TY - JOUR PY - 2018// TI - Central serotonin modulates neural responses to virtual violent actions in emotion regulation networks JO - Brain structure and function A1 - Wolf, Dhana A1 - Klasen, Martin A1 - Eisner, Patrick A1 - Zepf, Florian D. A1 - Zvyagintsev, Mikhail A1 - Palomero-Gallagher, Nicola A1 - Weber, Rene A1 - Eisert, Albrecht A1 - Mathiak, Klaus SP - 3327 EP - 3345 VL - 223 IS - 7 N2 - Disruptions in the cortico-limbic emotion regulation networks have been linked to depression, anxiety, impulsivity, and aggression. Altered transmission of the central nervous serotonin (5-HT) contributes to dysfunctions in the cognitive control of emotions. To date, studies relating to pharmaco-fMRI challenging of the 5-HT system have focused on emotion processing for facial expressions. We investigated effects of a single-dose selective 5-HT reuptake inhibitor (escitalopram) on emotion regulation during virtual violence. For this purpose, 38 male participants played a violent video game during fMRI scanning. The SSRI reduced neural responses to violent actions in right-hemispheric inferior frontal gyrus and medial prefrontal cortex encompassing the anterior cingulate cortex (ACC), but not to non-violent actions. Within the ACC, the drug effect differentiated areas with high inhibitory 5-HT1A receptor density (subgenual s25) from those with a lower density (pregenual p32, p24). This finding links functional responses during virtual violent actions with 5-HT neurotransmission in emotion regulation networks, underpinning the ecological validity of the 5-HT model in aggressive behavior. Available 5-HT receptor density data suggest that this SSRI effect is only observable when inhibitory and excitatory 5-HT receptors are balanced. The observed early functional changes may impact patient groups receiving SSRI treatment.

Language: en

LA - en SN - 1863-2653 UR - http://dx.doi.org/10.1007/s00429-018-1693-2 ID - ref1 ER -