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Basolateral amygdala and stress-induced hyperexcitability affect motivated behaviors and addiction
Open accessAbstract
The amygdala integrates and processes incoming information pertinent to reward and to emotions such as fear and anxiety that promote survival by warning of potential danger. Basolateral amygdala (BLA) communicates bi-directionally with brain regions affecting cognition, motivation and stress responses including prefrontal cortex, hippocampus, nucleus accumbens and hindbrain regions that trigger norepinephrine-mediated stress responses. Disruption of intrinsic amygdala and BLA regulatory neurocircuits is often caused by dysfunctional neuroplasticity frequently due to molecular alterations in local GABAergic circuits and principal glutamatergic output neurons. Changes in local regulation of BLA excitability underlie behavioral disturbances characteristic of disorders including post-traumatic stress syndrome (PTSD), autism, attention-deficit hyperactivity disorder (ADHD) and stress-induced relapse to drug use. In this Review, we discuss molecular mechanisms and neural circuits that regulate physiological and stress-induced dysfunction of BLA/amygdala and its principal output neurons. We consider effects of stress on motivated behaviors that depend on BLA; these include drug taking and drug seeking, with emphasis on nicotine-dependent behaviors. Throughout, we take a translational approach by integrating decades of addiction research on animal models and human trials. We show that changes in BLA function identified in animal addiction models illuminate human brain imaging and behavioral studies by more precisely delineating BLA mechanisms. In summary, BLA is required to promote responding for natural reward and respond to second-order drug-conditioned cues; reinstate cue-dependent drug seeking; express stress-enhanced reacquisition of nicotine intake; and drive anxiety and fear. Converging evidence indicates that chronic stress causes BLA principal output neurons to become hyperexcitable.
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“The stress-induced attenuation of BLA→DMS activity was surprising because the BLA is, generally, hyperactive following chronic stress54–61 (c.f.62).”
From A dual-pathway architecture for stress to disrupt agency and promote habit (2025) · cites this paper as [59]
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“Outputs from BLA neurons play important role in influencing the regulation and function of brain regions such as prefrontal cortex, nucleus accumbens and hindbrain, which are implicated in cognition and motivation (Sharp 2017).”
BackgroundZhou, Y., He, Y., Jin, Y., Rong, B., Zeidman, P., Huang, H., Feng, Y., Cui, J., Zhang, S., Wang, Y., et al. (2021) · medRxiv · doi:10.1101/2021.07.26.21261160
“…disturbances in stress-related psychiatric disorders or stress-induced behaviors (e.g., relapse to drug use) (Prager et al. 2016, Sharp 2017) and chronic stress causes amygdala output neurons to become hyperexcitable (Roozendaal et al. 2009, Rosenkranz et al. 2010, Sharp 2017, Zhang et al. 2019).”
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“Various studies have underscored the role of the synaptic alterations in the hippocampus by stimulants in the association of pleasure with drug-associated memories and eventual addiction to the drug [20,21].”
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“This result further supported the idea that down-regulation of the DA population activity following BLA activation would suppress the reward system (Belujon and Grace, 2015, 2017).”
BackgroundResultMar'in, G. G., Medvedeva, E. A., Usol'ceva, N. I., Gorbeshko, G. A., Свитич, О. А., Zykov, K. A., Плоскирева, А. А., Назаров, Д. А., Kinkulkina, M. A., Romanova, K. G., et al. (2023) · Russian Medical Inquiry · doi:10.32364/2587-6821-2023-7-11-6
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“Noradrenergic afferents from the locus coeruleus and nucleus of the solitary tract densely innervate the amygdala (Sharp, 2017).”
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“…Sahagian et al. 10.3389/fncel.2025.1634594 Frontiers in Cellular Neuroscience 02 frontiersin.org mechanisms that mediate information processing through the BLA remain incompletely understood (Sharp, 2017; Buades-Rotger et al., 2019; Patel et al., 2018; Hosie et al., 2018; Winstanley et al., 2004).”
InfluentialAdditional file 1 of Loss of calsyntenin paralogs disrupts interneuron stability and mouse behavior
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“As the BLA is a critical central processing hub with multiple anatomically and functionally distinct efferent projections implicated in reward, motivation and anxiety (43-46), we assessed involvement of discrete BLA efferent projections.”
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Metadata
- Authors
- Sharp, B. M.
- Affiliations
- University of Tennessee Health Science Center (US)
- Corresponding author
- Sharp, B M
- ORCID
- Sharp, B M
- Venue
- Translational Psychiatry
- Published
- 2017-08-08
- Volume
- 7
- Issue
- 8
- Pages
- e1194-e1194
- ISSN
- 2158-3188 (ISSN-L)
- PMC
- PMC5611728
- OpenAlex
- W2743494055
- Cited by
- 244
- References
- 160
- Citations by year
- 2026: 19 · 2025: 26 · 2024: 31 · 2023: 34 · 2022: 33 · 2021: 41 · 2020: 30 · 2019: 19 · 2018: 10 · 2017: 1
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Translational Psychiatry (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- basolateral amygdala, motivated behavior, addiction, nicotine dependence, drug-seeking behavior, drug relapse, chronic stress, principal neurons, GABAergic circuits, anxiety, fear, post-traumatic stress disorder, autism spectrum disorder, attention deficit hyperactivity disorder, cue reactivity
- MeSH terms
- Animals, Humans, Motivation, Neurons, Stress, Psychological, Behavior, Addictive, Drug-Seeking Behavior, Basolateral Nuclear Complex
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