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Neuromodulation of Brain State and Behavior
Open accessAbstract
Neural activity and behavior are both notoriously variable, with responses differing widely between repeated presentation of identical stimuli or trials. Recent results in humans and animals reveal that these variations are not random in their nature, but may in fact be due in large part to rapid shifts in neural, cognitive, and behavioral states. Here we review recent advances in the understanding of rapid variations in the waking state, how variations are generated, and how they modulate neural and behavioral responses in both mice and humans. We propose that the brain has an identifiable set of states through which it wanders continuously in a nonrandom fashion, owing to the activity of both ascending modulatory and fast-acting corticocortical and subcortical-cortical neural pathways. These state variations provide the backdrop upon which the brain operates, and understanding them is critical to making progress in revealing the neural mechanisms underlying cognition and behavior.
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“Sleep is a brain state that is characterized by a large-scale organization of neuronal activity that captures virtually all brain regions”
From Sleep—A brain-state serving systems memory consolidation (2023) · cites this paper as [8]
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Reviewer #2 (Public Review): Inter-regional delays fluctuate in the human cerebral cortex
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Midbrain encodes sound detection behavior without auditory cortexPreprint
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Author response: Midbrain encodes sound detection behavior without auditory cortex
Lee, T.-Y., Weissenberger, Y., King, A. J., & Dahmen, J. C. (2024) · eLife · doi:10.7554/elife.89950.3.sa4
Reviewer #1 (Public Review): Midbrain encodes sound detection behavior without auditory cortex
Lee, T.-Y., Weissenberger, Y., King, A. J., et al. (2024) · eLife · doi:10.7554/elife.89950.3.sa2
Reviewer #3 (Public Review): Midbrain encodes sound detection behavior without auditory cortex
Lee, T.-Y., Weissenberger, Y., King, A. J., et al. (2024) · eLife · doi:10.7554/elife.89950.3.sa0
Reviewer #2 (Public Review): Midbrain encodes sound detection behavior without auditory cortex
Lee, T.-Y., Weissenberger, Y., King, A. J., et al. (2024) · eLife · doi:10.7554/elife.89950.3.sa1
eLife Assessment: Midbrain encodes sound detection behavior without auditory cortex
Bathellier, B. (2024) · eLife · doi:10.7554/elife.89950.3.sa3
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BackgroundBrain state and cortical layer-specific mechanisms underlying perception at thresholdPreprint
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Multiscale dynamical characterization of cortical brain states: from synchrony to asynchronyPreprint
Sanchez-Vives, M. V., Manasanch, A., Pigorini, A., Arena, A., Camassa, A., Juel, B. E., Porta, L. D., Capone, C., Luca, C. D., Bonis, G. D., et al. (2025) · eLife · doi:10.7554/elife.108613.1
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Goc, G. L., Lafaye, J., Karpenko, S., Bormuth, V., Candelier, R., & Debrégeas, G. (2021) · Figshare · doi:10.6084/m9.figshare.16655669
Goc, G. L., Lafaye, J., Karpenko, S., Bormuth, V., Candelier, R., & Debrégeas, G. (2021) · Figshare · doi:10.6084/m9.figshare.16655687
Hippocampal neuronal and astrocytic responses to noradrenaline and natural arousalPreprint
Duss, S. N., Wilhelm, M., Marinescu, A., Zhang, R., Helmchen, F., Bohacek, J., & Rupprecht, P. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.01.16.699885
“Readouts of arousal such as pupil dilations or unspecific motor activity have recently been shown to explain a large fraction of neuronal activity across the brain (McCormick et al., 2020; Musall et al., 2019; Stringer et al., 2019).”
Dopamine shapes brain metastate dynamicsPreprint
Matsuyoshi, D., Kimura, Y., Takahata, K., Ikoma, Y., Chie, S. E. K. I., Zhang, M.-R., Higuchi, M., Suhara, T., & Yamada, M. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.01.30.702810
Neuromodulators Generate Multiple Context-Relevant Behaviors in Recurrent Neural Networks
Tsuda, B., Pate, S. C., Tye, K. M., Siegelmann, H. T., & B, T. J. S. A. (2026) · Neural Computation · doi:10.1162/neco.a.1489 · Cited by 11
“…systems are robust to such fluctuations in external inputs (Haddad & Marder, 2018) (see Extended Data Figures 1 and 2; although they are subject to internal sources of noise: see Extended Data Figures 2c to 2f), supporting neural states like sleep as described above (McCormick et al., 2020).”
A review of decomposition methods for brain states estimation
Hu, G., Wang, J., Shui, Z., Wang, T., Wang, D., Luo, S., Liu, H., Xie, X., & Nickerson, L. D. (2026) · BioMedical Engineering OnLine · doi:10.1186/s12938-026-01542-5
Roshchina, M. A., & Yin, H. H. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.02.19.706912
“Pupil diameter is often used as a readout of general arousal level (McCormick et al., 2020).”
How Salient Sensory Stimuli Induce Brain-Wide State Alterations
Li, M., Tan, K., Liu, T., & (苑克鑫), K. Y. (2026) · Annual Review of Neuroscience · doi:10.1146/annurev-neuro-112723-034728
Shah, S. A., Alkhoury, L., Martin, I., Radanovic, A., Scanavini, G., Hojjati, S. H., Chiang, G. C., Butler, T., Kang, Y., Jamison, K. W., et al. (2026) · Brain Communications · doi:10.1093/braincomms/fcag145
“And, (ii) the role of GABAergic tone at the network level in providing inhibitory timing that shapes network function (and is directly reflected in beta and gamma rhythm enhancement, reviewed in McCormick et al. 15 ); while such activity is largely balanced between excitation and inhibition at the network level, 28 in…”
InfluentialChance, choice, and control: free will in an indeterministic universe
Potter, H. D., & Mitchell, K. J. (2026) · Synthese · doi:10.1007/s11229-026-05570-5 · Cited by 2
From Erythropoiesis to Circuit Rewiring: Erythropoietin as a Precision Tool for Neurorestoration
Almaguer‐Melian, W., Mercerón‐Martínez, D., Acosta, B. B., & Bergado, J. A. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27104329
“Given the established functions of BDNF and Arc in memory consolidation [92,93], it is reasonable to posit that their induction by EPO manages the neuroplastic mechanisms supporting memory recovery and prolongation.”
Task-Dependent Heart-Brain Interactions Regulate Human Self-Awareness
Xie, M.-S., Wu, H., Bao, H., Zhang, Y.-H., Liu, Y.-Y., Han, J.-R., Zhang, X.-L., & Qin, P.-M. (2026) · Neuroscience Bulletin · doi:10.1007/s12264-026-01624-3
“As is well known, the nervous system is in a constant internal state of flux that sets our brain in a specific working mode according to perceptual requirements that are updated dynamically and ultimately contribute to task flexibility [12, 13].”
del Agua, E., Nuiten, S. A., Zantvoord, J. B., Deco, G., & van Gaal, S. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.02.729595
A single brief cue leaves a day-long internal state imprint in planarians
Felix, E. O., Suzuki, R., Narahashi, M., Matsuo, S., & Inoue, T. (2026) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2606749123
Intracortical BCI Performance is Robust to Changes in Attentional Load During Dual-TaskingPreprint
Canario, E., Shearer, C., Akçakaya, M., Weber, D. J., Chase, S. M., & Collinger, J. L. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.16.732398
Hippocampal neuronal and astrocytic responses to noradrenaline and natural arousalPreprint
Duss, S. N., Wilhelm, M., Marinescu, A., Zhang, R., Helmchen, F., Bohacek, J., & Rupprecht, P. (2026) · eLife · doi:10.7554/elife.111593
Chen, Q., Zhang, Y., Liu, C., Fu, Y., Gan, Q., & Chen, Z. (2026) · Brain Research Bulletin · doi:10.1016/j.brainresbull.2026.112021
Arousal state modulates human hippocampal ripplesPreprint
Siefert, E. M., Chen, Y., Davis, K. A., Chen, H.-C. I., Schapiro, A. C., & Foster, B. L. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.26.734578 · Cited by 2
“In contrast to the large arousal changes that occur across sleep stages, arousal fluctuations within wake are more subtle and transient in nature (McCormick et al., 2020; McGinley, Vinck, et al., 2015).”
The Importance of Synchrony in the Neural Control of MovementPreprint
Hasegawa, M., Gruszka, B., Finch, M. S., Athreya, V. J., Milstein, A. D., & Oldenburg, I. A. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.06.26.734805 · Cited by 1
“Neural population activity in awake animals can take on many different population activity states regulated by attention and neuromodulation 87 .”
Porta, L. D., Fousek, J., Alain Destexhe, A., & Sanchez-Vives, M. V. (2026) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2532072123 · Cited by 1
“Acetylcholine (ACh), for example, plays a central role in modulating brain states by influencing spike - frequency adaptation and cortical excitability (10, 20, 21).”
InfluentialInterpreting neural and behavioral data using Hidden Markov Models
Versteijnen, M. L., & Heimel, J. A. (2026) · Brain Research · doi:10.1016/j.brainres.2026.150468
Metadata
- Authors
- McCormick, D. A., Nestvogel, D. B., & He, B. J.
- Affiliations
- University of Oregon (US)
- NYU Langone Health (US)
- Corresponding author
- McCormick, David A.
- Venue
- Annual Review of Neuroscience
- Publisher
- Annual Reviews
- Published
- 2020-07-08
- Volume
- 43
- Issue
- 1
- Pages
- 391-415
- ISSN
- 0147-006X (ISSN-L)
- 1545-4126
- PMC
- PMC12237593
- OpenAlex
- W3014163957
- Cited by
- 303
- References
- 167
- Citations by year
- 2026: 40 · 2025: 60 · 2024: 72 · 2023: 48 · 2022: 41 · 2021: 36 · 2020: 6
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Funders
- National Institute on Deafness and Other Communication Disorders (R01DC015803)
- National Institute of Neurological Disorders and Stroke (R35NS097287)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Keywords
- brain states, neural state transitions, behavioral state transitions, neuromodulation, cortico-cortical pathways, neural variability, cognitive states
- MeSH terms
- Animals, Behavior, Brain, Cerebral Cortex, Humans, Nerve Net, Neural Pathways, Neurons
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