Oxytocin moderates fMRI connectivity and response to implicit threat processing in cocaine use disorder

  • 0Department of Neuroscience, Medical University of South Carolina, 135 Cannon Street, Charleston, SC 29425, USA.

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Summary

This summary is machine-generated.

Oxytocin (OXT) may help regulate brain responses to social threat cues in individuals with cocaine use disorder (CUD). This study found OXT normalized amygdala-prefrontal cortex connectivity, potentially aiding emotion regulation in CUD.

Area Of Science

  • Neuroscience
  • Psychiatry
  • Pharmacology

Background

  • Stressful social experiences increase vulnerability to substance use disorders, including cocaine use disorder (CUD).
  • Oxytocin (OXT), known for its social and anxiolytic effects, is a potential therapeutic for CUD.
  • Limited research exists on OXT's effects on social stress processing and neural responses to threat cues in CUD.

Purpose Of The Study

  • To investigate the effects of intranasal oxytocin (OXT) on neural responses to subconscious social threat cues in individuals with and without CUD.
  • To examine OXT's influence on brain activation and amygdala functional connectivity in response to facial threat stimuli.

Main Methods

  • Randomized, double-blind, placebo-controlled study administering intranasal OXT (24 IU) or placebo (PBO).
  • Participants included individuals with CUD (CUD+, N=76) and without CUD (CUD-, N=61).
  • Functional magnetic resonance imaging (fMRI) assessed brain activation and amygdala-medial prefrontal cortex connectivity during a facial threat cue task.

Main Results

  • OXT reduced activation in the thalamus, pontine reticular formation, and supplementary motor area in response to threat cues, irrespective of CUD status.
  • Under placebo, individuals with CUD showed negative amygdala-medial prefrontal cortex connectivity to fear cues.
  • OXT administration reversed this coupling to positive in the CUD+ group, mirroring the CUD- group's response.

Conclusions

  • Oxytocin modulates neural responses to social threat cues, specifically altering amygdala-prefrontal cortex connectivity in individuals with CUD.
  • These findings suggest OXT may influence threat surveillance and implicit emotion regulation circuitry relevant to CUD.
  • Further research is needed to determine the clinical significance of these OXT-induced neural alterations for CUD treatment.

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