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. Author manuscript; available in PMC: 2010 Nov 13.
Published in final edited form as: Prog Neuropsychopharmacol Biol Psychiatry. 2009 Jul 10;33(8):1291–1308. doi: 10.1016/j.pnpbp.2009.06.022

Table 1.

This table summarizes the results of those studies that have directly compared (i.e., within the same study) the effect of (A) CRF receptor antagonists, (B) BNST inactivation, or (C) CeA inactivation on phasic versus sustained duration fear responses. Direct comparisons between the effects of different manipulations on the same response – either (D) phasic or (E) sustained are also shown. In some (shaded cells) but not all cases, these alternate comparisons are made using data which appear earlier in the table.

The comparisons consistently show that CRF receptor antagonists and BNST manipulations disrupt sustained but not phasic fear, whereas CeA manipulations often have the opposite effect. Interpretation of the effect of CeA manipulations is complicated by several factors. First, electrolytic CeA lesions would most likely transect BLA-to-BNST projections such that disruptive effects on sustained fear would be predicted based on the hypothesis outlined in this chapter. Second, sustained startle increases produced by CRF administration are thought to act directly on BNST neurons (with no involvement of the CeA) whereas sustained fear responses produced by environmental stimuli may involve release into the BNST of CRF from CeAL terminals. Thus, even though CRF- and sustained threat-induced startle increases are both of long duration, a differential involvement of the CeA is predicted due to the different origin of CRF in these paradigms. Third, studies showing that AMPA receptor antagonist infusions into the CeA do not disrupt sustained fear should be interpreted with caution insofar as sustained threat signals may activate relevant CeA neurons (i.e., those in the lateral subdivision) through non-AMPA (e.g., peptide) receptors. Even with these caveats however, the data are fairly consistent in suggesting a special role for the CRF and the BNST in sustained fear, and a negligible or at least different role for the CeA in phasic fear.

A. Effect of CRF receptor antagonists on Short- vs. Long-Duration Fear Response

Study and Treatment Effect on Phasic Fear Effect on Sustained Fear

Walker et al. (2008) FPS to 3.7-sec visual CS not disrupted Light-Enhanced Startle (20 min exposure
to bright light) non-monotonically
  Oral administration of the blocked
  CRF-R1 antagonist
  GSK876008 Startle increases evoked by sustained
exposure to shock-paired context non-
monotonically blocked

De Jongh et al. (2006) FPS to 3.7-sec visual CS not disrupted Light-Enhanced Startle (20 min exposure
to bright light) non-monotonically
  i.c.v. infusion of the non disrupted
  selective CRF antagonist
  α-helical CRF

Walker, Miles, and Davis FPS to 3.7-sec clicker CS not FPS to 8-min clicker CS blocked
(unpublished) disrupted
FPS to 8-min filtered noise CS blocked
  Oral administration of the FPS to 3.7-sec filtered noise CS not
  CRF-R1 antagonist disrupted
  GSK876008
B. Effect of BNST Disruption on Short- vs. Long-Duration Fear Response

Study and Treatment Effect on Phasic Fear Effect on Sustained Fear

Gewirtz et al. (1998) FPS to 3.7-sec visual CS not disrupted Long-lasting sensitization of startle by
repeated footshocks across multiple days
  Electrolytic lesion blocked

Lee and Davis (1997) FPS to 3.7-sec visual CS not disrupted CRF-enhanced startle blocked
  Excitotoxic lesion

Waddell et al. (2006) Conditioned Suppression to 60-sec CS Conditioned Suppression to 10-min CS
not disrupted blocked
  Excitotoxic lesion

Sullivan et al. (2004) Freezing to 20-sec CS not blocked Freezing to context CS blocked
Corticosterone response to 20-sec CS Corticosterone response to context CS
  Electrolytic lesions not disrupted blocked

Walker and Davis (1997b) Light-enhanced startle (20 min Light-enhanced startle (20 min stimulus
stimulus duration) not disrupted duration) disrupted (AMPAr antagonist
  AMPA receptor antagonist (AMPAr antagonist infusion) infusion)
  infusion
C. Effect of CeA Disruption on Short- vs. Long-Duration Fear Response

Study and Treatment Effect on Phasic Fear Effect on Sustained Fear

Lee and Davis (1997) FPS to 3.7-sec visual CS blocked CRF-enhanced startle not disrupted
(excitotoxic lesion) (excitotoxic lesion)
  Excitotoxic lesion

Sullivan et al. (2004) Freezing to 20-sec CS
blocked
Freezing to context CS
blocked
  Electrolytic lesions Corticosterone response to 20-sec CS Corticosterone response to context CS
blocked blocked

Walker and Davis (1997b) FPS to 3.7-sec visual CS blocked Light-enhanced startle (20 min stimulus
duration) not disrupted
  AMPA receptor antagonist
infusions
D. Effect on Phasic Fear Responses of CeA vs BNST Manipulations

Study and Treatment Study and Treatment Effect of BNST Manipulations

Hitchcock and Davis (1991) FPS to 3.7-sec visual CS blocked FPS to 3.7-sec visual CS not disrupted
  Electrolytic (For CeA,
  unilateral combined with
  contralateral transection of
  ventro-amygdalafugal
  pathway; for BNST,
  bilateral)

Lee and Davis (1997) FPS to 3.7-sec visual CS blocked FPS to 3.7-sec visual CS not disrupted
  Excitotoxic lesion

Sullivan et al. (2004) Freezing to 20-sec tone CS blocked Freezing to 20-sec CS not disrupted
  Electrolytic lesions Corticosterone response to context CS Corticosterone response to 20-sec CS
blocked not disrupted

Walker and Davis (1997b) FPS to 3.7-sec visual CS blocked FPS to 3.7-sec visual CS blocked
  AMPA receptor antagonist
  infusions
E. Effect on Sustained Fear Responses of CeA vs BNST Manipulations

Study and Treatment Effect of CeA Manipulations Effect of CeA Manipulations

Lee and Davis (1997) CRF-enhanced startle not disrupted CRF-enhanced startle disrupted
  Excitotoxic lesion

Sullivan et al. (2004) Freezing to context CS blocked Freezing to context CS blocked
  Electrolytic lesions Corticosterone response to context CS Corticosterone response to context CS
blocked blocked

Walker and Davis (1997b) Light-enhanced startle (20 min Light-enhanced startle (20 min stimulus
stimulus duration) not disrupted duration) blocked
  AMPA receptor antagonist
  infusions

Walker and Davis FPS to 8-min filtered-noise CS not FPS to 8-min filtered-noise enhanced
(unpublished observations) disrupted during 1st half of CS and blocked
during 2nd half minutes
  AMPA receptor antagonist
  infusions