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From pupil to the brain: New insights for studying cortical plasticity through pupillometry
Open accessAbstract
Pupil size variations have been associated with changes in brain activity patterns related with specific cognitive factors, such as arousal, attention, and mental effort. The locus coeruleus (LC), a key hub in the noradrenergic system of the brain, is considered to be a key regulator of cognitive control on pupil size, with changes in pupil diameter corresponding to the release of norepinephrine (NE). Advances in eye-tracking technology and open-source software have facilitated accurate pupil size measurement in various experimental settings, leading to increased interest in using pupillometry to track the nervous system activation state and as a potential biomarker for brain disorders. This review explores pupillometry as a non-invasive and fully translational tool for studying cortical plasticity starting from recent literature suggesting that pupillometry could be a promising technique for estimating the degree of residual plasticity in human subjects. Given that NE is known to be a critical mediator of cortical plasticity and arousal, the review includes data revealing the importance of the LC-NE system in modulating brain plasticity and pupil size. Finally, we will review data suggesting that pupillometry could provide a quantitative and complementary measure of cortical plasticity also in pre-clinical studies.
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Pupil size, which is controlled by NE, exhibits fluctuations that are anticorrelated with sleep spindles in the same frequency range in humans.
“the pupil size, which is controlled by NE110 exhibit fluctuations that are anticorrelated with sleep spindles in the same frequency range in humans111.”
From Norepinephrine-mediated slow vasomotion drives glymphatic clearance during sleep (2025) · cites this paper as [110]
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Metadata
- Authors
- Viglione, A., Mazziotti, R., & Pizzorusso, T.
- Affiliations
- Scuola Normale Superiore (IT)
- Neuroscience Institute (IT)
- Corresponding author
- Viglione, Aurelia
- Venue
- Frontiers in Neural Circuits
- Publisher
- Frontiers Media SA
- Published
- 2023-03-31
- Volume
- 17
- Pages
- 1151847-1151847
- ISSN
- 1662-5110 (ISSN-L)
- PMC
- PMC10102476
- OpenAlex
- W4362518986
- Cited by
- 48
- References
- 20
- Citations by year
- 2026: 16 · 2025: 14 · 2024: 13 · 2023: 5
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Neural Circuits (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Florence Research (University of Florence) (submittedVersion, other-oa)
- Scuola Normale Superiore di Pisa (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Pennsylvania
- Nvidia
- Scuola Normale Superiore
- Associazione Italiana Rett
- Fondazione Umberto Veronesi
- Horizon 2020 Framework Programme (951911)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Physical Sciences › Computer Science › Human-Computer Interaction › Gaze Tracking and Assistive Technology
- Keywords
- pupillometry, cortical plasticity, locus coeruleus, norepinephrine, noradrenergic system, arousal, residual plasticity, cognitive control, eye tracking, preclinical research
- MeSH terms
- Arousal, Attention, Brain, Humans, Locus Coeruleus, Pupil
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