Abstract:Adolescence is noted as a time of “storm and stress.” In this developmental stage both rodents and humans exhibit an impairment in the extinction of learned fear; however, this impairment can be alleviated, at least in rodents, by increasing the amount of extinction training given or by administering the partial NMDA receptor agonist D-Cycloserine. In the present study we explored whether the benefits of these treatments would be reduced by chronic exogenous corticosterone (a commonly studied stress-related ho… Show more
“…In terms of effects on fear extinction in adolescence, chronic stressor exposure by restraint or social instability in adolescence impairs the acquisition or retention of extinction memories when tested in adolescence relative to non-stressed controls [100,101,102]. Adolescence appears to be a particularly stress-sensitive developmental period in terms of fear regulation because animals are more susceptible to extinction deficits when stress occurs during adolescence compared to when it occurs in the juvenile period [103] or adulthood [102,104]. Further, such deficits induced by adolescent stress are long-lasting, persisting into adulthood [104].…”
Section: Disruption By Chronic Stressmentioning
confidence: 99%
“…The consequences of adolescent stress on fear extinction are important clinically when considering strategies for chronically stressed youth presenting for treatment of anxiety disorders. This is because chronic exposure to the stress hormone corticosterone in adolescence reduces the benefit of two approaches that augment extinction retention in adolescent rats, namely extra extinction training [103,104] and pharmacological augmentation by DCS [103]. Such results suggest that a history of chronic stress could further reduce the efficacy of anxiety treatments in adolescents.…”
Anxiety disorders that develop in adolescence represent a significant burden and are particularly challenging to treat, due in no small part to the high occurrence of relapse in this age group following exposure therapy. This pattern of persistent fear is preserved across species; relative to those younger and older, adolescents consistently show poorer extinction, a key process underpinning exposure therapy. This suggests that the neural processes underlying fear extinction are temporarily but profoundly compromised during adolescence. The formation, retrieval, and modification of fear- and extinction-associated memories are regulated by a forebrain network consisting of the prefrontal cortex (PFC), the amygdala, and the hippocampus. These regions undergo robust maturational changes in early life, with unique alterations in structure and function occurring throughout adolescence. In this review, we focus primarily on two of these regions—the PFC and the amygdala—and discuss how changes in plasticity, synaptic transmission, inhibition/excitation, and connectivity (including modulation by hippocampal afferents to the PFC) may contribute to transient deficits in extinction retention. We end with a brief consideration of how exposure to stress during this adolescent window of vulnerability can permanently disrupt neurodevelopment, leading to lasting impairments in pathways of emotional regulation.
“…In terms of effects on fear extinction in adolescence, chronic stressor exposure by restraint or social instability in adolescence impairs the acquisition or retention of extinction memories when tested in adolescence relative to non-stressed controls [100,101,102]. Adolescence appears to be a particularly stress-sensitive developmental period in terms of fear regulation because animals are more susceptible to extinction deficits when stress occurs during adolescence compared to when it occurs in the juvenile period [103] or adulthood [102,104]. Further, such deficits induced by adolescent stress are long-lasting, persisting into adulthood [104].…”
Section: Disruption By Chronic Stressmentioning
confidence: 99%
“…The consequences of adolescent stress on fear extinction are important clinically when considering strategies for chronically stressed youth presenting for treatment of anxiety disorders. This is because chronic exposure to the stress hormone corticosterone in adolescence reduces the benefit of two approaches that augment extinction retention in adolescent rats, namely extra extinction training [103,104] and pharmacological augmentation by DCS [103]. Such results suggest that a history of chronic stress could further reduce the efficacy of anxiety treatments in adolescents.…”
Anxiety disorders that develop in adolescence represent a significant burden and are particularly challenging to treat, due in no small part to the high occurrence of relapse in this age group following exposure therapy. This pattern of persistent fear is preserved across species; relative to those younger and older, adolescents consistently show poorer extinction, a key process underpinning exposure therapy. This suggests that the neural processes underlying fear extinction are temporarily but profoundly compromised during adolescence. The formation, retrieval, and modification of fear- and extinction-associated memories are regulated by a forebrain network consisting of the prefrontal cortex (PFC), the amygdala, and the hippocampus. These regions undergo robust maturational changes in early life, with unique alterations in structure and function occurring throughout adolescence. In this review, we focus primarily on two of these regions—the PFC and the amygdala—and discuss how changes in plasticity, synaptic transmission, inhibition/excitation, and connectivity (including modulation by hippocampal afferents to the PFC) may contribute to transient deficits in extinction retention. We end with a brief consideration of how exposure to stress during this adolescent window of vulnerability can permanently disrupt neurodevelopment, leading to lasting impairments in pathways of emotional regulation.
“…Adolescent rats exposed to corticosterone displayed significantly higher CS-elicited freezing at the extinction retention test, as compared to rats exposed to vehicle or water, which did not differ from each other, following extended extinction training ( Den et al, 2014 ). In another set of experiments, Stylianakis et al (2019) replicated those effects and further reported that pharmacological enhancement of extinction retention by DCS in adolescent rats was abolished when animals had been exposed to chronic corticosterone in their drinking water. These findings suggest that two methods that have been shown to ameliorate the extinction retention deficit in non-stressed adolescent rats, extended extinction training and DCS, do not facilitate extinction retention in adolescents exposed to chronic stress.…”
Section: Introductionmentioning
confidence: 70%
“…Placebo pellets, purchased from the same supplier, were the same size and consisted of the same matrix without the corticosterone. Dose and duration of hormone administration were chosen based on the average daily dose consumed by rats across 7 days of corticosterone administration in drinking water in our previous studies on extinction in stressed adolescent rats (i.e., Den et al, 2014 ; Stylianakis et al, 2019 ). Before implantation of pellets, animals received a pre-emptive subcutaneous (s.c.) injection of the non-steroidal anti-inflammatory analgesic Carprofen (5 mg/kg; 1 ml/kg).…”
Section: Methodsmentioning
confidence: 99%
“…An important consideration in the use of behavioral or pharmacological interventions to enhance extinction is that exposure to chronic stress can affect their efficacy in adolescent rats ( Stylianakis et al, 2019 ). Specifically, exposure to chronic stress during adolescence impairs extinction retention even after extended extinction training.…”
Individuals exposed to chronic adverse experiences in childhood and adolescence are at increased risk of developing neuropsychiatric illnesses such as mood and anxiety disorders. Symptoms of anxiety disorders can often be reduced through exposure therapy, which is based on the process of extinction. Although chronic stress in adolescence is known to exacerbate the impaired extinction of learned fear during this period of development, it remains unclear whether exposure to stressors in adolescence qualitatively affects the mechanisms underlying fear extinction. Brain-derived neurotrophic factor (BDNF) and its principle receptor, tropomyosin receptor kinase B (TrkB), are involved in neuroplasticity underlying fear extinction. The small-molecule TrkB agonist 7,8-dihydroxyflavone (7,8-DHF) improves fear extinction and reduces fear relapse (reinstatement) in adult mice when administered prior to extinction training but its effects in younger ages are unknown. In this study we tested whether 7,8-DHF enhances extinction retention and leads to less renewal in both stressed and non-stressed adolescent rats. Pre-extinction injection of 7,8-DHF led to lower levels of CS-elicited freezing in both the extinction and conditioning contexts in non-stressed adolescent male rats, but not in those given 7 days of corticosterone. These findings indicate that chronic stress interferes with the effectiveness of pharmacological agonism of TrkB in enhancing fear extinction in adolescence. A greater understanding of the mechanisms underlying extinction in adolescence and the effect of chronic corticosterone exposure on those mechanisms may inform a deeper understanding of the etiology and treatment of pediatric stress-related disorders.
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