral tegmental area (VTA) with limbic regions and with the default mode network and by decreases in the connectivity of the substantia nigra (SN) with motor and medial temporal cortices. The changes from a predominant influence of SN in childhood/adolescence to a combined influence of SN and VTA in young adulthood might explain the increased vulnerability to psychiatric disorders, such as ADHD, early in life. We also show that VTA and SN connectivity networks were highly reproducible, which highlights their potential value as biomarkers for evaluating DArgic dysfunction in neuropsychiatric disorders.

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Functional Connectivity of Substantia Nigra and Ventral Tegmental Area: Maturation During Adolescence and Effects of ADHD

Cerebral Cortex April 2014;24:935–944 doi:10.1093/cercor/bhs382 Advance Access publication December 12, 2012 Functional Connectivity of Substantia Nigra and Ventral Tegmental Area: Maturation During Adolescence and Effects of ADHD Dardo Tomasi1,2 and Nora D. Volkow1,2,3 1 National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, USA, 2Medical Department, Laboratory of Neuroimaging (LNI/NIAAA), Brookhaven National Laboratory, Upton, NY 11973, USA and 3National Institute on Drug Abuse, Bethesda, MD 20892, USA Address correspondence to Dardo Tomasi, PhD, Medical Department, Laboratory of Neuroimaging (LNI/NIAAA), Bldg 490, Brookhaven National Laboratory, 30 Bell Ave., Upton, NY 11973, USA. Email: Keywords: addiction, attention-deficit/hyperactivity disorder, connectivity, dopamine, maturation Introduction The transition from childhood into adolescence is characterized by a dramatic increase in risk-taking behaviors (Steinberg 2008) and the emergence of various psychiatric disorders (Paus et al. 2008). Developmental changes in brain dopamine (DA) networks are likely contributing factors since they modulate both risk-taking behaviors and some of the neuropsychiatric disorders such as attention-deficit/hyperactivity disorder (ADHD), schizophrenia, and addiction (Lewis 1997; Volkow et al. 2009). Whereas aging is associated with a significant decline in markers of DA neurotransmission in the human brain (receptors, transporters, and DA synthesis), most of the studies focused on adult subjects whether from imaging (Volkow et al. 2000) or from postmortem brains (Scherman et al. 1989), and few studies have assessed the effect of age in the transition from childhood to adulthood. Nevertheless, there is evidence of an age-related decrease in cortical DA D1 receptors in adolescence (Jucaite et al. 2010), of abnormalities in markers of DA neurotransmission (Swanson et al. 2000), and of functional connectivity in limbic DA pathways in adolescents with ADHD (Tomasi and Volkow 2012a). However, our knowledge regarding the maturation of DA pathways in the Published by Oxford University Press 2012. human brain from childhood into adulthood is still very limited. Studies that combined resting-state functional connectivity (RSFC), a technique based on spontaneous brain activity captured during brief (3–6 min) magnetic resonance imaging (MRI) scanning that is extensively used to evaluate functional coupling between brain regions, with positron emission tomography (PET), a technique that allows to measure molecular targets involved in DA signaling, have corroborated a role of DA in brain functional connectivity across striatocortical pathways (Kelly et al. 2009; Cole et al. 2011; Rieckmann et al. 2011). Recent studies have shown that RSFC can predict individuals’ brain maturity across development (Dosenbach et al. 2010) and that RSFC is sensitive to aging effects during adulthood (Tomasi and Volkow 2011a). The functional connectivity of striatocortical pathways was recently reported using RSFC (Di Martino et al. 2008), but the connectivity patterns of DA midbrain nuclei have not been mapped nor have the effects of development on DArgic networks been evaluated in the human brain. Here, we aimed to evaluate the maturation of functional connectivity of the ventral tegmental area (VTA; midbrain DA neurons that give rise to the mesocorticolimbic pathway) and the substantia nigra (SN; midbrain DA neurons that give rise to the nigrostriatal pathway) using RSFC datasets from typically developing healthy children (TDC) and healthy adults. We hypothesized that the VTA would show functional connectivity with the ventral striatum (including nucleus accumbens, NAc) and limbic (amygdala and hippocampus) and prefrontal regions and that the SN would show connectivity with dorsal striatum (caudate and putamen) and motor cortex. We further hypothesized that RSFC patterns with VTA and SN would be highly reproducible across research institutions and that their strength in childhood would differ from those in young adulthood. To assess the sensitivity of these pathways to disruption by developmental psychiatric disorders, we also evaluated the RSFC of VTA and SN in ADHD children. We expected more accentuated RSFC differences between ADHD children and young adults than those observed for TDC. Materials and Methods Datasets A total of 1420 “resting-state” functional scans that corresponded to 714 healthy young adults (321 males and 393 females; age = 23 ± 5; mean ± SD) from 15 research sites of the 1000 functional connectomes project (FCP) (http://www.nitrc.org/projects/fcon_1000/; research Dopaminergic (DArgic) pathways play crucial roles in brain function and their disruption is implicated in various neuropsychiatric diseases. Here, we demonstrate in 402 healthy children/adolescents (12 ± 3 years) and 704 healthy young adults (23 ± 5 years) that the functional connectivity of DA pathways matures significantly from childhood to adulthood and is different for healthy children and children with attention-deficit/hyperactivity disorder (ADHD; N = 203; 12 ± 3 years). This transition is characterized by age-related increases in the functional connectivity of the ventral tegmental area (VTA) with limbic regions and with the default mode network and by decreases in the connectivity of the substantia nigra (SN) with motor and medial temporal cortices. The changes from a predominant influence of SN in childhood/adolescence to a combined influence of SN and VTA in young adulthood might explain the increased vulnerability to psychiatric disorders, such as ADHD, early in life. We also show that VTA and SN connectivity networks were highly reproducible, which highlights their potential value as biomarkers for evaluating DArgic dysfunction in neuropsychiatric disorders. Table 1 Demographic data and imaging parameters for all 714 healthy subjects from the 1000 FCP image repository (321 males, M and 393 females, F), 459 TDC (244 males and 215 females), and 247 children with ADHD (197 males and 50 females) from the ADHD-200 image repository Dataset Males Females Age B (T) Tp TR (s) 19 8 20 75 13 75 22 16 17 9 8 12 2 11 14 2 15 0 122 13 123 8 21 18 10 12 10 15 7 17 15–41 20–40 19–38 18–26 23–44 18–30 20–27 20–42 20–32 21–39 18–46 20–35 22–46 21–34 21–29 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 3.0 295 127 265 225 195 119 215 195 145 135 175 175 235 190 127 2.0 2.5 2.0 2.0 2.3 3.0 2.2 2.3 2.0 2.0 2.0 2.0 2.0 2.1 2.5 34 45 17 71 45 32 27 51 25 45 40 27 8–13 7–18 7–12 8–15 10–20 7–22 3.0 3.0 3.0 3.0 3.0 3.0 124 176 78 195 200 135 2.5 2.0 2.5 2.5 1.5 2.5 10 92 24 71 12 23 10 5 8–13 7–18 7–12 8–15 3.0 3.0 3.0 3.0 124 176 78 195 2.5 2.0 2.5 2.5 B: magnetic field strength; Tp: number of imaging time points; TR: MRI repetition time. sites that included 46 years/older participants were excluded from the study) and 459 TDC (244 males and 215 females; age = 12 ± 3), and 247 ADHD children ( (...truncated)


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Dardo Tomasi, Nora D. Volkow. Functional Connectivity of Substantia Nigra and Ventral Tegmental Area: Maturation During Adolescence and Effects of ADHD, Cerebral Cortex, 2014, pp. 935-944, 24/4, DOI: 10.1093/cercor/bhs382