A1 Refereed original research article in a scientific journal

Expectation of caffeine induces dopaminergic responses in humans




AuthorsKaasinen V, Aalto S, Nagren K, Rinne JO

PublisherBLACKWELL PUBLISHING LTD

Publication year2004

JournalEuropean Journal of Neuroscience

Journal name in sourceEUROPEAN JOURNAL OF NEUROSCIENCE

Journal acronymEUR J NEUROSCI

Volume19

Issue8

First page 2352

Last page2356

Number of pages5

ISSN0953-816X

DOIhttps://doi.org/10.1111/j.1460-9568.2004.03310.x


Abstract
Recent neuroimaging studies indicate that placebo treatments can induce clinically relevant neurobiological responses in patients with Parkinson's disease, depression and pain. The present study aimed to investigate neurotransmitter function in psychostimulant expectation, with the focus on dopaminergic effects of placebo caffeine in healthy human subjects, Eight habitual coffee drinkers were examined twice with [C-11]raclopride positron emission tomography after no treatment and after oral placebo tablets in a counterbalanced setting. During the placebo condition the subjects were instructed that they had a 50% chance of receiving caffeine, but all received placebo. As compared with no treatment, placebo induced a significant bilateral dopamine release in the thalamus, as reflected by a 15% reduction in thalamic [C-11]raclopride binding (P < 0.001). The level of arousal after placebo correlated positively with the tracer binding in the putamen (r = -0.91, P = 0.004). The results indicate that caffeine expectation induces dopaminergic placebo effects, and that these effects are similar to previous findings with oral caffeine. The results therefore suggest that caffeine and placebo caffeine may share some dopaminergic mechanisms of action.



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