|purple=putamen, caudate nucleus, amygdala orange=thalamus|
|Coronal section of brain through intermediate mass of third ventricle. (Putamen labeled at top.)|
|Gray's||subject #189 34|
The putamen is a round structure located at the base of the forebrain (telencephalon). The putamen and caudate nucleus together form the dorsal striatum. It is also one of the structures that comprises the basal ganglia. Through various pathways, the putamen is connected to the substantia nigra and globus pallidus. The main function of the putamen is to regulate movements and influence various types of learning. It employs GABA, acetylcholine, and enkephalin to perform its functions. The putamen also plays a role in degenerative neurological disorders, such as Parkinson's disease.
The word "putamen" is from Latin, referring to that which "falls off in pruning", from "putare", meaning "to prune, to think, or to consider". It is pronounced pyu-ta'men.
Until recently, very few studies were conducted that were focused specifically on the putamen. However, many studies have been done on the basal ganglia and the interactions among the brain structures it comprises. In the 1970s, the first single unit recordings were done with monkeys monitoring pallidal neuron activity related to movement.
The putamen is a structure in the forebrain. Along with the caudate nucleus it forms the dorsal striatum. The caudate and putamen contain the same types of neurons and circuits - many neuroanatomists consider the dorsal striatum to be a single structure, divided into two parts by a large fiber tract, the internal capsule, passing through the middle. The putamen, together with the globus pallidus, makes up the lenticular nucleus. The putamen is the outer most portion of the basal ganglia. These are a group of nuclei in the brain that are interconnected with the cerebral cortex, thalamus, and brain stem. Basal ganglia include the dorsal striatum, substantia nigra, nucleus accumbens, and the subthalamic nucleus.
In mammals, the basal ganglia are associated with motor control, cognition, emotions, and learning. The basal ganglia are located on the left and right sides of the brain, and have rostral and caudal divisions. The putamen is located in the rostral division as part of the striatum. The basal ganglia receive input from the cerebral cortex, via the striatum.
The putamen is interconnected with the following structures:
Caudate Nucleus 
The caudate works with the putamen to receive the input from cerebral cortex. They can be considered the "entrance" to the basal ganglia. The nucleus accumbens and medial caudate receive input from frontal cortex and limbic regions. The putamen and caudate are jointly connected with the substantia nigra, but most of their output goes to the globus pallidus.
Substantia Nigra 
The substantia nigra contains two parts: the substantia nigra pars compacta (SNpc) and the substantia nigra pars reticulata (SNpr). The SNpc obtains input from the putamen and caudate, and sends information back. The SNpr also obtains input from the putamen and caudate. However, it sends the input outside the basal ganglia to control head and eye movements. The SNpc produces dopamine, which is crucial for movements. The SNpc is the part which degenerates during Parkinson's disease.
Globus Pallidus 
The globus pallidus contains two parts: the globus pallidus externa (GPe) and the globus pallidus interna (GPi). Both regions acquire input from the putamen and caudate and communicate with the subthalamic nucleus. However, mostly the GPi sends the inhibitory output from the basal ganglia to the thalamus. The GPi also sends a few projections to parts of the midbrain, which have been assumed to affect posture control.
Types of Pathways 
In order to control movement, the putamen must interact with the other structures that make up the basal ganglia. These include the caudate nucleus and globus pallidus. These two structures, along with the putamen, interact through a series of direct and indirect inhibitory pathways. The direct pathway consists of two inhibitory pathways from the putamen to the substantia nigra and the internal region of the globus pallidus. This pathway uses the neurotransmitters dopamine, GABA and substance P. The indirect pathway consists of three inhibitory pathways that go from the putamen and caudate nucleus to the external region of the globus pallidus. This pathway uses dopamine, GABA and enkephalin. When there is interplay between the direct and indirect pathways, involuntary movements occur.
One of the main neurotransmitters that is regulated by the putamen is dopamine. When a cell body of a neuron (in the putamen or caudate nuclei) fires an action potential, dopamine is released from the presynaptic terminal. Since projections from the putamen and caudate nuclei modulate the dendrites of the substantia nigra, the dopamine influences the substantia nigra, which affects motor planning. This same mechanism is involved in drug addiction. In order to control the amount of dopamine in the synaptic cleft, and the amount of dopamine binding to post synaptic terminals, presynaptic dopaminergic neurons function to reuptake the excess dopamine.
Other Neurotransmitters 
The putamen also plays a role in modulation of other neurotransmitters. It releases GABA, enkephalin, substance P, and acetylcholine. It receives serotonin and glutamate. The majority of these neurotransmitters play a role in motor control.[vague]
Function: Motor Skills 
While the putamen has many functions, it has been concluded that it has no specific specialization. However, since the putamen is interconnected with so many other structures, it works in conjunction with them to control many types of motor skills. These include controlling motor learning, motor performance and tasks, motor preparation, specifying amplitudes of movement, and movement sequences.
Some neurologists hypothesize that the putamen also plays a role in the selection of movement (e.g. Tourette Syndrome) and the "automatic" performance of previously learned movements (e.g. Parkinson's disease).
In one study it was found that the putamen controls limb movement. The goal of this study was to determine whether particular cell activity in the putamen of primates was related to the direction of limb movement or to the underlying pattern of muscular activity. Two monkeys were trained to perform tasks that involved the movement of loads. The tasks were created so that movement could be distinguished from muscle activity. Neurons in the putamen were selected for monitoring only if they were related both to the task and to arm movements outside the task. It was shown that 50% of the neurons that were monitored were related to the direction of movement, independent of the load.
Another study was done to investigate movement extent and speed using PET mapping of regional cerebral blood flow in 13 humans. Movement tasks were performed with a joystick-controlled cursor. Statistical tests were done to calculate the extent of movements and what regions of the brain the movements correlate to. It was found that "increasing movement extent was associated with parallel increases of rCBF in bilateral basal ganglia (BG; putamen and globus pallidus) and ipsilateral cerebellum." This not only shows that the putamen affects movement but it also shows that the putamen integrates with other structures in order to perform tasks.
One study was done in order to specifically investigate how the basal ganglia influences the learning of sequential movements. Two monkeys were trained to press a series of buttons in sequence. The methods used were designed to be able to monitor the well-learned tasks versus the new tasks. Muscimol was injected into various parts of the basal ganglia, and it was found that "the learning of new sequences became deficient after injections in the anterior caudate and putamen, but not the middle-posterior putamen." This shows that different areas of the striatum are utilized when performing various aspects of the learning of sequential movements
Role in learning 
In many studies, it has become apparent that the putamen plays a role in many types of learning. Some examples are listed below:
Reinforcement and implicit learning 
Reinforcement learning is interacting with the environment and catering actions to maximize the outcome. Implicit learning is a passive process where people are exposed to information and acquire knowledge through exposure. Although the exact mechanisms are not known, it is clear that dopamine and tonically active neurons play a key role here. Tonically active neurons are cholinergic interneurons that fire during the entire duration of the stimulus and fire at about 0.5-3 impulses per second. Tonic neurons are the opposite and only fire an action potential when movement occurs.
Category Learning 
One particular study used patients with focal lesions on the basal ganglia (specifically the putamen) due to stroke in order to study category learning. The advantage to using these types of patients is that dopaminergic projections to the prefrontal cortex are more likely to be intact. Also, in these patients, it is easier to relate specific brain structures to function because the lesion only occurs in a specific place. The goal of this study was to determine whether or not these lesions affect rule-based and information-integration task learning. Rule-based tasks are learned via hypothesis-testing which is dependant on working memory. Information-integration tasks are ones where the accuracy is maximized when information from two sources are integrated at a pre-decisional stage, which follows a procedural-based system.
Seven participants with basal ganglia lesions were used in the experiment, along with nine control participants. It is important to note that the caudate was not affected. The participants were tested for each type of learning during separate sessions, so the information processes would not interfere with each other. During each session, participants sat in front of a computer screen and various lines were displayed. These lines were created by using a randomization technique where random samples were taken from one of four categories. For ruled-based testing, these samples were used to construct lines of various length and orientation that fell into these four separate categories. After the stimulus was displayed, the subjects were asked to press 1 of 4 buttons to indicate which category the line fell into. The same process was repeated for information-integration tasks, and the same stimuli were used, except that the category boundaries were rotated 45°. This rotation causes the subject to integrate the quantitative information about the line before determining what category it is in.
It was found that subjects in the experimental group were impaired while performing rule-based tasks, but not information-integration ones. After statistical testing, it was also hypothesized that the brain began using information-integration techniques to solve the rule-based learning tasks. Since rule-based tasks use the hypothesis-testing system of the brain, it can be concluded that the hypothesis-testing system of the brain was damaged/weakened. It is known that the caudate and working memories are part of this system. Therefore, it was confirmed that the putamen is involved category learning, competition between the systems, feed-back processing in rule-based tasks, and is involved in the processing of pre-frontal regions (which relate to working memory and executive functioning). Now it is known that not only the basal ganglia and caudate affect category learning.
Role in "hate circuit" 
Recent, tentative studies have suggested that the putamen may play a role in the so-called "hate circuit" of the brain. A recent study was done in London by the department of cell and developmental biology at University College London. An fMRI was done on patients while they viewed a picture of people they hated and people who were "neutral". During the experiment, a "hate score" was recorded for each picture. The activity in sub-cortical areas of the brain implied that the "hate circuit" involves the putamen and the insula. It has been theorized that the "putamen plays a role in the perception of contempt and disgust, and may be part of the motor system that's mobilized to take action." It was also found that the amount of activity in the hate circuit correlates with the amount of hate a person declares, which could have legal implications concerning malicious crimes.
Parkinson's disease 
After discovering the function of the putamen, it has become apparent to neurologists that the putamen and basal ganglia play an important role in Parkinson's disease and other diseases that involve the degeneration of neurons.
Parkinson's disease is the slow and steady loss of dopaminergic neurons in substantia nigra pars compacta. In Parkinson's disease the putamen plays a key role because its inputs and outputs are interconnected to the substantia nigra and the globus pallidus. In Parkinson's disease the activity in direct pathways to interior globus pallidus decreases and activity in indirect pathways to external globus pallidus increases. Together these actions cause excessive inhibition of the thalamus. This is why Parkinson’s patients have tremors and have trouble performing voluntary movements. It has also been noted that Parkinson’s patients have a difficult time with motor planning. They must think about everything they do and cannot perform instinctive tasks without focusing on what they are doing.
Other diseases and disorders 
The following diseases and disorders are linked with the putamen:
- Cognitive decline in Alzheimer’s disease
- Huntington's disease
- Wilson's disease
- Dementia with Lewy bodies
- Corticobasal degeneration
- Tourette syndrome
- Attention Deficit Hyperactivity Disorder
- Obsessive-Compulsive Disorder
- Other anxiety disorders 
In other animals 
Additional images 
Coronal section of brain through anterior commissure.
See also 
- Alexander GE; Crutcher MD (July 1990). "Functional architecture of basal ganglia circuits: neural substrates of parallel processing". Trends in neurosciences 13 (7): 266–71. doi:10.1016/0166-2236(90)90107-L. PMID 1695401.
- Crutcher, Michael D. Telephone Interview. 19 November 2008.
- DeLong MR; Alexander GE, Georgopoulos AP, Crutcher MD, Mitchell SJ, Richardson RT (1984). "Role of basal ganglia in limb movements". Human Neurobiology 2 (4): 235–44. PMID 6715208.
- Alexander GE; Crutcher MD (July 1990). "Preparation for movement: neural representations of intended direction in three motor areas of the monkey". Journal of Neurophysiology 64 (1): 133–50. PMID 2388061.
- Delong MR; Georgopoulos AP, Crutcher MD, Mitchell SJ, Richardson RT, Alexander GE (1984). "Functional organization of the basal ganglia: contributions of single-cell recording studies". Ciba Found Symp. 107: 64–82. PMID 6389041.
- Marchand WR; Lee JN, Thatcher JW, Hsu EW, Rashkin E, Suchy Y, Chelune G, Starr J, Barbera SS (June 11 2008). "Putamen coactivation during motor task execution". Neuroreport. 19 (9): 957–960. doi:10.1097/WNR.0b013e328302c873. PMID 18521000.
- Griffiths PD; Perry RH, Crossman AR (March 14 1994). "A detailed anatomical analysis of neurotransmitter receptors in the putamen and caudate in Parkinson's disease and Alzheimer's disease". Neuroscience Letters 169 (1-2): 68–72. doi:10.1016/0304-3940(94)90358-1. PMID 8047295.
- Crutcher MD; DeLong MR (1984). "Single cell studies of the primate putamen. II. Relations to direction of movement and pattern of muscular activity". Exp Brain Res. 53 (2): 244–58. PMID 6705862.
- Turner RS; Desmurget M, Grethe J, Crutcher MD, Grafton ST (December 2003). "Motor subcircuits mediating the control of movement extent and speed". Journal of Neurophysiology 90 (6): 3958–66. doi:10.1152/jn.00323.2003. PMID 12954606.
- Miyachi S; Hikosaka O, Miyashita K, Kárádi Z, Rand MK (June 1997). "Differential roles of monkey striatum in learning of sequential hand movement". Exp Brain Res. 115 (1): 1–5. doi:10.1007/PL00005669. PMID 9224828.
- Packard MG; Knowlton BJ (2002). "Learning and memory functions of the Basal Ganglia". Annu Rev Neurosci. 25 (1): 563–93. doi:10.1146/annurev.neuro.25.112701.142937. PMID 12052921.
- Yamada H; Matsumoto N, Kimura M (April 7 2004). "Tonically active neurons in the primate caudate nucleus and putamen differentially encode instructed motivational outcomes of action". Journal of Neuroscience 24 (14): 3500–10. doi:10.1523/JNEUROSCI.0068-04.2004. PMID 15071097.
- Ell SW; Marchant NL, Ivry RB (2006). "Focal putamen lesions impair learning in rule-based, but not information-integration categorization tasks". Neuropsychologia 44 (10): 1737–51. doi:10.1016/j.neuropsychologia.2006.03.018. PMID 16635498.
- Zeki S; Romaya JP (2008). "Neural Correlates of Hate". In Lauwereyns, Jan. PLoS ONE 3 (10): e3556. doi:10.1371/journal.pone.0003556. PMC 2569212. PMID 18958169.
- DeLong MR; Wichmann T (January 2007). "Circuits and circuit disorders of the basal ganglia". Arch Neurol. 64 (1): 20–4. doi:10.1001/archneur.64.1.20. PMID 17210805.
- de Jong LW; van der Hiele K, Veer IM, Houwing JJ, Westendorp RG, Bollen EL, de Bruin PW, Middelkoop HA, van Buchem MA, van der Grond J (December 2008). "Strongly reduced volumes of putamen and thalamus in Alzheimer's disease: an MRI study.". Brain 131 (12): 3277–85. doi:10.1093/brain/awn278. PMC 2639208. PMID 19022861.
- Martin H. Teicher; Carl M. Anderson, Ann Polcari, Carol A. Glod, Luis C. Maas & Perry F. Renshaw (2000). "Functional deficits in basal ganglia of children with attention-deficit/hyperactivity disorder shown with functional magnetic resonance imaging relaxometry". Nature Medicine 131 (12): 470–3. doi:10.1038/74737. PMID 10742158.
- Radua, Joaquim; Mataix-Cols, David (November 2009). "Voxel-wise meta-analysis of grey matter changes in obsessive–compulsive disorder". British Journal of Psychiatry 195 (5): 393–402. doi:10.1192/bjp.bp.108.055046. PMID 19880927.
- Radua, Joaquim; van den Heuvel, Odile A.; Surguladze, Simon; Mataix-Cols, David (5 July 2010). "Meta-analytical comparison of voxel-based morphometry studies in obsessive-compulsive disorder vs other anxiety disorders". Archives of General Psychiatry 67 (7): 701–711. doi:10.1001/archgenpsychiatry.2010.70. PMID 20603451.
|Wikimedia Commons has media related to: Putamen|
- Roche Lexicon - illustrated navigator, at Elsevier 13048.000-2
- Diagram at uni-tuebingen.de
- Atlas of anatomy at UMich eye_38 - "The Visual Pathway from Below"