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Oxytocin promotes socially triggered cataplexy
Carrie E Mahoney1, Roberto De Luca2, Adam A Joyal2
1Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. cmahone6@bidmc.harvard.edu.
Nature Neuroscience
|July 14, 2026
Summary
Oxytocin promotes cataplexy, a muscle weakness in narcolepsy, especially during social interactions. Targeting the oxytocin-amygdala pathway may offer new narcolepsy treatments.
Area of Science:
- Neuroscience
- Sleep Medicine
- Endocrinology
Background:
- Narcolepsy is characterized by cataplexy, sudden muscle weakness often triggered by positive emotions.
- Cataplexy predominantly occurs during social interactions, suggesting a role for social stimuli.
Purpose of the Study:
- To investigate the role of the prosocial neuropeptide oxytocin in promoting cataplexy.
- To explore the neural pathways involved in oxytocin-mediated cataplexy.
Main Methods:
- Utilized a mouse model of narcolepsy.
- Administered oxytocin antagonists and employed chemo- and optogenetic manipulations.
- Monitored oxytocin levels and neuronal activity in the central amygdala.
Main Results:
- Social reunification triggered cataplexy; an oxytocin antagonist blocked these episodes.
- Increased oxytocin tone and central amygdala neuron activity preceded social-stimulus-induced cataplexy.
- Oxytocin-responsive neurons in the central amygdala were shown to drive cataplexy by inhibiting muscle-suppressing brainstem neurons.
- Rewarding stimuli like chocolate also activated this pathway and induced cataplexy.
Conclusions:
- Oxytocin acts via the central amygdala to promote cataplexy in response to social and other rewarding stimuli.
- This pathway represents a potential therapeutic target for treating cataplexy in narcolepsy.
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