PMID- 25238998 OWN - NLM STAT- MEDLINE DCOM- 20150720 LR - 20211021 IS - 1878-9307 (Electronic) IS - 1878-9293 (Print) IS - 1878-9293 (Linking) VI - 11 DP - 2015 Feb TI - Easy to remember, difficult to forget: the development of fear regulation. PG - 42-55 LID - S1878-9293(14)00048-6 [pii] LID - 10.1016/j.dcn.2014.07.006 [doi] AB - Fear extinction learning is a highly adaptive process that involves the integrity of frontolimbic circuitry. Its disruption has been associated with emotional dysregulation in stress and anxiety disorders. In this article we consider how age, genetics and experiences shape our capacity to regulate fear in cross-species studies. Evidence for adolescent-specific diminished fear extinction learning is presented in the context of immature frontolimbic circuitry. We also present evidence for less neural plasticity in fear regulation as a function of early-life stress and by genotype, focusing on the common brain derived neurotrophin factor (BDNF) Val66Met polymorphism. Finally, we discuss this work in the context of exposure-based behavioral therapies for the treatment of anxiety and stress disorders that are based on principles of fear extinction. We conclude by speculating on how such therapies may be optimized for the individual based on the patient's age, genetic profile and personal history to move from standard treatment of care to personalized and precision medicine. CI - Copyright (c) 2014 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Johnson, D C AU - Johnson DC AD - Weill Medical College of Cornell University, Sackler Institute for Developmental Psychobiology, New York, NY 10065, USA. Electronic address: dcj2002@med.cornell.edu. FAU - Casey, B J AU - Casey BJ AD - Weill Medical College of Cornell University, Sackler Institute for Developmental Psychobiology, New York, NY 10065, USA. Electronic address: bjc2002@med.cornell.edu. LA - eng GR - P50 MH079513/MH/NIMH NIH HHS/United States GR - T32 EY007138/EY/NEI NIH HHS/United States GR - 5T32EY007138/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140804 PL - Netherlands TA - Dev Cogn Neurosci JT - Developmental cognitive neuroscience JID - 101541838 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - AE28F7PNPL (Methionine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adolescent MH - Anxiety Disorders/*physiopathology/*psychology/therapy MH - Brain-Derived Neurotrophic Factor/*genetics MH - *Fear/physiology/psychology MH - Genotype MH - Humans MH - Inhibition, Psychological MH - Learning/physiology MH - *Mental Recall MH - Methionine MH - *Neuronal Plasticity/genetics MH - Polymorphism, Single Nucleotide MH - Signal Transduction/physiology MH - Stress, Psychological/*physiopathology/psychology MH - Valine PMC - PMC4497537 MID - NIHMS629223 OTO - NOTNLM OT - Adolescence OT - Amygdala OT - CBT OT - Extinction OT - Fear OT - Reconsolidation EDAT- 2014/09/23 06:00 MHDA- 2015/07/21 06:00 PMCR- 2014/08/04 CRDT- 2014/09/21 06:00 PHST- 2014/04/23 00:00 [received] PHST- 2014/07/24 00:00 [revised] PHST- 2014/07/25 00:00 [accepted] PHST- 2014/09/21 06:00 [entrez] PHST- 2014/09/23 06:00 [pubmed] PHST- 2015/07/21 06:00 [medline] PHST- 2014/08/04 00:00 [pmc-release] AID - S1878-9293(14)00048-6 [pii] AID - 10.1016/j.dcn.2014.07.006 [doi] PST - ppublish SO - Dev Cogn Neurosci. 2015 Feb;11:42-55. doi: 10.1016/j.dcn.2014.07.006. Epub 2014 Aug 4.