Chronic stress and sex differences on the recall of fear conditioning and extinction

Chronic stress effects and sex differences were examined on conditioned fear extinction. Male and female Sprague–Dawley rats were chronically stressed by restraint (6 h/d/21 d), conditioned to tone and footshock, followed by extinction after 1 h and 24 h delays. Chronic stress impaired the recall of fear extinction in males, as evidenced by high freezing to tone after the 24 h delay despite exposure to the previous 1 h delay extinction trials, and this effect was not due to ceiling effects from overtraining during conditioning. In contrast, chronic stress attenuated the recall of fear conditioning acquisition in females, regardless of exposure to the 1 h extinction exposure. Since freezing to tone was reinstated following unsignalled footshocks, the deficit in the stressed rats reflected impaired recall rather than impaired consolidation. Sex differences in fear conditioning and extinction were observed in nonstressed controls as well, with control females resisting extinction to tone. Analysis of contextual freezing showed that all groups (control, stress, male, female) increased freezing immediately after the first tone extinction trial, demonstrating contextual discrimination. These findings show that chronic stress and sex interact to influence fear conditioning, with chronic stress impairing the recall of delayed fear extinction in males to implicate the medial prefrontal cortex, disrupting the recall of the fear conditioning acquisition in females to implicate the amygdala, and nonstressed controls exhibiting sex differences in fear conditioning and extinction, which may involve the amygdala and/or corticosterone levels.     

Protection from extinction in human fear conditioning

Two experiments examined the ability of an added stimulus to interfere with extinction of a target excitatory fear stimulus (a predictor of shock) in human autonomic conditioning. Both experiments demonstrated disruption of extinction when the added stimulus was inhibitory (a predictor of no shock, or safety signal). Subjects showed a return of fear when the target stimulus was tested alone, on both self-reported shock expectancy and skin conductance measures. The second experiment also demonstrated disruption of extinction when the added stimulus was excitatory. This results suggests that protection from extinction may occur even when the added stimulus is not inhibitory. Additional factors that may contribute to protection from extinction include context-specificity, occasion-setting and external inhibition. The results highlight the role that concurrent stimuli play in extinction, and emphasise the need to keep concurrent stimuli as similar as possible to the desired transfer context in practical applications of extinction such as exposure therapy for anxiety.     

Prior cocaine exposure disrupts extinction of fear conditioning

Psychostimulant exposure has been shown to cause molecular and cellular changes in prefrontal cortex. It has been hypothesized that these drug-induced changes might affect the operation of prefrontal-limbic circuits, disrupting their normal role in controlling behavior and thereby leading to compulsive drug-seeking. To test this hypothesis, we tested cocaine-treated rats in a fear conditioning, inflation, and extinction task, known to depend on medial prefrontal cortex and amygdala. Cocaine-treated rats conditioned and inflated similar to saline controls but displayed slower extinction learning. These results support the hypothesis that control processes in the medial prefrontal cortex are impaired by cocaine exposure.     

Specific phobia: a disorder of fear conditioning and extinction

Specific phobia is the most prevalent of the anxiety disorders. Although there have been relatively few studies of its psychobiology and pharmacotherapy, there is a rich laboratory of literature on fear conditioning and extinction and a clear evolutionary perspective. Advances in the cognitive-affective neuroscience of fear processing may ultimately lead to new approaches to the clinical management of phobias.     

No sex difference in contextual control over the expression of latent inhibition and extinction in Pavlovian fear conditioning in rats

Three experiments with Wistar rats searched for a sex difference in contextual control over the expression of latent inhibition and extinction. Experiment 1 used a latent inhibition procedure; Experiments 2 and 3 employed an extinction preparation. All experiments used a shock as the unconditioned stimulus, a tone as the conditioned stimulus, and suppression of food magazine visits as the measure of conditioned responding to the tone. Each experiment revealed a reliable context effect on conditioned responding to the tone; after conditioning in a separate context, conditioned responding in the former latent inhibition or extinction context was attenuated relative to conditioned responding in a control context. There was no sex difference in the magnitude of this effect. These results are discussed in the framework of sex differences in the hippocampus and of the putative role of this structure in various instances of contextual learning.     

Impact of predatory threat on fear extinction in Lewis rats

Humans with post-traumatic stress disorder (PTSD) are deficient at extinguishing conditioned fear responses. A study of identical twins concluded that this extinction deficit does not predate trauma but develops as a result of trauma. The present study tested whether the Lewis rat model of PTSD reproduces these features of the human syndrome. Lewis rats were subjected to classical auditory fear conditioning before or after exposure to a predatory threat that mimics a type of traumatic stress that leads to PTSD in humans. Exploratory behavior on the elevated plus maze 1 wk after predatory threat exposure was used to distinguish resilient vs. PTSD-like rats. Properties of extinction varied depending on whether fear conditioning and extinction occurred before or after predatory threat. When fear conditioning was carried out after predatory threat, PTSD-like rats showed a marked extinction deficit compared with resilient rats. In contrast, no differences were seen between resilient and PTSD-like rats when fear conditioning and extinction occurred prior to predatory threat. These findings in Lewis rats closely match the results seen in humans with PTSD, thereby suggesting that studies comparing neuronal interactions in resilient vs. at-risk Lewis rats might shed light on the causes and pathophysiology of human PTSD.Following a severe traumatic event, some individuals manifest a syndrome, known as post-traumatic stress disorder (PTSD), characterized by repeated painful recollection of the trauma, avoidance of trauma reminders, intrusive thoughts, startle, hyperarousal, and disturbed sleep. Lifetime prevalence of PTSD ranges from 1.4% to 11.2% in representative samples (Afifi et al. 2010). Review of heritability studies indicate that there is a significant genetic component to PTSD (Nugent et al. 2008) as shared genes explain approximately 25%–38% of variability in PTSD symptom clusters and total symptoms (Afifi et al. 2010). Moreover, PTSD heritability coincides with that of other psychiatric conditions such as generalized anxiety, panic disorder, and depression (Chantarujikapong et al. 2001; Fu et al. 2007), suggesting that these disorders gain expression through common biological pathways.Although our understanding of PTSD has improved recently, we still have a limited grasp of the factors that predispose some to be at risk for PTSD, as well as those contributing to PTSD expression following trauma. In part, this situation results from the ethical limitations associated with human studies. For example, humans cannot be randomly assigned to trauma, and, importantly, the invasive techniques required to study the pathophysiology of PTSD can be used only in animals. Thus, a promising approach toward understanding the underlying pathophysiology of PTSD would be to study the disease in a valid animal model of the human syndrome.Fortunately, much work has already been performed to define an animal model of PTSD that reproduces the salient features of the human syndrome (see Adamec et al. 2006; Cohen et al. 2006a; Siegmund and Wotjak 2006). The most promising research has focused on the impact of exposing rodents to species-relevant threatening stimuli that mimic the kind of life-and-death circumstances that precipitates PTSD in humans. Indeed, rodents exposed to predators or their odor develop long-lasting (3 wk or more) manifestations of anxiety as seen in a variety of behavioral assays including the elevated plus maze (EPM), social interaction test, and acoustic startle (Adamec and Shallow 1993; Blanchard et al. 2003; Adamec et al. 2006). The inherent strength of this species-relevant stimulus was demonstrated in studies where predator odor served as an unconditioned stimulus to support cued or contextual fear conditioning (Blanchard et al. 2001; McGregor et al. 2002). As is the case with human PTSD, differential vulnerability to predatory threat was also observed in rodents. In one study, for instance, the propensity of different strains of rats to develop extreme behavioral manifestations of anxiety (EBMAs) as a result of predatory threat has been characterized, revealing that a much higher proportion (50%) of Lewis rats (an inbred strain) develops EBMAs as a result of an intense predatory threat compared with 10% of Fisher rats and 20% of Sprague–Dawley rats (Cohen et al. 2006b).Although these results are promising, it remains unclear whether Lewis rats also exhibit traits that parallel the pathophysiology of human PTSD. One such factor, thought to play a particularly critical role in the persistence of PTSD, is a compromised ability to extinguish fear memories (for review, see Quirk and Mueller 2008). Two main lines of evidence support this notion. First, in functional imaging studies, the brain structures that normally support fear expression and extinction (for review, see Pape and Pare 2010) show abnormal activity patterns in PTSD (Rauch et al. 2006; Shin et al. 2006; Bremner et al. 2008; Milad et al. 2009). Second, several studies have reported that individuals with PTSD are deficient at extinguishing classically conditioned fear responses (Orr et al. 2000; Peri et al. 2000; Blechert et al. 2007; Milad et al. 2008, 2009). Of particular interest, a study of identical twins discordant for trauma exposure has revealed that this extinction deficit was not a pre-existing condition but developed as a result of trauma (Milad et al. 2008). Given the possibility that an inability to extinguish fear might contribute to the maintenance of PTSD, we therefore tested whether Lewis rats reproduced the properties of extinction seen in human PTSD.     

Histone acetylation rescues contextual fear conditioning in nNOS KO mice and accelerates extinction of cued fear conditioning in wild type mice

Epigenetic regulation of chromatin structure is an essential molecular mechanism that contributes to the formation of synaptic plasticity and long-term memory (LTM). An important regulatory process of chromatin structure is acetylation and deacetylation of histone proteins. Inhibition of histone deacetylase (HDAC) increases acetylation of histone proteins and facilitate learning and memory. Nitric oxide (NO) signaling pathway has a role in synaptic plasticity, LTM and regulation of histone acetylation. We have previously shown that NO signaling pathway is required for contextual fear conditioning. The present study investigated the effects of systemic administration of the HDAC inhibitor sodium butyrate (NaB) on fear conditioning in neuronal nitric oxide synthase (nNOS) knockout (KO) and wild type (WT) mice. The effect of single administration of NaB on total H3 and H4 histone acetylation in hippocampus and amygdala was also investigated. A single administration of NaB prior to fear conditioning (a) rescued contextual fear conditioning of nNOS KO mice and (b) had long-term (weeks) facilitatory effect on the extinction of cued fear memory of WT mice. The facilitatory effect of NaB on extinction of cued fear memory of WT mice was confirmed in a study whereupon NaB was administered during extinction. Results suggest that (a) the rescue of contextual fear conditioning in nNOS KO mice is associated with NaB-induced increase in H3 histone acetylation and (b) the accelerated extinction of cued fear memory in WT mice is associated with NaB-induced increase in H4 histone acetylation. Hence, a single administration of HDAC inhibitor may rescue NO-dependent cognitive deficits and afford a long-term accelerating effect on extinction of fear memory of WT mice.     

Amygdala and hippocampal activity during acquisition and extinction of human fear conditioning

Previous functional magnetic resonance imaging (fMRI) studies have characterized brain systems involved in conditional response acquisition during Pavlovian fear conditioning. However, the functional neuroanatomy underlying the extinction of human conditional fear remains largely undetermined. The present study used fMRI to examine brain activity during acquisition and extinction of fear conditioning. During the acquisition phase, participants were either exposed to light (CS) presentations that signaled a brief electrical stimulation (paired group) or received light presentations that did not serve as a warning signal (control group). During the extinction phase, half of the paired group subjects continued to receive the same treatment, whereas the remainder received light alone. Control subjects also received light alone during the extinction phase. Changes in metabolic activity within the amygdala and hippocampus support the involvement of these regions in each of the procedural phases of fear conditioning. Hippocampal activity developed during acquisition of the fear response. Amygdala activity increased whenever experimental contingencies were altered, suggesting that this region is involved in processing changes in environmental relationships. The present data show learning-related amygdala and hippocampal activity during human Pavlovian fear conditioning and suggest that the amygdala is particularly important for forming new associations as relationships between stimuli change.     

Individual differences in verbal conditioning, extinction, and awareness

The present study examined the relationship of three individual difference variables—need for approval, a belief in internal versus external control of reinforcement, and verbal intelligence— to acquisition, extinction, and awareness in a verbal conditioning task Based on a postexperiment interview and recognition task, subjects were grouped according to their awareness of the response-reinforcement contingencies and the degree to which they admitted influence by the experimenter Approval motivated subjects were more likely to acquire the reinforced response regardless of awareness levels than were low need for approval subjects. Subjects assessed as internal were more likely to deny influence by the experimenter and in some instances were more resistant to extinction than subjects called external Subjects higher in verbal intelligence evidenced more awareness than subjects with lower intelligence scores Results suggest that the inclusion of individual difference variable is of crucial importance to a clear understanding of the experimenter-subject interaction in the verbal conditioning situation Implications for the other dyadic interactions, particularly psychotherapy, were discussed     

Effects of stress and sex on acquisition and consolidation of human fear conditioning

We examined the relationship between stress hormone (cortisol) release and acquisition and consolidation of conditioned fear learning in healthy adults. Participants underwent acquisition of differential fear conditioning, and consolidation was assessed in a 24-h delayed extinction test. The acquisition phase was immediately followed by an 11-min psychosocial stress period (arithmetic test combined with a public speech). Salivary cortisol was sampled at various time points before and after acquisition and retention of fear conditioning. Results showed two effects of endogenous cortisol. Post-acquisition cortisol correlated with fear acquisition in male but not female participants. In addition, post-acquisition cortisol correlated with consolidation of fear but only in those participants with high cortisol levels. We conclude that in the short term, a robust and sexually dimorphic relationship exists between fear learning and stress hormone levels. For those participants whose fear learning is accompanied by high stress hormone levels, a long-term relationship exists between cortisol release and memory consolidation. These short-term and long-term effects may relate to the differential involvement of mineralocorticoid and glucocorticoid receptor subtypes, respectively. The findings have implications for understanding the role of stress, sex, and hormones in different stages of fear learning and memory.     

A randomized controlled trial of the effect of D-cycloserine on extinction and fear conditioning in humans

Previous research has shown that D-cycloserine (DCS) facilitates extinction of Pavlovian fear conditioning in rats and enhances exposure therapy in humans. The aim of this study was to test the effect of DCS on extinction of fear conditioning in humans. In three experiments, 238 participants were given either DCS (50 or 500 mg) or placebo 2-3 h before extinction training following a differential shock conditioning paradigm. Clear extinction and recovery (return of fear) effects were observed on both skin conductance and self-reported shock expectancy measures in three studies. DCS had no influence on these effects. The same pattern was observed when the analysis was restricted to aware participants or to good conditioners, when fear-relevant cues (pictures of snakes) were used as the conditioned stimuli, or when analysis was restricted to heightened snake-fearful participants. These results suggest that DCS may not enhance the extinction, or prevent the recovery, of learned fear in a differential Pavlovian conditioning paradigm in humans. Further experimental research is needed to better understand the mechanisms underlying the therapeutic effects of DCS.     

Genetic background differences and nonassociative effects in mouse trace fear conditioning

Fear conditioning, including variants such as delay and trace conditioning that depend on different neural systems, is widely used to behaviorally characterize genetically altered mice. We present data from three strains of mice, C57/BL6 (C57), 129/SvlmJ (129), and a hybrid strain of the two (F(1) hybrids), trained on various versions of a trace fear-conditioning protocol. The initial version was taken from the literature but included unpaired control groups to assess nonassociative effects on test performance. We observed high levels of nonassociative freezing in both contextual and cued test conditions. In particular, nonassociative freezing in unpaired control groups was equivalent to freezing shown by paired groups in the tests for trace conditioning. A number of pilot studies resulted in a new protocol that yielded strong context conditioning and low levels of nonassociative freezing in all mouse strains. During the trace-CS test in this protocol, freezing in unpaired controls remained low in all strains, and both the C57s and F(1) hybrids showed reliable associative trace fear conditioning. Trace conditioning, however, was not obtained in the 129 mice. Our findings indicate that caution is warranted in interpreting mouse fear-conditioning studies that lack control conditions to address nonassociative effects. They also reveal a final set of parameters that are important for minimizing such nonassociative effects and demonstrate strain differences across performance in mouse contextual and trace fear conditioning.     

Effects of recent exposure to a conditioned stimulus on extinction of Pavlovian fear conditioning

In six experiments we studied the effects of a single re-exposure to a conditioned stimulus (CS; "retrieval trial") prior to extinction training (extinction-reconsolidation boundary) on the development of and recovery from fear extinction. A single retrieval trial prior to extinction training significantly augmented the renewal and reinstatement of extinguished responding. Augmentation of recovery was not observed if the retrieval and extinction training occurred in different contexts. These results contrast with those reported in earlier papers by Monfils and coworkers in rats and by Schiller and coworkers in humans. We suggest that these contrasting results could depend on the contrasting influences of either: (1) occasion-setting contextual associations vs. direct context-CS associations formed as a consequence of the retrieval trial or (2) discrimination vs. generalization between the circumstances of conditioning and extinction.     

Sex differences in response to an observational fear conditioning procedure

The present study evaluated sex differences in observational fear conditioning using modeled “mock” panic attacks as an unconditioned stimulus (UCS). Fifty-nine carefully prescreened healthy undergraduate participants (30 women) underwent 3 consecutive differential conditioning phases: habituation, acquisition, and extinction. It was expected that participants watching a confederate display mock panic attacks (UCS) paired with a previously neutral stimulus (CS⁺) would learn to respond fearfully to the CS⁺, but not to the CS⁻ (i.e., a stimulus never associated with displays of panic). Women also were expected to report more distress and ratings of panic to the CS⁺ than the CS⁻ compared to men, but no sex differences were anticipated on autonomic indices of conditioning (i.e., electrodermal responses). Consistent with expectation, aversive conditioning was demonstrated by greater magnitude electrodermal and verbal-evaluative (e.g., subjective units of distress scale, panic ratings) responses to the CS⁺ over the CS⁻, with women reporting more distress to the CS⁺ over the CS⁻, but not greater autonomic conditioning, compared to men. Overall, the results support the notion that modeled panic attacks can serve as a potent UCS for both men and women. Discussion focuses on sex differences in observational fear conditioning and its relation to the clinical presentation of anxiety disorders.     

Early extinction after fear conditioning yields a context-independent and short-term suppression of conditional freezing in rats

Extinction of Pavlovian fear conditioning in rats is a useful model for therapeutic interventions in humans with anxiety disorders. Recently, we found that delivering extinction trials soon (15 min) after fear conditioning yields a short-term suppression of fear, but little long-term extinction. Here, we explored the possible mechanisms underlying this deficit by assessing the suppression of fear to a CS immediately after extinction training (Experiment 1) and the context specificity of fear after both immediate and delayed extinction training (Experiment 2). We also examined the time course of the immediate extinction deficit (Experiment 3). Our results indicate that immediate extinction produces a short-lived and context-independent suppression of conditional freezing. Deficits in long-term extinction were apparent even when the extinction trials were given up to 6 h after conditioning. Moreover, this deficit was not due to different retention intervals that might have influenced the degree of spontaneous recovery after immediate and delayed extinction (Experiment 4). These results suggest that fear suppression under immediate extinction may be due to a short-term, context-independent habituation process, rather than extinction per se. Long-term extinction memory only develops when extinction training occurs at least six hours after conditioning.Pavlovian fear conditioning and extinction are important behavioral models for studying the brain mechanisms underlying the acquisition, storage, retrieval, and suppression of traumatic fear (LeDoux 2000; Maren 2001, 2005; Kim and Jung 2005). In this procedure, an emotionally neutral stimulus, such as a tone, is paired with an aversive stimulus (US), such as an electric foot shock. After a few tone–foot shock pairings, the previous neutral tone becomes a potent conditioned stimulus (CS) and acquires the ability to elicit fear responses, such as freezing (CR). However, with repeated presentations of the CS-alone, the previously acquired CR gradually subsides, a process called extinction (Davis et al. 2003; Maren and Quirk 2004; Kim and Jung 2005; Myers and Davis 2007). The behavioral processes and the underlying neural mechanisms of extinction have attracted extensive attention in contemporary research of learning and memory (Bouton et al. 2006). Indeed, it has been suggested that failure to extinguish fear may contribute to post-traumatic stress disorder (PTSD) (Bouton et al. 2001; Rothbaum and Davis 2003). To avoid the possible long-term consequences and costs of PTSD or other anxiety disorders, clinical interventions are essential. While early interventions may manage the stress response to trauma, their efficacy has been challenged, because the acute intense stress of the traumatic experience might actually exacerbate relapse of fear (McNally 2003; Rothbaum and Davis 2003; Gray and Litz 2005). Thus, it is essential to learn when these interventions generate the best long-term extinction of fear responses.In a recent study, we demonstrated that delivering extinction trials shortly after fear conditioning yields poor long-term fear reduction (Maren and Chang 2006; but, see Myers et al. 2006). We observed that conditional freezing decreased during extinction training, but recovered completely 24 h later. This was true even when we gave 225 massed extinction trials 15 min after fear conditioning. However, in these experiments the within-session decrease in fear in rats that underwent extinction was similar to that in rats that were not exposed to extinction trials. Thus, it is unclear to what extent the short-term fear suppression we observed was due to a loss of fear to the context, the auditory CS, or both. It is also not clear whether fear suppression was due to extinction or, alternatively, another learning process such as habituation.To examine these issues further, in the present study we first assessed fear suppression to the auditory CS after immediate extinction by probing CS fear 15 min after extinction training. In a second experiment, we examined whether short-term fear suppression to the CS is renewed outside of the extinction context, as context specificity is one of the hallmarks of extinction (Bouton 2002; Ji and Maren 2007). In the third and fourth experiments, we examined the temporal delay necessary between conditioning and extinction to yield long-term suppression of fear. In our previous work (Maren and Chang 2006), all phases of training were conducted in the same context. Therefore, fear to the context decreased conditional freezing to the tone, particularly when extinction occurred shortly after conditioning, a time at which sensitized context fear was high. In an effort to isolate fear to the tone CS during extinction, we conducted extinction and test sessions in a context that was different from the conditioning context (i.e., an ABB procedure, where each letter denotes the context used for conditioning, extinction, and test, respectively). Our results reveal that delivering CS-alone trials shortly after fear conditioning produces a short-lived and context-independent suppression of freezing. This fear suppression may be due to a short-term, context-independent habituation process, rather than extinction. Furthermore, poor long-term extinction occurs even when the extinction trials were administered up to 6 h after conditioning.