Serotonin (5-HT) and oxytocin (OXT) are two neuromodulators involved in human affect and sociality and in disorders like depression and autism. We asked whether these chemical messengers interact in the regulation of emotion-based behavior by administering OXT or placebo to 24 healthy subjects and mapping cerebral 5-HT system by using 2′-methoxyphenyl-(N-2′-pyridinyl)-p-[ ]MPPF nondisplaceable binding potential (BP ND ) in the dorsal raphe nucleus (DRN), the core area of 5-HT synthesis, and in the amygdala/hippocampal complex, insula, and orbitofrontal cortex. Importantly, the amygdala appears central in the regulation of 5-HT by OXT: [ 18 F]MPPF BP ND changes in the DRN correlated with changes in right amygdala, which were in turn correlated with changes in hippocampus, insula, subgenual, and orbitofrontal cortex, a circuit implicated in the control of stress, mood, and social behaviors. OXT administration is known to inhibit amygdala activity and results in a decrease of anxiety, whereas high amygdala activity and 5-HT dysregulation have been associated with increased anxiety. The present study reveals a previously unidentified form of interaction between these two systems in the human brain, i.e., the role of OXT in the inhibitory regulation of 5-HT signaling, which could lead to novel therapeutic strategies for mental disorders. B rain chemistry strongly influences our behavior. Among neuromodulators, serotonin (5-HT) and oxytocin (OXT) are important for the regulation and expression of several behaviors such as human affects and socialization. Both systems have been implicated in the control of stress, anxiety, and social cooperation (1, 2). Moreover, their dysfunction is associated with major psychiatric disorders such as depression (3, 4) and autism (5,6). Recent animal studies demonstrated that specific anatomical links exist between these two molecules. Serotonergic fibers originating from the dorsal and medial raphe nuclei of the brainstem project toward magnocellular neurons in the paraventricular and supraoptic nuclei of the hypothalamus, where OXT is released (7). In this region, 5-HT fibers overlap and follow the distribution of OXT cells (8). Importantly, in the raphe nuclei, the core area of 5-HT synthesis, serotonergic neurons display OXT receptors and OXT modulates the release of 5-HT (9). Recent results have also shown that administration of OXT during the postnatal period increases the length of serotonergic axons in the hypothalamus and in the amygdala (10). In return, 5-HT is able to modulate OXT release while interacting with different 5-HT receptors in the hypothalamus (11). Also, the administration of fenfluramine, a serotonergic agonist, to healthy subjects increases plasma OXT level (12). These findings indicate that OXT and 5-HT share anatomical substrates, which may constitute a functional interface in the regulation of emotionbased behaviors. Behaviorally, OXT and 5-HT modulate reactions to social contexts and threatening stimuli in humans and animals (13,14). For instance, oversens...

Oxytocin (OT) concentration in the blood is considered to be a marker of its action in the brain. However, two problems have emerged when measuring OT level in the blood. First, it is unclear whether different methods of assessment lead to similar OT values. Second, it is unclear if plasma OT concentrations is informative on what OT does in the brain. To clarify these issues, we collected cerebrospinal fluid (CSF) from the brain ventricle of 25 patients during surgery to compare with plasma OT after simultaneous blood withdrawal. Additionally, we collected 12 CSF and blood samples from non-human primates while awake or under anaesthesia. We used four methods to assay OT concentrations: Commercial EIA with/without extraction, laboratory developed EIA with filtration and RIA with extraction. Three of these methods showed a positive correlation between plasma and CSF OT, suggesting a link between plasma and central OT, at least under specific testing conditions. However, none of the methods correlated to each other. Our results show major disagreements among methods used here to measure peripheral and brain OT and therefore they call for more caution when plasma OT is taken as a marker of central OT.

Oxytocin has a fundamental role in social behavior. In humans, supporting evidence shows that oxytocin enhances people's ability to trust or affiliate with others. A key question is whether differences in plasma oxytocin concentration in humans are related to people's differences in their social traits of personality and if such differences are reflected in the structural organization of brain areas responsive to the action of this hormone. We examined the correlation between oxytocin plasma levels and personality traits in 30 healthy subjects, tested with the Inventory revised neuroticism-extroversion-openness personality inventory (NEO-PI-R). By using the voxel-based morphometry technique, we also investigated changes in gray matter volume as a function of the plasma oxytocin level and NEO-PI-R scores. A positive correlation was found between plasma oxytocin and extraversion scores, a dimension that captures social affiliative tendencies. Moreover, we found an inverse correlation between plasma oxytocin and the volume of the right amygdala and the right hippocampus, 2 brain areas implicated in fear and anxiety. Finally, we showed that the amygdala-hippocampal complex correlate negatively with extraversion scores. Our findings provide evidence for a neural mechanism linking physiological oxytocin's variability and structural variation of brain regions relevant for emotion regulation to individual differences in affiliative personality traits.