There is reason to believe that dopamine is important in developmental
programs of the basal ganglia, brain nuclei implicated in motor and c
ognitive processing. Dopamine exerts effects through dopamine receptor
s, which are predominantly of the D-1 and D-2 subtypes in the basal ga
nglia. Cocaine acts as a stimulant of dopamine receptors and may cause
long-term abnormalities in children exposed in utero. Dopamine recept
or (primarily D-1) stimulation has been linked to gene regulation. The
refore, D-1 and D-2 receptor densities in perinatal and adult striatum
and globus pallidus were examined using quantitative autoradiography.
The most striking finding was that pallidal D-1 receptor densities we
re 7-15 times greater in the perinatal cases than in the adult. Pallid
al D-2 receptor densities were similar at both ages. In both the adult
and perinatal striatum, D-2 receptor densities were greater in the pu
tamen than in the caudate, and both D-1 and D-2 receptor densities wer
e modestly enriched in caudate striosomes compared with the matrix. In
both caudate and putamen, perinatal D-1 receptor levels were within t
he adult range, whereas D-2 receptor levels were only 50% of adult val
ues. The development of D-1 and D-2 receptors appears to vary across t
he major subdivisions of the human basal ganglia. The facts that we fo
und such extremely high levels of D-1 receptors in the perinatal palli
dum, and that D-1 receptor activation influences gene regulation, sugg
est that the globus pallidus could be particularly susceptible to long
-term changes with perinatal exposure to cocaine and other D-1 recepto
r agonists or antagonists.