Arruda-Carvalho Maithe, Clem Roger L
Fishberg Department of Neuroscience and The Friedman Brain Institute, Icahn School of Medicine at Mount Sinai New York, NY, USA.
Front Syst Neurosci. 2015 Oct 30;9:145. doi: 10.3389/fnsys.2015.00145. eCollection 2015.
The ability to form associations between aversive threats and their predictors is fundamental to survival. However, fear and anxiety in excess are detrimental and are a hallmark of psychiatric diseases such as post-traumatic stress disorder (PTSD). PTSD symptomatology includes persistent and intrusive thoughts of an experienced trauma, suggesting an inability to downregulate fear when a corresponding threat has subsided. Convergent evidence from human and rodent studies supports a role for the medial prefrontal cortex (mPFC)-amygdala network in both PTSD and the regulation of fear memory expression. In particular, current models stipulate that the prelimbic (PL) and infralimbic (IL) subdivisions of the rodent mPFC bidirectionally regulate fear expression via differential recruitment of amygdala neuronal subpopulations. However, an array of recent studies that employ new technical approaches has fundamentally challenged this interpretation. Here we explore how a new emphasis on the contribution of inhibitory neuronal populations, subcortical structures and the passage of time is reshaping our understanding of mPFC-amygdala circuits and their control over fear.
在厌恶威胁与其预测因素之间形成关联的能力是生存的基础。然而,过度的恐惧和焦虑是有害的,是创伤后应激障碍(PTSD)等精神疾病的一个标志。PTSD的症状包括对经历过的创伤持续且侵入性的想法,这表明当相应威胁消退时无法下调恐惧。来自人类和啮齿动物研究的一致证据支持内侧前额叶皮质(mPFC)-杏仁核网络在PTSD和恐惧记忆表达调节中发挥作用。特别是,当前模型规定,啮齿动物mPFC的前边缘(PL)和下边缘(IL)亚区通过差异性招募杏仁核神经元亚群来双向调节恐惧表达。然而,一系列采用新技术方法的近期研究从根本上挑战了这一解释。在这里,我们探讨对抑制性神经元群体、皮层下结构和时间推移的贡献的新强调如何重塑我们对mPFC-杏仁核回路及其对恐惧控制的理解。