How Can We Measure Human Oxytocin Levels?

By Neuroskeptic | May 3, 2017 1:42 pm

Is oxytocin really the love and trust chemical? Or is it just the hype hormone? A new paper suggests that many studies of the relationship between oxytocin and behaviors such as trust have been flawed.


The paper is a meta-analysis just published by Norwegian researchers Mathias Valstad and colleagues. Valstad et al. found that the level of oxytocin in human blood, often used as a proxy measure of brain oxytocin, has no relation to central nervous system oxytocin levels under normal conditions.

Valstad et al. combined the results of 7 studies that compared plasma oxytocin against central oxytocin in humans. Central oxytocin was in most cases measured in the cerebrospinal fluid (CSF) via spinal tap . The headline result was that there is no evidence of a correlation between plasma and central oxytocin at baseline in humans (r = 0.05, p = .59).

By contrast, following treatments which increased oxytocin levels, such as intranasal oxytocin, blood plasma was a positive predictor of central oxytocin. This suggests that plasma might be a useful tool for assessing the impact of a treatment on oxytocin, but not for studying the hormone in the baseline state.

This graph shows the key result: the average correlation was no different from zero in the baseline condition (note that some of the studies included in this analysis were in animals):


Valstad et al. conclude that “blood plasma may not efficiently index central oxytocin concentrations under baseline conditions.” This, they note, is a problem for the many studies which have looked for behavioral correlates of baseline plasma oxytocin:

There is a substantial body of research attempting to link peripheral oxytocin concentrations with psychological phenotypes or psychiatric disorder status. Since the social-cognitive effects of oxytocin have been assumed to arise from oxytocin action in the CNS, the assumption that peripheral and central oxytocin concentrations correlate in a baseline condition was crucial in the interpretation of the results from these two approaches… This assumption is called into question by the present data.

In fact, it gets even even worse. Some studies (e.g.) have reported psychological correlates of urinary oxytocin. In the light of Valstad et al.’s results, this seems highly implausible, because oxytocin enters urine from the blood, so urinary oxytocin is a (poor) proxy of blood oxytocin, let alone of central oxytocin.

Note that this study doesn’t call into question all oxytocin-behavior studies. For example, experiments looking at the effect of an intranasal dose of oxytocin on behavior are not directly affected, although in my opinion there is still much doubt as to whether intranasal oxytocin actually enters the human brain in sufficient quantities to have a meaningful effect.

ResearchBlogging.orgValstad M, Alvares GA, Egknud M, Matziorinis AM, Andreassen OA, Westlye LT, & Quintana DS (2017). The correlation between central and peripheral oxytocin concentrations: a systematic review and meta-analysis. Neuroscience and Biobehavioral Reviews PMID: 28442403

  • Bernard Carroll

    On the other hand, brain corticosteroid levels (corticosterone and cortisol) do covary in good linkage with plasma concentrations. See That’s one difference between steroid hormones and peptide hormones.

    • Neuroskeptic

      Good point, that’s the blood-brain barrier for you I suppose.

  • David Littleboy

    Aren’t many of the claims for oxytocin turning out to be problematic and/or irreproducible? They all made for great TED talks, but didn’t seem like sensible science. It seemed to me rather unlikely that one molecule would control love and affection. (I’m thinking here that the systems that control hunger and sleep are turning out to be way more complicated than initially thought, so I suspect that there aren’t any more simple easy TED talk level stories out there that are actually true…)

    The artist known as Sputniko! (Hiromi Ozaki, now a professor at the MIT Media Lab) did a short film based on oxytocin that’s rather fun, but takes the most questionable claims for the molecule and multiplies them way too many times. You’ll be amused.

  • Bill Kenkel

    Ah, got it: if a measure is entirely peripheral it isn’t useful for central processes. Who wants to tell the gut-brain field they need to shut down? Who’s got neuroimmunology? Maybe we should start a phone tree.

    • Dan Quintana

      Circulating oxytocin is likely to have various central effects due to the wide distribution of peripheral oxytocin receptors. Indeed, we have previously argued that social-cognitive effects of oxytocin may be influenced by peripheral effects on the cardiac autonomic system

      However, in this paper we were only testing the assumption that peripheral oxytocin levels can be used to approximate central oxytocin levels.

      • Bill Kenkel

        Oh I thought the paper was excellent (and much needed). The write-up above just glosses over a rather large nuance, namely that peripheral measures are still informative.

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  • Maggie Lipham

    I realize this is an older article so I don’t know that I’ll get a response but I’m going to give it a shot anyway:

    While there doesn’t seem to be a correlation between the central nervous system oxytocin level and blood-levels of oxytocin at the baseline level, if blood levels do respond to IN-OT and there are corresponding behavioral differences, what do you think might account for that? Is it a case of “not the best” but still usable measure?

    • Dan Quintana

      Hi Maggie,

      Yeah, it looks like peripheral measures after intranasal administration might be a “good enough” proxy of central levels. It’s still not 100% clear *how* intranasally administered oxytocin is getting from nose-to-brain. It’s either crossing the blood brain barrier via circulating blood (unlikely, but possible), or it’s travelling via olfactory and trigeminal nerve fibres directly to the brain (some evidence). If you’re interested, here’s a recent preprint discussing issues surrounding the intranasal delivery of oxytocin


  • Walter Fabio Simoni

    Hello, thanks for this paper..So…do you think it’s better to test oxytocin level in blood rather than urine ? It’s important for me because i’m thiking i’m lacking oxytocin and would be sure…so i would to test it but i don’t really know what test to use….If anyone can give me advice, what test to use ? What lab to contact ? Thanks a lot :)


    How Can We Measure Oxytocin Levels in brain Parkinson disease mouse model?
    If anyone can give me advice, what test to use and protocal? What lab to contact ? Thanks a lot



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Neuroskeptic is a British neuroscientist who takes a skeptical look at his own field, and beyond. His blog offers a look at the latest developments in neuroscience, psychiatry and psychology through a critical lens.


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