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Motor cortex dysfunction in problem gamblers.

Nahian S Chowdhury1, Evan J Livesey1, Alex Blaszczynski1

  • 1School of Psychology, The University of Sydney, Camperdown, New South Wales, Australia.

Addiction Biology
|January 14, 2020
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Summary
This summary is machine-generated.

Problem gambling is linked to altered brain neurotransmission, specifically weaker GABAA receptor activity and higher glutamate receptor activity in the primary motor cortex (M1). Poorer response inhibition correlated with reduced M1 GABAA activity.

Keywords:
GABAglutamateimpulsivityproblem gamblingresponse inhibitiontranscranial magnetic stimulation

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Neurophysiology

Background:

  • Gambling psychopathology is associated with impaired response inhibition.
  • Neural mechanisms, including GABAA-mediated neurotransmission in the primary motor cortex (M1), may underlie these impairments.

Purpose of the Study:

  • To investigate GABAA and glutamate receptor activity in the M1 of problem gamblers, at-risk gamblers, and controls.
  • To examine the relationship between M1 neurotransmission markers and response inhibition.

Main Methods:

  • Used paired-pulse transcranial magnetic stimulation to assess GABAA and glutamate receptor activity in the left M1.
  • Administered the stop signal task to measure response inhibition.
  • Matched participants for alcohol use, substance use, and ADHD symptomology.

Main Results:

  • Problem gamblers exhibited reduced M1 GABAA receptor activity compared to controls.
  • Problem gamblers showed elevated M1 glutamate receptor activity compared to at-risk gamblers and controls.
  • Poorer response inhibition was correlated with weaker M1 GABAA receptor activity, despite no group differences in task performance.

Conclusions:

  • Problem gambling is associated with neurophysiological alterations in M1 GABAA and glutamate neurotransmission.
  • These findings suggest a potential neural basis for response inhibition deficits in gambling disorder.