Modafinil shifts human locus coeruleus to low-tonic, high-phasic activity during functional MRI

Science. 2008 Dec 12;322(5908):1700-2. doi: 10.1126/science.1164908.

Abstract

Models of cognitive control posit a key modulatory role for the pontine locus coeruleus-norepinephrine (LC-NE) system. In nonhuman primates, phasic LC-NE activity confers adaptive adjustments in cortical gain in task-relevant brain networks, and in performance, on a trial-by-trial basis. This model has remained untested in humans. We used the pharmacological agent modafinil to promote low-tonic/high-phasic LC-NE activity in healthy humans performing a cognitive control task during event-related functional magnetic resonance imaging (fMRI). Modafanil administration was associated with decreased task-independent, tonic LC activity, increased task-related LC and prefrontal cortex (PFC) activity, and enhanced LC-PFC functional connectivity. These results confirm in humans the role of the LC-NE system in PFC function and cognitive control and suggest a mechanism for therapeutic action of procognitive noradrenergic agents.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Benzhydryl Compounds / administration & dosage
  • Benzhydryl Compounds / pharmacology*
  • Brain Mapping
  • Central Nervous System Stimulants / pharmacology
  • Cognition* / drug effects
  • Female
  • Humans
  • Locus Coeruleus / drug effects
  • Locus Coeruleus / physiology*
  • Magnetic Resonance Imaging
  • Male
  • Modafinil
  • Neurons / drug effects
  • Neurons / physiology
  • Norepinephrine / metabolism*
  • Norepinephrine Plasma Membrane Transport Proteins / antagonists & inhibitors
  • Norepinephrine Plasma Membrane Transport Proteins / metabolism
  • Prefrontal Cortex / physiology
  • Task Performance and Analysis

Substances

  • Benzhydryl Compounds
  • Central Nervous System Stimulants
  • Norepinephrine Plasma Membrane Transport Proteins
  • Modafinil
  • Norepinephrine