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Combining D-cycloserine with appetitive extinction learning modulates amygdala activity during recall.

作者信息

Ebrahimi Claudia, Koch Stefan P, Friedel Eva, Crespo Ilsoray, Fydrich Thomas, Ströhle Andreas, Heinz Andreas, Schlagenhauf Florian

机构信息

Department of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, 10117 Berlin, Germany.

Department of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité - Universitätsmedizin Berlin, 10117 Berlin, Germany.

出版信息

Neurobiol Learn Mem. 2017 Jul;142(Pt B):209-217. doi: 10.1016/j.nlm.2017.05.008. Epub 2017 May 13.


DOI:10.1016/j.nlm.2017.05.008
PMID:28512009
Abstract

Appetitive Pavlovian conditioning plays a crucial role in the pathogenesis of drug addiction and conditioned reward cues can trigger craving and relapse even after long phases of abstinence. Promising preclinical work showed that the NMDA-receptor partial agonist D-cycloserine (DCS) facilitates Pavlovian extinction learning of fear and drug cues. Furthermore, DCS-augmented exposure therapy seems to be beneficial in various anxiety disorders, while the supposed working mechanism of DCS during human appetitive or aversive extinction learning is still not confirmed. To test the hypothesis that DCS administration before extinction training improves extinction learning, healthy adults (n=32) underwent conditioning, extinction, and extinction recall on three successive days in a randomized, double-blind, placebo-controlled fMRI design. Monetary wins and losses served as unconditioned stimuli during conditioning to probe appetitive and aversive learning. An oral dose of 50mg of DCS or placebo was administered 1h before extinction training and DCS effects during extinction recall were evaluated on a behavioral and neuronal level. We found attenuated amygdala activation in the DCS compared to the placebo group during recall of the extinguished appetitive cue, along with evidence for enhanced functional amygdala-vmPFC coupling in the DCS group. While the absence of additional physiological measures of conditioned responses during recall in this study prevent the evaluation of a behavioral DCS effect, our neuronal findings are in accordance with recent theories linking successful extinction recall in humans to modulatory top-down influences from the vmPFC that inhibit amygdala activation. Our results should encourage further translational studies concerning the usefulness of DCS to target maladaptive Pavlovian reward associations.

摘要

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Combining D-cycloserine with appetitive extinction learning modulates amygdala activity during recall.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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引用本文的文献

[1]
The effect of D-cycloserine on brain connectivity over a course of pulmonary rehabilitation - A randomised control trial with neuroimaging endpoints.

PLoS One. 2025-6-2

[2]
Measuring Human Pavlovian Reward Conditioning and Memory Retention After Consolidation.

Psychophysiology. 2025-4

[3]
Cortisol Imbalance and Fear Learning in PTSD: Therapeutic Approaches to Control Abnormal Fear Responses.

Curr Neuropharmacol. 2025

[4]
Targeting VMPFC-amygdala circuit with TMS in substance use disorder: A mechanistic framework.

Addict Biol. 2025-1

[5]
Elevated Amygdala Responses During De Novo Pavlovian Conditioning in Alcohol Use Disorder Are Associated With Pavlovian-to-Instrumental Transfer and Relapse Latency.

Biol Psychiatry Glob Open Sci. 2023-2-16

[6]
A randomized pharmacological fMRI trial investigating D-cycloserine and brain plasticity mechanisms in learned pain responses.

Sci Rep. 2022-11-9

[7]
Amygdala activity related to perceived social support.

Sci Rep. 2020-2-19

[8]
Amygdala and nucleus accumbens involvement in appetitive extinction.

Hum Brain Mapp. 2020-5

[9]
Augmenting extinction learning with D-cycloserine reduces return of fear: a randomized, placebo-controlled fMRI study.

Neuropsychopharmacology. 2019-10-21

[10]
Opposing roles for amygdala and vmPFC in the return of appetitive conditioned responses in humans.

Transl Psychiatry. 2019-5-21

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