Speaker 3: Saori Tanaka, Japan

نویسندگان

  • Talma Hendler
  • Israel
چکیده

s | 43 (sleep) and molecular mechanisms involved in contextual processing deficits. Methods The evolution of functional neuroimaging studies from early studies of responses to emotional probes to recent multi-day studies of fear conditioning, extinction, renewal, and of intrinsic connectivity networks, will be discussed and novel finding presented. Parallel findings from studies using Single Prolong Stress model of PTSD in rodents will be discussed further dissecting molecular mechanisms in prefrontal, hippocampal and LC regions. Results PTSD subjects exhibit unimpaired fear conditioning and extinction, but altered psychophysiology and prefrontal and hippocampal BOLD responses during fear renewal and reinstatement, pointing toward abnormalities in contextual processing. In parallel, exaggerated fear renewal is present in SPS animals, especially these with increased REM and decreased hippocampal theta power. Molecular studies link upregulation in glucocorticoid receptors (GR) in hippocampus and prefrontal cortex to exaggerated fear renewal. Conclusions Converging findings from human neuroimaging studies and animal models implicate contextual processing abnormalities in PTSD. Animal model implicate upregulation of GR receptors in mPFC and hippocampus, changes in noradrenergic tone in LC, and in norepinephrine dependent sleep parameters, in these context-processing deficits. Together these studies transform our understanding of PTSD pathophysiology suggesting a more complex and nuanced model of pathophysiologic processes leading to PTSD. Speaker 2: Talma Hendler, Israel Title: Neural indication of stress regulation: from biomarkers to treatment targets Abstract Stress regulation has been formulated lately as a result of balanced shift between neural systems involved in salience and cognition. It is yet unclear what determines the individual ability to achieve such balance and adaptively recover from a stressful event. We have asserted that identifying such neural elements could provide effective targets for control training, and improved stress resilience. Using prospective neuroimaging approach we demonstrated in a recent study that soldiers, prone to intense and often traumatic stress, differ in their ten-Stress regulation has been formulated lately as a result of balanced shift between neural systems involved in salience and cognition. It is yet unclear what determines the individual ability to achieve such balance and adaptively recover from a stressful event. We have asserted that identifying such neural elements could provide effective targets for control training, and improved stress resilience. Using prospective neuroimaging approach we demonstrated in a recent study that soldiers, prone to intense and often traumatic stress, differ in their tendency to recruit ventro-medial PreFrontalCortex (vmPFC) under angering social situation (Gilam et al 2016). Further, this regulation ability that has enhanced their resilience, was mediated by miRNA fold change (Vaisvaser et al 2016). This intriguing findings complement previous work in our lab showing that greater vmPFC recruitment following trauma exposure was correlated with lower amygdala reactivity prior to exposure, suggesting their opposing dominance in stress regulation (Admon et al 2009). Taken together, accumulating evidence point to the role of either down regulating limbic nodes or upregulating PFC node as a mean for stress inoculation. Using closed-loop brain-machine interface that is based on fMRI inspired EEG (see Keynan et al 2016), we trained soldiers to selfregulate their amygdala activation. Most of the soldiers have learned to successfully downregulated their amygdala activation during training sessions as well as on a transfer trial without feedback. Furthermore, following repeated training sessions, the trained soldiers exhibited improved performance on emotional stroop task and greater connectivity between the amygdala and vmPFC, suggesting improved emotion regulation. The usage of advanced BCI (Cavazza et al 2014, Keynan etal 2016) in light of neuroscientific insights for early treatment in stress related disorders will be considered and discussed.

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عنوان ژورنال:

دوره 19  شماره 

صفحات  -

تاریخ انتشار 2016