Neurotransmitters are responsible for relaying information from one neuron to another
Some cases of OCD, and in particular hoarding disorder seem to be associated with impaired decision making. This in turn may be associated with abnormal function of lateral frontal lobes of the brain. The frontal lobes are responsible for logical thinking and making decisions.
There is also evidence to suggest that an area called the left parahippocampal gyrus, associated with processing unpleasant emotions, functions abnormally in OCD