Ultrasound-mediated neuromodulator delivery reveals serotonergic control of context-dependent motivation in primates

Abstract

Causal manipulation of neuromodulatory systems has been constrained by a trade-off between spatial precision and translational relevance: circuit-specific techniques are invasive, whereas systemic pharmacology lacks anatomical specificity. Here, we establish ultrasound-mediated neuromodulator delivery as a non-invasive, spatially precise approach for causal neuropharmacology in awake, behaving primates. By transiently opening the blood-brain barrier, we delivered systemically administered serotonin to the perigenual anterior cingulate cortex (pgACC) during a decision-making task. Combining computational modelling with multimodal imaging, pupillometry and histology, we show that elevating pgACC serotonin altered local neural activity and weakened the influence of reward environment on motivational state while leaving sensitivity to immediate reward opportunities intact. This was accompanied by reduced functional coupling, decreased local glutamatergic metabolite signal and increased serotonergic signal at the target, with repeated delivery well tolerated. Together, these findings establish a translatable platform for focal neuropharmacology and identify pgACC serotonin as a regulator of context-dependent motivation.