Tronel Sophie, Alberini Cristina M
Department of Neuroscience, Mount Sinai School of Medicine, New York, New York 10029, USA.
Biol Psychiatry. 2007 Jul 1;62(1):33-9. doi: 10.1016/j.biopsych.2006.09.009. Epub 2007 Jan 3.
Posttraumatic stress disorder (PTSD) is characterized by acute and chronic changes in the stress response, which include alterations in glucocorticoid secretion and critically involve the limbic system, in particular the amygdala. Important symptoms of PTSD manifest as a classical conditioning to fear, which recurs each time trauma-related cues remind the subject of the original insult. Traumatic memories based on fear conditioning can be disrupted if interfering events or pharmacological interventions are applied following their retrieval.
Using an animal model, here we show that a traumatic memory is persistently disrupted if immediately after its retrieval glucocorticoid receptors are inactivated in the amygdala. The disruption of the memory is long lasting and memory retention does not re-emerge following strong reminders of the conditioned fear.
We propose that a combinatorial approach of psychological and pharmacological intervention targeting the glucocorticoid system following memory retrieval may represent a novel direction for the treatment of PTSD.
创伤后应激障碍(PTSD)的特征是应激反应的急性和慢性变化,其中包括糖皮质激素分泌的改变,并且关键涉及边缘系统,尤其是杏仁核。PTSD的重要症状表现为对恐惧的经典条件反射,每当与创伤相关的线索使个体想起最初的侮辱时,这种条件反射就会反复出现。如果在基于恐惧条件反射的创伤性记忆被提取后应用干扰事件或药物干预,这些记忆可能会被破坏。
在此我们使用动物模型表明,如果在创伤性记忆被提取后立即使杏仁核中的糖皮质激素受体失活,该记忆会持续被破坏。记忆的破坏是持久的,并且在强烈提醒条件性恐惧后记忆保持不会重新出现。
我们提出,在记忆提取后针对糖皮质激素系统的心理和药物干预相结合的方法可能代表了治疗PTSD的新方向。