Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA; Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USA.
Neuroscience and Mental Health Research Institute, Cardiff University, Cardiff, UK; School of Biosciences, Cardiff University, Cardiff, UK.
Neurosci Biobehav Rev. 2022 Mar;134:104502. doi: 10.1016/j.neubiorev.2021.12.025. Epub 2021 Dec 16.
Over the past decades, studies of fear learning and extinction have advanced our understanding of the neurobiology of threat and safety learning. Animal studies can provide mechanistic/causal insights into human brain regions and their functional connectivity involved in fear learning and extinction. Findings in humans, conversely, may further enrich our understanding of neural circuits in animals by providing macroscopic insights at the level of brain-wide networks. Nevertheless, there is still much room for improvement in translation between basic and clinical research on fear learning and extinction. Through the lens of neural circuits, in this article, we aim to review the current knowledge of fear learning and extinction in both animals and humans, and to propose strategies to fill in the current knowledge gap for the purpose of enhancing clinical benefits.
在过去的几十年中,对恐惧学习和消退的研究加深了我们对威胁和安全学习的神经生物学的理解。动物研究可以为涉及恐惧学习和消退的人类大脑区域及其功能连接提供机制/因果关系的见解。相反,人类的发现可以通过在全脑网络水平上提供宏观见解,进一步丰富我们对动物神经回路的理解。然而,在恐惧学习和消退的基础研究与临床研究之间的转化方面仍有很大的改进空间。通过神经回路的视角,本文旨在综述动物和人类的恐惧学习和消退的现有知识,并提出策略来填补当前的知识空白,以增强临床获益。