Researchers used designer drugs to selectively activate specific corticotropin-releasing factor (CRF) neurons in the bed nucleus of the stria terminalis, successfully restoring normal fear extinction learning in mice lacking 5-HT2C serotonin receptors. The bidirectional manipulation—activating these circuits in normal mice enhanced extinction while deactivating them in mutant mice impaired it—demonstrates precise neural control over trauma recovery mechanisms. This circuit-level precision addresses a critical gap in PTSD treatment, where SSRIs paradoxically increase anxiety initially despite their eventual therapeutic benefits. The 5-HT2C receptor system has emerged as a key player in this delayed response, but the downstream neural pathways remained unclear until now. The BNST region, already implicated in stress and anxiety processing, appears to serve as a critical relay station where serotonin signaling influences fear memory consolidation and extinction. While promising for understanding treatment-resistant PTSD, the work remains limited to animal models and requires validation in human circuits. The chemogenetic approach, though not directly translatable to clinical settings, identifies specific neural targets that pharmaceutical interventions might modulate. This mechanistic clarity could inform next-generation anxiety treatments that bypass the initial anxiogenic period of current medications.
BNST Brain Circuit Manipulation Rescues Fear Extinction in Serotonin Mutant Mice
📄 Based on research published in Translational psychiatry
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