Evidence map›Paper›PMID 40210909›Full record

ArticleNature communications2025

The human brainstem's red nucleus was upgraded to support goal-directed action.

Samuel R Krimmel, Timothy O Laumann, Roselyne J Chauvin, Tamara Hershey, Jarod L Roland, Joshua S Shimony, Jon T Willie, Scott A Norris, Scott Marek, Andrew N Van and 16 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Brain organization of a memory champion.bioRxiv : the preprint server for biology · 2026
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

Samuel R KrimmelDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA. krimmel@wustl.edu.ORCID http://orcid.org/0000-0002-5198-1545
Timothy O LaumannDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-0428-427X
Roselyne J ChauvinDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-5786-4705
Tamara HersheyDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Jarod L RolandDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-1312-8826
Joshua S ShimonyMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Jon T WillieDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-9565-4338
Scott A NorrisDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Scott MarekMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-0032-9052
Andrew N VanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-8787-0943
Anxu WangMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Julia MonkDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Kristen M ScheidterDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Forrest I WhitingDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Nadeshka Ramirez-PerezDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Athanasia MetokiDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Noah J BadenDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.
Benjamin P KayDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0003-3628-8029
Joshua S SiegelDepartment of Psychiatry, New York University Grossman School of Medicine, New York, New York, USA.ORCID http://orcid.org/0000-0002-5752-3641
Hadas Nahman-AverbuchWashington University Pain Center, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Abraham Z SnyderDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-3379-9627
Damien A FairDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-8602-393X
Charles J LynchDepartment of Psychiatry, Weill Cornell Medicine, New York, New York, USA.
Marcus E RaichleDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-1847-9588
Evan M GordonMallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-2276-5237
Nico U F DosenbachDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, USA. dosenbachn@wustl.edu.ORCID http://orcid.org/0000-0002-6876-7078

Funding

Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
ABCD-USA Consortium: Research ProjectU01DA041148 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Damien A Fair, Rebekah S Huber · 2015 to 2026
$22.3M
Identification of outcome-based sub-populations using deep phenotyping and precision functional mapping across ADHD and ASDR01MH096773 · NIMH · UNIVERSITY OF MINNESOTA · PI DOSENBACH, NICO, FAIR, DAMIEN A · 2012 to 2024
$9.4M
BIOMEDICAL RESEARCH TRAINING IN DRUG ABUSET32DA007261 · NIDA · WASHINGTON UNIVERSITY · PI ARPANA AGRAWAL, Jose A Moron-Concepcion · 1991 to 2026
$8.8M
Motion-robust brain MRI for infantsR44MH124567 · NIMH · TURING MEDICAL TECHNOLOGIES INC · PI BERTOLERO, MAXWELL, FAIR, DAMIEN A · 2020 to 2023
$7.3M
Efficacy of biomarker-guided rTMS for treatment resistant depressionR01MH118388 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BHATI, MAHENDRA T, GUNNING, FAITH M · 2019 to 2025
$6.2M
Visual biofeedback to reduce head motion during MRI scansR44MH122066 · NIMH · TURING MEDICAL TECHNOLOGIES INC · PI BRUENER, KEN, FAIR, DAMIEN A · 2019 to 2022
$6.2M
Solving the MRI motion problem with Framewise Integrated Real-Time MRI Monitoring (FIRMM) softwareR44MH121276 · NIMH · TURING MEDICAL TECHNOLOGIES INC · PI FAIR, DAMIEN A, ROTHNEY, MEGAN PEARL · 2020 to 2023
$5.4M
Brain trajectories in ADHDR01MH115357 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI FAIR, DAMIEN A, NIGG, JOEL T · 2017 to 2021
$3.8M
Behavioral feedback and rewards for improving functional brain mapping in presurgical pediatric patientsR44NS129521 · NINDS · TURING MEDICAL TECHNOLOGIES INC · PI FAIR, DAMIEN A, KING, KEVIN · 2022 to 2025
$3.7M
The Role of Striatal Cholinergic Interneurons in DystoniaR01NS124789 · NINDS · WASHINGTON UNIVERSITY · PI Scott Allen Norris · 2022 to 2026
$3.0M
Diagnostic and prognostic biomarkers for subtypes of addiction-related circuit dysfunctionR01DA047851 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI GOLDSTEIN, RITA Z, LISTON, CONOR M · 2019 to 2022
$2.4M
NIDA NIH HHS R01 DA047851NIDA NIH HHS T32 DA007261NIDA NIH HHS U01 DA041148NIMH NIH HHS F32 MH120989NIMH NIH HHS K99 MH129616NIMH NIH HHS R00 MH129616NIMH NIH HHS R01 MH096773NIMH NIH HHS R01 MH115357NIMH NIH HHS R01 MH118388NIMH NIH HHS R01 MH120194NIMH NIH HHS R44 MH121276NIMH NIH HHS R44 MH122066NIMH NIH HHS R44 MH124567NIMH NIH HHS R56 MH114976NINDS NIH HHS K12 NS098482NINDS NIH HHS K23 NS123345NINDS NIH HHS K23 NS133486NINDS NIH HHS R01 NS124789NINDS NIH HHS R01 NS140256NINDS NIH HHS R44 NS129521U.S. Department of Health & Human Services | NIH | National Institute on Drug Abuse (NIDA) T32DA007261
6 · The paper itself

Abstract

The red nucleus, a large brainstem structure, coordinates limb movement for locomotion in quadrupedal animals. In humans, its pattern of anatomical connectivity differs from that of quadrupeds, suggesting a different purpose. Here, we apply our most advanced resting-state functional connectivity based precision functional mapping in highly sampled individuals (n = 5), resting-state functional connectivity in large group-averaged datasets (combined n ~ 45,000), and task based analysis of reward, motor, and action related contrasts from group-averaged datasets (n > 1000) and meta-analyses (n > 14,000 studies) to precisely examine red nucleus function. Notably, red nucleus functional connectivity with motor-effector networks (somatomotor hand, foot, and mouth) is minimal. Instead, connectivity is strongest to the action-mode and salience networks, which are important for action/cognitive control and reward/motivated behavior. Consistent with this, the red nucleus responds to motor planning more than to actual movement, while also responding to rewards. Our results suggest the human red nucleus implements goal-directed behavior by integrating behavioral valence and action plans instead of serving a pure motor-effector function.

Indexed as

Brain StemGoalsRed NucleusAdultBrain MappingFemaleHumansMagnetic Resonance ImagingMaleMovementNeural PathwaysRewardYoung Adult

Identifiers

PMID40210909
PMCPMC11986128

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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.