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D-环丝氨酸促进消退学习并增强与消退相关的大脑激活。

d-Cycloserine facilitates extinction learning and enhances extinction-related brain activation.

作者信息

Klass Anne, Glaubitz Benjamin, Tegenthoff Martin, Lissek Silke

机构信息

Department of Neurology, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.

Department of Neurology, BG University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.

出版信息

Neurobiol Learn Mem. 2017 Oct;144:235-247. doi: 10.1016/j.nlm.2017.08.003. Epub 2017 Aug 12.


DOI:10.1016/j.nlm.2017.08.003
PMID:28807795
Abstract

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.

摘要

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。

相似文献

[1]
d-Cycloserine facilitates extinction learning and enhances extinction-related brain activation.

Neurobiol Learn Mem. 2017-10

[2]
Combining D-cycloserine with appetitive extinction learning modulates amygdala activity during recall.

Neurobiol Learn Mem. 2017-7

[3]
NMDA receptor-mediated processing in inferior frontal gyrus facilitates acquisition and extinction learning and strengthens renewal.

Neurobiol Learn Mem. 2022-10

[4]
d-Cycloserine facilitates fear extinction in adolescent rats and differentially affects medial and lateral prefrontal cortex activation.

Prog Neuropsychopharmacol Biol Psychiatry. 2018-6-19

[5]
Augmenting extinction learning with D-cycloserine reduces return of fear: a randomized, placebo-controlled fMRI study.

Neuropsychopharmacology. 2019-10-21

[6]
Enhancing Effects of NMDA-Receptor Blockade on Extinction Learning and Related Brain Activation Are Modulated by BMI.

Front Behav Neurosci. 2017-3-7

[7]
D-cycloserine facilitates extinction the first time but not the second time: an examination of the role of NMDA across the course of repeated extinction sessions.

Neuropsychopharmacology. 2008-12

[8]
Opposing effects of D-cycloserine on fear despite a common extinction duration: interactions between brain regions and behavior.

Neurobiol Learn Mem. 2014-9

[9]
The N-methyl-D-aspartate receptor co-agonist D-cycloserine facilitates declarative learning and hippocampal activity in humans.

Biol Psychiatry. 2010-3-20

[10]
Valproic acid but not D-cycloserine facilitates sleep-dependent offline learning of extinction and habituation of conditioned fear in humans.

Neuropharmacology. 2012-8-7

引用本文的文献

[1]
Regional prefrontal and hippocampal differences in gray matter volume are linked to the propensity for renewal in extinction learning.

Front Behav Neurosci. 2025-7-3

[2]
Procognitive Effects of Adjunctive D-Cycloserine to Intermittent Theta-Burst Stimulation in Major Depressive Disorder: Effets procognitifs de la D-cyclosérine en traitement complémentaire par la stimulation thêta-burst intermittente dans le trouble dépressif caractérisé.

Can J Psychiatry. 2024-10-29

[3]
Dopaminergic D2-like receptor stimulation affects attention on contextual information and modulates BOLD activation of extinction-related brain areas.

Sci Rep. 2023-11-28

[4]
The effect of d-cycloserine on brain processing of breathlessness over pulmonary rehabilitation: an experimental medicine study.

ERJ Open Res. 2023-4-3

[5]
N-acetylcysteine facilitates extinction of cued fear memory in rats via reestablishing basolateral amygdala glutathione homeostasis.

Acta Pharmacol Sin. 2022-2

[6]
D-serine reduces memory impairment and neuronal damage induced by chronic lead exposure.

Neural Regen Res. 2021-5

[7]
Left Inferior Frontal Gyrus Participates in Mediating the Renewal Effect Irrespective of Context Salience.

Front Behav Neurosci. 2020-3-27

[8]
Effects of Noradrenergic Stimulation Upon Context-Related Extinction Learning Performance and BOLD Activation in Hippocampus and Prefrontal Cortex Differ Between Participants Showing and Not Showing Renewal.

Front Behav Neurosci. 2019-4-24

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