Low dose intranasal oxytocin delivered with Breath Powered device dampens amygdala response to emotional stimuli: A peripheral effect-controlled within-subjects randomized dose-response fMRI trial

•8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces.•Intravenous OT treatment did not produce these effects, despite comparable blood concentrations.•Nose-to-brain delivery, or at least activity, may have occurred via olfactory and trigeminal nerve path...

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Published inPsychoneuroendocrinology Vol. 69; pp. 180 - 188
Main Authors Quintana, Daniel S., Westlye, Lars T., Alnæs, Dag, Rustan, Øyvind G., Kaufmann, Tobias, Smerud, Knut T., Mahmoud, Ramy A., Djupesland, Per G., Andreassen, Ole A.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.07.2016
Pergamon Press
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Abstract •8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces.•Intravenous OT treatment did not produce these effects, despite comparable blood concentrations.•Nose-to-brain delivery, or at least activity, may have occurred via olfactory and trigeminal nerve pathways. It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT. Trial registration: This trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.
AbstractList •8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces.•Intravenous OT treatment did not produce these effects, despite comparable blood concentrations.•Nose-to-brain delivery, or at least activity, may have occurred via olfactory and trigeminal nerve pathways. It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT. Trial registration: This trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.
Highlights • 8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces. • Intravenous OT treatment did not produce these effects, despite comparable blood concentrations. • Nose-to-brain delivery, or at least activity, may have occurred via olfactory and trigeminal nerve pathways
It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT. This trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.
It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT.
It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT.UNLABELLEDIt is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT.This trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.TRIAL REGISTRATIONThis trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.
It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To better understand the delivery routes of intranasal OT administration to the brain and the dose-response, we compared amygdala response to facial stimuli by means of functional magnetic resonance imaging (fMRI) in four treatment conditions, including two different doses of intranasal OT using a novel Breath Powered device, intravenous (IV) OT, which provided similar concentrations of blood plasma OT, and placebo. We adopted a randomized, double-blind, double-dummy, crossover design, with 16 healthy male adults administering a single-dose of these four treatments. We observed a treatment effect on right amygdala activation during the processing of angry and happy face stimuli, with pairwise comparisons revealing reduced activation after the 8IU low dose intranasal treatment compared to placebo. These data suggest the dampening of amygdala activity in response to emotional stimuli occurs via direct intranasal delivery pathways rather than across the blood-brain barrier via systemically circulating OT. Trial registration: This trial is registered at the U.S. National Institutes of Health clinical trial registry (www.clinicaltrials.gov; NCT01983514) and as EudraCT no. 2013-001608-12.
Author Mahmoud, Ramy A.
Smerud, Knut T.
Quintana, Daniel S.
Rustan, Øyvind G.
Djupesland, Per G.
Andreassen, Ole A.
Westlye, Lars T.
Kaufmann, Tobias
Alnæs, Dag
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  givenname: Øyvind G.
  surname: Rustan
  fullname: Rustan, Øyvind G.
  organization: NORMENT, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital, University of Oslo, Oslo, Norway
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  fullname: Smerud, Knut T.
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  surname: Mahmoud
  fullname: Mahmoud, Ramy A.
  organization: OptiNose US Inc, Yardley, PA, USA
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  givenname: Per G.
  surname: Djupesland
  fullname: Djupesland, Per G.
  organization: OptiNose AS, Oslo, Norway
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  givenname: Ole A.
  surname: Andreassen
  fullname: Andreassen, Ole A.
  email: o.a.andreassen@medisin.uio.no
  organization: NORMENT, KG Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital, University of Oslo, Oslo, Norway
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27107209$$D View this record in MEDLINE/PubMed
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Keywords fMRI
Dose-response
Oxytocin
Intranasal
Intravenous
dose-response
oxytocin
intranasal
intravenous
Language English
License This is an open access article under the CC BY-NC-ND license.
Copyright © 2016 Elsevier Ltd. All rights reserved.
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Snippet •8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces.•Intravenous OT treatment did not produce these effects,...
Highlights • 8IU intranasal oxytocin (OT) treatment dampens amygdala activation in response to emotional faces. • Intravenous OT treatment did not produce...
It is unclear if and how exogenous oxytocin (OT) reaches the brain to improve social behavior and cognition and what is the optimal dose for OT response. To...
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SubjectTerms Administration, Intranasal
Adult
Amygdala - drug effects
Blood-Brain Barrier - metabolism
Brain - metabolism
Cognition - drug effects
Cognition - physiology
Cross-Over Studies
Dose-response
Dose-Response Relationship, Drug
Double-Blind Method
Emotions - physiology
Endocrinology & Metabolism
Facial Expression
Facial Recognition - drug effects
fMRI
Humans
Intranasal
Intravenous
Magnetic Resonance Imaging
Male
Oxytocin
Oxytocin - metabolism
Oxytocin - pharmacology
Psychiatry
Social Behavior
Young Adult
Title Low dose intranasal oxytocin delivered with Breath Powered device dampens amygdala response to emotional stimuli: A peripheral effect-controlled within-subjects randomized dose-response fMRI trial
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0306453016301007
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https://dx.doi.org/10.1016/j.psyneuen.2016.04.010
https://www.ncbi.nlm.nih.gov/pubmed/27107209
https://www.proquest.com/docview/1791741902
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http://hdl.handle.net/10852/53219
Volume 69
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