Imaging and Genetic Investigation of Learning and Decision Making
Imaging and Genetic Investigation of Learning and Decision Making
Background:

 - Previous research has shown that dopamine, a brain chemical, is involved in decision
 making. Different genes influence how much dopamine people have in their brains and how that
 affects their behavior. Researchers will study if genes associated with dopamine affect
 decision making and impulsiveness. All participants will take tests; some will have brain
 images taken. Researchers will study the test responses and images; they will look for how
 differences in these genes affect different types of decision making.

 Objectives:

 - To see if genes involved in a brain chemical, dopamine, are related to impulsiveness on
 behavioral tests.

 Eligibility:

 - Healthy adults ages 18 to 55.

 Design:

 -  Participants will be screened with a medical history and physical exam.

 -  All participants in this study will have at least 1 outpatient visit to the NIH Clinical
 Center. Each visit will last 2 4 hours. At the first visit:

 -  A blood sample will be taken only from participants that have not been previously
 enrolled in 95-M-0150

 -  Participants will be given tests of their memory, attention, concentration, and
 thinking.

 -  Some participants will have a second visit. It will be scheduled as soon as possible
 after the first. At the second visit:

 -  Participants will have an MRI (magnetic resonance imaging). They will have to lie in a
 scanner for up to 2 hours. The MRI uses magnets, radio waves, and computers to produce
 detailed pictures of the brain.

 -  Participants will repeat the tests from the first visit. Some will be done during the
 MRI.
The objective of this study is to examine the effects of genetic variability in the dopamine
 signaling pathway on metric measures of impulsivity. Our hypothesis is that increased
 dopamine levels or conversion of dopamine to intracellular signals, brought about by specific
 variants of genes in this pathway, will increase impulsivity in our behavioral tasks. We will
 examine variability by recruiting up to 400 ethnically and racially diverse healthy adult
 male and female volunteers aged 18 to 55. We will carry out genotyping, behavioral testing
 and functional magnetic resonance imaging on this group. We will initially recruit a large
 pool of subjects for behavioral testing and genotyping. Behavioral tests will include various
 laboratory tasks related to impulsivity. We have recently developed a series of tasks that we
 have used in a group of Parkinson s patients with impulsive/compulsive behaviors (PD+ICBs).
 Several tasks have shown large group effects between Parkinson s patients with and without
 ICBs (PD +/- ICBs). We will focus on those tasks in the present study. Specific examples
 include information sampling tasks and measures of novelty preference. If genetic effects on
 behavior in the large sample are found, we will ask a subset of the original sample to return
 for fMRI testing. The subset will be selected to allow us to examine the neural circuits that
 operate differently as a function of genotype. In other words, they will be selected on the
 basis of their genotype. The outcome measure in this case will be differences in brain
 activity as a function of genotype, during performance of our behavioral task.
-  INCLUSION CRITERIA:

 Subjects will be eligible for this study if they:

 -  are between 18 and 55 years of age

 -  are in good physical health

 -  speak English well enough to understand task instructions clearly

 EXCLUSION CRITERIA:

 Subjects will not be eligible for this study if they:

 -  have a major medical (e.g. heart disease), neurological (e.g. stroke) or psychiatric
 (e.g. bipolar disorder) illness

 -  have a vision and/or hearing problem that interferes with testing

 -  currently use any psychotropic medication, antidepressants, steroids or opiates

 -  currently use alcohol in excess of 14 drinks/week for males or 7 drinks/week for
 females.

 -  have a lifetime history of or currently have alcohol or substance use or dependence
 (excluding nicotine) that requires independent, concurrent treatment intervention
 (such as, antabuse or opiate treatment). This does not include self-help group
 treatment/intervention.

 -  cannot understand the consent and procedures or cannot consent themselves to the study

 -  Smoke more than a half pack of cigarettes a day

 -  NIMH employees and staff and their immediate family members will be excluded from the
 study per NIMH policy.

 In addition to the above, additional exclusion criteria apply for all MRI studies:

 -  Female subjects who are pregnant or have a positive pregnancy test 24 hours prior to
 an experiment will be excluded from neuroimaging studies.

 -  All subjects will be questioned prior to MRI scanning for possible occupational
 exposure to metal slivers or shavings, which may have become accidentally lodged in
 the tissues of the head or neck. Subjects with surgical clips or shrapnel in or near
 the brain or blood vessels, subjects with cochlear implants, subjects with any
 metallic body in the eye or CNS, and subjects with any form of implant wire or metal
 device which may concentrate radiofrequency fields will be excluded from MRI scanning
 experiments because of possible risks during MRI scanning. Those whose history is
 suggestive of such a problem will also be excluded from the MRI portion of the
 experiments. They may still participate in the behavioral experiments.

 -  Subjects unable to lie flat on their back for up to 2 hours or who are uncomfortable
 in small close spaces (have claustrophobia) will not be eligible to participate in MRI
 scans.