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Brain Reward Training Linked to Higher Antibody Response After Hepatitis B Vaccine

The randomized trial ties ventral tegmental area activation to higher antibody levels, pointing to a possible neural pathway for expectation effects.

Overview

  • Researchers used real-time fMRI neurofeedback to teach 85 healthy adults to upregulate mesolimbic reward activity before receiving a hepatitis B shot.
  • Participants who sustained activation of the ventral tegmental area showed larger increases in hepatitis B–specific antibodies at 14 and 28 days.
  • Overall group comparisons found no significant antibody differences between reward-targeted training, other-region training, and no-training controls.
  • Mental strategies centered on positive expectations were most effective for boosting ventral tegmental area activity, aligning with a proposed placebo mechanism.
  • The authors and outside experts note the small sample and unclear signaling pathways and call for larger, mechanistic studies to assess clinical relevance.