Unconditioned Stimulus Revaluation to Promote Conditioned Fear Extinction in the Memory Reconsolidation Window

The retrieval-extinction paradigm, which disrupts the reconsolidation of fear memories in humans, is a non-invasive technique that can be used to prevent the return of fear in humans. In the present study, unconditioned stimulus revaluation was applied in the retrieval-extinction paradigm to investigate its promotion of conditioned fear extinction in the memory reconsolidation window after participants acquired conditioned fear. This experiment comprised three stages (acquisition, unconditioned stimulus revaluation, retrieval-extinction) and three methods for indexing fear (unconditioned stimulus expectancy, skin conductance response, conditioned stimulus pleasure rating). After the acquisition phase, we decreased the intensity of the unconditioned stimulus in one group (devaluation) and maintained constant for the other group (control). The results indicated that both groups exhibited similar levels of unconditioned stimulus expectancy, but the devaluation group had significantly smaller skin conductance responses and exhibited a growth in conditioned stimulus + pleasure. Thus, our findings indicate unconditioned stimulus revaluation effectively promoted the extinction of conditioned fear within the memory reconsolidation window.     

Fear Conditioning in an Abdominal Pain Model: Neural Responses during Associative Learning and Extinction in Healthy Subjects

Fear conditioning is relevant for elucidating the pathophysiology of anxiety, but may also be useful in the context of chronic pain syndromes which often overlap with anxiety. Thus far, no fear conditioning studies have employed aversive visceral stimuli from the lower gastrointestinal tract. Therefore, we implemented a fear conditioning paradigm to analyze the conditioned response to rectal pain stimuli using fMRI during associative learning, extinction and reinstatement.In N = 21 healthy humans, visual conditioned stimuli (CS⁺) were paired with painful rectal distensions as unconditioned stimuli (US), while different visual stimuli (CS⁻) were presented without US. During extinction, all CSs were presented without US, whereas during reinstatement, a single, unpaired US was presented. In region-of-interest analyses, conditioned anticipatory neural activation was assessed along with perceived CS-US contingency and CS unpleasantness.Fear conditioning resulted in significant contingency awareness and valence change, i.e., learned unpleasantness of a previously neutral stimulus. This was paralleled by anticipatory activation of the anterior cingulate cortex, the somatosensory cortex and precuneus (all during early acquisition) and the amygdala (late acquisition) in response to the CS⁺. During extinction, anticipatory activation of the dorsolateral prefrontal cortex to the CS⁻ was observed. In the reinstatement phase, a tendency for parahippocampal activation was found.Fear conditioning with rectal pain stimuli is feasible and leads to learned unpleasantness of previously neutral stimuli. Within the brain, conditioned anticipatory activations are seen in core areas of the central fear network including the amygdala and the anterior cingulate cortex. During extinction, conditioned responses quickly disappear, and learning of new predictive cue properties is paralleled by prefrontal activation. A tendency for parahippocampal activation during reinstatement could indicate a reactivation of the old memory trace. Together, these findings contribute to our understanding of aversive visceral learning and memory processes relevant to the pathophysiology of chronic abdominal pain.     

Disrupting Reconsolidation of Fear Memory in Humans by a Noradrenergic β-Blocker

The basic design used in our human fear-conditioning studies on disrupting reconsolidation includes testing over different phases across three consecutive days. On day 1 - the fear acquisition phase, healthy participants are exposed to a series of picture presentations. One picture stimulus (CS1+) is repeatedly paired with an aversive electric stimulus (US), resulting in the acquisition of a fear association, whereas another picture stimulus (CS2-) is never followed by an US. On day 2 - the memory reactivation phase, the participants are re-exposed to the conditioned stimulus without the US (CS1-), which typically triggers a conditioned fear response. After the memory reactivation we administer an oral dose of 40 mg of propranolol HCl, a β-adrenergic receptor antagonist that indirectly targets the protein synthesis required for reconsolidation by inhibiting the noradrenaline-stimulated CREB phosphorylation. On day 3 - the test phase, the participants are again exposed to the unreinforced conditioned stimuli (CS1- and CS2-) in order to measure the fear-reducing effect of the manipulation. This retention test is followed by an extinction procedure and the presentation of situational triggers to test for the return of fear. Potentiation of the eye blink startle reflex is measured as an index for conditioned fear responding. Declarative knowledge of the fear association is measured through online US expectancy ratings during each CS presentation. In contrast to extinction learning, disrupting reconsolidation targets the original fear memory thereby preventing the return of fear. Although the clinical applications are still in their infancy, disrupting reconsolidation of fear memory seems to be a promising new technique with the prospect to persistently dampen the expression of fear memory in patients suffering from anxiety disorders and other psychiatric disorders.     

Drosophila Adult Olfactory Shock Learning

Drosophila have been used in classical conditioning experiments for over 40 years, thus greatly facilitating our understanding of memory, including the elucidation of the molecular mechanisms involved in cognitive diseases^1-7. Learning and memory can be assayed in larvae to study the effect of neurodevelopmental genes^8-10 and in flies to measure the contribution of adult plasticity genes^1-7. Furthermore, the short lifespan of Drosophila facilitates the analysis of genes mediating age-related memory impairment^5,11-13. The availability of many inducible promoters that subdivide the Drosophila nervous system makes it possible to determine when and where a gene of interest is required for normal memory as well as relay of different aspects of the reinforcement signal^3,4,14,16.Studying memory in adult Drosophila allows for a detailed analysis of the behavior and circuitry involved and a measurement of long-term memory^15-17. The length of the adult stage accommodates longer-term genetic, behavioral, dietary and pharmacological manipulations of memory, in addition to determining the effect of aging and neurodegenerative disease on memory^{3-6,11-13,15-21}.Classical conditioning is induced by the simultaneous presentation of a neutral odor cue (conditioned stimulus, CS⁺) and a reinforcement stimulus, e.g., an electric shock or sucrose, (unconditioned stimulus, US), that become associated with one another by the animal^1,16. A second conditioned stimulus (CS^-) is subsequently presented without the US. During the testing phase, Drosophila are simultaneously presented with CS+ and CS- odors. After the Drosophila are provided time to choose between the odors, the distribution of the animals is recorded. This procedure allows associative aversive or appetitive conditioning to be reliably measured without a bias introduced by the innate preference for either of the conditioned stimuli. Various control experiments are also performed to test whether all genotypes respond normally to odor and reinforcement alone.     

How engram mediates learning,extinction, and relapse

Fear learning ensures survival through an expression of certain behavior as a conditioned fear response. Fear memory is processed and stored in a fear memory circuit, including the amygdala, hippocampus, and prefrontal cortex. A gradual decrease in conditioned fear response can be induced by fear extinction, which is mediated through the weakening of the original fear memory traces and the newly formed inhibition of those traces. Fear memory can also recover after extinction, which shows flexible control of the fear memory state. Here, we demonstrate how fear engram, which is a physical substrate of fear memory, changes during fear extinction and relapse by reviewing recent studies regarding engram.     

Updating fearful memories with extinction training during reconsolidation: a human study using auditory aversive stimuli

Learning to fear danger in the environment is essential to survival, but dysregulation of the fear system is at the core of many anxiety disorders. As a consequence, a great interest has emerged in developing strategies for suppressing fear memories in maladaptive cases. Recent research has focused in the process of reconsolidation where memories become labile after being retrieved. In a behavioral manipulation, Schiller et al., (2010) reported that extinction training, administrated during memory reconsolidation, could erase fear responses. The implications of this study are crucial for the possible treatment of anxiety disorders without the administration of drugs. However, attempts to replicate this effect by other groups have been so far unsuccessful. We sought out to reproduce Schiller et al., (2010) findings in a different fear conditioning paradigm based on auditory aversive stimuli instead of electric shock. Following a within-subject design, participants were conditioned to two different sounds and skin conductance response (SCR) was recorded as a measure of fear. Our results demonstrated that only the conditioned stimulus that was reminded 10 minutes before extinction training did not reinstate a fear response after a reminder trial consisting of the presentation of the unconditioned stimuli. For the first time, we replicated Schiller et al., (2010) behavioral manipulation and extended it to an auditory fear conditioning paradigm.     

Protein synthesis subserves reconsolidation or extinction depending on reminder duration

When learned associations are recalled from long-term memory stores by presentation of an unreinforced conditioned stimulus (CS), two processes are initiated. One, termed reconsolidation, re-activates the association between the conditioned and unconditioned stimuli and transfers it from a stable protein synthesis-independent form of storage to a more labile protein-dependent state. The other is an extinction process in which presentation of the CS alone degrades the association between CS and US. To address the mechanistic relationship between reconsolidation and extinction, we have used an invertebrate model of contextual memory, which involves an association between the learning context and a visual danger stimulus. Here, we show that re-exposure duration to the learning context acts as a switch guiding the memory course toward reconsolidation or extinction, each depending on protein synthesis. Manipulation of this variable allows findings of impaired extinction to be discriminated from those of disrupted reconsolidation.     

Genetic disruptions of Drosophila Pavlovian learning leave extinction learning intact

Individuals who experience traumatic events may develop persistent posttraumatic stress disorder. Patients with this disorder are commonly treated with exposure therapy, which has had limited long‐term success. In experimental neurobiology, fear extinction is a model for exposure therapy. In this behavioral paradigm, animals are repeatedly exposed in a safe environment to the fearful stimulus, which leads to greatly reduced fear. Studying animal models of extinction already has lead to better therapeutic strategies and development of new candidate drugs. Lack of a powerful genetic model of extinction, however, has limited progress in identifying underlying molecular and genetic factors. In this study, we established a robust behavioral paradigm to study the short‐term effect (acquisition) of extinction in Drosophila melanogaster. We focused on the extinction of olfactory aversive 1‐day memory with a task that has been the main workhorse for genetics of memory in flies. Using this paradigm, we show that extinction can inhibit each of two genetically distinct forms of consolidated memory. We then used a series of single‐gene mutants with known impact on associative learning to examine the effects on extinction. We find that extinction is intact in each of these mutants, suggesting that extinction learning relies on different molecular mechanisms than does Pavlovian learning.     

In vitro synaptic reconsolidation in amygdala slices prepared from rat brains

The retrieval of consolidated fear memory causes it to be labile or deconsolidated, and the deconsolidated fear memory is reconsolidated over time in a protein synthesis-dependent manner. We have recently developed an ex vivo model where during fear memory deconsolidation and reconsolidation the synaptic state can be monitored at thalamic input synapses onto the lateral amygdala (T-LA synapses), a storage site for auditory fear memory. In this ex vivo model, the deconsolidation and reconsolidation processes of auditory fear memory in the intact brain were prevented following brain slicing; therefore, we could monitor the synaptic state for memory deconsolidation and reconsolidation at the time of brain slicing. However, why the synaptic reconsolidation process stopped after brain slicing in the ex vivo model is not known. One possibility is that brain slicing severs neuromodulatory innervations, which are required for memory reconsolidation, from other brain regions (e.g., noradrenergic innervation). In the present study, we supplemented amygdala slices with exogenous norepinephrine as a substitute for the severed noradrenergic innervations. DHPG (a group I metabotropic glutamate receptor agonist)-induced depotentiation (mGluRI-depotentiation), a marker for consolidated synapses, was observed following norepinephrine application to slices prepared immediately after tone presentation (fear memory retrieval) to rats that had been pre-conditioned to a tone paired with a shock. These results suggest that noradrenergic activation initiates synaptic reconsolidation. In contrast, mGluRI-depotentiation was absent following norepinephrine application to slices that were prepared immediately after the tone presentation (no fear memory retrieval) to rats when a tone and a shock were unpaired, ruling out the possibility that noradrenergic activation somehow facilitates a subsequent synaptic depression induced by DHPG irrespective of synaptic reconsolidation. Furthermore, the restored mGluRI-depotentiation following application of exogenous norepinephrine was dependent on de novo protein synthesis, as is memory reconsolidation. Thus, our findings suggest that T-LA synapses from acute slice preparations can undergo a reconsolidation process, thereby providing an optimal preparation to study a fear memory reconsolidation process in vitro.     

Generalization of Human Fear Acquisition and Extinction within a Novel Arbitrary Stimulus Category

Adaptive anxiety relies on a balance between the generalization of fear acquisition and fear extinction. Research on fear (extinction) generalization has focused mostly on perceptual similarity, thereby ignoring the importance of conceptual stimulus relations in humans. The present study used a laboratory procedure to create de novo conceptual categories of arbitrary stimuli and investigated fear and extinction generalization among these stimuli. A matching-to-sample task produced two four-member categories of abstract figures. Next, a member from one category was coupled with an aversive electrical stimulation, while a member from the other category was presented alone. As expected, conditioned fear responses generalized to the other members of the first category (skin conductance and online shock-expectancy). Subsequent extinction of the conditioned member also generalized to the other members. However, extinguishing a non-conditioned member failed to reduce fear of the conditioned member itself. We conclude that fears generalize readily across conceptually related stimuli, but that the degree of extinction generalization depends on the stimulus subjected to extinction.     

Expression of freezing and fear‐potentiated startle during sustained fear in mice

Fear‐potentiated acoustic startle paradigms have been used to investigate phasic and sustained components of conditioned fear in rats and humans. This study describes a novel training protocol to assess phasic and sustained fear in freely behaving C57BL/6J mice, using freezing and/or fear‐potentiated startle as measures of fear, thereby, if needed, allowing in vivo application of various techniques, such as optogenetics, electrophysiology and pharmacological intervention, in freely behaving animals. An auditory Pavlovian fear conditioning paradigm, with pseudo‐randomized conditioned–unconditioned stimulus presentations at various durations, is combined with repetitive brief auditory white noise burst presentations during fear memory retrieval 24 h after fear conditioning. Major findings are that (1) a motion sensitive platform built on mechano‐electrical transducers enables measurement of startle responses in freely behaving mice, (2) absence or presence of startle stimuli during retrieval as well as unpredictability of a given threat determine phasic and sustained fear response profiles and (3) both freezing and startle responses indicate phasic and sustained components of behavioral fear, with sustained freezing reflecting unpredictability of conditioned stimulus (CS)/unconditioned stimulus (US) pairings. This paradigm and available genetically modified mouse lines will pave the way for investigation of the molecular and neural mechanisms relating to the transition from phasic to sustained fear.     

Behavioral interventions to eliminate fear responses

Fear memory underlies anxiety-related disorders, including posttraumatic stress disorder(PTSD). PTSD is a fear-based disorder,characterized by difficulties in extinguishing the learned fear response and maintaining extinction. Currently, the first-line treatment for PTSD is exposure therapy, which forms an extinction memory to compete with the original fear memory. However,the extinguished fear often returns under numerous circumstances, suggesting that novel methods are needed to eliminate fear memory or facilitate extinction memory. This review discusses research that targeted extinction and reconsolidation to manipulate fear memory. Recent studies indicate that sleep is an active state that can regulate memory processes. We also discuss the influence of sleep on fear memory. For each manipulation, we briefly summarize the neural mechanisms that have been identified in human studies. Finally, we highlight potential limitations and future directions in the field to better translate existing interventions to clinical settings.     

Fear Conditioning Induced by Interpersonal Conflicts in Healthy Individuals

Psychophysiological markers have been focused to investigate the psychopathology of psychiatric disorders and personality subtypes. In order to understand neurobiological mechanisms underlying these conditions, fear-conditioning model has been widely used. However, simple aversive stimuli are too simplistic to understand mechanisms because most patients with psychiatric disorders are affected by social stressors. The objective of this study was to test the feasibility of a newly-designed conditioning experiment using a stimulus to cause interpersonal conflicts and examine associations between personality traits and response to that stimulus. Twenty-nine healthy individuals underwent the fear conditioning and extinction experiments in response to three types of stimuli: a simple aversive sound, disgusting pictures, and pictures of an actors’ face with unpleasant verbal messages that were designed to cause interpersonal conflicts. Conditioned response was quantified by the skin conductance response (SCR). Correlations between the SCR changes, and personality traits measured by the Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) and Revised NEO Personality Inventory were explored. The interpersonal conflict stimulus resulted in successful conditioning, which was subsequently extinguished, in a similar manner as the other two stimuli. Moreover, a greater degree of conditioned response to the interpersonal conflict stimulus correlated with a higher ZAN-BPD total score. Fear conditioning and extinction can be successfully achieved, using interpersonal conflicts as a stimulus. Given that conditioned fear caused by the interpersonal conflicts is likely associated with borderline personality traits, this paradigm could contribute to further understanding of underlying mechanisms of interpersonal fear implicated in borderline personality disorder.     

High Trait Anxiety: A Challenge for Disrupting Fear Memory Reconsolidation

Disrupting reconsolidation may be promising in the treatment of anxiety disorders but the fear-reducing effects are thus far solely demonstrated in the average organism. A relevant question is whether disrupting fear memory reconsolidation is less effective in individuals who are vulnerable to develop an anxiety disorder. By collapsing data from six previous human fear conditioning studies we tested whether trait anxiety was related to the fear-reducing effects of a pharmacological agent targeting the process of memory reconsolidation - n = 107. Testing included different phases across three consecutive days each separated by 24 h. Fear responding was measured by the eye-blink startle reflex. Disrupting the process of fear memory reconsolidation was manipulated by administering the β-adrenergic receptor antagonist propranolol HCl either before or after memory retrieval. Trait anxiety uniquely predicted the fear-reducing effects of disrupting memory reconsolidation: the higher the trait anxiety, the less fear reduction. Vulnerable individuals with the propensity to develop anxiety disorders may need higher dosages of propranolol HCl or more retrieval trials for targeting and changing fear memory. Our finding clearly demonstrates that we cannot simply translate observations from fundamental research on fear reduction in the average organism to clinical practice.     

Patterns of coupled theta activity in amygdala-hippocampal-prefrontal cortical circuits during fear extinction

Signals related to fear memory and extinction are processed within brain pathways involving the lateral amygdala (LA) for formation of aversive stimulus associations, the CA1 area of the hippocampus for context-dependent modulation of these associations, and the infralimbic region of the medial prefrontal cortex (mPFC) for extinction processes. While many studies have addressed the contribution of each of these modules individually, little is known about their interactions and how they function as an integrated system. Here we show, by combining multiple site local field potential (LFP) and unit recordings in freely behaving mice in a fear conditioning paradigm, that theta oscillations may provide a means for temporally and functionally connecting these modules. Theta oscillations occurred with high specificity in the CA1-LA-mPFC network. Theta coupling increased between all areas during retrieval of conditioned fear, and declined during extinction learning. During extinction recall, theta coupling partly rebounded in LA-mPFC and CA1-mPFC, and remained at a low level in CA1-LA. Interfering with theta coupling through local electrical microstimulation in CA1-LA affected conditioned fear and extinction recall depending on theta phase. These results support the hypothesis that theta coupling provides a means for inter-areal coordination in conditioned behavioral responsiveness. More specifically, theta oscillations seem to contribute to a population code indicating conditioned stimuli during recall of fear memory before and after extinction.     

Environmental variables that ameliorate extinction learning deficits in the 129S1/SvlmJ mouse strain

Fear conditioning is an associative learning process by which organisms learn to avoid environmental stimuli that are predictive of aversive outcomes. Fear extinction learning is a process by which avoidance of fear‐conditioned stimuli is attenuated when the environmental stimuli is no longer predictive of the aversive outcome. Aberrant fear conditioning and extinction learning are key elements in the development of several anxiety disorders. The 129S1 inbred strain of mice is used as an animal model for maladaptive fear learning because this strain has been shown to generalize fear to other nonaversive stimuli and is less capable of extinguishing fear responses relative to other mouse strains, such as the C57BL/6. Here we report new environmental manipulations that enhance fear and extinction learning, including the ability to discriminate between an aversively paired tone and a neutral tone, in both the 129S1 and C57BL/6 strains of mice. Specifically, we show that discontinuous (“pipped”) tone stimuli significantly enhance within‐session extinction learning and the discrimination between neutral and aversively paired stimuli in both strains. Furthermore, we find that extinction training in novel contexts significantly enhances the consolidation and recall of extinction learning for both strains. Cumulatively, these results underscore how environmental changes can be leveraged to ameliorate maladaptive learning in animal models and may advance cognitive and behavioral therapeutic strategies.     

Total recall. Reconsolidation theory unifies cognitive psychology and neuroscience and creates new therapeutic options for memory-related disorders

New research reveals that long-term memory is not entirely stable and can be modified or potentially erased. These insights open new therapeutic possibilities for a range of memory-related diseases and disorders.There are many popular ideas about human memory serving as the repository of experiences etched into the substance of our brains until they are wiped out through death or disease. As the British writer Oscar Wilde put it, “Memory [...] is the diary that we all carry about with us.” And even if we sometimes cannot remember a particular event or person, we rarely doubt our memories. Friedrich Nietzsche, the German philosopher, placed great faith in memory, noting that, “The existence of forgetting has never been proved: we only know that some things don''t come to mind when we want them.”Despite these popular notions of infallible human memories, our understanding of how long-term memory works has changed dramatically during the past decade: it seems that our memories are not as permanent as we once thought. This has profound implications for both neuroscience and for treating a range of cognitive disorders including PTSD (post-traumatic stress disorder), drug addiction, chronic pain and even possibly Alzheimer disease....it seems that our memories are not as permanent as we once thoughtFor a long time, neurologists and psychiatrists had assumed that after an initial period of consolidation, during which memories are liable to change or be erased, memories eventually become enshrined and immune to alteration. But since 2000, this memory consolidation theory has gradually been replaced by a new one called reconsolidation, which posits that long-term memories can, at least in some circumstances, be changed. On activation or recall, the memory of an object or event enters an update process during which it can be strengthened, weakened or modified, just as short-term memories can be during the initial consolidation phase. The new reconsolidation theory has created great excitement among cognitive disorder researchers and practitioners. As many disorders are associated with some form of long-term memory malfunction or impairment, a reliable method that can reactivate and amend these memories would have great potential as a treatment; indeed a number of clinical trials to treat PTSD are currently testing this new understanding of memories.As many disorders are associated with some form of long-term memory malfunction or impairment, a reliable method that can reactivate and amend these memories would have great potential as a treatment...As happens so often in science, reconsolidation is actually an old idea that has been reincarnated. The theory first emerged in the 1960s when neurologists found that fear memories in rats could be greatly weakened if they were reactivated on recall (Misanin et al, 1968). Before then, it had been assumed that retrograde amnesia—the inability to access memories formed during or just before a traumatic event or illness—worked backwards in time to affect recently acquired memories. Retrograde amnesia also occurs in humans as a result of head injuries or, sometimes, extreme trauma. The experiments in rats, however, showed that even older memories might be vulnerable if they were in an active state of recall at the time of the trauma, but interest in the research waned because of the lack of any neurological or molecular basis for the theory. This all changed with the publication of a seminal paper in 2000 by Karim Nader at McGill University in Montreal, Canada, who demonstrated the reconsolidation of a fear memory in the lateral amygdala (Nader et al, 2000). This walnut-sized region in the medial temporal lobe of the brain has a key role in emotional memory in that it orchestrates the production of hormones or neurotransmitters such as dopamine, noradrenaline and adrenaline.Various forms of extinction training have long been applied to some disorders, notably PTSD...The work by Nader and Joseph LeDoux at New York University, USA, heralded the beginning of a unification between the previously largely distinct fields of neuroscience and cognitive psychology. Neuroscience had been driven chiefly by animal research to identify the underlying molecular, genetic and neurochemical basis of behaviour, emotion and memory. Cognitive psychology had been based almost entirely on behavioural experiments in humans. This unification process is still in its infancy, but advances in imaging techniques, particularly functional magnetic resonance imaging, promises to combine behavioural experiments in humans with observing changes in brain activity. According to Valérie Doyère, from the Centre of Neurosciences at Paris-Sud University in France, it will help resolve questions about how different regions of the brain interact during memory recall and reconsolidation. “I think the next step is to do neural imaging, as this would help detect at which step in the network the system has been modified or blocked,” Doyère, a pioneer of reconsolidation theory and collaborator of LeDoux and Nader, explained. “That is difficult to know unless you do have some way of analysing the neural network activity to try and see what you update and where.”Even without this insight, a lot of progress has been made in linking molecular events at the neuron level with the reconsolidation process—at least in animals. The starting point was the discovery by Nader and colleagues that reconsolidation in rats involved protein synthesis. They noted from other work that the initial consolidation of fear memories in rats could be inhibited by infusion of the protein synthesis inhibitor anisomycin into the amygdala, shortly after fear training. Such training typically involves traditional methods first used by the Russian physiologist Ivan Pavlov (1849–1936) in which an animal is given a so-called conditional stimulus (CS), such as a particular sound, followed shortly by an unconditional stimulus (US), such as an electric shock. The animal learns to associate the two so that exposure to the sound triggers fear: it begins with the activation of the amygdala, which is followed by a signalling cascade that leads to elevated heart and respiratory rates, with an associated increase in glucose production in preparation for the ''fight or flight'' response. The administration of anisomycin shortly after this training process blocks consolidation and prevents the animal from associating the CS signal with the US response.Similarly, Nader found that if the rats were exposed to the CS some days after the initial conditioning, to recall the association between the sound and the electric shock, anisomycin blocked reconsolidation and generated amnesia: the rats ''forgot'' the association between CS and US and had a greatly reduced fear response on exposure to the CS. Nader argued that this must mean the reconsolidation of the memory had been interrupted, because if the rats were given anisomycin after the initial training, but without exposure to the CS sound, they retained their fear conditioning. This link between memory reconsolidation and protein synthesis has also been demonstrated in other animals, including primitive invertebrates such as worms, suggesting that this is an evolutionarily conserved adaptation (Rose & Rankin, 2006).Attempts to observe this link between reconsolidation and protein synthesis in humans, however, have remained elusive. “We can''t test whether the mechanisms in humans are mediated by protein synthesis because those drugs would not be approved for human use,” Nader said. “Usually, rodent preps are used to understand the molecular mechanisms, and these seem to generalize to humans.”Indeed, Nader argues that evidence for reconsolidation in humans is now very strong in the light of recent work by LeDoux, demonstrating that the principles of fear extinction training in rats could be applied to humans to weaken the association between a CS trigger and memory of the US (Schiller et al, 2010). Human participants were shown an object and then given a mild electric shock in classical Pavlovian conditioning—the authors tested for the presence of the fear memory by measuring the change in skin electrical conductance in response to seeing the object. Once this fear memory was established, the authors reminded the participants of the object a day later to initiate the reconsolidation process, but then provided information that the same object was now ''safe''—this being called ''extinction training''. A day later, the participants were tested again to see whether the object elicited a fear response.The key point is that extinction training had to be conducted within the reconsolidation window, when the memory was temporarily unstable, to eliminate the fear response. The researchers also showed that rewriting the fear memory was specific to the CS object that was reactivated. If participants had been conditioned to associate several different objects with fear, then extinction training would only work on the specific object used during the training. Participants would continue to associate the other objects with fear, indicating that extinction training is selective.Various forms of extinction training have long been applied to some disorders, notably PTSD—an anxiety disorder that occurs in the aftermath of exposure to a traumatic experience involving death or the threat of death. The victim ingests a trauma memory that is emotionally overwhelming and cannot be resolved in the normal way, often intruding spontaneously into consciousness with a continued state of hypervigilance. The idea of extinction training is to force sufferers to actively recall memories frequently, but success has so far been mixed.The ability to stimulate memory could inspire new treatments for sufferers from memory loss...Although anisomycin cannot be given to PTSD sufferers to edit long-term memories, propranolol is an alternative. It has already been approved to treat hypertension as a so-called beta blocker that blocks the beta andrenergic receptor and diminishes the effect of stress hormones. Having been largely replaced by other drugs for treating high blood pressure, interest in propranolol was revived by its potential for treating PTSD in association with psychotherapy (Brunet et al, 2007). It also triggered research into the role of beta adrenergic receptors in PTSD, notably by Jacek Debiec and colleagues at New York University, who found that adrenergic signalling in the amygdala is involved in the memory consolidation process (Debiec et al, 2011).Drugs such as propranolol seem to suppress memory reconsolidation and thereby weaken the emotions associated with trauma memories. This is the theory, and early evidence of success has attracted significant interest in the USA, where PTSD is a particular problem given the country''s longstanding involvement in armed conflicts and the resulting large number of former soldiers suffering from the syndrome.The US Department of Defense''s standard treatment for PTSD has been cognitive behavioural therapy, in which individuals learn to identify thoughts that make them feel afraid or upset and then try to replace them with less distressing thoughts. But the potential of propanolol to replace or enhance cognitive behavioural therapy has prompted the US National Institutes of Health to conduct a phase II clinical trial, for which it is currently recruiting volunteers.The urgency of finding a more complete cure for PTSD has been increased by recent indications that the disorder not only diminishes quality of life for sufferers and their families, but also has serious long-term effects on physical as well as mental health, including premature ageing and a heightened risk of dementia. This link was confirmed by a recent retrospective study of 181,093 US war veterans aged 55 years or older, 53,155 of whom had PTSD (Yaffe et al, 2010). Kristine Yaffe (University of California, San Francisco and the San Francisco Veterans Affairs Medical Center) and her colleagues found that veterans with PTSD had a 10.6% risk of developing dementia compared with 6.6% among the general elderly population without PTSD. Although this result was statistically significant given that the study was adjusted for other factors such as demographic variation and psychiatric illnesses, it did not entirely preclude other risk factors. The causes of the higher risk of dementia were related to either the physiological stress on the brain with associated inflammation, or the systemic effect of long-term disruption to memory functioning, or probably a combination of both.The emphasis in treating PTSD and addictive disorders is on weakening aspects of long-term memory, but the emerging reconsolidation theory can equally provide clinical benefits by strengthening connections, as LeDoux pointed out. “Memory reconsolidation is not a process of weakening memory from the evolutionary point of view. It is an update mechanism. It allows memories to be changed when new information is available,” he said. “An extreme example from our work is that fear memory can be increased or decreased, depending on how you activate beta-adrenergic receptors. Block these during retrieval and you get a weakening of memory; stimulate these and you get an enhancement.” As happens so often in science, reconsolidation is actually an old idea that has been reincarnatedThe ability to stimulate memory could inspire new treatments for sufferers from memory loss, according to Doyère. “In the case of a disease like Alzheimer''s, it may be possible to reincorporate some elements and recover memory that has been lost. At least it may be possible to delay some of the symptoms,” she explained. Yet, more work is needed to expand on the emerging theory of reconsolidation, particularly in humans, because human memory recall goes beyond what happens in most animals. “Humans have the knowledge of a memory association and that may reactivate the emotional value,” Doyère commented. In other words, humans can better exploit their associated knowledge of events that they recall either wittingly or possibly in dreams, and this can affect the reconsolidation process. Moreover, there is also the role of sleep and dreaming in long-term memory recall and reconsolidation. In any case, it seems that reconsolidation as a unifying theory has both great therapeutic and scientific potential to explore human memory.     

Trace Fear Conditioning in Mice

In this experiment we present a technique to measure learning and memory. In the trace fear conditioning protocol presented here there are five pairings between a neutral stimulus and an unconditioned stimulus. There is a 20 sec trace period that separates each conditioning trial. On the following day freezing is measured during presentation of the conditioned stimulus (CS) and trace period. On the third day there is an 8 min test to measure contextual memory. The representative results are from mice that were presented with the aversive unconditioned stimulus (shock) compared to mice that received the tone presentations without the unconditioned stimulus. Trace fear conditioning has been successfully used to detect subtle learning and memory deficits and enhancements in mice that are not found with other fear conditioning methods. This type of fear conditioning is believed to be dependent upon connections between the medial prefrontal cortex and the hippocampus. One current controversy is whether this method is believed to be amygdala-independent. Therefore, other fear conditioning testing is needed to examine amygdala-dependent learning and memory effects, such as through the delay fear conditioning.     

Proteolysis of proBDNF is a key regulator in the formation of memory

It is essential to understand the molecular processes underlying long-term memory to provide therapeutic targets of aberrant memory that produce pathological behaviour in humans. Under conditions of recall, fully-consolidated memories can undergo reconsolidation or extinction. These retrieval-mediated memory processes may rely on distinct molecular processes. The cellular mechanisms initiating the signature molecular events are not known. Using infusions of protein synthesis inhibitors, antisense oligonucleotide targeting brain-derived neurotrophic factor (BDNF) mRNA or tPA-STOP (an inhibitor of the proteolysis of BDNF protein) into the hippocampus of the awake rat, we show that acquisition and extinction of contextual fear memory depended on the increased and decreased proteolysis of proBDNF (precursor BDNF) in the hippocampus, respectively. Conditions of retrieval that are known to initiate the reconsolidation of contextual fear memory, a BDNF-independent memory process, were not correlated with altered proBDNF cleavage. Thus, the processing of BDNF was associated with the acquisition of new information and the updating of information about a salient stimulus. Furthermore, the differential requirement for the processing of proBDNF by tPA in distinct memory processes suggest that the molecular events actively engaged to support the storage and/or the successful retrieval of memory depends on the integration of ongoing experience with past learning.