Neural circuits underlying a psychotherapeutic regimen for fear disorders

J Baek, S Lee, T Cho, SW Kim, M Kim, Y Yoon, KK Kim… - Nature, 2019 - nature.com
J Baek, S Lee, T Cho, SW Kim, M Kim, Y Yoon, KK Kim, J Byun, SJ Kim, J Jeong, HS Shin
Nature, 2019nature.com
A psychotherapeutic regimen that uses alternating bilateral sensory stimulation (ABS) has
been used to treat post-traumatic stress disorder. However, the neural basis that underlies
the long-lasting effect of this treatment—described as eye movement desensitization and
reprocessing—has not been identified. Here we describe a neuronal pathway driven by the
superior colliculus (SC) that mediates persistent attenuation of fear. We successfully induced
a lasting reduction in fear in mice by pairing visual ABS with conditioned stimuli during fear …
Abstract
A psychotherapeutic regimen that uses alternating bilateral sensory stimulation (ABS) has been used to treat post-traumatic stress disorder. However, the neural basis that underlies the long-lasting effect of this treatment—described as eye movement desensitization and reprocessing—has not been identified. Here we describe a neuronal pathway driven by the superior colliculus (SC) that mediates persistent attenuation of fear. We successfully induced a lasting reduction in fear in mice by pairing visual ABS with conditioned stimuli during fear extinction. Among the types of visual stimulation tested, ABS provided the strongest fear-reducing effect and yielded sustained increases in the activities of the SC and mediodorsal thalamus (MD). Optogenetic manipulation revealed that the SC–MD circuit was necessary and sufficient to prevent the return of fear. ABS suppressed the activity of fear-encoding cells and stabilized inhibitory neurotransmission in the basolateral amygdala through a feedforward inhibitory circuit from the MD. Together, these results reveal the neural circuit that underlies an effective strategy for sustainably attenuating traumatic memories.
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