Resting amygdala and medial prefrontal metabolism predicts functional activation of the fear extinction circuit.

Resting amygdala and medial prefrontal metabolism predicts functional activation of the fear extinction circuit.
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DOI:
10.1176/appi.ajp.2011.10121780
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发表时间:
2012-04
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
Milad MR
Milad MR
中科院分区:
其他
文献类型:
--
作者:
Linnman C;Zeidan MA;Furtak SC;Pitman RK;Quirk GJ;Milad MR

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Individual differences in ability to control fear have been linked to activation of dorsal anterior cingulate cortex, ventromedial prefrontal cortex, and amygdala. This study investigated whether functional variance in this network can be predicted by resting metabolism in these same regions. Healthy subject volunteers were studied with positron emission tomography using [18F]-deoxyglucose to measure resting brain metabolism. This was followed by a two-day fear conditioning and extinction training paradigm in a functional magnetic resonance imaging scanner to measure brain activation during fear extinction and its recall. Skin conductance response was used to index conditioned responding. Resting metabolism in amygdala, dorsal anterior cingulate cortex and ventromedial prefrontal cortex were used to predict responses during fear extinction and extinction recall. During extinction training, resting amygdala metabolism positively predicted ventromedial prefrontal cortex, and negatively predicted dorsal anterior cingulate cortex, activation. In contrast, during extinction recall, resting amygdala metabolism negatively predicted ventromedial prefrontal cortex, and positively predicted dorsal anterior cingulate cortex, activation. Resting dorsal anterior cingulate cortex metabolism predicted fear expression (skin conductance response) during extinction recall. Brain metabolism at rest predicts neuronal reactivity and skin conductance changes associated with recall of the fear extinction memory.
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