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Ota VK, Oliveira AM, Bugiga AVG, Conceição HB, Galante PAF, Asprino PF, Schäfer JL, Hoffmann MS, Bressan R, Brietzke E, Manfro GG, Grassi-Oliveira R, Gadelha A, Rohde LA, Miguel EC, Pan PM, Santoro ML, Salum GA, Carvalho CM, Belangero SI. Impact of life adversity and gene expression on psychiatric symptoms in children and adolescents: findings from the Brazilian high risk cohort study. Front Psychiatry 2025; 16:1505421. [PMID: 40018685 PMCID: PMC11866055 DOI: 10.3389/fpsyt.2025.1505421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2024] [Accepted: 01/13/2025] [Indexed: 03/01/2025] Open
Abstract
Introduction While the influence of both genetic and environmental factors on the development of psychiatric symptoms is well-recognized, the precise nature of their interaction throughout development remains a subject of ongoing debate. This study investigated the association between the expression of 78 candidate genes, previously associated with psychiatric phenotypes, in peripheral blood and both adversity and psychopathology in a sample of 298 young individuals assessed at two time points from the Brazilian High Risk Cohort Study for Mental Conditions (BHRCS). Methods Psychopathology was assessed using the Child Behavior Checklist (CBCL), considering the total CBCL, p-factor (i.e. general factor of psychopathology), and internalizing and externalizing symptoms as clinical variables. The life adversities considered in this study includes four composite variables: child maltreatment, stressful life events, threat and deprivation. Gene expression was measured using next-generation sequencing for target genes and differential gene expression was analyzed with the DESeq2 package. Results Mixed models revealed six genes associated with internalizing symptoms: NR3C1, HSPBP1, SIN3A, SMAD4, and CRLF3 genes exhibited a negative correlation with these symptoms, while FAR1 gene showed a positive correlation. Additionally, we also found a negative association between USP38 gene expression and externalizing symptoms. Finally, DENND11 and PRRC1 genes were negatively associated with deprivation, a latent factor characterized by neglect, parental absence, and measures of material forms of deprivation. No mediation or moderation effect was observed of gene expression on the association between life adversities and psychiatric symptoms, meaning that they might influence distinct pathways. Discussion Among these nine genes, NR3C1, which encodes a glucocorticoid receptor, is by far the most investigated, being associated with depressive symptoms, early life adversity, and stress. While further research is needed to fully understand the complex relationship between gene expression, life adversities, and psychopathology, our findings provide valuable insights into the molecular mechanisms underlying mental disorders.
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Affiliation(s)
- Vanessa Kiyomi Ota
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
- Genetics Division, Department of Morphology and Genetics, UNIFESP, São Paulo, Brazil
| | - Adrielle Martins Oliveira
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
| | - Amanda Victória Gomes Bugiga
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
- Genetics Division, Department of Morphology and Genetics, UNIFESP, São Paulo, Brazil
| | | | | | | | - Julia Luiza Schäfer
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Porto Alegre, Brazil
- Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Mauricio Scopel Hoffmann
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Porto Alegre, Brazil
- Department of Neuropsychiatry, Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
- Mental Health Epidemiology Group (MHEG), Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil
- Graduate Program in Psychiatry and Behavioral Sciences, UFRGS, Porto Alegre, Brazil
- Care Policy and Evaluation Centre, London School of Economics and Political Science, London, United Kingdom
| | - Rodrigo Bressan
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
| | - Elisa Brietzke
- Department of Psychiatry, Queen’s University School of Medicine, Kingston, ON, Canada
| | - Gisele Gus Manfro
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Porto Alegre, Brazil
- Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | | | - Ary Gadelha
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
| | - Luis Augusto Rohde
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Porto Alegre, Brazil
- ADHD Outpatient Program & Developmental Psychiatry Program, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
- Medical Council, Centro Universitário de Jaguariúna (UNIFAJ), Jaguariúna, Brazil
- Medical Council, Centro Universitário Max Planck (UNIMAX), Indaiatuba, Brazil
| | - Euripedes Constantino Miguel
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
- Departamento de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Pedro Mario Pan
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
| | - Marcos Leite Santoro
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
- Disciplina de Biologia Molecular, Departamento de Bioquímica, UNIFESP, São Paulo, Brazil
| | - Giovanni Abrahao Salum
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Porto Alegre, Brazil
- Department of Psychiatry, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
- Department of Global Initiatives, Child Mind Institute, New York, NY, United States
| | - Carolina Muniz Carvalho
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
| | - Sintia Iole Belangero
- Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil
- Post-Graduation Program in Psychiatry and Medical Psychology, UNIFESP, São Paulo, Brazil
- National Institute of Developmental Psychiatry & National Center for Innovation and Research in Mental Health (CISM), Sao Paulo, Brazil
- Genetics Division, Department of Morphology and Genetics, UNIFESP, São Paulo, Brazil
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Xu Z, Shi J, Liu R, Li Z, Xu S, Gong H, Fu M, Xu H, Yu S, Liu J, Wu H, Li X, Liu S, Wei W. CircSATB2 modulates fear extinction memory via Robo3-driven synaptic plasticity. Brain Res Bull 2025; 220:111167. [PMID: 39675489 DOI: 10.1016/j.brainresbull.2024.111167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2024] [Revised: 11/29/2024] [Accepted: 12/09/2024] [Indexed: 12/17/2024]
Abstract
Circular RNAs (circRNAs) are novel class of stable regulatory RNAs abundantly expressed in the brain. However, their role in fear extinction (EXT) memory remains largely unexplored. To investigate the mechanisms of Circular Special AT-rich Sequence Binding Protein 2 (circSatb2) in EXT memory, we constructed a lentivirus overexpressing circSatb2 and injected it into the infralimbic prefrontal cortex (ILPFC) of the mouse brain. Following extinction training and subsequent testing, we observed an essential role of circSatb2 in this dynamic process. RNA sequencing (RNA-seq) and bioinformatics analyses revealed that circSatb2 enhances the transcription of Roundabout Guidance Receptor 3 (Robo3), a key gene implicated in axon guidance and synaptic plasticity, which was validated by RT-qPCR. Neuronal morphology was assessed using confocal microscopy to determine changes in dendritic spine density. Our results demonstrated that circSatb2 significantly enhances Robo3 transcription, leading to increased dendritic spine formation and improved synaptic plasticity. In conclusion, circSatb2 promotes the formation of EXT memory by upregulating Robo3 transcription and enhancing synaptic plasticity. These findings position circSatb2 as a potential therapeutic target for disorders associated with memory impairment.
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Affiliation(s)
- Ziyue Xu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Jichun Shi
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Runming Liu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Zhehao Li
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Shuangxiang Xu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Hao Gong
- Cognitive Neuroepigenetics Laboratory, Queensland Brain Institute, The University of Queensland, Brisbane 4702, Australia
| | - Mingyue Fu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Hongyu Xu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Shuangqi Yu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Junhui Liu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Huiqing Wu
- Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China
| | - Xiang Li
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China; Frontier Science Center for Immunology and Metabolism, Wuhan University, Wuhan, China; Medical Research Institute, Wuhan University, Wuhan, China; Sino-Italian Ascula Brain Science Joint Laboratory, Zhongnan Hospital of Wuhan University, Wuhan, China.
| | - Sha Liu
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of General Practice, Zhongnan Hospital of Wuhan University, Wuhan, China.
| | - Wei Wei
- Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, China; Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, China.
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Kobrock K, Solzbacher J, Gotzner N, König P. Feeling good, approaching the positive. Front Psychol 2024; 15:1491612. [PMID: 39744023 PMCID: PMC11689285 DOI: 10.3389/fpsyg.2024.1491612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2024] [Accepted: 11/20/2024] [Indexed: 01/04/2025] Open
Abstract
Introduction Approach and avoidance behaviors have been extensively studied in cognitive science as a fundamental aspect of human motivation and decision-making. The Approach-Avoidance Bias (AAB) refers to the tendency to approach positive stimuli faster than negative stimuli and to avoid negative stimuli faster than positive ones. Affect and arousal in involved individuals are assumed to play a crucial role in the AAB but many questions in that regard remain open. With this in mind, the present study aimed to examine the impact of positive and negative mood on the AAB. Method To achieve this goal, we conducted an experiment where participants watched either positive or negative videos prior to performing an approach-avoidance task. Results We have not been able to confirm our preregistered hypothesis that mood induction moderates the AAB. Instead, our results suggest that an AAB can be robustly shown after both the positive and the negative intervention. Positive Affect Negative Affect Schedule (PANAS) results show that the participants' affective state was influenced by the mood intervention only in the form of increased emotional intensity. Participants did not self-report a change in mood valence that corresponds to the valence of the video primes. However, the behavioral data shows that after watching a positive video, participants are faster in approaching positive stimuli than negative stimuli. At the same time, we do not find a similar effect after the negative intervention. Discussion These findings suggest that positive and negative affect might play an important role in shaping the AAB that is modulated by stimulus valence. This provides new potential insights into the underlying mechanisms of human motivation and decision-making. Specifically, we argue for potential differences between attention and reaction toward a valenced stimulus.
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Affiliation(s)
- Kristina Kobrock
- Institute of Cognitive Science, University of Osnabrück, Osnabrück, Germany
| | | | - Nicole Gotzner
- Institute of Cognitive Science, University of Osnabrück, Osnabrück, Germany
| | - Peter König
- Institute of Cognitive Science, University of Osnabrück, Osnabrück, Germany
- Institute of Neurophysiology & Pathophysiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Huang CD, Shi Y, Wang F, Wu PF, Chen JG. Methionine oxidation of actin cytoskeleton attenuates traumatic memory retention via reactivating dendritic spine morphogenesis. Redox Biol 2024; 77:103391. [PMID: 39405981 PMCID: PMC11525628 DOI: 10.1016/j.redox.2024.103391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2024] [Revised: 09/29/2024] [Accepted: 10/08/2024] [Indexed: 11/03/2024] Open
Abstract
Post-traumatic stress disorder (PTSD) is characterized by hypermnesia of the trauma and a persistent fear response. The molecular mechanisms underlying the retention of traumatic memories remain largely unknown, which hinders the development of more effective treatments. Utilizing auditory fear conditioning, we demonstrate that a redox-dependent dynamic pathway for dendritic spine morphogenesis in the basolateral amygdala (BLA) is crucial for traumatic memory retention. Exposure to a fear-induced event markedly increased the reduction of oxidized filamentous actin (F-actin) and decreased the expression of the molecule interacting with CasL 1 (MICAL1), a methionine-oxidizing enzyme that directly oxidizes and depolymerizes F-actin, leading to cytoskeletal dynamic abnormalities in the BLA, which impairs dendritic spine morphogenesis and contributes to the persistence of fearful memories. Following fear conditioning, overexpression of MICAL1 in the BLA inhibited freezing behavior during fear memory retrieval via reactivating cytokinesis, whereas overexpression of methionine sulfoxide reductase B 1, a key enzyme that reduces oxidized F-actin monomer, increased freezing behavior during retrieval. Notably, intra-BLA injection of semaphorin 3A, an endogenous activator of MICAL1, rapidly disrupted fear memory within a short time window after conditioning. Collectively, our results indicate that redox modulation of actin cytoskeleton in the BLA is functionally linked to fear memory retention and PTSD-like memory.
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Affiliation(s)
- Cun-Dong Huang
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China
| | - Yu Shi
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China
| | - Fang Wang
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; The Key Laboratory for Drug Target Researches and Pharmacodynamic Evaluation of Hubei Province, Wuhan, Hubei, 430030, China; The Research Center for Depression, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Hubei Shizhen Laboratory, Wuhan, Hubei, 430030, China.
| | - Peng-Fei Wu
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; The Key Laboratory for Drug Target Researches and Pharmacodynamic Evaluation of Hubei Province, Wuhan, Hubei, 430030, China; The Research Center for Depression, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Hubei Shizhen Laboratory, Wuhan, Hubei, 430030, China.
| | - Jian-Guo Chen
- Department of Pharmacology, School of Basic Medicine, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; The Key Laboratory for Drug Target Researches and Pharmacodynamic Evaluation of Hubei Province, Wuhan, Hubei, 430030, China; The Research Center for Depression, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China; Hubei Shizhen Laboratory, Wuhan, Hubei, 430030, China.
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Masella G, Silva F, Corti E, Azkona G, Madeira MF, Tomé ÂR, Ferreira SG, Cunha RA, Duarte CB, Santos M. The amygdala NT3-TrkC pathway underlies inter-individual differences in fear extinction and related synaptic plasticity. Mol Psychiatry 2024; 29:1322-1337. [PMID: 38233468 PMCID: PMC11189811 DOI: 10.1038/s41380-024-02412-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 12/29/2023] [Accepted: 01/04/2024] [Indexed: 01/19/2024]
Abstract
Fear-related pathologies are among the most prevalent psychiatric conditions, having inappropriate learned fear and resistance to extinction as cardinal features. Exposure therapy represents a promising therapeutic approach, the efficiency of which depends on inter-individual variation in fear extinction learning, which neurobiological basis is unknown. We characterized a model of extinction learning, whereby fear-conditioned mice were categorized as extinction (EXT)-success or EXT-failure, according to their inherent ability to extinguish fear. In the lateral amygdala, GluN2A-containing NMDAR are required for LTP and stabilization of fear memories, while GluN2B-containing NMDAR are required for LTD and fear extinction. EXT-success mice showed attenuated LTP, strong LTD and higher levels of synaptic GluN2B, while EXT-failure mice showed strong LTP, no LTD and higher levels of synaptic GluN2A. Neurotrophin 3 (NT3) infusion in the lateral amygdala was sufficient to rescue extinction deficits in EXT-failure mice. Mechanistically, activation of tropomyosin receptor kinase C (TrkC) with NT3 in EXT-failure slices attenuated lateral amygdala LTP, in a GluN2B-dependent manner. Conversely, blocking endogenous NT3-TrkC signaling with TrkC-Fc chimera in EXT-success slices strengthened lateral amygdala LTP. Our data support a key role for the NT3-TrkC system in inter-individual differences in fear extinction in rodents, through modulation of amygdalar NMDAR composition and synaptic plasticity.
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Affiliation(s)
- Gianluca Masella
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal
| | - Francisca Silva
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal
| | - Elisa Corti
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal
| | - Garikoitz Azkona
- Department of Basic Psychological Processes and Their Development, School of Psychology, University of the Basque Country (UPV/EHU), San Sebastian, Spain
| | - Maria Francisca Madeira
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal
| | - Ângelo R Tomé
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Samira G Ferreira
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal
| | - Rodrigo A Cunha
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Carlos B Duarte
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal
- Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Mónica Santos
- CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Coimbra, Portugal.
- Institute of Interdisciplinary Research, University of Coimbra (iiiUC), Coimbra, Portugal.
- Centre for Innovative Biomedicine and Biotechnology (CIBB), University of Coimbra, Coimbra, Portugal.
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Iqbal J, Huang GD, Xue YX, Yang M, Jia XJ. The neural circuits and molecular mechanisms underlying fear dysregulation in posttraumatic stress disorder. Front Neurosci 2023; 17:1281401. [PMID: 38116070 PMCID: PMC10728304 DOI: 10.3389/fnins.2023.1281401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 10/13/2023] [Indexed: 12/21/2023] Open
Abstract
Post-traumatic stress disorder (PTSD) is a stress-associated complex and debilitating psychiatric disorder due to an imbalance of neurotransmitters in response to traumatic events or fear. PTSD is characterized by re-experiencing, avoidance behavior, hyperarousal, negative emotions, insomnia, personality changes, and memory problems following exposure to severe trauma. However, the biological mechanisms and symptomatology underlying this disorder are still largely unknown or poorly understood. Considerable evidence shows that PTSD results from a dysfunction in highly conserved brain systems involved in regulating stress, anxiety, fear, and reward circuitry. This review provides a contemporary update about PTSD, including new data from the clinical and preclinical literature on stress, PTSD, and fear memory consolidation and extinction processes. First, we present an overview of well-established laboratory models of PTSD and discuss their clinical translational value for finding various treatments for PTSD. We then highlight the research progress on the neural circuits of fear and extinction-related behavior, including the prefrontal cortex, hippocampus, and amygdala. We further describe different molecular mechanisms, including GABAergic, glutamatergic, cholinergic, and neurotropic signaling, responsible for the structural and functional changes during fear acquisition and fear extinction processes in PTSD.
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Affiliation(s)
- Javed Iqbal
- Shenzhen Graduate School, Peking University Shenzhen, Guangdong, China
- Department of Addiction Medicine, Shenzhen Engineering Research Center for Precision Psychiatric Technology, Shenzhen Clinical Research Center for Mental Disorders, Shenzhen Kangning Hospital and Shenzhen Mental Health Center; Clinical College of Mental Health, Shenzhen University Health Science Center; Affiliated Mental Health Center, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Geng-Di Huang
- Shenzhen Graduate School, Peking University Shenzhen, Guangdong, China
- Department of Addiction Medicine, Shenzhen Engineering Research Center for Precision Psychiatric Technology, Shenzhen Clinical Research Center for Mental Disorders, Shenzhen Kangning Hospital and Shenzhen Mental Health Center; Clinical College of Mental Health, Shenzhen University Health Science Center; Affiliated Mental Health Center, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Yan-Xue Xue
- National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing, China
| | - Mei Yang
- Department of Addiction Medicine, Shenzhen Engineering Research Center for Precision Psychiatric Technology, Shenzhen Clinical Research Center for Mental Disorders, Shenzhen Kangning Hospital and Shenzhen Mental Health Center; Clinical College of Mental Health, Shenzhen University Health Science Center; Affiliated Mental Health Center, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Xiao-Jian Jia
- Department of Addiction Medicine, Shenzhen Engineering Research Center for Precision Psychiatric Technology, Shenzhen Clinical Research Center for Mental Disorders, Shenzhen Kangning Hospital and Shenzhen Mental Health Center; Clinical College of Mental Health, Shenzhen University Health Science Center; Affiliated Mental Health Center, Southern University of Science and Technology, Shenzhen, Guangdong, China
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