Individual differences in recovery from traumatic fear

被引:106
|
作者
Holmes, Andrew [1 ]
Singewald, Nicolas [2 ,3 ]
机构
[1] NIAAA, Lab Behav & Genom Neurosci, NIH, Bethesda, MD USA
[2] Univ Innsbruck, Dept Pharmacol & Toxicol, Inst Pharm, A-6020 Innsbruck, Austria
[3] Univ Innsbruck, Ctr Mol Biosci, A-6020 Innsbruck, Austria
基金
奥地利科学基金会;
关键词
extinction; anxiety; amygdala; prefrontal cortex; PTSD; cross-species translation; POSTTRAUMATIC-STRESS-DISORDER; MEDIAL PREFRONTAL CORTEX; HISTONE DEACETYLASE INHIBITORS; PLACEBO-CONTROLLED TRIAL; DEEP BRAIN-STIMULATION; D-CYCLOSERINE; EXPOSURE THERAPY; LEARNED FEAR; SEROTONIN TRANSPORTER; BASOLATERAL AMYGDALA;
D O I
10.1016/j.tins.2012.11.003
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Although exposure to major psychological trauma is unfortunately common, risk for related neuropsychiatric conditions, such as post-traumatic stress disorder (PTSD), varies greatly among individuals. Fear extinction offers a tractable and translatable behavioral readout of individual differences in learned recovery from trauma. Studies in rodent substrains and subpopulations are providing new insights into neural system dysfunctions associated with impaired fear extinction. Rapid progress is also being made in identifying key molecular circuits, epigenetic mechanisms, and gene variants associated with differences in fear extinction. Here, we discuss how this research is informing understanding of the etiology and pathophysiology of individual differences in risk for trauma-related anxiety disorders, and how future work can help identify novel diagnostic biomarkers and pharmacotherapeutics for these disorders.
引用
收藏
页码:23 / 31
页数:9
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