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Locus Coeruleus

Neuroscience · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

Bluish-colored region in the superior angle of the fourth ventricle floor, corresponding to melanin-like pigmented nerve cells which lie lateral to the periaqueductal gray.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (753 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Bluish-colored region in the superior angle of the fourth ventricle floor, corresponding to melanin-like pigmented nerve cells which lie lateral to the periaqueductal gray.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Locus Caeruleus; Locus Ceruleus; Nucleus Pigmentosus Pontis; Pontis, Nucleus Pigmentosus; Locus Ceruleus Complex; Complex, Locus Ceruleus; Locus Caeruleus Complex; Caeruleus Complex, Locus.

Where it fits in the MeSH classification

Broader topics
Mesencephalon; Pontine Tegmentum

Related concepts

  • Fourth Ventricle
  • Periaqueductal Gray

Research landscape

PubMed indexes 5,822 records tagged with the MeSH heading “Locus Coeruleus” (counts retrieved 2026-10-29). 881 of them (15.1%) were published from 2020 onward, and the busiest period so far is through 1999 with 2,983 records.

Reviews account for 511 records (8.8%) and meta-analyses for 3. Randomized controlled trials number 22 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 2,983 records; 2000-2009: 1,020 records; 2010-2019: 938 records; 2020 onward: 881 records2,983through 19991,0202000-20099382010-20198812020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19992,983
2000-20091,020
2010-2019938
2020 onward881
Share of records by publication typeReviews: 8.8 percent; Meta-analyses: 0.1 percent; Randomized controlled trials: 0.4 percentReviews8.8% (511)Meta-analyses0.1% (3)Randomized controlled trials0.4% (22)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 5,822 PubMed records
TypeRecordsShare
Reviews5118.8%
Meta-analyses30.1%
Randomized controlled trials220.4%

Method: PubMed query "Locus Coeruleus"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in neuroscience

Neuroscience draws on tools with different strengths: cellular and animal work can manipulate circuits directly, while human imaging and electrophysiology observe the living brain at lower resolution. Small imaging studies are prone to false positives, and findings in animals do not always carry over to people. Clinical neurology and psychiatry rely on trials and cohort studies whose outcomes are often symptom scales. Check the species, the sample size, how the outcome was measured and whether results were replicated.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Novelty and Dopaminergic Modulation of Memory Persistence: A Tale of Two Systems
Duszkiewicz AJ, McNamara CG, Takeuchi T, Genzel L
2019Review article
Design not recorded in structured metadata
249cc by
PMID 30455050 · DOI · PMC6352318
Noradrenergic Modulation of Cognition in Health and Disease
Borodovitsyna O, Flamini M, Chandler D
2017Review article
Design not recorded in structured metadata
172cc by
PMID 28596922 · DOI · PMC5450174
Locus Coeruleus Norepinephrine in Learned Behavior: Anatomical Modularity and Spatiotemporal Integration in Targets
Breton-Provencher V, Drummond GT, Sur M
2021Review article
Design not recorded in structured metadata
120cc by
PMID 34163331 · DOI · PMC8215268
The Contribution of the Locus Ceruleus-Norepinephrine System to the Coupling between Pupil-Linked Arousal and Cortical State
Weiss E, Liu Y, Wang Q
2026Research article
Design not recorded in structured metadata
5cc by
PMID 41330637 · DOI · PMC12828892

Novelty and Dopaminergic Modulation of Memory Persistence: A Tale of Two Systems [1]

Review article Duszkiewicz AJ, McNamara CG, Takeuchi T, Genzel L · · 2019 · cited 249 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Adaptation to the ever-changing world is critical for survival, and our brains are particularly tuned to remember events that differ from previous experiences.
Closing excerpt
By contrast, experiences that bear only a minimal relationship to past experiences ('distinct novelty') activate the LC to trigger strong initial memory consolidation in the hippocampus, resulting in vivid and long-lasting episodic memories.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (168 words)

Adaptation to the ever-changing world is critical for survival, and our brains are particularly tuned to remember events that differ from previous experiences. Novel experiences induce dopamine release in the hippocampus, a process which promotes memory persistence. While axons from the ventral tegmental area (VTA) were generally thought to be the exclusive source of hippocampal dopamine, recent studies have demonstrated that noradrenergic neurons in the locus coeruleus (LC) corelease noradrenaline and dopamine in the hippocampus and that their dopamine release boosts memory retention as well. In this opinion article, we propose that the projections originating from the VTA and the LC belong to two distinct systems that enhance memory of novel events. Novel experiences that share some commonality with past ones ('common novelty') activate the VTA and promote semantic memory formation via systems memory consolidation. By contrast, experiences that bear only a minimal relationship to past experiences ('distinct novelty') activate the LC to trigger strong initial memory consolidation in the hippocampus, resulting in vivid and long-lasting episodic memories.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 30455050 · DOI · PMC6352318

Noradrenergic Modulation of Cognition in Health and Disease [2]

Review article Borodovitsyna O, Flamini M, Chandler D · · 2017 · cited 172 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Norepinephrine released by the locus coeruleus modulates cellular processes and synaptic transmission in the central nervous system through its actions at a number of pre- and postsynaptic receptors.
Closing excerpt
We further assess the changes that occur in the noradrenergic system in Alzheimer's disease, Parkinson's disease, attention-deficit/hyperactivity disorder, and schizophrenia and how these changes contribute to cognitive decline in these pathologies.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (196 words)

Norepinephrine released by the locus coeruleus modulates cellular processes and synaptic transmission in the central nervous system through its actions at a number of pre- and postsynaptic receptors. This transmitter system facilitates sensory signal detection and promotes waking and arousal, processes which are necessary for navigating a complex and dynamic sensory environment. In addition to its effects on sensory processing and waking behavior, norepinephrine is now recognized as a contributor to various aspects of cognition, including attention, behavioral flexibility, working memory, and long-term mnemonic processes. Two areas of dense noradrenergic innervation, the prefrontal cortex and the hippocampus, are particularly important with regard to these functions. Due to its role in mediating normal cognitive function, it is reasonable to expect that noradrenergic transmission becomes dysfunctional in a number of neuropsychiatric and neurodegenerative diseases characterized by cognitive deficits. In this review, we summarize the unique role that norepinephrine plays in prefrontal cortical and hippocampal function and how its interaction with its various receptors contribute to cognitive behaviors. We further assess the changes that occur in the noradrenergic system in Alzheimer's disease, Parkinson's disease, attention-deficit/hyperactivity disorder, and schizophrenia and how these changes contribute to cognitive decline in these pathologies.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 28596922 · DOI · PMC5450174

Locus Coeruleus Norepinephrine in Learned Behavior: Anatomical Modularity and Spatiotemporal Integration in Targets [3]

Review article Breton-Provencher V, Drummond GT, Sur M · · 2021 · cited 120 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The locus coeruleus (LC), a small brainstem nucleus, is the primary source of the neuromodulator norepinephrine (NE) in the brain.
Closing excerpt
Here, we summarize the state of the field and present new ideas on the role of LC-NE in learned behaviors.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (147 words)

The locus coeruleus (LC), a small brainstem nucleus, is the primary source of the neuromodulator norepinephrine (NE) in the brain. The LC receives input from widespread brain regions, and projects throughout the forebrain, brainstem, cerebellum, and spinal cord. LC neurons release NE to control arousal, but also in the context of a variety of sensory-motor and behavioral functions. Despite its brain-wide effects, much about the role of LC-NE in behavior and the circuits controlling LC activity is unknown. New evidence suggests that the modular input-output organization of the LC could enable transient, task-specific modulation of distinct brain regions. Future work must further assess whether this spatial modularity coincides with functional differences in LC-NE subpopulations acting at specific times, and how such spatiotemporal specificity might influence learned behaviors. Here, we summarize the state of the field and present new ideas on the role of LC-NE in learned behaviors.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34163331 · DOI · PMC8215268

The Contribution of the Locus Ceruleus-Norepinephrine System to the Coupling between Pupil-Linked Arousal and Cortical State [4]

Research article Weiss E, Liu Y, Wang Q · · 2026 · cited 5 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Understanding how pupil-linked arousal couples with cortical state is crucial for uncovering the neural mechanisms underlying brain state-dependent cognitive and sensory processing.
Closing excerpt
This study provides new insights into the complex relationship between pupil-linked arousal and cortical arousal state, underscoring the significant role of the LC-NE system in influencing these arousal states.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (242 words)

Understanding how pupil-linked arousal couples with cortical state is crucial for uncovering the neural mechanisms underlying brain state-dependent cognitive and sensory processing. Pupil size fluctuations reflect rapid changes of the pupil-linked arousal system, indexing brain states as well as the activity of neuromodulatory systems, including the locus ceruleus-norepinephrine (LC-NE) system. We investigated the relationship among phasic pupil dilation, cortical state, and neuromodulation by combining optogenetic LC stimulation with electroencephalogram (EEG) recordings and pupillometry in awake mice of both sexes. A comparison between EEG signals during spontaneous phasic pupil dilation and those during phasic pupil dilation evoked by LC stimulation revealed distinct cortical states. Using machine learning techniques, we trained a convolutional neural network classifier to distinguish between types of pupil dilation based on the power dynamics of individual EEG frequency bands. The results confirmed that all EEG bands, but most significantly gamma, differ markedly between spontaneous phasic arousal and LC stimulation-evoked arousal. Moreover, pharmacological manipulations to either block α- or β-adrenergic receptors or agonize α-2-adrenergic receptors were employed to explore how adrenergic receptors could influence the coupling between phasic pupil dilation and cortical state. With each manipulation uniquely modulating EEG power and pupil size, our results highlight the differentiated role of adrenergic receptors in moderating the coupling between pupil-linked arousal and cortical state. This study provides new insights into the complex relationship between pupil-linked arousal and cortical arousal state, underscoring the significant role of the LC-NE system in influencing these arousal states.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41330637 · DOI · PMC12828892

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance [5]
    Aston-Jones G, Cohen JD · Annu Rev Neurosci · 2005 · cited 3,309 times (Europe PMC)
  • Research article The locus coeruleus-noradrenergic system: modulation of behavioral state and state-dependent cognitive processes [6]
    Berridge CW, Waterhouse BD · Brain Res Brain Res Rev · 2003 · cited 1,972 times (Europe PMC)
  • Research article The locus coeruleus and noradrenergic modulation of cognition [7]
    Sara SJ · Nat Rev Neurosci · 2009 · cited 1,455 times (Europe PMC)
  • Research article Decision making, the P3, and the locus coeruleus-norepinephrine system [8]
    Nieuwenhuis S, Aston-Jones G, Cohen JD · Psychol Bull · 2005 · cited 1,258 times (Europe PMC)
  • Research article Orienting and reorienting: the locus coeruleus mediates cognition through arousal [9]
    Sara SJ, Bouret S · Neuron · 2012 · cited 813 times (Europe PMC)
  • Research article Role of locus coeruleus in attention and behavioral flexibility [10]
    Aston-Jones G, Rajkowski J, Cohen J · Biol Psychiatry · 1999 · cited 684 times (Europe PMC)

References

  1. Duszkiewicz AJ, McNamara CG, Takeuchi T, Genzel L. Novelty and Dopaminergic Modulation of Memory Persistence: A Tale of Two Systems. . 2019. PMID 30455050 · DOI · PMC6352318
  2. Borodovitsyna O, Flamini M, Chandler D. Noradrenergic Modulation of Cognition in Health and Disease. . 2017. PMID 28596922 · DOI · PMC5450174
  3. Breton-Provencher V, Drummond GT, Sur M. Locus Coeruleus Norepinephrine in Learned Behavior: Anatomical Modularity and Spatiotemporal Integration in Targets. . 2021. PMID 34163331 · DOI · PMC8215268
  4. Weiss E, Liu Y, Wang Q. The Contribution of the Locus Ceruleus-Norepinephrine System to the Coupling between Pupil-Linked Arousal and Cortical State. . 2026. PMID 41330637 · DOI · PMC12828892
  5. Aston-Jones G, Cohen JD. An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance. Annu Rev Neurosci. 2005. PMID 16022602 · DOI
  6. Berridge CW, Waterhouse BD. The locus coeruleus-noradrenergic system: modulation of behavioral state and state-dependent cognitive processes. Brain Res Brain Res Rev. 2003. PMID 12668290 · DOI
  7. Sara SJ. The locus coeruleus and noradrenergic modulation of cognition. Nat Rev Neurosci. 2009. PMID 19190638 · DOI
  8. Nieuwenhuis S, Aston-Jones G, Cohen JD. Decision making, the P3, and the locus coeruleus-norepinephrine system. Psychol Bull. 2005. PMID 16060800 · DOI
  9. Sara SJ, Bouret S. Orienting and reorienting: the locus coeruleus mediates cognition through arousal. Neuron. 2012. PMID 23040811 · DOI
  10. Aston-Jones G, Rajkowski J, Cohen J. Role of locus coeruleus in attention and behavioral flexibility. Biol Psychiatry. 1999. PMID 10560036 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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At a glance

5,822
PubMed records on this heading
15%
published since 2020
511
review articles
22
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • ThalamusNeuroscience
  • AmygdalaNeuroscience
  • Caudate NucleusNeuroscience
  • Nucleus AccumbensNeuroscience
  • HippocampusNeuroscience

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