Evidence map›Paper›PMID 42239056›Full record

ArticlebioRxiv : the preprint server for biology2026

Microstimulation of the human dopaminergic midbrain enhances outcome-related happiness and reduces loss seeking.

Mar Yebra, Hristos Courellis, Sophia Cheng, Clayton Mosher, Zhongzheng Fu, Michele Tagliati, Adam Mamelak, Ueli Rutishauser

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mar YebraDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0001-8445-1893
Hristos CourellisDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0001-5963-679X
Sophia ChengDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0009-0006-0799-2390
Clayton MosherDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-9213-3059
Zhongzheng FuDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0002-2572-6284
Michele TagliatiDepartment of Neurology, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-6722-8208
Adam MamelakDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-4245-6431
Ueli RutishauserDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-9207-7069

Funding

Invasive Approach to Model Human Cortex-Basal Ganglia Action-Regulating NetworksU01NS098961 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI POURATIAN, NADER · 2016 to 2018
$3.9M
Modeling and Mapping Human Action Regulation NetworksU01NS132788 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI Vasileios N Christopoulos, NADER POURATIAN · 2023 to 2026
$3.7M
NINDS NIH HHS U01 NS098961NINDS NIH HHS U01 NS132788
6 · The paper itself

Abstract

Midbrain circuits are thought to govern reward-guided behavior and momentary happiness, yet causal evidence in humans remains scarce. Here, we show that focal microstimulation of the substantia nigra pars compacta alters both decision making and momentary happiness in patients undergoing awake deep-brain stimulation surgery for Parkinson's disease. During a gambling task with interleaved momentary happiness ratings, stimulation delivered at outcome reduced risk-seeking in the loss domain without increasing overall gambling probability. Stimulation improved choice efficiency, guiding behavior toward gambles with higher expected value and thereby increasing cumulative earnings. Computational modeling revealed selective changes in loss processing, with reduced loss weighting and more linear loss utility, while gain processing remained unchanged. In parallel, stimulation did not tonically elevate happiness but selectively amplified outcome-related happiness changes, scaling with decision value and reward prediction errors. These results provide causal evidence that localized perturbation of human midbrain circuits reshapes valuation, choice, and momentary well-being.

Identifiers

PMID42239056
PMCPMC13228299

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.