Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon

Abstract Neuromodulation plays a central role in human movement control. An imbalance of neurotransmitters, especially dopamine and serotonin, can be associated with various neurological disorders causing tremors or spasms. Specifically, serotonin was shown to scale motoneuron excitability following...

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Main Authors: Annika Schmidt, Tobias Meindl, Alin Albu-Schäffer, David W. Franklin, Philipp Stratmann
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-00444-1
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author Annika Schmidt
Tobias Meindl
Alin Albu-Schäffer
David W. Franklin
Philipp Stratmann
author_facet Annika Schmidt
Tobias Meindl
Alin Albu-Schäffer
David W. Franklin
Philipp Stratmann
author_sort Annika Schmidt
collection DOAJ
description Abstract Neuromodulation plays a central role in human movement control. An imbalance of neurotransmitters, especially dopamine and serotonin, can be associated with various neurological disorders causing tremors or spasms. Specifically, serotonin was shown to scale motoneuron excitability following intense muscle contractions, affecting short-latency reflexes. Likely, it may also influence motoneuron modulation in prolonged contractions, although this lacks experimental evidence. An intriguing test case for this hypothesis is presented by the Kohnstamm phenomenon, where sustained muscle contractions lead to prolonged amplified EMG activity and involuntary motions, aligning with the timescale of serotonergic amplification. The suspected serotonin influence on this effect was tested in a placebo-controlled human user study with 14 participants, where half were administered the serotonin antagonist Cyproheptadine and the other half a placebo. Comparing EMG and force responses after inducing the Kohnstamm phenomenon in the deltoid muscles revealed statistically significant faster EMG decay with the serotonin antagonist, while decay remained consistent in the placebo group compared to the response of the same participant group without medication. The force measurements showed the same trend, although no significance. This provides new data-based evidence that serotonin contributes to long-term motoneuron modulation, extending previous findings about the dedicated role and influence of this neurotransmitter. Additionally, the work suggests the phenomenon as an interesting test case to investigate the dedicated involvement of different neurocontrol mechanisms such as Persistent Inward Currents.
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spelling doaj-art-98f32dfa3ceb4fab974d493d8224d3c12025-08-20T03:10:13ZengNature PortfolioScientific Reports2045-23222025-05-0115111110.1038/s41598-025-00444-1Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenonAnnika Schmidt0Tobias Meindl1Alin Albu-Schäffer2David W. Franklin3Philipp Stratmann4TUM School of Computation, Information and Technology, Technical University of Munich (TUM)Department of Neurology, University Hospital rechts der Isar, Technical University of MunichTUM School of Computation, Information and Technology, Technical University of Munich (TUM)Munich Institute of Robotics and Machine Intelligence (MIRMI), Technical University of Munich (TUM)TUM School of Computation, Information and Technology, Technical University of Munich (TUM)Abstract Neuromodulation plays a central role in human movement control. An imbalance of neurotransmitters, especially dopamine and serotonin, can be associated with various neurological disorders causing tremors or spasms. Specifically, serotonin was shown to scale motoneuron excitability following intense muscle contractions, affecting short-latency reflexes. Likely, it may also influence motoneuron modulation in prolonged contractions, although this lacks experimental evidence. An intriguing test case for this hypothesis is presented by the Kohnstamm phenomenon, where sustained muscle contractions lead to prolonged amplified EMG activity and involuntary motions, aligning with the timescale of serotonergic amplification. The suspected serotonin influence on this effect was tested in a placebo-controlled human user study with 14 participants, where half were administered the serotonin antagonist Cyproheptadine and the other half a placebo. Comparing EMG and force responses after inducing the Kohnstamm phenomenon in the deltoid muscles revealed statistically significant faster EMG decay with the serotonin antagonist, while decay remained consistent in the placebo group compared to the response of the same participant group without medication. The force measurements showed the same trend, although no significance. This provides new data-based evidence that serotonin contributes to long-term motoneuron modulation, extending previous findings about the dedicated role and influence of this neurotransmitter. Additionally, the work suggests the phenomenon as an interesting test case to investigate the dedicated involvement of different neurocontrol mechanisms such as Persistent Inward Currents.https://doi.org/10.1038/s41598-025-00444-1
spellingShingle Annika Schmidt
Tobias Meindl
Alin Albu-Schäffer
David W. Franklin
Philipp Stratmann
Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
Scientific Reports
title Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
title_full Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
title_fullStr Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
title_full_unstemmed Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
title_short Influence of serotonin on the long-term muscle contraction of the Kohnstamm phenomenon
title_sort influence of serotonin on the long term muscle contraction of the kohnstamm phenomenon
url https://doi.org/10.1038/s41598-025-00444-1
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