Altered fear learning across development in both mouse and human

The only evidence-based behavioral treatment for anxiety and stress-related disorders involves desensitization techniques that rely on principles of extinction learning. However, 40% of patients do not respond to this treatment. Efforts have focused on individual differences in treatment response, b...

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Published inProceedings of the National Academy of Sciences - PNAS Vol. 109; no. 40; pp. 16318 - 16323
Main Authors Pattwell, Siobhan S, Duhoux, Stéphanie, Hartley, Catherine A, Johnson, David C, Jing, Deqiang, Elliott, Mark D, Ruberry, Erika J, Powers, Alisa, Mehta, Natasha, Yang, Rui R, Soliman, Fatima, Glatt, Charles E, Casey, B. J, Ninan, Ipe, Lee, Francis S
Format Journal Article
LanguageEnglish
Published United States National Academy of Sciences 02.10.2012
National Acad Sciences
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Summary:The only evidence-based behavioral treatment for anxiety and stress-related disorders involves desensitization techniques that rely on principles of extinction learning. However, 40% of patients do not respond to this treatment. Efforts have focused on individual differences in treatment response, but have not examined when, during development, such treatments may be most effective. We examined fear-extinction learning across development in mice and humans. Parallel behavioral studies revealed attenuated extinction learning during adolescence. Probing neural circuitry in mice revealed altered synaptic plasticity of prefrontal cortical regions implicated in suppression of fear responses across development. The results suggest a lack of synaptic plasticity in the prefrontal regions, during adolescence, is associated with blunted regulation of fear extinction. These findings provide insight into optimizing treatment outcomes for when, during development, exposure therapies may be most effective.
Bibliography:http://dx.doi.org/10.1073/pnas.1206834109
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Author contributions: S.S.P., S.D., D.J., F.S., B.J.C., I.N., and F.S.L. designed research; S.S.P., S.D., D.J., M.D.E., E.J.R., A.P., N.M., R.R.Y., and I.N. performed research; S.S.P., B.J.C., I.N., and F.S.L. contributed new reagents/analytic tools; S.S.P., S.D., C.A.H., D.C.J., M.D.E., and I.N. analyzed data; and S.S.P., C.A.H., D.C.J., C.E.G., B.J.C., I.N., and F.S.L. wrote the paper.
Edited by Bruce S. McEwen, The Rockefeller University, New York, NY, and approved August 29, 2012 (received for review April 23, 2012)
ISSN:0027-8424
1091-6490
DOI:10.1073/pnas.1206834109