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Neurons in medial prefrontal cortex signal memory for fear extinction
Abstract
Conditioned fear responses to a tone previously paired with a shock diminish if the tone is repeatedly presented without the shock, a process known as extinction. Since Pavlov it has been hypothesized that extinction does not erase conditioning, but forms a new memory. Destruction of the ventral medial prefrontal cortex, which consists of infralimbic and prelimbic cortices, blocks recall of fear extinction, indicating that medial prefrontal cortex might store long-term extinction memory. Here we show that infralimbic neurons recorded during fear conditioning and extinction fire to the tone only when rats are recalling extinction on the following day. Rats that froze the least showed the greatest increase in infralimbic tone responses. We also show that conditioned tones paired with brief electrical stimulation of infralimbic cortex elicit low freezing in rats that had not been extinguished. Thus, stimulation resembling extinction-induced infralimbic tone responses is able to simulate extinction memory. We suggest that consolidation of extinction learning potentiates infralimbic activity, which inhibits fear during subsequent encounters with fear stimuli.
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In the citing paper
“vmPFC activation during recall of extinction memory inhibits the amygdala and dampens fear expression”
From Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience (2014) · cites this paper as Milad and Quirk, 2002
In the citing paper
“This hypothesis was based on evidence that PFC (1) is critical for extinction retention (Herry and Garcia, 2003;Quirk et al, 2000;Milad and Quirk, 2002)”
From Impaired Extinction Retention in Adolescent Rats: Effects of D-Cycloserine (2010) · cites this paper as Milad and Quirk, 2002
In the citing paper
“A number of studies on rats suggest that activity in PrL underlies the expression of conditioned fear (27, 40, 41), whereas activity in IL underlies the extinction of conditioned fear (10, 27, 41, 42).”
From Functional anatomy of ventromedial prefrontal cortex: implications for mood and anxiety disorders (2012) · cites this paper as [10]
In the citing paper
“fear extinction studies suggest that both rat IL (10, 22, 27, 41, 42) and primate vmPFC (12, 15, 43) play a significant role in the successful recall of fear extinction.”
From Functional anatomy of ventromedial prefrontal cortex: implications for mood and anxiety disorders (2012) · cites this paper as [10]
In the citing paper
“Consistent with previous resting-state functional connectivity studies14,15 and effective connectivity studies,17,54 we found anticorrelations between the amygdala and medial prefrontal regions, including the dorsal and rostral ACC, consistent with our a priori hypothesis.”
From Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder (2012) · cites this paper as [54]
In the citing paper
“Such a lack of inhibition from dorsal medial regions to the amygdala can be interpreted as a deficit in automatic emotion regulation10 or a lack of cognitive control over emotion.54”
From Altered resting-state amygdala functional connectivity in men with posttraumatic stress disorder (2012) · cites this paper as [54]
In the citing paper
“electrical stimulation of infralimbic cortex reduces freezing to the CS even in animals that are resistant to extinction training108,112.”
From Resolving the neural circuits of anxiety (2015) · cites this paper as [108]
In the citing paper
“increased activity in the infralimbic cortex is associated with fear extinction108”
From Resolving the neural circuits of anxiety (2015) · cites this paper as [108]
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Pattwell, S. S., & Bath, K. G. (2017) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2017.04.014 · Cited by 51
“…cortex (vmPFC), in particular, has been shown to be important for making the switch from fear expression to fear inhibition during fear extinction learning and retention of extinction memory (Milad & Quirk, 2002; Pare, Quirk, & Ledoux, 2004; Santini, Ge, Ren, Pena de Ortiz, & Quirk, 2004).”
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Prefrontal dopamine regulates fear reinstatement through the downregulation of extinction circuits
HitoraーImamura, N., Miura, Y., Teshirogi, C., Ikegaya, Y., Matsuki, N., & Nomura, H. (2015) · eLife · doi:10.7554/elife.08274 · Cited by 43
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“In contrast, neuronal activity within the IL is critical for inhibiting conditioned fear after the animal has undergone extinction (Milad and Quirk, 2002; Lebrón et al., 2004; Vidal-Gonzalez et al., 2006; Sierra-Mercado et al., 2011).”
BackgroundLuoni, A., Hulsken, S., Cazzaniga, G., Racagni, G., Homberg, J. R., & Riva, M. A. (2012) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145712001332 · Cited by 42
“Moreover, based on the role of the PFC and BDNF in fear extinction (Milad and Quirk, 2002) and considering the impaired expression of the neurotrophin in the PFC of SERTx/x rats (Molteni et al.”
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“In principle, attenuation of spontaneous recovery could be achieved by affecting the strength of extinction (Milad and Quirk, 2002; Sierra-Mercado et al., 2011), or of the original memory.”
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“It has been suggested to encode contextual specificity to regulate extinction memory (Ji and Maren, 2007; SotresBayon et al, 2012), whereas extinction memory might be encoded in the prefrontal cortex (Milad and Quirk, 2002; Morgan and LeDoux, 1999; Quirk, 2002; Quirk et al, 2006; Quirk et al, 2000).”
BackgroundMolecular and Cellular Effects of Traumatic Stress: Implications for PTSD
Girgenti, M. J., Hare, B. D., Ghosal, S., & Duman, R. S. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0841-3 · Cited by 45
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“Fear extinction is a form of safety learning that consists of the formation of a new memory in the ventromedial PFC (vmPFC; Milad and Quirk, 2002).”
BackgroundKoppensteiner, P., Itter, R. V., Melani, R., Galvin, C., Lee, F. S., & Ninan, I. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2019.04.035 · Cited by 44
Grosenick, L., Shi, T. C., Gunning, F. M., Dubin, M. J., Downar, J. H., & Liston, C. M. (2018) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2019.04.013 · Cited by 43
Yoo, Y.-E., Yoo, T., Lee, S., Lee, J., Kim, D., Han, H.-M., Bae, Y.-C., & Kim, E. (2019) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2019.00155 · Cited by 41
Bayer, H., & Bertoglio, L. J. (2020) · Scientific Reports · doi:10.1038/s41598-020-72856-0 · Cited by 42
Predicting clinical outcomes via human fear conditioning: A narrative review.
Scheveneels, S., Boddez, Y., & Hermans, D. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103870 · Cited by 38
Neural reinstatement reveals divided organization of fear and extinction memories in the human brain
Hennings, A. C., McClay, M., Drew, M. R., Lewis‐Peacock, J. A., & Dunsmoor, J. E. (2021) · Current Biology · doi:10.1016/j.cub.2021.11.004 · Cited by 48
Lissek, S., & Güntürkün, O. (2003) · Journal of Neuroscience · doi:10.1523/jneurosci.23-22-08119.2003 · Cited by 42
“A recent study demonstrated that the constitution of extinction memory results in cellular prefrontal activations correlated with the recall of extinction (Milad and Quirk, 2002).”
BackgroundStan, A. D., Schirda, C. V., Bertocci, M. A., Bebko, G. M., Kronhaus, D. M., Aslam, H. A., LaBarbara, E. J., Tanase, C., Lockovich, J. C., Pollock, M. H., et al. (2014) · Psychiatry Research: Neuroimaging · doi:10.1016/j.pscychresns.2014.05.016 · Cited by 35
“…the main inhibitory brain neurotransmitter, critically influence prefrontal cortical and ACC function (Buzsaki et al., 2007; Markram et al., 2004; Milad and Quirk, 2002; Milad et al., 2007; Northoff et al., 2002; Palomero-Gallagher et al., 2008), in the present study we chose to focus on roles…”
BackgroundNeural response to reward anticipation in those with depression with and without panic disorder
Gorka, S. M., Huggins, A. A., Fitzgerald, D. A., Nelson, B. D., Phan, K. L., & Shankman, S. A. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.04.019 · Cited by 48
“Although the mechanisms underlying these findings are still unclear, evidence indicates that the dACC is involved in the expression of fear, which is why damage/abnormalities in this region may cause or maintain PD (Milad and Quirk, 2002; Phelps et al., 2004).”
BackgroundImpact of infralimbic inputs on intercalated amygdala neurons: A biophysical modeling studyPreprint
Li, G., Amano, T., Paré, D., & Nair, S. S. (2011) · Learning & Memory · doi:10.1101/lm.1938011 · Cited by 47
Herry, C., & Garcia, R. (2003) · Behavioural Brain Research · doi:10.1016/j.bbr.2003.09.017 · Cited by 41
Activated Tryptophan-Kynurenine metabolic system in the human brain is associated with learned fear
Battaglia, M. R., Fazio, C. D., & Battaglia, S. (2023) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2023.1217090 · Cited by 40
“In an experimental context, fear learning involves a type of learning where a previously neutral stimulus is repeatedly paired with an aversive stimulus, eliciting a fear response (Maren, 2001; Bouton, 2002; Milad and Quirk, 2002; Schiller et al., 2008; Lonsdorf et al., 2017).”
BackgroundWilker, S., Elbert, T. R., & Kolassa, I. (2013) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2013.08.015 · Cited by 44
“Extinction learning, and particularly extinction memory retention, depends on the medial prefrontal cortex, which regulates fear expression via inhibitory projections to the amygdala (Milad & Quirk, 2002; Quirk, Garcia, & Gonzalez Lima, 2006).”
Song, C., & Moyer, J. R. (2017) · Journal of Neurophysiology · doi:10.1152/jn.00146.2017 · Cited by 44
Carlisi, C. O., & Robinson, O. J. (2018) · Brain and Neuroscience Advances · doi:10.1177/2398212818774223 · Cited by 48
“, 2014), while fear extinction also enhances activity in BLA projections up to the IL (Milad and Quirk, 2002; Senn et al., 2014).”
BackgroundLateral, not medial, prefrontal cortex contributes to punishment and aversive instrumental learningPreprint
Jean-Richard-dit-Bressel, P., & McNally, G. P. (2016) · Learning & Memory · doi:10.1101/lm.042820.116 · Cited by 45
“…expression of Pavlovian fear responses (Corcoran and Quirk 2007; Courtin et al. 2013a,b; Senn et al. 2014; Do-monte et al. 2015) and IL suppresses these responses after inhibitory treatments such as extinction (Milad and Quirk 2002; Quirk et al. 2006; Santini et al. 2008; Senn et al. 2014).”
BackgroundAnxious to see you: Neuroendocrine mechanisms of social vigilance and anxiety during adolescence
Wright, E. C., Hostinar, C. E., & Trainor, B. C. (2020) · European Journal of Neuroscience · doi:10.1111/ejn.14628 · Cited by 55
“For example, increased activity in the infralimbic cortex is important for the extinction of conditioned fear responses (Chang, Berke, & Maren, 2010; Holmes et al., 2012; Milad & Quirk, 2002).”
BackgroundPV network plasticity mediated by neuregulin1-ErbB4 signalling controls fear extinction
Chen, Y., Hu, N.-Y., Wu, D., Bi, L., Luo, Z.-Y., Huang, L., Wu, J., Wang, M., Li, J., Song, Y., et al. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01355-z · Cited by 40
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Chronic pain, chronic stress and substance use: overlapping mechanisms and implications
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“Flexible and adaptive VmPFC function is necessary to “turn off” stress once fearful stimuli are gone (88, 89), and impaired VmPFC function is observed in patients with post-traumatic stress disorder (90).”
BackgroundMartin, W., Murray, P. S., Bates, P. R., & Lee, P. S. Y. (2016) · Aviation Psychology and Applied Human Factors · doi:10.1027/2192-0923/a000092 · Cited by 44
Chronic stress, cortical plasticity and neuroecology
Reser, J. E. (2016) · Behavioural Processes · doi:10.1016/j.beproc.2016.06.010 · Cited by 43
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“Previous animal work suggests that activation of fear- related brain regions is strongest during early phases of learning (i.e., early extinction learning and extinction recall (see Milad & Quirk, 2002; Milad, Wright, et al., 2007).”
BackgroundMackenzie, L., Nalivaiko, E., Beig, M. I., Day, T. A., & Walker, F. R. (2010) · Neuroscience · doi:10.1016/j.neuroscience.2010.05.005 · Cited by 44
The extinction of conditioned fear: structural and molecular basis and therapeutic use
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“The “center for extinction”? As mentioned, a number of studies indicate that the ventromedial prefrontal cortex may be crucial for extinction in several animal species [21,39,54].(24,35,38-40,53) The ventromedial”
BackgroundA magnetic resonance imaging study of cortical thickness in animal phobia
Rauch, S. L., Wright, C. I., Martis, B., Busa, E., McMullin, K. G., Shin, L. M., Dale, A. M., & Fischl, B. R. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2003.12.022 · Cited by 42
“Infralimbic prefrontal cortex plays a critical role in modulating the amygdala response to threatening stimuli (such as via extinction; Milad and Quirk 2002; Morgan and LeDoux 1995).”
BackgroundImpact of predatory threat on fear extinction in Lewis ratsPreprint
Goswami, S., Cascardi, M. A., Rodríguez-Sierra, O. E., Duvarci, S., & Paré, D. (2010) · Learning & Memory · doi:10.1101/lm.1948910 · Cited by 43
“In one study, for instance, the propensity of different strains of rats to develop extreme behavioral manifestations of anxiety (EBMAs) as a result of predatory threat has been characterized, revealing that a much higher proportion (50”
BackgroundTransitional and translational studies of risk for anxiety
Casey, B. J., Ruberry, E. J., Libby, V., Glatt, C. E., Hare, T. A., Soliman, F., Duhoux, S., Frielingsdorf, H., & Tottenham, N. (2011) · Depression and Anxiety · doi:10.1002/da.20783 · Cited by 40
“The observation of imbalanced activity in the amygdala–vPFC network, as shown by elevated amygdala and less vmPFC activity in high anxious individuals, is consistent with a variety of work in animals,([38,39]) humans, and in childhood and adolescent mood and anxiety disorders,([28,45]) implicating an inverse relations…”
Zhao, J., Huynh, J., Hylin, M. J., O'Malley, J. J., Perez, A., Moore, A. N., & Dash, P. K. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2016.4898 · Cited by 39
Hudson, R., Rushlow, W. J., & Laviolette, S. R. (2017) · Psychopharmacology · doi:10.1007/s00213-017-4766-7 · Cited by 40
“The prefrontal cortex is responsible for suppressing memory recall for aversive events and for increasing the rate of extinction for emotional memories (Depue et al. 2007; Milad and Quirk 2002).”
BackgroundModulating reconsolidation and extinction to regulate drug reward memory
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“Similar to the learning process, extinction also involves conditioning/acquisition, consolidation, retrieval, reconsolidation and storage (Quirk et al., 2000; Milad & Quirk, 2002; Burgos-Robles et al., 2007; Furini et al., 2014; Raio et al., 2014; Radiske et al., 2015).”
BackgroundNeuroepigenetics of Post-Traumatic Stress Disorder
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“The rodent and human mPFC are implicated in both social processing and cortical regulation of anxiety/fear, making it a compelling target as the cortical site for regulation of SFiA (Adolphs, 2010; Fossati, 2012; Hartley and Phelps, 2010; Meyer-Lindenberg and Tost, 2012; Milad and Quirk, 2002; van Kerkhof et al, 2013a…”
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“Extinction of cue-conditioned fear memory is PFC-mediated (Morgan and LeDoux, 1995; Quirk et al., 2000; Milad and Quirk, 2002).”
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The rostroventral part of the thalamic reticular nucleus modulates fear extinction
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“The latter forms a separate, second learning that competes against, but does not change, the original conditioned response (see, e.g., Bouton, 2004; Milad & Quirk, 2002; Milner, Squire, & Kandel, 1998; Myers & Davis, 2002).”
BackgroundSelf, D. W., & Choi, K.-H. (2004) · Stress · doi:10.1080/10253890400012677 · Cited by 38
“…appetitive rewards like sucrose, and several recent studies suggest that neuroplasticity encoding extinction learning may involve the prefrontal cortex itself as discussed earlier (Quirk et al., 2000; Herry and Garcia, 2002; Milad and Quirk, 2002; Barrett et al., 2003; Lissek and Gunturkun, 2003).”
BackgroundSgobio, C., Trabalza, A., Spalloni, A., Zona, C., Carunchio, I., Longone, P., & Ammassari‐Teule, M. (2007) · Genes Brain & Behavior · doi:10.1111/j.1601-183x.2007.00367.x · Cited by 38
“…that mPFC regions govern response flexibility, that is, the capa- bility of forming new associations inhibiting those formerly established, largely derives from evidence implicating PL/IL neurons in extinction of conditioned fear (Milad & Quirk 2002; Morgan et al. 1993; Quirk et al. 2006).”
BackgroundGale, G., Yazdi, R. D., Khan, A. H., Lusis, A. J., Davis, R. C., & Smith, D. (2008) · Molecular Psychiatry · doi:10.1038/mp.2008.4 · Cited by 38
C57BL/6J and DBA/2J mice differ in extinction and renewal of extinguished conditioned fear.
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Adaptive contextualization: a new role for the default mode network in affective learning
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“In humans, neuroimaging studies have provided evidence for a similar neural mechanism of safety learning by demonstrating increased vmPFC activity during extinction [Kalisch et al., 2006; Milad and Quirk, 2010].”
BackgroundLori, A., Schultebraucks, K., Galatzer‐Levy, I. R., Daskalakis, N. P., Katrinli, Ş., Smith, A. K., Myers, A., Richholt, R., Huentelman, M. J., Guffanti, G., et al. (2021) · Neuropsychopharmacology · doi:10.1038/s41386-021-01073-8 · Cited by 38
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“…extinction can be enhanced by manipulations that increase IL function, for example, long-term potentiation of the thalamo-mPFC (Herry and Garcia , 2002 ) or the hippocampal-mPFC (Farinelli et al. , 2006 ) pathways or local microstimulation of the IL (Milad and Quirk , 2002 ; Milad et al. , 2004 ).”
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“stimulation varied according to the timing of current delivery and target (53,99).”
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Differential fear conditioning generates prefrontal neural ensembles of safety signals
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“demonstrated that the CS-evoked responses in the IL coincide with learned fear suppression [27].”
Wrubel, K. M., Barrett, D. W., Shumake, J., Johnson, S. E., & Gonzalez-Lima, F. (2006) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2006.08.009 · Cited by 37
The inhibition of acquired fear
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“In addition, pairing of the tone CS with brief electrical stimulation of this region, mimicks extinction in the sense that it reduces freezing responses (CRs) in animals that had not been extinguished ( Milad and Quirk, 2002 ).”
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Extrasynaptic GABAA receptors in mediodorsal thalamic nucleus modulate fear extinction learning
Paydar, A., Lee, B., Gangadharan, G., Lee, S., Hwang, E. M., & Shin, H.-S. (2014) · Molecular Brain · doi:10.1186/1756-6606-7-39 · Cited by 37
“GABA has an essential role in fear extinction through modulating cellular activities in the amygdala, medial prefrontal cortex (mPFC), and hippocampus, key structures involved in fear extinction [3,6-12].”
BackgroundA theory of the neural mechanisms underlying negative cognitive bias in major depression
Jiang, Y. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1348474 · Cited by 43
Deschaux, O., Motanis, H., Spennato, G., Moreau, J., & Garcia, R. (2011) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2011.03.002 · Cited by 36
Fragale, J. E. C., Khariv, V., Gregor, D. M., Smith, I. M., Jiao, X., Elkabes, S., Servatius, R. J., Pang, K. C. H., & Beck, K. D. (2015) · Experimental Neurology · doi:10.1016/j.expneurol.2015.11.002 · Cited by 39
“Extinction of conditioned fear is primarily mediated by the infralimbic (IL) cortex, a subregion of the PFC (Laurent and Westbrook, 2009; Milad and Quirk, 2002; SierraMercado et al., 2011).”
BackgroundLee, H. J., Haberman, R. P., Roquet, R. F., & Monfils, M. (2016) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2015.00369 · Cited by 36
“The involvement of these brain structures intensified in the 10 CSs group, suggesting the continued and increasing engagement of the IL as extinction processes were recruited (in line with previously reported findings from the literature, Quirk et al., 1997; Milad and Quirk, 2002; Knapska and Maren, 2009; Do-Monte et…”
ResultModification of Fear Memory by Pharmacological and Behavioural Interventions during Reconsolidation
Thome, J., Koppe, G., Hauschild, S., Liebke, L., Schmahl, C. G., Lis, S., & Bohus, M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0161044 · Cited by 38
Fear Expression Suppresses Medial Prefrontal Cortical Firing in Rats
Giustino, T. F., Fitzgerald, P. J., & Maren, S. (2016) · PLoS ONE · doi:10.1371/journal.pone.0165256 · Cited by 41
Villaruel, F. R., Lacroix, F., Sanio, C., Sparks, D. W., Chapman, C. A., & Chaudhri, N. (2017) · Cerebral Cortex · doi:10.1093/cercor/bhx275 · Cited by 36
Inhibitory Learning for Anxiety-Related Disorders
Tolin, D. F. (2018) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2018.07.008 · Cited by 35
Gouveia, F. V., Gidyk, D. C., Giacobbe, P., Ng, E., Meng, Y., Davidson, B., Abrahão, A., Lipsman, N., & Hamani, C. (2019) · Brain Sciences · doi:10.3390/brainsci9020045 · Cited by 39
“While the IL is important for inhibiting fear CRs following extinction learning [52,53], the PL is primarily involved in the long-term behavioral expression of fear [53,54].”
BackgroundAli, A. E. A., Wilson, Y. M., & Murphy, M. (2009) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2009.05.004 · Cited by 36
“This involvement in stress is not simple and also includes a clear role in suppression of stress or fear responses seen in fear memory extinction (Milad & Quirk, 2002; Mueller, Porter, & Quirk, 2008; Santini, Ge, Ren, Pena de Ortiz, & Quirk, 2004; Santini, Quirk, & Porter, 2008).”
BackgroundXiong, G.-J., Yang, Y., Wang, L.-P., Xu, L., & Mao, R.-R. (2014) · Behavioural Brain Research · doi:10.1016/j.bbr.2014.04.015 · Cited by 43
Prior cocaine exposure disrupts extinction of fear conditioningPreprint
Burke, K. A., Franz, T. M., Gugsa, N., & Schoenbaum, G. M. (2006) · Learning & Memory · doi:10.1101/lm.216206 · Cited by 36
“Clearly, enhanced responding to fear-associated cues during extinction learning might reflect the impact of drug-induced changes on the ability of the MPFC to modulate encoding in amygdala.”
BackgroundInfluentialPiantadosi, P. T., Yeates, D. C. M., & Floresco, S. (2020) · Learning & Memory · doi:10.1101/lm.051912.120 · Cited by 35
IGF-1 facilitates extinction of conditioned fear
Noriega‐Prieto, J. A., Maglio, L. E., Maroto, I. B., Martín-Cortecero, J., Muñoz‐Callejas, A., Callejo-Móstoles, M., & de Sevilla, D. F. (2021) · eLife · doi:10.7554/elife.67267 · Cited by 33
Sun, X., Le, L., Song, Y., Wu, T., Zheng, T., Hao, J., Cao, J., & Gao, C. (2022) · Cell Reports · doi:10.1016/j.celrep.2023.112719 · Cited by 35
Memory Trace for Fear Extinction: Fragile yet Reinforceable
Liu, Y., Ye, S., Li, X.-N., & Li, W. (2023) · Neuroscience Bulletin · doi:10.1007/s12264-023-01129-3 · Cited by 35
“The IL/ mPFC plays a central role in the acquisition of fear extinction memories [71], where the adaptive changes associated with extinction learning, such as NMDAR-dependent bursting [72], are required for the consolidation of fear extinction memory.”
BackgroundExtinction resistant changes in the human auditory association cortex following threat learning
Apergis-Schoute, A. M., Schiller, D., LeDoux, J. E., & Phelps, E. A. (2014) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2014.01.016 · Cited by 32
Kim, J. H., Perry, C. J., Ganella, D. E., & Madsen, H. B. (2016) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2016.10.018 · Cited by 34
Kreutzmann, J. C., Jovanović, T., & Fendt, M. (2020) · Psychopharmacology · doi:10.1007/s00213-020-05527-7 · Cited by 31
Chiba, T., Ide, K., Taylor, J. E., Boku, S., Toda, H., Kanazawa, T., Kato, S., Horiuchi, Y., Hishimoto, A., Maruyama, T., et al. (2020) · Molecular Psychiatry · doi:10.1038/s41380-020-0827-0 · Cited by 41
Mountney, C., Sillberg, V. A. H., Kent, P., Anisman, H., & Merali, Z. (2006) · Psychopharmacology · doi:10.1007/s00213-006-0585-y · Cited by 35
“In terms of neurocircuitry mediating the conditioned emotional response, it is important to note that the amygdala and mPFC share reciprocal connections, and it was suggested that the mPFC gates or inhibits responses from the CeA via projections through either the lateral amygdala or through intercalated cells located…”
BackgroundInfluentialThe prelimbic cortex is critical for context-dependent fear expression
Kim, E. J., Kim, N., Kim, H. T., & Choi, J.-S. (2013) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2013.00073 · Cited by 37
“For example, no significant changes in the activation of the PL have been observed during simple fear extinction (Milad and Quirk, 2002; Chang et al., 2010).”
BackgroundResultImaging genetics and development: Challenges and promises
Casey, B. J., Soliman, F., Bath, K. G., & Glatt, C. E. (2010) · Human Brain Mapping · doi:10.1002/hbm.21047 · Cited by 34
Pharmacological enhancement of drug cue extinction learning: translational challenges
Kantak, K. M., & Dhonnchadha, B. Á. N. (2011) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2010.05899.x · Cited by 35
Norrholm, S. D., Anderson, K. M., Olin, I. W., Jovanovic, T., Kwon, C., Warren, V. T., McCarthy, A., Bosshardt, L., Sabree, J., Duncan, E. J., et al. (2011) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2011.00077 · Cited by 34
“However, the large foundation of pre-clinical animal studies that have informed human fear extinction investigations have employed auditory CSs (e.g., Cain et al., 2001; Milad and Quirk, 2002; Morris et al., 2005; Monfils et al., 2009).”
BackgroundCannabinoids: Revealing their complexity and role in central networks of fear and anxiety
Murkar, A., Koninck, J. D., & Merali, Z. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.09.002 · Cited by 35
Lueken, U., Straube, B., Wïttchen, H., Konrad, C., Ströhle, A., Wittmann, A., Pfleiderer, B., Arolt, V., Kircher, T. T. J., Deckert, J., et al. (2014) · Journal of Neural Transmission · doi:10.1007/s00702-014-1311-2 · Cited by 35
“However, 5-HTTLPR modulated the ACC-amygdala neurocircuit that is involved in fear extinction in animals and humans (Milad and Quirk 2002; Phelps et al. 2004) and is associated with treatment response in PD/AG patients (Lueken et al.”
BackgroundXue, Y.-X., Zhu, Z., Han, H.-B., Liu, J., Meng, S., Chen, C., Yang, J., Wu, P., & Lü, L. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2015.56 · Cited by 34
“Different subregions of the mPFC appear to have distinct functions in fear memory, and the IL appears to control extinction learning, in which a new conditioned stimulus-no unconditioned stimulus association is formed (Milad and Quirk 2002; Milad et al, 2007; Peters et al, 2010; Quirk et al, 2006b).”
BackgroundKillgore, W. D. S., Schwab, Z. J., Tkachenko, O. N., Webb, C. A., DelDonno, S. R., Kipman, M., Rauch, S. L., & Weber, M. (2013) · Social Neuroscience · doi:10.1080/17470919.2013.807300 · Cited by 34
“Importantly, the vmPFC has been shown to play a role in the maintenance of extinction memory following fear conditioning in humans (Milad et al., 2007), leading to inhibition of fear responses when encountering a previously feared stimulus (Milad & Quirk, 2002).”
Livneh, U., & Paz, R. (2012) · Journal of Neuroscience · doi:10.1523/jneurosci.0323-12.2012 · Cited by 36
“, 2011) which are activated from the ventral/medial-prefrontalcortices (v/mPFC; Milad and Quirk, 2002; Paré et al., 2004).”
BackgroundThe learning of prospective and retrospective cognitive maps within neural circuits
Namboodiri, V. M. K., & Stuber, G. D. (2021) · Neuron · doi:10.1016/j.neuron.2021.09.034 · Cited by 32
“In contrast, the infralimbic cortex (IL) that lies ventral to PL, appears especially important for extinction learning and habitual behaviors (Barker et al., 2014, 2017; Ghazizadeh et al., 2012; Milad and Quirk, 2002; Peters et al., 2009).”
BackgroundUnrelenting Fear Under Stress: Neural Circuits and Mechanisms for the Immediate Extinction Deficit
Maren, S. (2022) · Frontiers in Systems Neuroscience · doi:10.3389/fnsys.2022.888461 · Cited by 37
“Neuronal activity within the IL correlates with suppression of conditioned freezing (Milad and Quirk, 2002; Chang et al., 2010; Wilber et al., 2011; Giustino et al., 2016a, 2019), electrical or optogenetic activation of the IL can facilitate extinction learning (Milad et al., 2004; Do-Monte et al.,…”
BackgroundAwad, W., Ferreira, G., & Maroun, M. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2015.103 · Cited by 35
“(Akirav et al, 2006a, b; Maroun et al, 2012; Milad and Quirk, 2002; Peters et al, 2009; Slouzkey et al, 2013) and suggest a dissociation in the engagement of the IL in learning and consolidation of COA extinction over time.”
BackgroundLo, A. C., Iscru, E., Blum, D. L., Tesseur, I. C., Callaerts‐Vegh, Z., Buée, L., Strooper, B. D., Balschun, D., & D’Hooge, R. (2013) · Journal of Alzheimer s Disease · doi:10.3233/jad-122296 · Cited by 39
“Hip-pocampal plasticity has been tested in AD mouse models and related to spatial learning defects 24–26], but prefrontal cortex (PFC) has been [20 shown to play a central role in various aspects of rodent behavior as well [27, 28].”
Dynamics of neural coding in the accumbens during extinction and reinstatement of rewarded behavior
Janak, P. H., Chen, M.-T., & Caulder, T. (2004) · Behavioural Brain Research · doi:10.1016/j.bbr.2004.02.003 · Cited by 34
Know thy SEFL: Fear sensitization and its relevance to stressor-related disorders
Nishimura, K., Poulos, A. M., Drew, M. R., & Rajbhandari, A. K. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104884 · Cited by 38
Metadata
- Authors
- Milad, M. R., & Quirk, G. J.
- Affiliations
- Ponce Health Sciences University (PR)
- Corresponding author
- Quirk, Gregory J.
- Venue
- Nature
- Published
- 2002-11
- Volume
- 420
- Issue
- 6911
- Pages
- 70-74
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W1989045560
- Cited by
- 1,836
- References
- 30
- Citations by year
- 2026: 40 · 2025: 55 · 2024: 73 · 2023: 59 · 2022: 58 · 2021: 82 · 2020: 75 · 2019: 88 · 2018: 90 · 2017: 80 · 2016: 102 · 2015: 95 · 2014: 95 · 2013: 121 · 2012: 88
- FWCI
- 23.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Science Foundation
- National Institute of Mental Health
- National Institute of General Medical Sciences
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- fear extinction, medial prefrontal cortex, infralimbic cortex, prelimbic cortex, memory extinction, fear conditioning, memory consolidation, neuronal firing, electrical stimulation, freezing behavior, rats
- MeSH terms
- Acoustic Stimulation, Animals, Conditioning, Classical, Electroshock, Extinction, Psychological, Fear, Male, Memory, Neurons, Sound, Rats, Sprague-Dawley, Prefrontal Cortex, Rats
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