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Assessing Pupil-linked Changes in Locus Coeruleus-mediated Arousal Elicited by Trigeminal Stimulation
Published on: November 26, 2019
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Modulating cortical excitability and cortical arousal by pupil self-regulation
Marieke Lieve Weijs1, Silvia Missura2, Weronika Potok-Szybińska2,3
1Neural Control of Movement Laboratory, Department of Health Sciences and Technology, ETH Zurich, Gloriastrasse 37/39, 8092, Zurich, Switzerland. marieke.weijs@hest.ethz.ch.
Nature Communications
|May 16, 2025
Summary
This study shows that pupil biofeedback can control brain arousal. This technique successfully modulated brain activity, including cortical excitability and event-related potentials.
Area of Science:
- Neuroscience
- Cognitive Science
- Psychophysiology
Background:
- Central arousal, regulated by brainstem nuclei, critically impacts cognitive functions.
- The locus coeruleus is a key regulator of central arousal, with its activity linked to pupil dynamics.
- Previous work established volitional control over the locus coeruleus via pupil-based biofeedback.
Purpose of the Study:
- To investigate if pupil-based biofeedback influences electrophysiological markers of brain function.
- To examine the effects of pupil self-regulation on cortical excitability, cortical arousal, and P300 responses.
Main Methods:
- Combined pupil-based biofeedback with single-pulse transcranial magnetic stimulation (spTMS).
- Utilized electroencephalography (EEG) and an auditory oddball task.
- Measured cortical excitability, EEG spectral slope (cortical arousal marker), and P300 event-related potentials.
Main Results:
- Pupil self-regulation significantly modulated cortical excitability.
- EEG spectral slope, a marker of cortical arousal, was significantly altered by pupil biofeedback.
- P300 responses to target tones, linked to locus coeruleus activity, were modulated by pupil self-regulation.
Conclusions:
- Pupil-based biofeedback is a viable method for modulating fundamental aspects of brain function, including arousal.
- This non-invasive technique offers potential for future therapeutic applications in neurological and psychiatric disorders.
- Further research is needed to explore the efficacy of pupil biofeedback in clinical populations.

