Dopaime Pathways
Dopamine pathway is a kind of neural connections (a neural pathway) which is mediated by the neurotransmitter dopamine. In other words, The dopamine pathway is a critical neural pathway in the brain that involves the transmission of the neurotransmitter dopamine from one region of the brain to another.
A nervous system (e.g, our brain) is not a bunch of functional bricks mechanically sticking together. There are huge numbers of interconnections from one part to another part. Through those interconnection (synapses), the nerve signal traverse from a neuroto next neuron. When multiple neurons are connected together and form a pathway (or circuit) to perform a specific function, we call it a neural pathway. Dopamine pathway is a type of this neural pathways. The major neurotransmitters
in the synapse along the pathway is dompamine. That's why it is called a dompamine pathway. Of course, there are so many different types of neural pathways mediated by different types of neurotransmitters and have different names. In this note, I would mostly focus on domapine pathway.
There are multiple dopamine pathways (4 or 5 well known pathways) which are involved in functions as follows.
- executive thinking / decision making
- cognition
- feelings of reward and pleasure
- voluntary motor movements
I personally interested in 'reward and pleasure' part and that is why I decided to write a note for domapine pathway. However, 'reward and pleasure' is only one of several pathways mediated by dopamine and you may have different interest on your own. Well known dopamine pathways are illustrated as below.

The mesolimbic dopamine pathway is a neural circuit that originates in the midbrain and projects to various regions of the brain, including the nucleus accumbens, the olfactory tubercle, and the prefrontal cortex. This pathway is known to play a key role in reward processing and is activated when animals (including humans) experience pleasurable or rewarding stimuli, such as food, sex, or drugs of abuse. Activation of this pathway leads to the release of dopamine in the nucleus accumbens, which
is thought to contribute to the pleasurable or rewarding effects of these stimuli.
The mesolimbic dopamine pathway is also thought to play a role in various psychiatric and neurological disorders, such as addiction, schizophrenia, and Parkinson's disease. For example, drugs of abuse are known to increase dopamine release in the nucleus accumbens and other regions of the mesolimbic pathway, which is thought to contribute to their addictive properties. Additionally, dysfunction or abnormal activity in this pathway has been implicated in the positive symptoms of schizophrenia,
such as hallucinations and delusions, as well as in the negative symptoms, such as apathy and lack of motivation.
The characteristics of this pathway
- Function :pleasure and reward
- Path : From ventral tegmental area (VTA) to nucleus accumbens (NAc).
- NAc mediates feelings of pleasure and reward
- Triggers : Any kinds of rewarding / pleasure stimuli e.g, food, sex, drugs, etc
- Stimulation of the NAc is important for maintaining our day-to-day activity. However, over-stimulation can lead to cravings for the item that stimulated the NAc.
Conditions that may cause problems in this pathway :
- Addiction. Drugs of abuse, such as opioids, cocaine, and amphetamines, are known to increase dopamine release in the nucleus accumbens and other regions of the mesolimbic pathway, which is thought to contribute to their addictive properties. This increase in dopamine release leads to a reinforcement of drug-seeking behavior and an overall change in the reward system of the brain, making it more difficult to quit the drug.
- Schizophrenia. Dysfunction in this pathway has been implicated in the positive symptoms of schizophrenia, such as hallucinations and delusions, as well as in the negative symptoms, such as apathy and lack of motivation. Some of the antipsychotic drugs used to treat schizophrenia are thought to work by blocking dopamine receptors in the mesolimbic pathway.
- Depression. Depression is related to the reward system, and depression is characterized by anhedonia, a loss of pleasure, which is thought to be linked to dysfunction in this pathway.
- Parkinson's disease, Parkinson's disease is a neurodegenerative disorder characterized by tremors, stiffness, and difficulty initiating movement, also related to the mesolimbic dopamine pathway as the degeneration of dopamine neurons in the substantia nigra, a brainstem area, leads to a reduction of dopamine levels in the mesolimbic pathway, which results in cognitive and emotional impairments.
The mesocortical dopamine pathway is a neural circuit that originates in the midbrain and projects to various regions of the brain, including the prefrontal cortex, the anterior cingulate cortex, and the hippocampus. This pathway is known to play a role in cognitive and emotional processing, and is thought to be involved in a wide range of behaviors and functions, such as attention, working memory, decision-making, and emotion regulation.
Like the mesolimbic dopamine pathway, the mesocortical pathway is thought to be involved in various psychiatric and neurological disorders. For example, dysfunction or abnormal activity in this pathway has been implicated in the negative symptoms of schizophrenia, such as apathy and lack of motivation, as well as in the cognitive symptoms, such as working memory deficits and attentional impairments. Additionally, the mesocortical pathway is thought to be involved in the development of addiction,
as drug-induced changes in dopamine activity in this pathway are thought to contribute to the compulsive drug-seeking behavior seen in addiction.
It is also thought to play a role in Parkinson's disease, as the degeneration of dopamine neurons in the substantia nigra, a brainstem area, leads to a reduction of dopamine levels in the mesocortical pathway and other dopamine pathways, which results in cognitive and emotional impairments.
The characteristics of this pathway
- Function : cognition, working memory, and decision making
- Path : From ventral tegmental area (VTA) to nareas in the prefrontal cortex (PFC).
- when you have problem (dysfunction) in this path, you may experience poor concentration and the inability to make decisions
Conditions that may cause problems in this pathway :
- Schizophrenia. Dysfunction or abnormal activity in this pathway has been implicated in the negative symptoms of schizophrenia, such as apathy and lack of motivation, as well as in the cognitive symptoms, such as working memory deficits and attentional impairments. Antipsychotic drugs, which are used to treat schizophrenia, are thought to work by blocking dopamine receptors in the mesocortical pathway.
- Addiction. The mesocortical pathway is thought to be involved in the development of addiction, as drug-induced changes in dopamine activity in this pathway are thought to contribute to the compulsive drug-seeking behavior seen in addiction.
- Depression. Depression is also related to the mesocortical dopamine pathway, as it is related to the regulation of emotion and cognition, and depression is characterized by anhedonia, a loss of pleasure, which is thought to be linked to dysfunction in this pathway.
- Parkinson's disease. Parkinson's disease is a neurodegenerative disorder characterized by tremors, stiffness, and difficulty initiating movement, also related to the mesocortical dopamine pathway as the degeneration of dopamine neurons in the substantia nigra, a brainstem area, leads to a reduction of dopamine levels in the mesocortical pathway and other dopamine pathways, which results in cognitive and emotional impairments.
The nigrostriatal dopamine pathway is a neural circuit that originates in the substantia nigra, a brainstem area, and projects to the striatum, a subcortical brain region that is involved in motor control, reward and learning. The main role of the nigrostriatal dopamine pathway is to control movement, specifically the initiation and execution of voluntary movements.
The substantia nigra, which is located in the midbrain, contains dopamine-producing neurons that project to the striatum. These neurons release dopamine into the striatum, which then binds to dopamine receptors on the neurons there. This binding of dopamine to the receptors leads to changes in the activity of the neurons in the striatum, which in turn leads to changes in movement.
Damage to the dopamine neurons of the substantia nigra is a primary cause of Parkinson's disease, a progressive disorder of the nervous system characterized by tremors, stiffness and difficulty in initiating movement. Parkinson's disease is caused by the degeneration or death of dopamine-producing neurons in the substantia nigra, which leads to a reduction in dopamine levels in the striatum and other dopamine pathways. This results in a loss of dopamine-mediated control of movement, leading
to the motor symptoms of the disease.
The characteristics of this pathway
- Function : motor planning
- Path : From the substantia nigra to the caudate and putamen, parts of the basal ganglia..
- this pathway stimulate purposeful movement. Reduced numbers of dopamine neurons in this pathway is a major aspect of motor control impairmen
- This pathway contains around 80% of dopamine in the brain.
Conditions that may cause problems in this pathway :
- Parkinson's disease . Parkinson's disease is a progressive disorder of the nervous system characterized by tremors, stiffness and difficulty in initiating movement. Parkinson's disease is caused by the degeneration or death of dopamine-producing neurons in the substantia nigra which leads to a reduction in dopamine levels in the striatum and other dopamine pathways. This results in a loss of dopamine-mediated control of movement, leading to the motor symptoms of the disease.
- Parkinsonian-plus syndromes . Parkinsonian-plus syndromes are a group of disorders characterized by Parkinsonism symptoms and additional symptoms such as dementia, ataxia, or dystonia.
- Drug-induced Parkinsonism . Drug-induced Parkinsonism is a side effect of drugs, such as antipsychotics, metoclopramide, and prochlorperazine.
- Wilson's disease (a Genetic disorder) . Wilson's disease is a rare inherited disorder that causes an accumulation of copper in the liver, brain, and other vital organs
- Huntington's disease(a Genetic disorder) . Huntington's disease is a genetic disorder that causes the progressive breakdown of nerve cells in the brain
The tuberoinfundibular dopamine pathway (TIDA) is a neural circuit that originates in the hypothalamus and projects to the pituitary gland. This pathway is known to play a role in the regulation of hormone release, specifically the control of prolactin secretion from the pituitary gland.
Prolactin is a hormone that stimulates milk production in women and plays a role in other physiological processes such as the regulation of the menstrual cycle, immune system and growth. The release of prolactin from the pituitary gland is controlled by a delicate balance between the stimulating effect of hypothalamic hormones like thyrotropin-releasing hormone (TRH) and the inhibitory effect of dopamine, which is secreted by the TIDA pathway.
Dopamine released by the TIDA pathway acts on dopamine D2 receptors in the pituitary gland to inhibit prolactin release. This is why drugs that increase dopamine activity in the TIDA pathway, such as dopamine agonists, are often used to treat hyperprolactinemia, a condition characterized by high prolactin levels and associated with symptoms such as infertility, galactorrhea (breast milk production) and menstrual irregularities.
The characteristics of this pathway
- Function :inhibit prolactin release
- Path : From arcuate and periventricular nuclei of the hypothalamus to the infundibular region of the hypothalamus, specifically the median eminence
- Prolactin is a protein secreted by the pituitary gland that enables milk production and has important functions in metabolism, sexual satisfaction and the immune system.
Conditions that may cause problems in this pathway :
- Hyperprolactinemia. Hyperprolactinemia is a condition characterized by high prolactin levels and associated with symptoms such as infertility, galactorrhea (breast milk production) and menstrual irregularities. Hyperprolactinemia can be caused by dysfunction or abnormal activity in the TIDA pathway, such as low dopamine levels, which can be caused by a variety of factors such as pituitary tumors, medications and some medical conditions.
- Pituitary tumors. Specifically prolactinomas, benign tumors that produce prolactin and that affect the TIDA pathway.
- Drug-induced hyperprolactinemia , This is caused by drugs that block the activity of dopamine in the TIDA pathway, such as antipsychotics, antidepressants, and some anti-hypertensive medications, can also cause problems in the TIDA pathway.
- Prader-Willi syndrome. Prader-Willi syndrome is a genetic disorder that affects many parts of the body and it can cause hyperprolactinemia and affects the TIDA pathway.
Dopamine is often referred to as the "feel-good" neurotransmitter, but this label only scratches the surface of its complex and multifaceted role in the brain. Over the years, several myths have emerged around dopamine, largely due to its association with pleasure, addiction, and motivation. These misunderstandings can lead to misconceptions about how dopamine actually functions and its true impact on our behavior, emotions, and physiological processes. From claims that dopamine is
solely responsible for happiness to the belief that more dopamine equals better performance, these myths oversimplify the science behind this critical neurotransmitter. In reality, dopamine plays a much broader role in regulating everything from motor control to decision-making, and its influence on our actions and desires is far more nuanced than often portrayed. Let’s take a closer look at some of the most common myths about dopamine and clarify the facts behind them.
Myth 1: Dopamine is the "happiness" neurotransmitter
Misunderstanding:
This myth oversimplifies the complex relationship between dopamine and happiness. It suggests that more dopamine directly equals more happiness, leading to the misconception that increasing dopamine will automatically make you happy. In reality, happiness involves a variety of factors beyond just dopamine, including other neurotransmitters like serotonin and endorphins. Dopamine is often misunderstood as the main driver of joy, when in fact, it plays a motivational and anticipatory role.
Correction:
Dopamine is a motivational neurotransmitter that drives our pursuit of goals and rewards. It is activated when we anticipate or expect a reward, not when we actually experience the reward. While it does contribute to our sense of satisfaction in achieving goals, dopamine itself does not directly create happiness. Happiness is a more complex state, influenced by a network of neurotransmitters that regulate emotions, social
bonds, and satisfaction. The expectation of something rewarding is what dopamine motivates, rather than the joy of receiving it.
Myth 2: Dopamine is the "addiction chemical"
Misunderstanding:
The myth that dopamine is the "addiction chemical" implies that dopamine itself causes addiction, which is misleading. This suggests that dopamine makes us addicted to substances or behaviors, but this oversimplifies the issue by focusing only on dopamine’s role in reward-seeking behaviors. It neglects the multifaceted nature of addiction, where psychological, social, and environmental factors play critical roles.
Correction:
Dopamine does play a key role in reward-based learning and reinforcement, which makes it important in addiction, but it does not directly cause addiction. Addiction arises from patterns of behavior that are reinforced by unpredictable rewards, such as those seen in gambling or substance use. Dopamine is involved in the brain's reward system, but addiction is more complicated. It involves neuroplasticity,
psychological dependencies, environmental triggers, and often, underlying mental health conditions. Dopamine itself is essential for normal, healthy motivation but, in certain contexts, can drive compulsive behavior due to the way rewards are structured.
Myth 3: More dopamine equals better mental performance
Misunderstanding:
This myth implies that simply increasing dopamine levels will automatically improve cognitive functions like focus, memory, and decision-making. It leads to the idea that "boosting" dopamine is a universal solution to enhance brain performance, without considering the complexities of brain chemistry and individual differences.
Correction:
Dopamine is essential for attention, focus, and motivation, but it does not follow that more dopamine always equals improved performance. Excess dopamine can lead to anxiety, restlessness, and even psychosis in some cases, particularly when dopamine levels are imbalanced. Mental performance depends not only on dopamine but on a delicate balance between various neurotransmitters, hormones, and
environmental factors. A person with too little dopamine might feel apathetic, while too much could result in overactivity or poor decision-making. Thus, a balanced dopamine system is essential for optimal cognitive functioning.
Myth 4: Dopamine is only involved in pleasurable experiences
Misunderstanding:
The myth that dopamine is only linked to pleasurable experiences simplifies its broader role in the brain. It creates the misconception that dopamine is only relevant when we’re enjoying something, which misses its role in other areas like motivation, learning, and goal pursuit.
Correction:
Dopamine is not just involved in pleasure, but more fundamentally in the anticipation of rewards. It motivates us to pursue goals, whether they are pleasurable or not, by increasing our desire to achieve something. It’s especially active when we expect a reward, even if that reward doesn’t immediately provide pleasure. Dopamine is also crucial for behaviors like learning, exploration, and problem-solving, where
the anticipation of future rewards or outcomes drives us to continue engaging with the task at hand.
Myth 5: Dopamine is only related to tangible rewards like food or money
Misunderstanding:
This myth confines dopamine to material rewards, suggesting that it’s only involved when we’re after something physical, like food or money. This overlooks the important role dopamine plays in more abstract or emotional rewards, such as social validation, achievement, and emotional satisfaction.
Correction:
Dopamine is involved in the pursuit of both tangible rewards (like food or money) and intangible rewards (like social approval or emotional satisfaction). It drives behaviors that seek emotional, psychological, and social rewards, such as receiving likes on social media, completing a personal project, or gaining respect in a social group. It’s involved in the full spectrum of human motivation, not just physical desires. In modern
life, dopamine’s role extends beyond survival-based rewards, encouraging us to chase status, personal growth, and emotional fulfillment.
Myth 6: Dopamine is responsible for the immediate pleasure of achieving goals
Misunderstanding:
The belief that dopamine is responsible for the immediate pleasure from achieving a goal overlooks its true function. It creates the false impression that dopamine is the pleasure chemical that directly leads to feelings of happiness or satisfaction when a goal is met.
Correction:
Dopamine plays a central role in the anticipation of rewards and goals, but not in the immediate pleasure of achieving them. The pleasure or satisfaction felt upon goal completion is typically driven by other neurotransmitters such as serotonin or endorphins. Dopamine's function is to keep us motivated and goal-directed, fueling the drive to pursue rewards, rather than providing the joy of receiving
them. Thus, dopamine activates when we expect a reward, while pleasure often comes later, through other chemical processes.
Myth 7: Dopamine can be "reset" or "detoxed" by fasting or abstaining from pleasure
Misunderstanding:
This myth suggests that dopamine is something to be "detoxed" or reset by cutting off all sources of pleasure. It implies that we can purge dopamine from the brain to improve health or reset our behavior, which misunderstands how dopamine functions in the body.
Correction:
Dopamine is critical for many essential physiological functions, including movement, immune response, and metabolism. Trying to "reset" or block dopamine through fasting or abstaining from pleasure can have serious health consequences, including the onset of conditions like Parkinson’s disease. Rather than trying to eliminate or reduce dopamine, it’s more beneficial to focus on moderating
behaviors that lead to addictive cycles or overstimulation. Understanding dopamine’s role in motivation and behavior can help us engage in healthy, balanced reward-seeking without trying to disrupt or "cleanse" its functions.
Myth 8: Dopamine is only released during enjoyable experiences
Misunderstanding:
This myth links dopamine exclusively to pleasure, implying that its release is only associated with positive or enjoyable experiences. However, dopamine is involved in many situations where the outcome is not immediately pleasurable.
Correction:
Dopamine is released not just during pleasurable experiences, but also during uncertainty and the anticipation of rewards. It is especially involved in activities that are risky or unpredictable, like gambling or even social interactions, where the reward is uncertain. Dopamine helps reinforce behaviors by making us feel motivated to continue seeking rewards, even when the outcome is not guaranteed. This also
explains why dopamine is involved in seeking behaviors like exploration, where the potential reward is unknown.
Myth 9: Dopamine is only responsible for reward-seeking behavior
Misunderstanding:
This myth focuses solely on dopamine's role in reward-seeking, ignoring its broader function in regulating various bodily processes and cognitive functions.
Correction:
Dopamine is not just involved in reward-seeking behavior but also plays essential roles in motor control, learning, decision-making, and the regulation of bodily functions like digestion and immune responses. For example, in Parkinson’s disease, the degeneration of dopamine-producing cells leads to motor impairments. Dopamine also helps regulate mood, attention,
and cognitive flexibility, playing a much broader role than simply driving us toward rewards.
Myth 10: Dopamine makes us perform specific behaviors
Misunderstanding:
This myth suggests that dopamine forces us to act in specific ways, implying that it directly controls our actions, which misrepresents its role.
Correction:
Dopamine does not directly make us do things; instead, it motivates and reinforces certain behaviors. It increases the likelihood that we will pursue goals, but it doesn’t dictate specific actions. For instance, dopamine motivates us to keep going when we anticipate rewards or goals, but we still have the freedom to choose our actions. It helps us focus on rewards, but doesn't force us to perform specific behaviors. The brain’s
decision-making processes are influenced by dopamine, but many factors contribute to how we choose to act.
Myth 11: Dopamine causes instant gratification
Misunderstanding:
The myth that dopamine is responsible for instant gratification implies that dopamine drives us to seek immediate pleasure, reinforcing impulsive behaviors.
Correction:
Dopamine is more involved in anticipation and expectation than in the immediate satisfaction of rewards. It’s often triggered when there is uncertainty about when or how much of a reward will come. This explains why dopamine plays a significant role in behaviors that involve delayed gratification, like gambling or social media usage, where the rewards are unpredictable or variable. Dopamine encourages us to keep seeking rewards,
even when they aren’t immediately realized.
Myth 12: Dopamine is directly responsible for addiction
Misunderstanding:
The belief that dopamine directly causes addiction oversimplifies the addiction process, as it wrongly isolates dopamine as the primary cause.
Correction:
While dopamine is involved in reinforcing reward-seeking behaviors, addiction is much more complex. It involves factors such as psychological dependency, environmental triggers, and neuroplasticity. Dopamine contributes to the reinforcement of certain behaviors, but addiction involves a combination of biological, psychological, and social factors. Dopamine alone cannot explain
the full cycle of addiction, as it is only one component of a larger system of behaviors and rewards.
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