Chen Jiahui, Fang Zhuowen, Zhang Xiaolan, Zheng Yanrong, Chen Zhong
Zhejiang Key Laboratory of Neuropsychopharmacology, Institute of Pharmacology & Toxicology, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Neurosci Bull. 2025 Apr 9. doi: 10.1007/s12264-025-01367-7.
Post-traumatic stress disorder (PTSD) is a psychiatric disorder caused by traumatic past experiences, rooted in the neurocircuits of fear memory formation. Memory processes include encoding, storing, and recalling to forgetting, suggesting the potential to erase fear memories through timely interventions. Conventional strategies such as medications or electroconvulsive therapy often fail to provide permanent relief and come with significant side-effects. This review explores how fear memory may be erased, particularly focusing on the mnemonic phases of reconsolidation and extinction. Reconsolidation strengthens memory, while extinction weakens it. Interfering with memory reconsolidation could diminish the fear response. Alternatively, the extinction of acquired memory could reduce the fear memory response. This review summarizes experimental animal models of PTSD, examines the nature and epidemiology of reconsolidation to extinction, and discusses current behavioral therapy aimed at transforming fear memories to treat PTSD. In sum, understanding how fear memory updates holds significant promise for PTSD treatment.
创伤后应激障碍(PTSD)是一种由过去的创伤经历引起的精神障碍,根源在于恐惧记忆形成的神经回路。记忆过程包括编码、存储、回忆直至遗忘,这表明有可能通过及时干预来消除恐惧记忆。诸如药物治疗或电休克疗法等传统策略往往无法提供永久性缓解,且伴有严重的副作用。本综述探讨了恐惧记忆可能如何被消除,尤其关注再巩固和消退这两个记忆阶段。再巩固强化记忆,而消退则削弱记忆。干扰记忆再巩固可能会减少恐惧反应。或者,消除习得性记忆可以降低恐惧记忆反应。本综述总结了创伤后应激障碍的实验动物模型,研究了从再巩固到消退的本质和流行病学,并讨论了目前旨在转化恐惧记忆以治疗创伤后应激障碍的行为疗法。总之,了解恐惧记忆如何更新对创伤后应激障碍的治疗具有重大前景。
Neurosci Bull. 2025-4-9
Psychopharmacology (Berl). 2018-10-29
Sci China Life Sci. 2018-5-7
Nihon Shinkei Seishin Yakurigaku Zasshi. 2009-6
Neurobiol Learn Mem. 2017-7
Eur Neuropsychopharmacol. 2017-6-22
An Acad Bras Cienc. 2011-12
Hippocampus. 2024-5
Curr Biol. 2023-9-25
Psychiatry Res. 2023-8
J R Soc Interface. 2023-6