Foilb Allison R, Taylor-Yeremeeva Elisa M, Schmidt Brett D, Ressler Kerry J, Carlezon William A
Department of Psychiatry, Basic Neuroscience Division, McLean Hospital, Harvard Medical School, Belmont, MA, USA.
Neuropsychopharmacology. 2024 Dec;50(2):401-409. doi: 10.1038/s41386-024-01978-0. Epub 2024 Aug 28.
Sleep problems are a prominent feature of mental health conditions including post-traumatic stress disorder (PTSD). Despite its potential importance, the role of sleep in the development of and/or recovery from trauma-related illnesses is not understood. Interestingly, there are reports that sleep disruption immediately after a traumatic experience can reduce fear memories, an effect that could be utilized therapeutically in humans. While the mechanisms of this effect are not completely understood, one possible explanation for these findings is that immediate sleep disruption interferes with consolidation of fear memories, rendering them weaker and more sensitive to intervention. Here, we allowed fear-conditioned mice to sleep immediately after fear conditioning during a time frame (18 h) that includes and extends beyond periods typically associated with memory consolidation before subjecting them to 6-h of sleep disruption. Mice exposed to this delayed regimen showed dramatic reductions in fear during tests conducted immediately after sleep disruption, as well as 24 h later. This sleep disruption regimen also increased levels of mRNA encoding brain-derived neurotrophic factor (BDNF), a molecule implicated in neuroplasticity, in the basolateral amygdala (BLA), a brain area implicated in fear and its extinction. These findings raise the possibility that the effects of our delayed sleep disruption regimen are not due to disruption of memory consolidation, but instead are caused by BDNF-mediated neuroadaptations within the BLA that actively suppress expression of fear. Treatments that safely reduce expression of fear memories would have considerable therapeutic potential in the treatment of conditions triggered by trauma.
睡眠问题是包括创伤后应激障碍(PTSD)在内的心理健康状况的一个突出特征。尽管睡眠在创伤相关疾病的发生和/或恢复中可能具有重要作用,但其作用尚未被理解。有趣的是,有报告称创伤经历后立即出现的睡眠中断可以减少恐惧记忆,这种效应可在人类治疗中加以利用。虽然这种效应的机制尚未完全明了,但对这些发现的一种可能解释是,立即的睡眠中断会干扰恐惧记忆的巩固,使其变弱并对干预更敏感。在这里,我们让经过恐惧条件训练的小鼠在恐惧条件训练后立即进入睡眠,时长为18小时,这段时间涵盖并超出了通常与记忆巩固相关的时间段,然后对它们进行6小时的睡眠中断处理。暴露于这种延迟方案的小鼠在睡眠中断后立即进行的测试以及24小时后的测试中,恐惧表现出显著降低。这种睡眠中断方案还增加了基底外侧杏仁核(BLA,一个与恐惧及其消退有关的脑区)中编码脑源性神经营养因子(BDNF,一种与神经可塑性有关的分子)的mRNA水平。这些发现提出了一种可能性,即我们的延迟睡眠中断方案的效果并非由于记忆巩固的破坏,而是由BLA内BDNF介导的神经适应性变化所引起,这种变化会积极抑制恐惧的表达。安全降低恐惧记忆表达的治疗方法在治疗由创伤引发的疾病方面将具有相当大的治疗潜力。