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. 2023 Mar 21;24(6):5926. doi: 10.3390/ijms24065926

Table 2.

Summary of findings in studies with the administration of noradrenaline antagonists.

Study Group (N) Pharmacological
Treatment
Mechanism of Action Experimental
Paradigm
Phase of Fear Learning CSs US Psychophysiological
Measure
Main Findings
Lonsdorf et al. [133] RBX treatment (23)
Placebo treatment (19)
4 mg of RBX
Placebo
Reboxetine is an inhibitor of noradrenaline reuptake 3 days Acquisition
Extinction
Symbols shown in three different contexts Electrotactile
shock
SCR and fMRI No SCR differences between groups at the behavioral level
Before reinstatement, only the placebo group showed higher activation in vmPFC for CS cues

After reinstatement, the RBX group showed higher amygdala activation for CS cues
Kausche et al. [134] Placebo treatment (31)
CORT treatment (31)
YOH treatment (34)
CORT+YOH treatment (29)
20 mg of cortisol
20 mg of YOH
20 mg of cortisol and YOH
Placebo
Cortisol is an agonist of glucocorticoid receptor and annexin A1
Yohimbine is an α2-adrenergic blocking agent
2 days Habituation
Acquisition
Eight neutral faces Electric shock SCR The YOH group showed higher SCR across a similarity continuum from CS+ to CS− (increased responses to the CS+)

Cortisol did not enhance fear memory expression, but increased fear generalization
Soeter and Kindt [132] Yohimbine treatment (20)
Propranolol treatment (20)
40 mg of YOH
20 mg of propranolol
Placebo
Yohimbine is an α2-adrenergic blocking agent 3 days Acquisition
Recall
Extinction
Three images Auditory tone SCR
Systolic and diastolic blood pressure
Amylase level
The YOH group showed higher startle fear responses during fear memory reactivation on day 2

The propanolol group showed a reduction in startle fear responses during reconsolidation and extinction

Notes. RBX = reboxetine; CORT = cortisol; YOH = yohimbine; CS+ = conditioned stimulus; CS− = control stimulus; SCR = skin conductance response; fMRI = functional magnetic resonance imaging; vmPFC = ventromedial prefrontal cortex.