Sex differences, gonadal hormones and the fear extinction network implications for anxiety disorders 英文参考文献.docVIP
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Sex differences, gonadal hormones and the fear extinction network implications for anxiety disorders 英文参考文献
Lebron-MiladandMiladBiologyofMoodAnxietyDisorders2012,2:3
/content/2/1/3
Biology of
Mood Anxiety Disorders
REVIEW
OpenAccess
Sexdifferences,gonadalhormonesandthefear
extinctionnetwork:implicationsforanxiety
disorders
KelimerLebron-MiladandMohammedRMilad*
Abstract
Convergentdatafromrodentsandhumanstudieshaveledtothedevelopmentofmodelsdescribingtheneural
mechanismsoffearextinction.Keycomponentsofthenowwell-characterizedfearextinctionnetworkincludethe
amygdala,hippocampus,andmedialprefrontalcorticalregions.Thesemodelsarefuelingnovelhypothesesthat
arecurrentlybeingtestedwithmuchrefinedexperimentaltoolstoexaminetheinteractionswithinthisnetwork.
Laggingfarbehind,however,istheexaminationofsexdifferencesinthisnetworkandhowsexhormones
influencethefunctionalactivityandreactivityofthesebrainregionsinthecontextoffearinhibition.Indeed,there
isalargebodyofliteraturesuggestingthatsexhormones,suchasestrogen,domodulateneuralplasticitywithin
thefearextinctionnetwork,especiallyinthehippocampus.
Afterabriefoverviewofthefearextinctionnetwork,wesummarizewhatiscurrentlyknownaboutsexdifferences
infearextinctionandtheinfluenceofgonadalhormonesonthefearextinctionnetwork.Wethengoonto
proposepossiblemechanismsbywhichsexhormones,suchasestrogen,mayinfluenceneuralplasticitywithinthe
fearextinctionnetwork.Weendwithadiscussionofhowknowledgetobegainedfromdevelopingthislineof
researchmayhavesignificantramificationstowardstheetiology,epidemiologyandtreatmentofanxietydisorders.
Keywords:menstrualcycle,sexhormones,estrogen,progesterone,estruscycle,fearextinction
Background
differences in psychiatric disorders. A 2001 report by
There are now substantial data indicating that struc- the Institute of Medicine highlighted the need to con-
tural, cellular and molecular differences exist between duct scientific studies at the cellular, molecular and
themaleandfemalebrainsinregionsthatareimportant whole organism level that take into account sex as a
forcognition,memoryandaffect,suchasthehippocam-
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