PMID- 24374101 OWN - NLM STAT- MEDLINE DCOM- 20150107 LR - 20231110 IS - 1873-2747 (Electronic) IS - 0361-9230 (Print) IS - 0361-9230 (Linking) VI - 105 DP - 2014 Jun TI - Can fear extinction be enhanced? A review of pharmacological and behavioral findings. PG - 46-60 LID - S0361-9230(13)00196-2 [pii] LID - 10.1016/j.brainresbull.2013.12.007 [doi] AB - There is considerable interest, from both a basic and clinical standpoint, in gaining a greater understanding of how pharmaceutical or behavioral manipulations alter fear extinction in animals. Not only does fear extinction in rodents model exposure therapy in humans, where the latter is a cornerstone of behavioral intervention for anxiety disorders such as post-traumatic stress disorder and specific phobias, but also understanding more about extinction provides basic information into learning and memory processes and their underlying circuitry. In this paper, we briefly review three principal approaches that have been used to modulate extinction processes in animals and humans: a purely pharmacological approach, the more widespread approach of combining pharmacology with behavior, and a purely behavioral approach. The pharmacological studies comprise modulation by: brain derived neurotrophic factor (BDNF), d-cycloserine, serotonergic and noradrenergic drugs, neuropeptides, endocannabinoids, glucocorticoids, histone deacetylase (HDAC) inhibitors, and others. These studies strongly suggest that extinction can be modulated by drugs, behavioral interventions, or their combination, although not always in a lasting manner. We suggest that pharmacotherapeutic manipulations provide considerable promise for promoting effective and lasting fear reduction in individuals with anxiety disorders. This article is part of a Special Issue entitled 'Memory enhancement'. CI - Copyright (c) 2014 Elsevier Inc. All rights reserved. FAU - Fitzgerald, Paul J AU - Fitzgerald PJ AD - Department of Psychology, Texas A&M University, College Station, TX 77843-4235, United States. FAU - Seemann, Jocelyn R AU - Seemann JR AD - Institute for Neuroscience, Texas A&M University, College Station, TX 77843-4235, United States. FAU - Maren, Stephen AU - Maren S AD - Department of Psychology, Texas A&M University, College Station, TX 77843-4235, United States; Institute for Neuroscience, Texas A&M University, College Station, TX 77843-4235, United States. Electronic address: maren@tamu.edu. LA - eng GR - R01 MH065961/MH/NIMH NIH HHS/United States GR - R01MH065961/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20131225 PL - United States TA - Brain Res Bull JT - Brain research bulletin JID - 7605818 RN - 0 (Neurotransmitter Agents) RN - 01K63SUP8D (Fluoxetine) RN - 2Y49VWD90Q (Yohimbine) RN - 46627O600J (Levodopa) RN - 9Y8NXQ24VQ (Propranolol) SB - IM MH - Animals MH - Conditioning, Classical/drug effects/physiology MH - Extinction, Psychological/drug effects/*physiology MH - Fear/*drug effects/*physiology MH - Fluoxetine/pharmacology MH - Humans MH - Levodopa/pharmacology MH - Neurotransmitter Agents/*pharmacology MH - Propranolol/pharmacology MH - Yohimbine/pharmacology PMC - PMC4039692 MID - NIHMS558856 OTO - NOTNLM OT - Context OT - Fluoxetine OT - Massed extinction OT - Propranolol OT - Yohimbine OT - l-Dopa EDAT- 2014/01/01 06:00 MHDA- 2015/01/08 06:00 PMCR- 2015/06/01 CRDT- 2013/12/31 06:00 PHST- 2013/09/10 00:00 [received] PHST- 2013/12/10 00:00 [revised] PHST- 2013/12/11 00:00 [accepted] PHST- 2013/12/31 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2015/01/08 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - S0361-9230(13)00196-2 [pii] AID - 10.1016/j.brainresbull.2013.12.007 [doi] PST - ppublish SO - Brain Res Bull. 2014 Jun;105:46-60. doi: 10.1016/j.brainresbull.2013.12.007. Epub 2013 Dec 25.