Klass Anne, Glaubitz Benjamin, Tegenthoff Martin, Lissek Silke
Department of Neurology, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.
Department of Neurology, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.
Neurobiol Learn Mem. 2017 Oct;144:235-247. doi: 10.1016/j.nlm.2017.08.003. Epub 2017 Aug 12.
Extinction learning is modulated by N-methyl d-aspartate receptors (NMDAR) particularly in prefrontal and hippocampal brain regions. The use of of NMDA agonists in exposure therapy of anxiety disorders has been investigated in various patient groups. Behavioral results showed beneficial effects of pre-learning administration of the partial NMDAR agonist d-Cycloserine (DCS) on therapy success. However, the impact of DCS upon non-fear-related contextual extinction, and associated recruitment of extinction-relevant brain regions is as yet unknown. In the present fMRI study, healthy human participants performed a context-related associative learning and extinction task. A single dose of DCS, administered prior to extinction learning, enhanced extinction learning performance in an identical context, and increased activation in prefrontal, temporal as well as hippocampal/insular regions, compared to placebo controls. In contrast, DCS did not affect extinction learning in a novel context, nor the renewal effect, which describes the recovery of an extinguished response if the context of extinction differs from the context of recall. Our findings demonstrate a specific involvement of prefrontal and hippocampal NMDAR in the modification of established stimulus-outcome associations in identical contexts and thus their role in behavioral flexibility, underlining their potential for enhancing AAA extinction learning.
消退学习受N-甲基-D-天冬氨酸受体(NMDAR)调节,尤其是在前额叶和海马脑区。在不同患者群体中,已经对NMDA激动剂在焦虑症暴露疗法中的应用进行了研究。行为学结果显示,在学习前给予部分NMDAR激动剂D-环丝氨酸(DCS)对治疗成功有有益影响。然而,DCS对与恐惧无关的情境消退以及相关消退相关脑区的募集的影响尚不清楚。在本功能磁共振成像(fMRI)研究中,健康人类参与者执行了一项与情境相关的联想学习和消退任务。与安慰剂对照组相比,在消退学习前给予单剂量的DCS可提高在相同情境中的消退学习表现,并增加前额叶、颞叶以及海马/岛叶区域的激活。相比之下,DCS不影响在新情境中的消退学习,也不影响恢复效应,恢复效应是指如果消退情境与回忆情境不同,已消退反应会恢复。我们的研究结果表明,前额叶和海马NMDAR在相同情境中对已建立的刺激-结果关联的改变中具有特定作用,从而在行为灵活性中发挥作用,强调了它们在增强消退学习方面的潜力。
Neurobiol Learn Mem. 2017-10
Neurobiol Learn Mem. 2017-7
Prog Neuropsychopharmacol Biol Psychiatry. 2018-6-19
Neuropsychopharmacology. 2019-10-21
Front Behav Neurosci. 2017-3-7
Neural Regen Res. 2021-5
Front Behav Neurosci. 2020-3-27