Evidence map›Paper›PMID 40830562›Full record

ArticleScientific reports2025

The uncanny valley effect and immune activation in virtual reality.

Esther K Diekhof, Svenja Kastner, Donna Deinert, Monika Foerster, Frank Steinicke

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Esther K DiekhofDepartment of Biology, Neuroendocrinology and Human Biology Unit, Institute for Animal Cell- and Systems Biology, Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, Hamburg, Germany. esther.diekhof@uni-hamburg.de.
Svenja KastnerDepartment of Informatics, Human-Computer Interaction, Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, Hamburg, Germany.
Donna DeinertDepartment of Biology, Neuroendocrinology and Human Biology Unit, Institute for Animal Cell- and Systems Biology, Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, Hamburg, Germany.
Monika FoersterDepartment of Biology, Neuroendocrinology and Human Biology Unit, Institute for Animal Cell- and Systems Biology, Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, Hamburg, Germany.
Frank SteinickeDepartment of Informatics, Human-Computer Interaction, Faculty of Mathematics, Informatics and Natural Sciences, Universität Hamburg, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The uncanny valley effect describes a phenomenon where humanoid, almost lifelike virtual agents evoke feelings of discomfort in the observers. The Pathogen Avoidance Hypothesis proposes that these feelings are based on a cognitive mechanism that originally evolved to motivate pathogen avoidance. Slight imperfections in virtual agents are thereby misconceived as cues of communicable diseases that elicit disgust and avoidance behavior. Whether uncanny entities also increase mucosal immune responses, particularly when immediate avoidance is impossible, currently remains elusive. The present study examined the link between the uncanny valley and mucosal immune responses by comparing changes in the salivary antibody secretory immunoglobulin A (sIgA). For this, we developed three sets of virtual agents (cartoon, uncanny, and realistic agents) that differed in their human-likeness and uncanniness. Agents were encountered in a social virtual reality (VR) task that required close approach, making avoidance impossible. We found that only the set of uncanny agents who showed slight deviations from normal human appearance, yet were still considered as more human-like than the cartoon agents, evoked a significant increase in sIgA release during social interactions in VR. This conforms to error-management theories suggesting that perceptual systems are biased towards false positive responses to potential contagion cues, reducing the risk of missing actual health threats. Our findings further indicate that presence in virtual reality was likely essential for effective immune activation by uncanny agents, as increased sIgA levels correlated with deeper involvement in the virtual environment. Moreover, the immune response may have been automatically triggered by perceived threats from these agents, as conscious evaluations of interoceptive awareness, state anxiety, and eeriness during VR did not correlate with higher antibody release. Altogether, these data show that perception of uncanniness in VR evokes mucosal immune responses resembling those related to real contagion threats.

Indexed as

Immunity, MucosalImmunoglobulin A, SecretoryVirtual RealityAdultFemaleHumansMaleSalivaYoung AdultImmunoglobulin A, SecretoryBehavioral immune systemError management theoryPsychoneuroimmunologyUncanny valley effect

Identifiers

PMID40830562
PMCPMC12365102

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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.