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Brain Reward Training Linked to Stronger Hepatitis B Vaccine Response

A Nature Medicine trial links ventral tegmental area activation to higher hepatitis B antibody levels, with experts calling the result modest.

Overview

  • Researchers trained volunteers with real-time fMRI neurofeedback to upregulate the brain’s reward hub, the ventral tegmental area.
  • Participants received a standard hepatitis B shot after training, with antibody titers checked at two and four weeks and at three months.
  • Those who most increased VTA activity showed higher protective antibodies, though overall group differences were not statistically significant.
  • The protocol used four scanner sessions with visual feedback that grew with target activation as participants imagined positive future outcomes.
  • Authors and outside commentators pointed to potential relevance for placebo mechanisms and immunotherapy adjuncts, while stressing the modest, preliminary nature of the effect and the need for larger trials.