Evidence map›Paper›PMID 25578794›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2015

Effect of parasympathetic stimulation on brain activity during appraisal of fearful expressions.

Elena Makovac, Sarah N Garfinkel, Andrea Bassi, Barbara Basile, Emiliano Macaluso, Mara Cercignani, Giovanni Calcagnini, Eugenio Mattei, Daniela Agalliu, Pietro Cortelli and 3 more

Abstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Sympathetic and parasympathetic central autonomic networks.Imaging neuroscience (Cambridge, Mass.) · 2024
    Article
  10. Article
  11. A rationale for considering heart/brain axis control in neuropsychiatric disease.Mammalian genome : official journal of the International Mammalian Genome Society · 2023
    Review
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Sleep Deprivation Impairs the Human Central and Peripheral Nervous System Discrimination of Social Threat.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Elena MakovacNeuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy.
Sarah N Garfinkel1] Psychiatry, Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, UK [2] Sackler Centre for Consciousness Science, University of Sussex, Falmer, Brighton, UK.
Andrea BassiDepartment of Clinical and Behavioural Neurology, IRCCS Santa Lucia Foundation, Rome, Italy.
Barbara BasileNeuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy.
Emiliano MacalusoNeuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy.
Mara Cercignani1] Neuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy [2] Brighton & Sussex Medical School, Clinical Imaging Sciences Centre, University of Sussex, Brighton, UK.
Giovanni CalcagniniDepartment of Technology and Health, Italian Institute of Health, Rome, Italy.
Eugenio MatteiDepartment of Technology and Health, Italian Institute of Health, Rome, Italy.
Daniela AgalliuDepartment of Clinical and Behavioural Neurology, IRCCS Santa Lucia Foundation, Rome, Italy.
Pietro Cortelli1] Neurological Clinic, DIBIDEM, Alma Mater Studiorum-University of Bologna, Bologna, Italy [2] IRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Carlo Caltagirone1] Department of Clinical and Behavioural Neurology, IRCCS Santa Lucia Foundation, Rome, Italy [2] Department of Neuroscience, University of Rome 'Tor Vergata', Rome, Italy.
Marco BozzaliNeuroimaging Laboratory, IRCCS Santa Lucia Foundation, Rome, Italy.
Hugo Critchley1] Psychiatry, Brighton and Sussex Medical School, University of Sussex, Falmer, Brighton, UK [2] Sackler Centre for Consciousness Science, University of Sussex, Falmer, Brighton, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autonomic nervous system activity is an important component of human emotion. Mental processes influence bodily physiology, which in turn feeds back to influence thoughts and feelings. Afferent cardiovascular signals from arterial baroreceptors in the carotid sinuses are processed within the brain and contribute to this two-way communication with the body. These carotid baroreceptors can be stimulated non-invasively by externally applying focal negative pressure bilaterally to the neck. In an experiment combining functional neuroimaging (fMRI) with carotid stimulation in healthy participants, we tested the hypothesis that manipulating afferent cardiovascular signals alters the central processing of emotional information (fearful and neutral facial expressions). Carotid stimulation, compared with sham stimulation, broadly attenuated activity across cortical and brainstem regions. Modulation of emotional processing was apparent as a significant expression-by-stimulation interaction within left amygdala, where responses during appraisal of fearful faces were selectively reduced by carotid stimulation. Moreover, activity reductions within insula, amygdala, and hippocampus correlated with the degree of stimulation-evoked change in the explicit emotional ratings of fearful faces. Across participants, individual differences in autonomic state (heart rate variability, a proxy measure of autonomic balance toward parasympathetic activity) predicted the extent to which carotid stimulation influenced neural (amygdala) responses during appraisal and subjective rating of fearful faces. Together our results provide mechanistic insight into the visceral component of emotion by identifying the neural substrates mediating cardiovascular influences on the processing of fear signals, potentially implicating central baroreflex mechanisms for anxiolytic treatment targets.

Indexed as

Facial ExpressionFearAdultAnalysis of VarianceBrainBrain MappingElectric StimulationFemaleHeart RateHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleOxygenParasympathetic Nervous SystemPattern Recognition, VisualOxygen

Identifiers

PMID25578794
PMCPMC4915246

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.