Evidence map›Paper›PMID 22262882›Full record

Trial reportThe Journal of neuroscience : the official journal of the Society for Neuroscience2012

Methylphenidate-elicited dopamine increases in ventral striatum are associated with long-term symptom improvement in adults with attention deficit hyperactivity disorder.

Nora D Volkow, Gene-Jack Wang, Dardo Tomasi, Scott H Kollins, Tim L Wigal, Jeffrey H Newcorn, Frank W Telang, Joanna S Fowler, Jean Logan, Christopher T Wong and 1 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02148783 (Dopamine Receptor Imaging to Predict Response to Stimulant Therapy in Chronic TBI), which is not on this map. Cited by 115 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 5 pooled it
13.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02148783 phase2terminatednot on this mapstarted 2014, after this paper: background citation

Dopamine Receptor Imaging to Predict Response to Stimulant Therapy in Chronic TBI

TypeinterventionalSponsorUniformed Services University of the Health SciencesRan2014 to 2018Enrolled11ConditionsTraumatic Brain InjuryArmsmethylphenidate, Placebo
3 · Its place in the literature

Who cites it

115 citing papers in PubMed, 5 syntheses or guidelines pooled it, 238 citations in OpenAlex.

  1. Pooled it
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  7. Pharmacological Manipulations of Physiological Arousal and Sleep-Like Slow Waves Modulate Sustained Attention.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2022
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  11. Striatal Activation Predicts Differential Therapeutic Responses to Methylphenidate and Atomoxetine.Journal of the American Academy of Child and Adolescent Psychiatry · 2017
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  15. Working memory capacity predicts effects of methylphenidate on reversal learning.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2013
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55 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Nora D VolkowNational Institute on Drug Abuse, Bethesda, Maryland 20892, USA. nvolkow@nida.nih.gov
Gene-Jack Wang
Dardo Tomasi
Scott H Kollins
Tim L Wigal
Jeffrey H Newcorn
Frank W Telang
Joanna S Fowler
Jean Logan
Christopher T Wong
James M Swanson
Brookhaven National Laboratory · USNational Institute on Alcohol Abuse and Alcoholism · USDuke University · USMount Sinai Medical Center · USNational Institute on Drug Abuse · USUniversity of California, Irvine · US

Funding

Neurobiology of Substance Abuse and AddictionZIAAA000550 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI VOLKOW, NORA D. · 2009 to 2025
$115.1M
Brain Dopamine Function in Adults with ADHDR01MH066961 · NIMH · BROOKHAVEN SCIENCE ASSOC-BROOKHAVEN LAB · PI WANG, GENE-JACK · 2003 to 2007
$2.0M
Smoking/Nicotine Dependence in Attention Deficit Hyperactivity Disorder (ADHD)K24DA023464 · NIDA · DUKE UNIVERSITY · PI KOLLINS, SCOTT H · 2008 to 2018
$1.5M
Intramural NIH HHSNIDA NIH HHS K24 DA023464NIMH NIH HHS R01 MH066961NIMH NIH HHS R01MH66961
6 · The paper itself

Abstract

Stimulant medications, such as methylphenidate, which are effective treatments for attention deficit hyperactivity disorder (ADHD), enhance brain dopamine signaling. However, the relationship between regional brain dopamine enhancement and treatment response has not been evaluated. Here, we assessed whether the dopamine increases elicited by methylphenidate are associated with long-term clinical response. We used a prospective design to study 20 treatment-naive adults with ADHD who were evaluated before treatment initiation and after 12 months of clinical treatment with a titrated regimen of oral methylphenidate. Methylphenidate-induced dopamine changes were evaluated with positron emission tomography and [(11)C]raclopride (D(2)/D(3) receptor radioligand sensitive to competition with endogenous dopamine). Clinical responses were assessed using the Conners' Adult ADHD Rating Scale and revealed a significant reduction in symptoms of inattention and hyperactivity with long-term methylphenidate treatment. A challenge dose of 0.5 mg/kg intravenous methylphenidate significantly increased dopamine in striatum (assessed as decreases in D(2)/D(3) receptor availability). In the ventral striatum, these dopamine increases were associated with the reductions in ratings of symptoms of inattention with clinical treatment. Statistical parametric mapping additionally showed dopamine increases in prefrontal and temporal cortices with intravenous methylphenidate that were also associated with decreases in symptoms of inattention. Our findings indicate that dopamine enhancement in ventral striatum (the brain region involved with reward and motivation) was associated with therapeutic response to methylphenidate, further corroborating the relevance of the dopamine reward/motivation circuitry in ADHD. It also provides preliminary evidence that methylphenidate-elicited dopamine increases in prefrontal and temporal cortices may also contribute to the clinical response.

Indexed as

AdultAntipsychotic AgentsAttention Deficit Disorder with HyperactivityBasal GangliaBrain MappingCentral Nervous System StimulantsDopamineFemaleFollow-Up StudiesHumansMaleMethylphenidatePositron-Emission TomographyProtein BindingPsychiatric Status Rating ScalesRacloprideAntipsychotic AgentsCentral Nervous System StimulantsDopamineMethylphenidateRacloprideReceptors, Dopamine

Identifiers

PMID22262882
PMCPMC3350870
OpenAlexW2072626594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.