Le Moal and Simon delivered a sweeping synthesis of ~30 years of mesocorticolimbic dopamine research, culminating in four propositions: dopaminergic neurons carry no specific functions; they regulate and enable integrative functions in the systems they innervate; terminal lesions produce deficits characteristic of the deafferented system; and observed deficits depend on the behavioral task used to probe it . This regulatory-network framing explicitly anticipated today's systems-level view: modern imaging genetics shows a dopamine gene polygenic risk score predicts dorsal striatal functional connectivity with medial prefrontal cortex (r = 0.214) and middle frontal gyrus (r = -0.205), directly linking dopaminergic genetic architecture to prefrontal-striatal regulation .
Confidence: strong for the review's historical significance and core regulatory thesis (supported by three decades of subsequent convergence); moderate for specific mechanistic claims, which relied on small-n rodent pharmacology with uncontrolled transmitter interactions.
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