PMID- 28473755 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1662-5102 (Print) IS - 1662-5102 (Electronic) IS - 1662-5102 (Linking) VI - 11 DP - 2017 TI - The Combination of Long-term Ketamine and Extinction Training Contributes to Fear Erasure by Bdnf Methylation. PG - 100 LID - 10.3389/fncel.2017.00100 [doi] LID - 100 AB - A combination of antidepressant drugs and psychotherapy exhibits more promising efficacy in treating fear disorders than either treatment alone, but underlying mechanisms of such treatments remain largely unknown. Here we investigated the role of DNA methylation of the brain-derived neurotrophic factor (Bdnf) gene in the therapeutic effects of ketamine in combination with extinction training in a mouse model of post-traumatic stress disorder (PTSD) induced by inescapable electric foot shocks (IFS). Male mice received ketamine for 22 consecutive days starting 1 h after the IFS (long-term ketamine treatment) or 2 h prior to the extinction training on days 15 and 16 after the IFS (short-term ketamine treatment). The Open Field (OF) and Elevated Plus Maze (EPM) tests were conducted on days 18 and 20. The spontaneous recovery and fear renewal tests were performed on day 23. Mice, subjected to IFS, exhibited anxiety-like behavior and fear relapse, accompanied by the increased levels of DNA methyltransferases, hyper-methylation of Bdnf gene, and decreased BDNF mRNA expression in the medial prefrontal cortex (mPFC) and hippocampus (HIP). Long-term treatment with ketamine combined with extinction training alleviated the IFS-induced abnormalities. These results suggest that long-term ketamine treatment in combination with extinction training may ameliorate fear relapse in the murine model of PTSD, at least in part, by normalizing DNA methylation of Bdnf gene. FAU - Ju, Ling-Sha AU - Ju LS AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. FAU - Yang, Jiao-Jiao AU - Yang JJ AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. AD - Department of Anesthesiology and the McKnight Brain Institute, University of Florida College of MedicineGainesville, FL, USA. FAU - Lei, Lei AU - Lei L AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. FAU - Xia, Jiang-Yan AU - Xia JY AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. FAU - Luo, Dan AU - Luo D AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. FAU - Ji, Mu-Huo AU - Ji MH AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. FAU - Martynyuk, Anatoly E AU - Martynyuk AE AD - Department of Anesthesiology and the McKnight Brain Institute, University of Florida College of MedicineGainesville, FL, USA. FAU - Yang, Jian-Jun AU - Yang JJ AD - Department of Anesthesiology, Zhongda Hospital, Medical School, Southeast UniversityNanjing, China. LA - eng PT - Journal Article DEP - 20170420 PL - Switzerland TA - Front Cell Neurosci JT - Frontiers in cellular neuroscience JID - 101477935 PMC - PMC5398013 OTO - NOTNLM OT - BDNF OT - DNA methylation OT - extinction OT - inescapable foot shocks OT - ketamine EDAT- 2017/05/06 06:00 MHDA- 2017/05/06 06:01 PMCR- 2017/01/01 CRDT- 2017/05/06 06:00 PHST- 2017/01/15 00:00 [received] PHST- 2017/03/27 00:00 [accepted] PHST- 2017/05/06 06:00 [entrez] PHST- 2017/05/06 06:00 [pubmed] PHST- 2017/05/06 06:01 [medline] PHST- 2017/01/01 00:00 [pmc-release] AID - 10.3389/fncel.2017.00100 [doi] PST - epublish SO - Front Cell Neurosci. 2017 Apr 20;11:100. doi: 10.3389/fncel.2017.00100. eCollection 2017.