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Cerebral Cortex Advance Access originally published online on June 17, 2008
Cerebral Cortex 2009 19(3):537-542; doi:10.1093/cercor/bhn104
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© The Author 2008. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

The Link between Facial Feedback and Neural Activity within Central Circuitries of Emotion—New Insights from Botulinum Toxin–Induced Denervation of Frown Muscles

Andreas Hennenlotter1,2, Christian Dresel1, Florian Castrop1, Andres O. Ceballos-Baumann3, Afra M. Wohlschläger1,4,5 and Bernhard Haslinger1

1 Neurologische Klinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, D-81675, Germany, 2 Max Planck Institut für Kognitions- und Neurowissenschaften, Abteilung für Neuropsychologie, Leipzig, D-04103, Germany, 3 Neurologisches Krankenhaus München, Abteilung für Neurologie und klinische Neurophysiologie, D-80804, Germany, 4 Abteilung für Neuroradiologie, 5 Nuklearmedizinische Klinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, D-81675, Germany

Address correspondence to email: b.haslinger{at}lrz.tum.de

Afferent feedback from muscles and skin has been suggested to influence our emotions during the control of facial expressions. Recent imaging studies have shown that imitation of facial expressions is associated with activation in limbic regions such as the amygdala. Yet, the physiological interaction between this limbic activation and facial feedback remains unclear. To study if facial feedback effects on limbic brain responses during intentional imitation of facial expressions, we applied botulinum toxin (BTX)–induced denervation of frown muscles in combination with functional magnetic resonance imaging as a reversible lesion model to minimize the occurrence of afferent muscular and cutaneous input. We show that, during imitation of angry facial expressions, reduced feedback due to BTX treatment attenuates activation of the left amygdala and its functional coupling with brain stem regions implicated in autonomic manifestations of emotional states. These findings demonstrate that facial feedback modulates neural activity within central circuitries of emotion during intentional imitation of facial expressions. Given that people tend to mimic the emotional expressions of others, this could provide a potential physiological basis for the social transfer of emotion.

Key Words: amygdala • botulinum toxin • emotion • facial feedback • fMRI • imitation


Andreas Hennenlotter designed, implemented, and analyzed the study. Christian Dresel analyzed the structural MRI data and helped with scanning. Bernhard Haslinger helped with analyzing the functional MRI data. Andreas Hennenlotter, Bernhard Haslinger, and Christian Dresel prepared the manuscript. All authors contributed to designing the study and discussing the data.


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