Abstract
Reward-predicting cues motivate goal-directed behavior, but in unstable environments humans must also be able to flexibly update cue-reward associations. While the capacity of reward cues to trigger motivation (‘reactivity’) as well as flexibility in cue-reward associations have been linked to the neurotransmitter dopamine in humans, the specific contribution of the dopamine D1 receptor family to these behaviors remained elusive. To fill this gap, we conducted a randomized, placebo-controlled, double-blind pharmacological study testing the impact of three different doses of a novel D1 agonist (relative to placebo) on reactivity to reward-predicting cues (Pavlovian-to-instrumental transfer) and flexibility of cue-outcome associations (reversal learning). We observed that the impact of the D1 agonist crucially depended on baseline working memory functioning, which has been identified as a proxy for baseline dopamine synthesis capacity. Specifically, increasing D1 receptor stimulation strengthened Pavlovian-to-instrumental transfer in individuals with high baseline working memory capacity. In contrast, higher doses of the D1 agonist improved reversal learning only in individuals with low baseline working memory functioning. Our findings suggest a crucial and baseline-dependent role of D1 receptor activation in controlling both cue reactivity and the flexibility of cue-reward associations.
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Acknowledgements
We are grateful to Poppy Watson, Sanne de Wit and Roshan Cools for providing us with versions of the PIT and reversal learning tasks that we reprogrammed in Cogent. We are also thank Barbara Fischer and Ali Sigaroudi for support with the medical examinations, Susan Mahoney for clinical operations support, Sofie Carellis, Cecilia Etterlin, Alina Frick, Geraldine Gvozdanovic, Amalia Stüssi, Karl Treiber for expert help with data collection and Nadine Enseleit for study monitoring.
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AS, RK, NdM, WH, CJB, EF, AJ, and PNT designed research; AS and AJ performed research; AS analyzed data; AS and PNT wrote manuscript; all authors approved final version of manuscript.
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Soutschek, A., Kozak, R., de Martinis, N. et al. Activation of D1 receptors affects human reactivity and flexibility to valued cues. Neuropsychopharmacol. 45, 780–785 (2020). https://doi.org/10.1038/s41386-020-0617-z
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DOI: https://doi.org/10.1038/s41386-020-0617-z
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