Oxytocin system dysfunction as a common mechanism underlying metabolic syndrome and psychiatric symptoms in schizophrenia and bipolar disorders
Open accessAbstract
There is growing interest in using intranasal oxytocin (OT) to treat social dysfunction in schizophrenia and bipolar disorders (i.e., psychotic disorders). While OT treatment results have been mixed, emerging evidence suggests that OT system dysfunction may also play a role in the etiology of metabolic syndrome (MetS), which appears in one-third of individuals with psychotic disorders and associated with increased mortality. Here we examine the evidence for a potential role of the OT system in the shared risk for MetS and psychotic disorders, and its prospects for ameliorating MetS. Using several studies to demonstrate the overlapping neurobiological profiles of metabolic risk factors and psychiatric symptoms, we show that OT system dysfunction may be one common mechanism underlying MetS and psychotic disorders. Given the critical need to better understand metabolic dysregulation in these disorders, future OT trials assessing behavioural and cognitive outcomes should additionally include metabolic risk factor parameters.
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Emerging evidence points to the oxytocin system's role in energy metabolism, with relevance for metabolic functions.
“Emerging evidence also points to the oxytocin system’s role in energy metabolism, with relevance for metabolic functions5.”
From Oxytocin pathway gene networks in the human brain (2019) · cites this paper as [5]
These results are consistent with emerging evidence that the oxytocin system plays a role in the metabolic and feeding dysregulation, which are overrepresented in severe mental illnesses.
“Altogether, these results are consistent with emerging evidence that the oxytocin system plays a role in the metabolic and feeding dysregulation, which are overrepresented in severe mental illnesses5.”
From Oxytocin pathway gene networks in the human brain (2019) · cites this paper as [5]
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Self-citationAn obligate role of oxytocin neurons in diet induced energy expenditure
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Consequences of Early Experiences and Exposure to Oxytocin and Vasopressin Are Sexually Dimorphic
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Decreased Circulating Levels of Oxytocin in Obesity and Newly Diagnosed Type 2 Diabetic Patients
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Self-citationOxytocin-Augmented Social Cognitive Skills Training in Schizophrenia
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“Brain regions known to be involved in appetite regulation, such as the dorsomedial and ventromedial hypothalamic nuclei, are also rich in OT receptors (Gould and Zingg, 2003).”
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“Moreover, recent efforts to ‘open the file draw’ of OT laboratories (Lane et al., 2016) and a steadily increasing rate of preregistered OT trials (Alvares et al., 2016b) will contribute towards the reduction of publication bias in this field, thus increasing the overall quality of research.”
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“The use of hormonal contraceptives is also an important consideration in light of their dampening effect on neural responses to OT (Scheele et al., 2016).”
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Central Oxytocin and Food Intake: Focus on Macronutrient-Driven Reward
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The effect of oxytocin on basal and pethidine‐induced delayed gastric emptying.
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Oxytocin response to insulin-induced hypoglycemia in obese subjects before and after weight loss
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The effects of a single dose of oxytocin on working memory in schizophrenia
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Behavioral effects of intracerebroventricular injection of oxytocin in birds
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Binding and structural properties of oxytocin receptors in isolated rat epididymal adipocytes
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Oxytocin Receptors and Human Parturition
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Is oxytocin “nature’s medicine”
Carter, C. S., Kenkel, W. M., MacLean, E. L., Wilson, S. R., Perkeybile, A. M., Yee, J. R., Ferris, C. F., Nazarloo, H. P., Porges, S. W., Davis, J. M., et al. (2020) · Pharmacological Reviews · doi:10.1124/pr.120.019398 · Cited by 394 · see citing works
Oxytocin pathway gene networks in the human brain
Quintana, D. S., Rokicki, J., van der Meer, D., Alnæs, D., Kaufmann, T., Córdova-Palomera, A., Dieset, I., Andreassen, O. A., & Westlye, L. T. (2019) · Nature Communications · doi:10.1038/s41467-019-08503-8 · Cited by 354 · see citing works
Self-citationYuhi, T., Kyuta, H., Mori, H.-A., Murakami, C., Furuhara, K., Okuno, M., Takahashi, M., Fuji, D., & Higashida, H. (2017) · Brain Sciences · doi:10.3390/brainsci7110152 · Cited by 32 · see citing works
- Authors
- Quintana, D. S., Dieset, I., Elvsåshagen, T., Westlye, L. T., & Andreassen, O. A.
- Affiliations
- Oslo University Hospital (NO)
- Corresponding author
- Quintana, Daniel S.
- Venue
- Frontiers in Neuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 45
- Pages
- 1-10
- ISSN
- 0091-3022 (ISSN-L)
- OpenAlex
- W2566824518
- Semantic Scholar
- f27c0d8fb94f98744d1c0490788db11a11b95b11
- Cited by
- 39
- References
- 201
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2022: 4 · 2021: 4 · 2020: 6 · 2019: 5 · 2018: 8 · 2017: 5
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Frontiers in Neuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- Novo Nordisk Foundation (NNF16OC0019856)
- Research Council of Norway and OptiNose AS (BIA 219483)
- Research Council of Norway CoE grant (223273)
- South-Eastern Norway Regional Health Authority grants (2014-097, 2016-064)
- KG Jebsen Foundation (SKGJ‐MED‐008)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- metabolic syndrome, schizophrenia, bipolar disorder, psychosis, intranasal oxytocin, social dysfunction, metabolic dysfunction, metabolic risk factors
- MeSH terms
- Animals, Bipolar Disorder, Humans, Oxytocin, Psychotic Disorders, Schizophrenia, Treatment Outcome, Metabolic Syndrome
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