期刊
JOURNAL OF NEUROSCIENCE
卷 38, 期 6, 页码 1408-1417出版社
SOC NEUROSCIENCE
DOI: 10.1523/JNEUROSCI.0635-17.2017
关键词
behavioral therapy; cognitive flexibility; coping behavior; extinction; medial prefrontal cortex; stress
资金
- National Institute of Mental Health Research [MH072672, MH053851]
- National Institutes of Health [NS082145]
- National Center for Advancing Translational Sciences Fellowship [TL1 TR001119]
- U.S. Department of Veterans Affairs Biomedical Laboratory Research and Development Program [1I01BX003512]
- William and Ella Owens Medical Research Foundation
- Lundbeck Research USA
Poor response and high relapse rates remain problematic in the treatment of stress-related psychiatric disorders such as depression and post-traumatic stress disorder. Although mechanisms of pharmacotherapies are intensely studied, little is known about mechanisms of behavioral therapy that could inform improved treatments. We have previously demonstrated the therapeutic effects of extinction learning as a behavioral intervention modeling exposure therapy in rats. In the present study, we tested the hypothesis that activity in the ventral medial prefrontal cortex (vmPFC) during extinction is necessary for its therapeutic effects. The inhibitory Gi-coupled designer receptor exclusively activated by designer drug CaMKII alpha-hM4Di was expressed in vmPFC before administering chronic unpredictable stress (CUS). vmPFC projection neurons were then inhibited during extinction treatment by administering clozapine-N-oxide. Coping behavior and cognitive flexibility were assessed 24 h later on the shock-probe defensive burying test and attentional set-shifting test, respectively. Replicating previous results, extinction reversed the CUS-induced deficits in coping behavior and cognitive flexibility. Inhibiting vmPFC during extinction blocked these therapeutic effects. Further, increasing vmPFC activity with the excitatory Gq-coupled designer receptor exclusively activated by designer drug hM3Dq24 h before testing was sufficient to reverse the CUS-induced deficits. CUS reduced mPFC responsivity, assessed by measuring afferentevoked field potentials in the mPFC, and this reduction was reversed by extinction treatment 24 h before testing. These results demonstrate the necessity of vmPFC activity in the therapeutic effects of extinction as a model of exposure therapy, and suggest that increased vmPFC activity induced by extinction is sufficient to produce lasting plastic changes that underlie its beneficial effects.
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