Recognition of facial expressions is critical to our appreciation of t
he social and physical environment, with separate emotions having dist
inct facial expressions'. Perception of fearful facial expressions has
been extensively studied, appearing to depend upon the amygdala(2-6).
Disgust-literally 'bad taste'-is another important emotion, with a di
stinct evolutionary history(7), and is conveyed by a characteristic fa
cial expression(8-10). We have used functional magnetic resonance imag
ing (MRI) to examine the neural substrate for perceiving disgust expre
ssions. Normal volunteers were presented with faces showing mild or st
rong disgust or fear. Cerebral activation in response to these stimuli
was contrasted with that for neutral faces. Results for fear generall
y confirmed previous positron emission tomography findings of amygdala
involvement. Both strong and mild expressions of disgust activated an
terior insular cortex but not the amygdala; strong disgust also activa
ted structures linked to a limbic cortico-striatal-thalamic circuit. T
he anterior insula is known to be involved in responses to offensive t
astes. The neural response to facial expressions of disgust in others
is thus closely related to appraisal of distasteful stimuli.