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Current Evidence of the Monoaminergic Regulation of Romantic Love and Relationship

Sexual response cycle refers to the sequence of physical and emotional changes that occur as a person becomes sexually aroused and participates in sexually stimulating activities. It has been well known that the sexual response cycle can be modulated by a variety of external factors, such as prescriptions and medical disorders, through a modification of the central monoamines. The most common one is the use of antidepressants or antipsychotics which increases the synaptic serotonin (5HT) level or decreases the activity of dopamine (DA) and norepinephrine (NE) at the prefrontal and orbitofrontal cortex. Romantic love evolves and serves for sexual attraction, bonding and attachment. Although the circuit of romantic love has recently been delineated, the biological impact on romantic love is barely mentioned in human, however. 

In thus study, a comprehensive literature review was completed to elucidate the role of central monoamines, including dopamine, serotonin, norepinephrine, epinephrine, melatonin and histamine, for the romantic love and relationship in human. The results showed that the central circuit of romantic love included the mesolimbic and mesocortical tract and their extensions widely distributed in cortical, subcortical and brainstem structures. The activation of brain foci progressively decreased along with the romantic relationship in many areas, including the bilateral caudate and ventral tegmentum area without change of passionate love. Hyperactivity of dopamine and serotonin was suggested at the synaptic level for romantic love in lovers, probably through an inhibition of transporters or increase of terminal release. Romantic love can be modulated by antidepressants or recreational drugs. Polymorphism of dopamine and serotonin receptor related to the romantic relationship. The effect of other monoamines was barely mentioned. 

In conclusion, romantic love is vulnerable for secondary effect, such as drugs which modulate the dopamine and serotonin, in human. Romantic relationship is also impacted by the polymorphism of monoamine receptors. Therefore, the biological effect is not limited to sexual response cycle but also the romantic love and relationship. Further investigation is warranted for understanding the secondary effect in romantic love for romantic dissolution or divorce.

Article by Wei-Hsi Chen, et al, from Taiwan.

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