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Caudate serotonin signaling during social exchange distinguishes essential tremor and Parkinson’s disease patients

Author

Listed:
  • Alec E. Hartle

    (Virginia Tech)

  • Kenneth T. Kishida

    (Wake Forest University
    Wake Forest University School of Medicine
    Wake Forest University School of Medicine)

  • L. Paul Sands

    (Virginia Tech)

  • Seth R. Batten

    (Virginia Tech)

  • Leonardo S. Barbosa

    (Virginia Tech)

  • Dan Bang

    (Virginia Tech
    Aarhus University)

  • Terry Lohrenz

    (Virginia Tech)

  • Jason P. White

    (Virginia Tech)

  • Arian K. Sohrabi

    (Wake Forest University School of Medicine)

  • Rebecca L. Calafiore

    (Wake Forest University School of Medicine)

  • Alexandra G. DiFeliceantonio

    (Virginia Tech
    Virginia Tech)

  • Adrian W. Laxton

    (Wake Forest University School of Medicine)

  • Stephen B. Tatter

    (Wake Forest University School of Medicine)

  • Mark R. Witcher

    (Virginia Tech
    Virginia Tech Carilion School of Medicine)

  • P. Read Montague

    (Virginia Tech
    Virginia Tech
    University College London)

  • W. Matt Howe

    (Virginia Tech)

Abstract

Dynamic changes in dopamine, noradrenaline, and serotonin release are believed to causally contribute to the neural computations that support reward-based decision making. Accordingly, changes in signaling by these systems are hypothesized to underwrite multiple cognitive and behavioral symptoms observed in many neurological disorders. Here, we characterize the release of these neurotransmitters measured concurrently in the caudate of patients with Parkinson’s disease or essential tremor undergoing deep brain stimulation surgery as they played a social exchange game. We show that violations in the expected value of monetary offers are encoded by opponent patterns of dopamine and serotonin release in essential tremor, but not Parkinson’s disease, patients. We also demonstrate that these changes in serotonin signaling comprise a neurochemical boundary that subsegments these two neuromotor diseases. Our combined results point to a neural signature of altered reward processing that can be used to understand the signaling deficiencies that underwrite these diseases.

Suggested Citation

  • Alec E. Hartle & Kenneth T. Kishida & L. Paul Sands & Seth R. Batten & Leonardo S. Barbosa & Dan Bang & Terry Lohrenz & Jason P. White & Arian K. Sohrabi & Rebecca L. Calafiore & Alexandra G. DiFelice, 2025. "Caudate serotonin signaling during social exchange distinguishes essential tremor and Parkinson’s disease patients," Nature Communications, Nature, vol. 16(1), pages 1-10, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-63079-w
    DOI: 10.1038/s41467-025-63079-w
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    References listed on IDEAS

    as
    1. Paul E. M. Phillips & Garret D. Stuber & Michael L. A. V. Heien & R. Mark Wightman & Regina M. Carelli, 2003. "Subsecond dopamine release promotes cocaine seeking," Nature, Nature, vol. 422(6932), pages 614-618, April.
    2. Daniel F. Cardozo Pinto & Matthew B. Pomrenze & Michaela Y. Guo & Gavin C. Touponse & Allen P. F. Chen & Brandon S. Bentzley & Neir Eshel & Robert C. Malenka, 2025. "Opponent control of reinforcement by striatal dopamine and serotonin," Nature, Nature, vol. 639(8053), pages 143-152, March.
    3. Paul E. M. Phillips & Garret D. Stuber & Michael L. A. V. Heien & R. Mark Wightman & Regina M. Carelli, 2003. "Erratum: Subsecond dopamine release promotes cocaine seeking," Nature, Nature, vol. 423(6938), pages 461-461, May.
    4. Seth R. Batten & Dan Bang & Brian H. Kopell & Arianna N. Davis & Matthew Heflin & Qixiu Fu & Ofer Perl & Kimia Ziafat & Alice Hashemi & Ignacio Saez & Leonardo S. Barbosa & Thomas Twomey & Terry Lohre, 2024. "Dopamine and serotonin in human substantia nigra track social context and value signals during economic exchange," Nature Human Behaviour, Nature, vol. 8(4), pages 718-728, April.
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