Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.

RATIONALE: Opioid antagonism reduces the consumption of palatable foods in humans but the neural substrates implicated in these effects are less well understood. OBJECTIVES: The aim of the present study was to examine the effects of the opioid antagonist, naltrexone, on neural response to rewarding...

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Main Authors: Murray, E, Brouwer, S, McCutcheon, R, Harmer, C, Cowen, P, McCabe, C
Format: Journal article
Language:English
Published: Springer Verlag 2014
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author Murray, E
Brouwer, S
McCutcheon, R
Harmer, C
Cowen, P
McCabe, C
author_facet Murray, E
Brouwer, S
McCutcheon, R
Harmer, C
Cowen, P
McCabe, C
author_sort Murray, E
collection OXFORD
description RATIONALE: Opioid antagonism reduces the consumption of palatable foods in humans but the neural substrates implicated in these effects are less well understood. OBJECTIVES: The aim of the present study was to examine the effects of the opioid antagonist, naltrexone, on neural response to rewarding and aversive sight and taste stimuli. METHODS: We used functional magnetic resonance imaging (fMRI) to examine the neural responses to the sight and taste of pleasant (chocolate) and aversive (mouldy strawberry) stimuli in 20 healthy volunteers who received a single oral dose of naltrexone (50 mg) and placebo in a double-blind, repeated-measures cross-over, design. RESULTS: Relative to placebo, naltrexone decreased reward activation to chocolate in the dorsal anterior cingulate cortex and caudate, and increased aversive-related activation to unpleasant strawberry in the amygdala and anterior insula. CONCLUSIONS: These findings suggest that modulation of key brain areas involved in reward processing, cognitive control and habit formation such as the dorsal anterior cingulate cortex (dACC) and caudate might underlie reduction in food intake with opioid antagonism. Furthermore we show for the first time that naltrexone can increase activations related to aversive food stimuli. These results support further investigation of opioid treatments in obesity.
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spelling oxford-uuid:c4d0f34a-e827-4933-b174-84b47692c9012022-03-27T06:26:25ZOpposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c4d0f34a-e827-4933-b174-84b47692c901EnglishSymplectic Elements at OxfordSpringer Verlag2014Murray, EBrouwer, SMcCutcheon, RHarmer, CCowen, PMcCabe, CRATIONALE: Opioid antagonism reduces the consumption of palatable foods in humans but the neural substrates implicated in these effects are less well understood. OBJECTIVES: The aim of the present study was to examine the effects of the opioid antagonist, naltrexone, on neural response to rewarding and aversive sight and taste stimuli. METHODS: We used functional magnetic resonance imaging (fMRI) to examine the neural responses to the sight and taste of pleasant (chocolate) and aversive (mouldy strawberry) stimuli in 20 healthy volunteers who received a single oral dose of naltrexone (50 mg) and placebo in a double-blind, repeated-measures cross-over, design. RESULTS: Relative to placebo, naltrexone decreased reward activation to chocolate in the dorsal anterior cingulate cortex and caudate, and increased aversive-related activation to unpleasant strawberry in the amygdala and anterior insula. CONCLUSIONS: These findings suggest that modulation of key brain areas involved in reward processing, cognitive control and habit formation such as the dorsal anterior cingulate cortex (dACC) and caudate might underlie reduction in food intake with opioid antagonism. Furthermore we show for the first time that naltrexone can increase activations related to aversive food stimuli. These results support further investigation of opioid treatments in obesity.
spellingShingle Murray, E
Brouwer, S
McCutcheon, R
Harmer, C
Cowen, P
McCabe, C
Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title_full Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title_fullStr Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title_full_unstemmed Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title_short Opposing neural effects of naltrexone on food reward and aversion: implications for the treatment of obesity.
title_sort opposing neural effects of naltrexone on food reward and aversion implications for the treatment of obesity
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