Pub Date : 2026-02-06DOI: 10.1016/j.neubiorev.2026.106589
Chiara Musillo, Marianna Samà, Marta Borgi, Francesca Cirulli
The beneficial effects of omega-3 polyunsaturated fatty acids (PUFA) supplementation during pregnancy have been associated with reduced risk of preterm birth and low birthweight. However, inconsistent findings have been reported regarding their impact on children's neurodevelopmental trajectories. We performed a comprehensive systematic review with meta-analysis of preclinical studies to assess the effects of prenatal omega-3 supplementation on long-term outcomes in offspring and to identify key relevant neurodevelopmental domains to guide the design and prioritization of future clinical follow-up studies. The databases consulted included PubMed/Medline, Scopus and Web of Science. Thirty-five studies were included in the systematic review, and 19 studies were included in the meta-analysis. Relevant information such as characteristics of nutritional interventions, maternal conditions, offspring characteristics and article attributes were extracted. Sample sizes, means, and standard deviation or standard error for the outcome measures were also extracted. The search yielded 3,198 articles; 35 met inclusion criteria, with 11 included in a random-effects meta-analysis of memory retention, and 8 in a meta-analysis of brain-derived neurotrophic factor (BDNF) levels. Our findings show that maternal omega-3 PUFA supplementation during pregnancy improves memory retention (SMD=0.671; CI 95%: 0.163-1.179; p=0.010) and increases levels of BDNF (SMD=0.838; CI 95%: 0.369-1.307; p=0.000) in the offspring. These effects are more pronounced in offspring exposed to prenatal adversities. Maternal omega-3 supplementation shows promise in mitigating oxidative stress and inflammation, although findings remain heterogeneous. Maternal omega-3 supplementation appears as a safe and effective means to improve offspring neurodevelopment, with stronger effects under adverse gestational conditions, highlighting its potential for at-risk populations.
怀孕期间补充omega-3多不饱和脂肪酸(PUFA)的有益作用与降低早产和低出生体重的风险有关。然而,关于它们对儿童神经发育轨迹的影响,报道的结果并不一致。我们对临床前研究进行了全面的系统回顾和荟萃分析,以评估产前补充omega-3对后代长期结局的影响,并确定关键的相关神经发育领域,以指导未来临床随访研究的设计和优先顺序。参考的数据库包括PubMed/Medline、Scopus和Web of Science。系统评价纳入了35项研究,meta分析纳入了19项研究。提取营养干预特征、母体状况、后代特征和物品属性等相关信息。还提取了结果测量的样本量、平均值和标准偏差或标准误差。搜索产生了3198篇文章;35人符合纳入标准,其中11人被纳入记忆保持的随机效应荟萃分析,8人被纳入脑源性神经营养因子(BDNF)水平的荟萃分析。我们的研究结果表明,母亲在怀孕期间补充omega-3 PUFA可以改善后代的记忆力(SMD=0.671; CI 95%: 0.163-1.179; p=0.010),并增加BDNF水平(SMD=0.838; CI 95%: 0.369-1.307; p=0.000)。这些影响在暴露于产前逆境的后代中更为明显。母体补充欧米伽-3有希望减轻氧化应激和炎症,尽管研究结果仍不一致。母体补充omega-3似乎是一种安全有效的改善后代神经发育的方法,在不利的妊娠条件下效果更强,突出了其对高危人群的潜力。
{"title":"Impact of prenatal omega-3 fatty acids supplementation on cognitive outcomes: a systematic review with meta-analysis.","authors":"Chiara Musillo, Marianna Samà, Marta Borgi, Francesca Cirulli","doi":"10.1016/j.neubiorev.2026.106589","DOIUrl":"https://doi.org/10.1016/j.neubiorev.2026.106589","url":null,"abstract":"<p><p>The beneficial effects of omega-3 polyunsaturated fatty acids (PUFA) supplementation during pregnancy have been associated with reduced risk of preterm birth and low birthweight. However, inconsistent findings have been reported regarding their impact on children's neurodevelopmental trajectories. We performed a comprehensive systematic review with meta-analysis of preclinical studies to assess the effects of prenatal omega-3 supplementation on long-term outcomes in offspring and to identify key relevant neurodevelopmental domains to guide the design and prioritization of future clinical follow-up studies. The databases consulted included PubMed/Medline, Scopus and Web of Science. Thirty-five studies were included in the systematic review, and 19 studies were included in the meta-analysis. Relevant information such as characteristics of nutritional interventions, maternal conditions, offspring characteristics and article attributes were extracted. Sample sizes, means, and standard deviation or standard error for the outcome measures were also extracted. The search yielded 3,198 articles; 35 met inclusion criteria, with 11 included in a random-effects meta-analysis of memory retention, and 8 in a meta-analysis of brain-derived neurotrophic factor (BDNF) levels. Our findings show that maternal omega-3 PUFA supplementation during pregnancy improves memory retention (SMD=0.671; CI 95%: 0.163-1.179; p=0.010) and increases levels of BDNF (SMD=0.838; CI 95%: 0.369-1.307; p=0.000) in the offspring. These effects are more pronounced in offspring exposed to prenatal adversities. Maternal omega-3 supplementation shows promise in mitigating oxidative stress and inflammation, although findings remain heterogeneous. Maternal omega-3 supplementation appears as a safe and effective means to improve offspring neurodevelopment, with stronger effects under adverse gestational conditions, highlighting its potential for at-risk populations.</p>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106589"},"PeriodicalIF":7.9,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-05DOI: 10.1016/j.neubiorev.2026.106590
Oryan Zacks, Eva Jablonka
The study of imagination has progressed due to its operationalization through a variety of behavioural tasks, initially designed for human participants and later adapted to non-human animals. However, this behavioural data has proven insufficient for inferring the level and scope of imagination in animals. To better understand human imagination, and its possible manifestations in animals, we trace here the evolutionary origin of the default mode network (DMN), which is central to human imagination. We show that the evolution of the DMN involved significant neural innovations at the base of the mammalian lineage: the emergence of the neocortex and a substantial reorganization of the hippocampus. These two structures underwent parallel evolution, including the emergence of a 3D organization, the establishment of a canonical microcircuit, a significant development of pyramidal neurons, and the emergence of dedicated compartments of granular neurons. We suggest that previous studies have underestimated the importance of hippocampal modifications in shaping the mammalian brain, especially considering its central role in studies of memory consolidation, replay and human imagination more generally. Looking beyond mammals, we expect to find a functionally similar network in birds, convergent with the mammalian DMN. We end with a discussion of findings that could be construed as indicators of imagination within and outside the mammalian clade and the relations of our extraordinary human imagination to language.
{"title":"The neural basis of imagination: an evolutionary perspective.","authors":"Oryan Zacks, Eva Jablonka","doi":"10.1016/j.neubiorev.2026.106590","DOIUrl":"https://doi.org/10.1016/j.neubiorev.2026.106590","url":null,"abstract":"<p><p>The study of imagination has progressed due to its operationalization through a variety of behavioural tasks, initially designed for human participants and later adapted to non-human animals. However, this behavioural data has proven insufficient for inferring the level and scope of imagination in animals. To better understand human imagination, and its possible manifestations in animals, we trace here the evolutionary origin of the default mode network (DMN), which is central to human imagination. We show that the evolution of the DMN involved significant neural innovations at the base of the mammalian lineage: the emergence of the neocortex and a substantial reorganization of the hippocampus. These two structures underwent parallel evolution, including the emergence of a 3D organization, the establishment of a canonical microcircuit, a significant development of pyramidal neurons, and the emergence of dedicated compartments of granular neurons. We suggest that previous studies have underestimated the importance of hippocampal modifications in shaping the mammalian brain, especially considering its central role in studies of memory consolidation, replay and human imagination more generally. Looking beyond mammals, we expect to find a functionally similar network in birds, convergent with the mammalian DMN. We end with a discussion of findings that could be construed as indicators of imagination within and outside the mammalian clade and the relations of our extraordinary human imagination to language.</p>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106590"},"PeriodicalIF":7.9,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The association between testosterone and risk-taking behavior has been widely investigated across behavioral economics, neuroendocrinology, and social neuroscience, but empirical results remain inconsistent. To clarify this relationship, we conducted a multilevel random-effects meta-analysis of 52 empirical studies (94 independent effect sizes; total N = 17,340), the most comprehensive so far, examining correlations between testosterone levels or manipulations and risk preferences across diverse paradigms. The aggregated effect was statistically null (r = -0.0021, 95% CI [-0.0431, 0.0389], p = .919), indicating no reliable link between testosterone and risk-taking. Publication bias diagnostics (trim-and-fill and fail-safe N) suggested that this null effect is not driven by selective reporting. Meta-regressions revealed significant heterogeneity across testosterone measurement type. Moreover, only lottery-based economic tasks showed a modest positive association, whereas other paradigms (e.g., BART, IGT, self-report) did not. A separate meta-analysis of sex differences found no moderating effect, suggesting that testosterone-risk correlations are not reliably stronger in males than females. Overall, the evidence challenges the notion that testosterone provides a general hormonal basis for human risk preferences. Instead, findings support a biopsychosocial framework in which "risk taking" reflects the interaction of task demands, cognitive-affective processes, and situational context, with endocrine effects appearing narrow, context-dependent, and method-specific. Future work should employ preregistered, multi-measure designs and direct endocrine assays to test mechanistic pathways more precisely.
在行为经济学、神经内分泌学和社会神经科学中,人们广泛研究了睾丸激素和冒险行为之间的关系,但实证结果仍然不一致。为了澄清这种关系,我们对52项实证研究(94个独立效应大小;总N = 17,340)进行了多水平随机效应荟萃分析,这是迄今为止最全面的,研究了不同范式下睾丸激素水平或操纵与风险偏好之间的相关性。综合效应在统计学上为零(r = -0.0021, 95% CI [-0.0431, 0.0389], p = .919),表明睾酮与冒险行为之间没有可靠的联系。发表偏倚诊断(修整和填充和故障安全N)表明,这种零效应不是由选择性报告驱动的。元回归显示睾酮测量类型的显著异质性。此外,只有基于彩票的经济任务显示出适度的正相关,而其他范式(如BART, IGT,自我报告)则没有。一项关于性别差异的独立荟萃分析没有发现调节作用,这表明睾酮与风险的相关性在男性中并不一定比女性强。总的来说,这些证据挑战了睾丸激素为人类风险偏好提供一般激素基础的观点。相反,研究结果支持一个生物心理社会框架,其中“冒险”反映了任务需求、认知情感过程和情境背景的相互作用,而内分泌的影响似乎是狭隘的、情境依赖的和方法特定的。未来的工作应该采用预注册、多测量设计和直接内分泌测定来更精确地测试机制途径。
{"title":"No relationship between testosterone and risk aversion: A meta-analytic review.","authors":"Irene Sánchez Rodríguez, Luca Bailo, Folco Panizza, Emiliano Ricciardi, Francesco Bossi","doi":"10.1016/j.neubiorev.2026.106575","DOIUrl":"https://doi.org/10.1016/j.neubiorev.2026.106575","url":null,"abstract":"<p><p>The association between testosterone and risk-taking behavior has been widely investigated across behavioral economics, neuroendocrinology, and social neuroscience, but empirical results remain inconsistent. To clarify this relationship, we conducted a multilevel random-effects meta-analysis of 52 empirical studies (94 independent effect sizes; total N = 17,340), the most comprehensive so far, examining correlations between testosterone levels or manipulations and risk preferences across diverse paradigms. The aggregated effect was statistically null (r = -0.0021, 95% CI [-0.0431, 0.0389], p = .919), indicating no reliable link between testosterone and risk-taking. Publication bias diagnostics (trim-and-fill and fail-safe N) suggested that this null effect is not driven by selective reporting. Meta-regressions revealed significant heterogeneity across testosterone measurement type. Moreover, only lottery-based economic tasks showed a modest positive association, whereas other paradigms (e.g., BART, IGT, self-report) did not. A separate meta-analysis of sex differences found no moderating effect, suggesting that testosterone-risk correlations are not reliably stronger in males than females. Overall, the evidence challenges the notion that testosterone provides a general hormonal basis for human risk preferences. Instead, findings support a biopsychosocial framework in which \"risk taking\" reflects the interaction of task demands, cognitive-affective processes, and situational context, with endocrine effects appearing narrow, context-dependent, and method-specific. Future work should employ preregistered, multi-measure designs and direct endocrine assays to test mechanistic pathways more precisely.</p>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106575"},"PeriodicalIF":7.9,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-02DOI: 10.1016/j.neubiorev.2026.106588
A Nuber-Champier, G Breville, P H Lalive, F Assal, J A Péron
The emergence of SARS-CoV-2 has renewed interest in the relationship between immunity and cognition. Despite decades of work, the impact of viral exposure, mainly in the field of HIV, herpes and hepatitis infections, on distinct cognitive processes remains unclear, as most studies use global screening tools (e.g., MoCA) in isolation in each infectious context. This systematic narrative review adopts a transnosological approach, summarizing previously reported immune-cognition relationships across viral infections. Of 931 studies, 32 met inclusion criteria (N=25,325) spanning SARS-CoV-2, HIV, herpes, hepatitis, Epstein-Barr virus, and multiple infections. Reported studies on immuno-cognitive relationships reveal several consistent findings. Elevated circulating CD14+CD16+ intermediate monocytes correlated with slower processing speed, reduced episodic memory and mental flexibility. Higher CD4+ T cells were associated with better processing efficiency, while reduced T cells and B cells levels together with elevated IgG predicted deficits in memory and attention. Most proinflammatory cytokines (e.g., IL-6, TNF-α, IFN-γ) were associated with impairments in overlapping cognitive domains (e.g., memory), whereas IL-10, an anti-inflammatory cytokine, consistently supported executive and memory performance.
{"title":"Immune-Cognitive Relationships Across Viral Infections: A Transnosological Systematic Review.","authors":"A Nuber-Champier, G Breville, P H Lalive, F Assal, J A Péron","doi":"10.1016/j.neubiorev.2026.106588","DOIUrl":"https://doi.org/10.1016/j.neubiorev.2026.106588","url":null,"abstract":"<p><p>The emergence of SARS-CoV-2 has renewed interest in the relationship between immunity and cognition. Despite decades of work, the impact of viral exposure, mainly in the field of HIV, herpes and hepatitis infections, on distinct cognitive processes remains unclear, as most studies use global screening tools (e.g., MoCA) in isolation in each infectious context. This systematic narrative review adopts a transnosological approach, summarizing previously reported immune-cognition relationships across viral infections. Of 931 studies, 32 met inclusion criteria (N=25,325) spanning SARS-CoV-2, HIV, herpes, hepatitis, Epstein-Barr virus, and multiple infections. Reported studies on immuno-cognitive relationships reveal several consistent findings. Elevated circulating CD14<sup>+</sup>CD16<sup>+</sup> intermediate monocytes correlated with slower processing speed, reduced episodic memory and mental flexibility. Higher CD4<sup>+</sup> T cells were associated with better processing efficiency, while reduced T cells and B cells levels together with elevated IgG predicted deficits in memory and attention. Most proinflammatory cytokines (e.g., IL-6, TNF-α, IFN-γ) were associated with impairments in overlapping cognitive domains (e.g., memory), whereas IL-10, an anti-inflammatory cytokine, consistently supported executive and memory performance.</p>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106588"},"PeriodicalIF":7.9,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-31DOI: 10.1016/j.neubiorev.2026.106580
Robert Lurz, Steven Samuel, Chelsea Cox
{"title":"Altercentrism and self-representation in chimpanzees.","authors":"Robert Lurz, Steven Samuel, Chelsea Cox","doi":"10.1016/j.neubiorev.2026.106580","DOIUrl":"10.1016/j.neubiorev.2026.106580","url":null,"abstract":"","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106580"},"PeriodicalIF":7.9,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.neubiorev.2026.106587
Nathalie André, Roy F Baumeister, Guido H E Gendolla, Michel Audiffren
{"title":"Do people really avoid effort? A cost - benefit perspective on the principle of least effort.","authors":"Nathalie André, Roy F Baumeister, Guido H E Gendolla, Michel Audiffren","doi":"10.1016/j.neubiorev.2026.106587","DOIUrl":"10.1016/j.neubiorev.2026.106587","url":null,"abstract":"","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106587"},"PeriodicalIF":7.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The supramammillary nucleus (SuM), a ventromedial structure of the posterior hypothalamus, has long been viewed primarily as a pacemaker for hippocampal theta rhythms. Recent discoveries, however, reveal pronounced cellular heterogeneity within the SuM and demonstrate that distinct neuronal subpopulations engage projection-defined pathways to shape hippocampal dynamics, septo-hippocampal state regulation, and broader limbic processing. Through these mechanisms, SuM activity influences adult hippocampal neurogenesis, memory encoding and retrieval, affective regulation, and behavioral state transitions in a context-dependent manner. Rather than acting as a uniform modulatory source, the SuM appears to integrate internal state signals, including arousal, metabolic, and motivational cues, and route them through parallel output channels to exert coordinated control over cognitive and emotional functions. Here, we synthesize recent advances in SuM cellular diversity, intrinsic microcircuit logic, and long-range connectivity, and propose a unifying framework in which the SuM operates as a systems-level hub whose dysregulation may contribute to neuropsychiatric and neurodegenerative disorders. This perspective highlights both conceptual gaps in current understanding and emerging opportunities for pathway-informed neuromodulation strategies.
{"title":"The supramammillary nucleus as a multifunctional integrative hub: Cell-type diversity, co-transmission, and systems-level control of behavior.","authors":"Siming Zhang, Mingjiao Suo, Ziyu Yi, Peng Fu, Chuanlin Zhang, Chaoxiong Yue, Jinquan Li, Yan Zeng, Yushan Chen","doi":"10.1016/j.neubiorev.2026.106583","DOIUrl":"10.1016/j.neubiorev.2026.106583","url":null,"abstract":"<p><p>The supramammillary nucleus (SuM), a ventromedial structure of the posterior hypothalamus, has long been viewed primarily as a pacemaker for hippocampal theta rhythms. Recent discoveries, however, reveal pronounced cellular heterogeneity within the SuM and demonstrate that distinct neuronal subpopulations engage projection-defined pathways to shape hippocampal dynamics, septo-hippocampal state regulation, and broader limbic processing. Through these mechanisms, SuM activity influences adult hippocampal neurogenesis, memory encoding and retrieval, affective regulation, and behavioral state transitions in a context-dependent manner. Rather than acting as a uniform modulatory source, the SuM appears to integrate internal state signals, including arousal, metabolic, and motivational cues, and route them through parallel output channels to exert coordinated control over cognitive and emotional functions. Here, we synthesize recent advances in SuM cellular diversity, intrinsic microcircuit logic, and long-range connectivity, and propose a unifying framework in which the SuM operates as a systems-level hub whose dysregulation may contribute to neuropsychiatric and neurodegenerative disorders. This perspective highlights both conceptual gaps in current understanding and emerging opportunities for pathway-informed neuromodulation strategies.</p>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":" ","pages":"106583"},"PeriodicalIF":7.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.neubiorev.2026.106584
Despina Melanthiou , Georgia Panayiotou , Evangelos Paraskevopoulos , Andreas Chatzittofis , Morfeas Koumas , Anna Onisiforou , Panos Zanos
Misophonia and tinnitus are debilitating auditory disorders that impair social functioning and mental health. This is the first review paper examining their common and divergent neurobiological underpinnings, focusing on genetic, neural, and psychological factors. Both conditions show hereditary influences, neural activity imbalances across the auditory cortex, amygdala, and anterior cingulate cortex, and heightened autonomic responses, causing significant distress and cognitive deficits. Misophonia is triggered by specific external sounds, while tinnitus involves phantom sound perception. Neuroimaging studies reveal shared hyperconnectivity between the auditory cortex and limbic areas of the brain including the amygdala and hippocampus, driven by neuroplasticity. Here, we propose the Sensory-Salience Dysregulation Model, integrating aberrant sensory encoding, salience network overactivation, and autonomic dysregulation as a unified framework between these conditions. The present review discusses gaps in diagnostic standardization and/or genetic-environmental interactions, and highlights shared and distinct mechanisms underlying misophonia and tinnitus, aiming to advance knowledge for improving diagnostics and treatments for these conditions.
{"title":"Linking misophonia and tinnitus: Common and divergent neurobiological mechanisms","authors":"Despina Melanthiou , Georgia Panayiotou , Evangelos Paraskevopoulos , Andreas Chatzittofis , Morfeas Koumas , Anna Onisiforou , Panos Zanos","doi":"10.1016/j.neubiorev.2026.106584","DOIUrl":"10.1016/j.neubiorev.2026.106584","url":null,"abstract":"<div><div>Misophonia and tinnitus are debilitating auditory disorders that impair social functioning and mental health. This is the first review paper examining their common and divergent neurobiological underpinnings, focusing on genetic, neural, and psychological factors. Both conditions show hereditary influences, neural activity imbalances across the auditory cortex, amygdala, and anterior cingulate cortex, and heightened autonomic responses, causing significant distress and cognitive deficits. Misophonia is triggered by specific external sounds, while tinnitus involves phantom sound perception. Neuroimaging studies reveal shared hyperconnectivity between the auditory cortex and limbic areas of the brain including the amygdala and hippocampus, driven by neuroplasticity. Here, we propose the Sensory-Salience Dysregulation Model, integrating aberrant sensory encoding, salience network overactivation, and autonomic dysregulation as a unified framework between these conditions. The present review discusses gaps in diagnostic standardization and/or genetic-environmental interactions, and highlights shared and distinct mechanisms underlying misophonia and tinnitus, aiming to advance knowledge for improving diagnostics and treatments for these conditions.</div></div>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":"183 ","pages":"Article 106584"},"PeriodicalIF":7.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.neubiorev.2026.106585
Rebeka C. Tucker , Paul J. Taylor , Sarita Jane Robinson
Posttraumatic stress disorder (PTSD) is frequently associated with autonomic nervous system (ANS) dysregulation, as evidenced by diminished vagally mediated heart rate variability (vmHRV). To date, no meta-analysis has systematically compared 5-minute and 24-hour vmHRV recordings in PTSD, limiting our understanding of how recording duration influences findings. This study examined differences in vmHRV between individuals with PTSD and controls using both 5-minute and 24-hour recordings. The meta-analysis synthesised data from 24 studies involving 2537 participants and 34 effect sizes. A novel analytical approach was used and involved traditional multi-level meta-analysis, robust variance estimation, and separate analyses across vmHRV indices and recording durations to isolate independent effects. Whilst vmHRV was consistently reduced in individuals with PTSD, the magnitude of this effect was greater in studies utilising 5-minute recordings than those using 24-hour recordings. Therefore, the results indicate that methodological differences in HRV assessment, particularly recording duration, significantly influence the observed magnitude of vmHRV reductions in PTSD. The robust analytical strategy enhances the reliability of vmHRV as a biomarker of ANS dysregulation in PTSD. The findings highlight the need for standardised vmHRV protocols in PTSD research.
{"title":"A multi-level meta-analysis of vagally-mediated heart rate variability and post-traumatic stress disorder","authors":"Rebeka C. Tucker , Paul J. Taylor , Sarita Jane Robinson","doi":"10.1016/j.neubiorev.2026.106585","DOIUrl":"10.1016/j.neubiorev.2026.106585","url":null,"abstract":"<div><div>Posttraumatic stress disorder (PTSD) is frequently associated with autonomic nervous system (ANS) dysregulation, as evidenced by diminished vagally mediated heart rate variability (vmHRV). To date, no meta-analysis has systematically compared 5-minute and 24-hour vmHRV recordings in PTSD, limiting our understanding of how recording duration influences findings. This study examined differences in vmHRV between individuals with PTSD and controls using both 5-minute and 24-hour recordings. The meta-analysis synthesised data from 24 studies involving 2537 participants and 34 effect sizes. A novel analytical approach was used and involved traditional multi-level meta-analysis, robust variance estimation, and separate analyses across vmHRV indices and recording durations to isolate independent effects. Whilst vmHRV was consistently reduced in individuals with PTSD, the magnitude of this effect was greater in studies utilising 5-minute recordings than those using 24-hour recordings. Therefore, the results indicate that methodological differences in HRV assessment, particularly recording duration, significantly influence the observed magnitude of vmHRV reductions in PTSD. The robust analytical strategy enhances the reliability of vmHRV as a biomarker of ANS dysregulation in PTSD. The findings highlight the need for standardised vmHRV protocols in PTSD research.</div></div>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":"184 ","pages":"Article 106585"},"PeriodicalIF":7.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic pain remains a major clinical challenge, with current treatments often providing insufficient relief. Oxytocin, classically recognized for its roles in reproduction and social bonding, has gained increasing attention for its potential involvement in pain modulation. Evidence suggests that oxytocin influences both nociceptive processing and broader dimensions of pain, including stress regulation, cognitive-affective processing and social context. Despite this promise, clinical findings remain mixed. In this opinion paper, we summarize and discuss the rationale and current clinical evidence for the role of oxytocin in chronic pain (management), highlighting key research gaps and outlining future directions focused on: endogenous oxytocin system variability, biological modulators of its effects, dosing and timing strategies, and the role of psychosocial context. We propose that oxytocin should be reconceptualized not as a straightforward analgesic, but rather as a biopsychosocial adjuvant that acts across interacting biological, psychological, and social domains of pain. Positioning oxytocin within this framework may clarify for whom, when, and under what conditions oxytocin can be most effective, and ultimately guide its translational potential in chronic pain management.
{"title":"Oxytocin in chronic pain: From analgesic to biopsychosocial adjuvant - An opinion paper","authors":"Matthijs Moerkerke , Iris Coppieters , Inge Timmers , Jessica Van Oosterwijck","doi":"10.1016/j.neubiorev.2026.106586","DOIUrl":"10.1016/j.neubiorev.2026.106586","url":null,"abstract":"<div><div>Chronic pain remains a major clinical challenge, with current treatments often providing insufficient relief. Oxytocin, classically recognized for its roles in reproduction and social bonding, has gained increasing attention for its potential involvement in pain modulation. Evidence suggests that oxytocin influences both nociceptive processing and broader dimensions of pain, including stress regulation, cognitive-affective processing and social context. Despite this promise, clinical findings remain mixed. In this opinion paper, we summarize and discuss the rationale and current clinical evidence for the role of oxytocin in chronic pain (management), highlighting key research gaps and outlining future directions focused on: endogenous oxytocin system variability, biological modulators of its effects, dosing and timing strategies, and the role of psychosocial context. We propose that oxytocin should be reconceptualized not as a straightforward analgesic, but rather as a biopsychosocial adjuvant that acts across interacting biological, psychological, and social domains of pain. Positioning oxytocin within this framework may clarify for whom, when, and under what conditions oxytocin can be most effective, and ultimately guide its translational potential in chronic pain management.</div></div>","PeriodicalId":56105,"journal":{"name":"Neuroscience and Biobehavioral Reviews","volume":"183 ","pages":"Article 106586"},"PeriodicalIF":7.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}