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Respiratory-Limbic Coupling via a Thalamic Circuit Alleviates Anxiety
Shangyu Bi1, Xiaoyi Wang1, Huichun Luo2
1Department of Neurobiology, Hebei Medical University, Shijiazhuang, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|March 2, 2026
Summary
Controlled breathing calms anxiety by activating a specific brain circuit connecting the preBötzinger complex to the amygdala. This neural pathway, identified in mice and validated in humans, explains how slow breathing reduces anxiety and improves respiratory function.
Area of Science:
- Neuroscience
- Respiratory Physiology
- Affective Science
Background:
- Breathing patterns influence emotional states, but the neural mechanisms are not fully understood.
- Existing research highlights the connection between respiration and emotion, yet specific pathways remain elusive.
Purpose of the Study:
- To identify and characterize the neural circuit linking respiratory control to affective states.
- To elucidate the role of the preBötzinger complex (preBötC) to amygdala pathway in anxiety and respiratory regulation.
Main Methods:
- Utilized optogenetics and chemogenetics in male mice to manipulate neuronal activity within the preBötC→paraventricular thalamic nucleus (PVT)→central amygdala (CeA) circuit.
- Recorded respiratory frequency variability and anxiety-like behaviors in response to circuit stimulation or inhibition.
- Investigated the role of PVT projections to the CeA and their impact on amygdala neuronal activity.
- Translated findings to human participants, assessing the effects of slow breathing on anxiety and amygdala oscillations in healthy individuals and epilepsy patients.
Main Results:
- Activation of the preBötC→PVT circuit reduced anxiety and respiratory variability in mice.
- Inhibition of this circuit exacerbated anxiety and respiratory dysfunction.
- The anxiolytic effects were dependent on PVT neurons projecting to the CeA, which modulated amygdala output.
- Volitional slow breathing decreased anxiety in humans and suppressed anxiety-related brain oscillations in the amygdala.
Conclusions:
- A conserved neural circuit involving the preBötC, PVT, and CeA mediates the bidirectional relationship between breathing and affective states.
- Controlled breathing exerts anxiolytic effects through this respiratory-limbic pathway.
- This research provides a mechanistic explanation for the therapeutic benefits of controlled breathing techniques in managing anxiety.
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