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Differential activity of subgenual cingulate and brainstem in panic disorder and PTSD

Tuescher, Oliver; Protopopescu, Xenia; Pan, Hong; Cloitre, Marylene; Butler, Tracy; Goldstein, Martin; Root, James C; Engelien, Almut; Furman, Daniella; Silverman, Michael; Yang, Yihong; Gorman, Jack; LeDoux, Joseph; Silbersweig, David; Stern, Emily
Most functional neuroimaging studies of panic disorder (PD) have focused on the resting state, and have explored PD in relation to healthy controls rather than in relation to other anxiety disorders. Here, PD patients, posttraumatic stress disorder (PTSD) patients, and healthy control subjects were studied with functional magnetic resonance imaging utilizing an instructed fear conditioning paradigm incorporating both Threat and Safe conditions. Relative to PTSD and control subjects, PD patients demonstrated significantly less activation to the Threat condition and increased activity to the Safe condition in the subgenual cingulate, ventral striatum and extended amygdala, as well as in midbrain periaquaeductal grey, suggesting abnormal reactivity in this key region for fear expression. PTSD subjects failed to show the temporal pattern of activity decrease found in control subjects
PMCID:4096628
PMID: 21075593
ISSN: 1873-7897
CID: 134298

Noradrenergic enhancement of reconsolidation in the amygdala impairs extinction of conditioned fear in rats-a possible mechanism for the persistence of traumatic memories in PTSD

Debiec, Jacek; Bush, David E A; Ledoux, Joseph E
Background: Posttraumatic stress disorder (PTSD) is associated with enhanced noradrenergic activity. Animal and human studies demonstrate that noradrenergic stimulation augments consolidation of fear learning. Retrieval of well-established memories by presenting a learned fear cue triggers reconsolidation processes during which memories may be updated, weakened, or strengthened. We previously reported that noradrenergic blockade in the rat amygdala impairs reconsolidation of fear memories. Here we investigated the effects of noradrenergic enhancement on reconsolidation of learned fear. Methods: Using auditory fear conditioning in rats, we tested the effects of postretrieval intraamygdala infusion of the beta-adrenergic receptor agonist isoproterenol or the antagonist propranolol on conditioned fear in the amygdala. Results: A single intraamygdala infusion of isoproterenol following a retrieval of a well-consolidated memory enhanced fear memory elicited by the learned fear stimulus and impaired extinction of this memory 48 hr later. Intraamygdala infusion of the beta-adrenergic receptor antagonist propranolol following a consecutive retrieval trial blocked the enhancing effects of isoproterenol on fear memory. Conclusions: Postretrieval beta-adrenergic stimulation in the amygdala enhances reconsolidation of fear memories, making them resistant to extinction. Noradrenergic augmentation during retrieval of fear memories may thus contribute to persistence and severity of traumatic memories. Reconsolidation may be a useful tool in understanding the pathology of PTSD and may thus help in developing new and in modifying existing treatments of traumatic memories. Depression and Anxiety 28:186-193, 2011. (c) 2011 Wiley-Liss, Inc
PMCID:3590026
PMID: 21394851
ISSN: 1520-6394
CID: 126647

Inhibition of the interactions between eukaryotic initiation factors 4E and 4G impairs long-term associative memory consolidation but not reconsolidation

Hoeffer, Charles A; Cowansage, Kiriana K; Arnold, Elizabeth C; Banko, Jessica L; Moerke, Nathan J; Rodriguez, Ricard; Schmidt, Enrico K; Klosi, Edvin; Chorev, Michael; Lloyd, Richard E; Pierre, Philippe; Wagner, Gerhard; LeDoux, Joseph E; Klann, Eric
Considerable evidence indicates that the general blockade of protein synthesis prevents both the initial consolidation and the postretrieval reconsolidation of long-term memories. These findings come largely from studies of drugs that block ribosomal function, so as to globally interfere with both cap-dependent and -independent forms of translation. Here we show that intra-amygdala microinfusions of 4EGI-1, a small molecule inhibitor of cap-dependent translation that selectively disrupts the interaction between eukaryotic initiation factors (eIF) 4E and 4G, attenuates fear memory consolidation but not reconsolidation. Using a combination of behavioral and biochemical techniques, we provide both in vitro and in vivo evidence that the eIF4E-eIF4G complex is more stringently required for plasticity induced by initial learning than for that triggered by reactivation of an existing memory
PMCID:3044415
PMID: 21289279
ISSN: 1091-6490
CID: 134148

Regulation of the Fear Network by Mediators of Stress: Norepinephrine Alters the Balance between Cortical and Subcortical Afferent Excitation of the Lateral Amygdala

Johnson, Luke R; Hou, Mian; Prager, Eric M; Ledoux, Joseph E
Pavlovian auditory fear conditioning involves the integration of information about an acoustic conditioned stimulus (CS) and an aversive unconditioned stimulus in the lateral nucleus of the amygdala (LA). The auditory CS reaches the LA subcortically via a direct connection from the auditory thalamus and also from the auditory association cortex itself. How neural modulators, especially those activated during stress, such as norepinephrine (NE), regulate synaptic transmission and plasticity in this network is poorly understood. Here we show that NE inhibits synaptic transmission in both the subcortical and cortical input pathway but that sensory processing is biased toward the subcortical pathway. In addition binding of NE to beta-adrenergic receptors further dissociates sensory processing in the LA. These findings suggest a network mechanism that shifts sensory balance toward the faster but more primitive subcortical input
PMCID:3102213
PMID: 21647395
ISSN: 1662-5153
CID: 135002

What can fear conditioning tell us about posttraumatic stress disorder?

Chapter by: Debiec, Jacek; LeDoux, Joseph E
in: The handbook of stress: Neuropsychological effects on the brain by Conrad, Cheryl D [Eds]
[S.l.] : Wiley-Blackwell, 2011
pp. 410-425
ISBN: 978-1-4443-3023-6
CID: 2126252

Music and the brain, literally

Ledoux, Joseph
PMCID:3108372
PMID: 21687794
ISSN: 1662-5161
CID: 136987

Endogenous GluR1-containing AMPA receptors translocate to asymmetric synapses in the lateral amygdala during the early phase of fear memory formation: an electron microscopic immunocytochemical study

Nedelescu, Hermina; Kelso, Catherine M; Lazaro-Munoz, Gabriel; Purpura, Mari; Cain, Christopher K; Ledoux, Joseph E; Aoki, Chiye
Although glutamate receptor 1 (GluR1)-containing alpha-amino-3-hydroxyl-5-methyl-4-isoxazole-propionate receptors (GluR1-AMPARs) are implicated in synaptic plasticity, it has yet to be demonstrated whether endogenous GluR1-AMPARs undergo activity-dependent trafficking in vivo to synapses to support short-term memory (STM) formation. The paradigm of pavlovian fear conditioning (FC) can be used to address this question, because a discrete region-the lateral amygdala (LA)-has been shown unambiguously to be necessary for the formation of the associative memory between a neutral stimulus (tone [CS]) and a noxious stimulus (foot shock [US]). Acquisition of STM for FC can occur even in the presence of protein synthesis inhibitors, indicating that redistribution of pre-existing molecules to synaptic junctions underlies STM. We employed electron microscopic immunocytochemistry to evaluate alterations in the distribution of endogenous AMPAR subunits at LA synapses during the STM phase of FC. Rats were sacrificed 40 minutes following three CS-US pairings. In the LA of paired animals, relative to naive animals, the proportion of GluR1-AMPAR-labeled synapses increased 99% at spines and 167% in shafts. In the LA of unpaired rats, for which the CS was never associated with the US, GluR1 immunoreactivity decreased 84% at excitatory shaft synapses. GluR2/3 immunoreactivity at excitatory synapses did not change detectably following paired or unpaired conditioning. Thus, the early phase of FC involves rapid redistribution specifically of the GluR1-AMPARs to the postsynaptic membranes in the LA, together with the rapid translocation of GluR1-AMPARs from remote sites into the spine head cytoplasm, yielding behavior changes that are specific to stimulus contingencies
PMCID:3613289
PMID: 20963825
ISSN: 1096-9861
CID: 135003

Emotion Systems and the Brain

Chapter by: LeDoux, J.
in: Encyclopedia of Neuroscience by
[S.l.] : Elsevier Ltd, 2010
pp. 903-908
ISBN: 9780080450469
CID: 2847762

Antagonism of lateral amygdala alpha1-adrenergic receptors facilitates fear conditioning and long-term potentiation

Lazzaro, Stephanie C; Hou, Mian; Cunha, Catarina; LeDoux, Joseph E; Cain, Christopher K
Norepinephrine receptors have been studied in emotion, memory, and attention. However, the role of alpha1-adrenergic receptors in fear conditioning, a major model of emotional learning, is poorly understood. We examined the effect of terazosin, an alpha1-adrenergic receptor antagonist, on cued fear conditioning. Systemic or intra-lateral amygdala terazosin delivered before conditioning enhanced short- and long-term memory. Terazosin delivered after conditioning did not affect consolidation. In vitro, terazosin impaired lateral amygdala inhibitory postsynaptic currents leading to facilitation of excitatory postsynaptic currents and long-term potentiation. Since alpha1 blockers are prescribed for hypertension and post-traumatic stress disorder, these results may have important clinical implications
PMCID:2948893
PMID: 20870745
ISSN: 1549-5485
CID: 135005

Neural substrates for expectation-modulated fear learning in the amygdala and periaqueductal gray

Johansen, Joshua P; Tarpley, Jason W; LeDoux, Joseph E; Blair, Hugh T
A form of aversively motivated learning called fear conditioning occurs when a neutral conditioned stimulus is paired with an aversive unconditioned stimulus (UCS). UCS-evoked depolarization of amygdala neurons may instruct Hebbian plasticity that stores memories of the conditioned stimulus-unconditioned stimulus association, but the origin of UCS inputs to the amygdala is unknown. Theory and evidence suggest that instructive UCS inputs to the amygdala will be inhibited when the UCS is expected, but this has not been found during fear conditioning. We investigated neural pathways that relay information about the UCS to the amygdala by recording neurons in the amygdala and periaqueductal gray (PAG) of rats during fear conditioning. UCS-evoked responses in both amygdala and PAG were inhibited by expectation. Pharmacological inactivation of the PAG attenuated UCS-evoked responses in the amygdala and impaired acquisition of fear conditioning, indicating that PAG may be an important part of the pathway that relays instructive signals to the amygdala
PMCID:2910797
PMID: 20601946
ISSN: 1546-1726
CID: 135006