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2014 ; 113
(ä): 125-34
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Cannabinoid modulation of prefrontal-limbic activation during fear extinction
learning and recall in humans
#MMPMID24055595
Rabinak CA
; Angstadt M
; Lyons M
; Mori S
; Milad MR
; Liberzon I
; Phan KL
Neurobiol Learn Mem
2014[Sep]; 113
(ä): 125-34
PMID24055595
show ga
Pre-extinction administration of ?9-tetrahydrocannibinol (THC) facilitates recall
of extinction in healthy humans, and evidence from animal studies suggest that
this likely occurs via enhancement of the cannabinoid system within the
ventromedial prefrontal cortex (vmPFC) and hippocampus (HIPP), brain structures
critical to fear extinction. However, the effect of cannabinoids on the
underlying neural circuitry of extinction memory recall in humans has not been
demonstrated. We conducted a functional magnetic resonance imaging (fMRI) study
using a randomized, double-blind, placebo-controlled, between-subjects design
(N=14/group) coupled with a standard Pavlovian fear extinction paradigm and an
acute pharmacological challenge with oral dronabinol (synthetic THC) in healthy
adult volunteers. We examined the effects of THC on vmPFC and HIPP activation
when tested for recall of extinction learning 24 h after extinction learning.
Compared to subjects who received placebo, participants who received THC showed
increased vmPFC and HIPP activation to a previously extinguished conditioned
stimulus (CS+E) during extinction memory recall. This study provides the first
evidence that pre-extinction administration of THC modulates prefrontal-limbic
circuits during fear extinction in humans and prompts future investigation to
test if cannabinoid agonists can rescue or correct the impaired behavioral and
neural function during extinction recall in patients with PTSD. Ultimately, the
cannabinoid system may serve as a promising target for innovative intervention
strategies (e.g. pharmacological enhancement of exposure-based therapy) in PTSD
and other fear learning-related disorders.