Cited by 103Memory and Neural MechanismsMemory Processes and InfluencesNeurotransmitter Receptor Influence on Behavior

Dopamine-dependent prefrontal reactivations explain long-term benefit of fear extinction

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Gerlicher, A. M. V., Tüscher, O., Kalisch, R.·2018·Nature Communications

Abstract

Fear extinction does not prevent post-traumatic stress or have long-term therapeutic benefits in fear-related disorders unless extinction memories are easily retrieved at later encounters with the once-threatening stimulus. Previous research in rodents has pointed towards a role for spontaneous prefrontal activity occurring after extinction learning in stabilizing and consolidating extinction memories. In other memory domains spontaneous post-learning activity has been linked to dopamine. Here, we show that a neural activation pattern — evoked in the ventromedial prefrontal cortex (vmPFC) by the unexpected omission of the feared outcome during extinction learning — spontaneously reappears during postextinction rest. The number of spontaneous vmPFC pattern reactivations predicts extinction memory retrieval and vmPFC activation at test 24 h later. Critically, pharmacologically enhancing dopaminergic activity during extinction consolidation amplifies spontaneous vmPFC reactivations and correspondingly improves extinction memory retrieval at test. Hence, a spontaneous dopamine-dependent memory consolidation-based mechanism may underlie the long-term behavioral effects of fear extinction.

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  • Promising results have been obtained by enhancing psychotherapy with MDMA, oxytocin, L-DOPA, and other compounds.

    “Promising results have been obtained by enhancing psychotherapy with methylenedioxymethamphetamine (MDMA; phase three clinical trial NCT03537014 is currently assessing MDMA-assisted psychotherapy for PTSD), oxytocin [59], L-DOPA [60], and other compounds (for review, see [58]).”

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Authors
Gerlicher, A. M. V., Tüscher, O., & Kalisch, R.
Affiliations
University Medical Center of the Johannes Gutenberg University Mainz (DE)
Corresponding author
Gerlicher, A. M. V.
Venue
Nature Communications
Published
2018-10-16
Volume
9
Issue
1
Pages
4294-4294
ISSN
2041-1723 (ISSN-L)
OpenAlex
W2896619466
Cited by
103
References
7
Citations by year
2026: 6 · 2025: 12 · 2024: 14 · 2023: 14 · 2022: 15 · 2021: 17 · 2020: 11 · 2019: 14
FWCI
6.25
Type
journal article
Language
en
Open access
Locations
  • Nature Communications (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
  • Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
Deutsche Forschungsgemeinschaft (sub-project C04, subproject C01, CRC--1193)
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 › Neurotransmitter Receptor Influence on Behavior
Keywords
fear extinction, dopamine, ventromedial prefrontal cortex, spontaneous neuronal activity, memory consolidation, extinction consolidation, fear-related disorders, post-traumatic stress
MeSH terms
Memory Consolidation, Administration, Oral, Adult, Dopamine, Extinction, Psychological, Fear, Humans, Magnetic Resonance Imaging, Male, Prefrontal Cortex, Nontherapeutic Human Experimentation

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