Abstract

SummaryThe ability to represent and respond to uncertainty is fundamental to human cognition and decision-making. Noradrenaline (NA) is hypothesized to play a key role in coordinating the sensory, learning, and physiological states necessary to adapt to a changing world, but direct evidence for this is lacking in humans. Here, we tested the effects of attenuating noradrenergic neurotransmission on learning under uncertainty. We probed the effects of the β-adrenergic receptor antagonist propranolol (40 mg) using a between-subjects, double-blind, placebo-controlled design. Participants performed a probabilistic associative learning task, and we employed a hierarchical learning model to formally quantify prediction errors about cue-outcome contingencies and changes in these associations over time (volatility). Both unexpectedness and noise slowed down reaction times, but propranolol augmented the interaction between these main effects such that behavior was influenced more by prior expectations when uncertainty was high. Computationally, this was driven by a reduction in learning rates, with people slower to update their beliefs in the face of new information. Attenuating the global effects of NA also eliminated the phasic effects of prediction error and volatility on pupil size, consistent with slower belief updating. Finally, estimates of environmental volatility were predicted by baseline cardiac measures in all participants. Our results demonstrate that NA underpins behavioral and computational responses to uncertainty. These findings have important implications for understanding the impact of uncertainty on human biology and cognition.

Highlights

  • When there is an unexpected change in the state of the world— for instance, your regular morning coffee makes you sick one day—humans must decide whether to update their model of the world or dismiss the unusual outcome as a one-off

  • We employed a double-blind, placebo-controlled design in 40 healthy volunteers to test the effects of propranolol administration on a probabilistic associative learning (PAL) task, which quantifies the impact of learned expectations on reaction times (RTs) under conditions of sensory noise[29,38,39,43]

  • Diastolic blood pressure (BP) reduced in all participants (F(1,38) = 13.22, p = 0.001, hp2 = 0.258), but there was no interaction with group (F < 1; Figure 2C)

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Summary

Introduction

When there is an unexpected change in the state of the world— for instance, your regular morning coffee makes you sick one day—humans must decide whether to update their model of the world (and never drink coffee again) or dismiss the unusual outcome as a one-off. To solve this problem, we must flexibly update our beliefs across time, relying on prior expectations when the environment is stable, and disregarding them to promote rapid learning when the world is volatile. Increasing NA in rodents enhances bottom-up, thalamo-sensory processing.[20,21] By altering tuning functions in sensory cortex, activation of the noradrenergic locus coeruleus (LC) enhances sensory learning.[22,23] In contrast, NA blockade has been shown to impair reversal learning and cognitive flexibility in non-human animals.[24,25]

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