Closed-loop brain stimulation augments fear extinction in male rats

Abstract Dysregulated fear reactions can result from maladaptive processing of trauma-related memories. In post-traumatic stress disorder (PTSD) and other psychiatric disorders, dysfunctional extinction learning prevents discretization of trauma-related memory engrams and generalizes fear responses....

Full description

Bibliographic Details
Main Authors: Rodrigo Ordoñez Sierra, Lizeth Katherine Pedraza, Lívia Barcsai, Andrea Pejin, Qun Li, Gábor Kozák, Yuichi Takeuchi, Anett J. Nagy, Magor L. Lőrincz, Orrin Devinsky, György Buzsáki, Antal Berényi
Format: Article
Language:English
Published: Nature Portfolio 2023-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-023-39546-7
_version_ 1797784490200793088
author Rodrigo Ordoñez Sierra
Lizeth Katherine Pedraza
Lívia Barcsai
Andrea Pejin
Qun Li
Gábor Kozák
Yuichi Takeuchi
Anett J. Nagy
Magor L. Lőrincz
Orrin Devinsky
György Buzsáki
Antal Berényi
author_facet Rodrigo Ordoñez Sierra
Lizeth Katherine Pedraza
Lívia Barcsai
Andrea Pejin
Qun Li
Gábor Kozák
Yuichi Takeuchi
Anett J. Nagy
Magor L. Lőrincz
Orrin Devinsky
György Buzsáki
Antal Berényi
author_sort Rodrigo Ordoñez Sierra
collection DOAJ
description Abstract Dysregulated fear reactions can result from maladaptive processing of trauma-related memories. In post-traumatic stress disorder (PTSD) and other psychiatric disorders, dysfunctional extinction learning prevents discretization of trauma-related memory engrams and generalizes fear responses. Although PTSD may be viewed as a memory-based disorder, no approved treatments target pathological fear memory processing. Hippocampal sharp wave-ripples (SWRs) and concurrent neocortical oscillations are scaffolds to consolidate contextual memory, but their role during fear processing remains poorly understood. Here, we show that closed-loop, SWR triggered neuromodulation of the medial forebrain bundle (MFB) can enhance fear extinction consolidation in male rats. The modified fear memories became resistant to induced recall (i.e., ‘renewal’ and ‘reinstatement’) and did not reemerge spontaneously. These effects were mediated by D2 receptor signaling-induced synaptic remodeling in the basolateral amygdala. Our results demonstrate that SWR-triggered closed-loop stimulation of the MFB reward system enhances extinction of fearful memories and reducing fear expression across different contexts and preventing excessive and persistent fear responses. These findings highlight the potential of neuromodulation to augment extinction learning and provide a new avenue to develop treatments for anxiety disorders.
first_indexed 2024-03-13T00:40:39Z
format Article
id doaj.art-6d10aa8b882e44f8b23463c86bb30464
institution Directory Open Access Journal
issn 2041-1723
language English
last_indexed 2024-03-13T00:40:39Z
publishDate 2023-07-01
publisher Nature Portfolio
record_format Article
series Nature Communications
spelling doaj.art-6d10aa8b882e44f8b23463c86bb304642023-07-09T11:18:51ZengNature PortfolioNature Communications2041-17232023-07-0114111410.1038/s41467-023-39546-7Closed-loop brain stimulation augments fear extinction in male ratsRodrigo Ordoñez Sierra0Lizeth Katherine Pedraza1Lívia Barcsai2Andrea Pejin3Qun Li4Gábor Kozák5Yuichi Takeuchi6Anett J. Nagy7Magor L. Lőrincz8Orrin Devinsky9György Buzsáki10Antal Berényi11MTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedDepartment of Neurology, NYU Langone Comprehensive Epilepsy Center, NYU Grossman School of MedicineNeuroscience Institute, New York UniversityMTA-SZTE ‘Momentum’ Oscillatory Neuronal Networks Research Group, Department of Physiology, University of SzegedAbstract Dysregulated fear reactions can result from maladaptive processing of trauma-related memories. In post-traumatic stress disorder (PTSD) and other psychiatric disorders, dysfunctional extinction learning prevents discretization of trauma-related memory engrams and generalizes fear responses. Although PTSD may be viewed as a memory-based disorder, no approved treatments target pathological fear memory processing. Hippocampal sharp wave-ripples (SWRs) and concurrent neocortical oscillations are scaffolds to consolidate contextual memory, but their role during fear processing remains poorly understood. Here, we show that closed-loop, SWR triggered neuromodulation of the medial forebrain bundle (MFB) can enhance fear extinction consolidation in male rats. The modified fear memories became resistant to induced recall (i.e., ‘renewal’ and ‘reinstatement’) and did not reemerge spontaneously. These effects were mediated by D2 receptor signaling-induced synaptic remodeling in the basolateral amygdala. Our results demonstrate that SWR-triggered closed-loop stimulation of the MFB reward system enhances extinction of fearful memories and reducing fear expression across different contexts and preventing excessive and persistent fear responses. These findings highlight the potential of neuromodulation to augment extinction learning and provide a new avenue to develop treatments for anxiety disorders.https://doi.org/10.1038/s41467-023-39546-7
spellingShingle Rodrigo Ordoñez Sierra
Lizeth Katherine Pedraza
Lívia Barcsai
Andrea Pejin
Qun Li
Gábor Kozák
Yuichi Takeuchi
Anett J. Nagy
Magor L. Lőrincz
Orrin Devinsky
György Buzsáki
Antal Berényi
Closed-loop brain stimulation augments fear extinction in male rats
Nature Communications
title Closed-loop brain stimulation augments fear extinction in male rats
title_full Closed-loop brain stimulation augments fear extinction in male rats
title_fullStr Closed-loop brain stimulation augments fear extinction in male rats
title_full_unstemmed Closed-loop brain stimulation augments fear extinction in male rats
title_short Closed-loop brain stimulation augments fear extinction in male rats
title_sort closed loop brain stimulation augments fear extinction in male rats
url https://doi.org/10.1038/s41467-023-39546-7
work_keys_str_mv AT rodrigoordonezsierra closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT lizethkatherinepedraza closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT liviabarcsai closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT andreapejin closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT qunli closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT gaborkozak closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT yuichitakeuchi closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT anettjnagy closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT magorllorincz closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT orrindevinsky closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT gyorgybuzsaki closedloopbrainstimulationaugmentsfearextinctioninmalerats
AT antalberenyi closedloopbrainstimulationaugmentsfearextinctioninmalerats