Evers · Current medicinal chemistry 2007 · narrative review · n=?

Serotonin and cognitive flexibility: neuroimaging studies into the effect of acute tryptophan depletion in healthy volunteers.

Cited 49 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review of neuroimaging studies without systematic review methodology

PubMed 18220735 · doi:10.2174/092986707782794032 · record verified 2026-08-31

What was done

The authors reviewed recent functional magnetic resonance imaging (fMRI) literature examining the effects of acute tryptophan depletion (ATD)—a transient, reversible method for lowering brain serotonin (5-HT)—on Blood Oxygen Level Dependent (BOLD) responses during cognitive flexibility tasks in healthy human volunteers.

What was found

The abstract provides no numerical data, statistics, or study counts. It notes qualitatively that ATD alters brain activation during cognitive flexibility tasks. The review highlights a hypothesis that ATD specifically alters negative feedback processing, rather than impairing response inhibition, error responsiveness, or cognitive control during response interference. The authors also note that findings across studies are sometimes contradictory, likely due to variations in task paradigms.

Why it matters

It outlines how transient serotonin manipulation affects brain activation patterns during cognitive adaptation, proposing that serotonin's role in behavioral flexibility operates primarily through feedback processing mechanisms.

Limits

The abstract provides no quantitative effect sizes, sample sizes, or study counts. As a narrative review, it does not detail systematic search protocols or risk of bias assessments. The reviewed primary studies show inconsistent and contradictory results driven by paradigm differences, and individual variability remains uncontrolled.

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