Abstract
Individuals use both passive and active defensive responses to environmental threats. Much is known about the neural circuits of passive defensive responses (e.g., freezing), but less is known about the substrates of active defensive responses (e.g., avoidance). We developed an active avoidance task in which rats learn to avoid a tone-signaled footshock by stepping onto a nearby platform. An advantage of this task is that freezing, which can interfere with avoidance, is reduced, thereby facilitating comparison of the effects of manipulations on avoidance versus freezing. After 10 d of avoidance training, rats were infused with muscimol to pharmacologically inactivate the prelimbic cortex (PL), infralimbic cortex (IL), ventral striatum (VS), or basolateral amygdala (BLA). Inactivating PL, VS, or BLA all impaired avoidance expression, but these areas differed with respect to freezing. Inactivating BLA decreased freezing consistent with loss of the tone–shock association, whereas inactivation of VS increased freezing consistent with loss of avoidance memory. Inactivation of PL had no effect on freezing. Inactivation of IL did not impair avoidance expression but did impair avoidance extinction. Our findings suggest that active avoidance is mediated by prefrontal–striatal circuits, which may be overactive in individuals suffering from trauma-related disorders.
Keywords: amygdala, fear, infralimbic, prefrontal, prelimbic, striatum
Introduction
To ensure survival, individuals must express both passive and active defensive responses to environmental threats (Darwin, 1872; LeDoux, 2012). Passive responses such as freezing are reflexive (Blanchard and Blanchard, 1969), whereas active responses involve deciding to execute a specific action to avoid a threat (Mowrer and Lamoreaux, 1946). The neural circuits underlying freezing have been studied extensively in rodents using auditory fear conditioning. In this type of conditioning, tone and shock inputs converge and the association is stored in the basolateral nucleus of the amygdala (BLA; Fanselow and LeDoux, 1999; LeDoux, 2000; Blair et al., 2001; Maren and Quirk, 2004; Pelletier et al., 2005). BLA drives conditioned freezing through its projections to the central nucleus of the amygdala (LeDoux et al., 1988; Muller et al., 1997). Expression of amygdala-dependent fear memories is regulated by prelimbic (PL) and infralimbic (IL) prefrontal cortices, which increase and decrease freezing, respectively, through projections to the amygdala (Vidal-Gonzalez et al., 2006; Sotres-Bayon and Quirk, 2010; Amir et al., 2011; Cho et al., 2013).
Much less is known about neural circuits mediating active avoidance. As with fear responses, avoidance is excessive in individuals suffering from trauma-related disorders such as post-traumatic stress disorder (PTSD; American Psychiatric Association, 2013), emphasizing the need for understanding the substrates of avoidance. Active avoidance has been most studied using shuttle avoidance tasks, in which rats alternate between adjacent compartments to prevent the occurrence of a tone-signaled shock (Lubar, 1964; Theios and Dunaway, 1964; Wahlsten and Sharp, 1969; Vazdarjanova et al., 2001; Choi et al., 2010; Moscarello and LeDoux, 2013). Because shocks occur in both compartments, there is no “safe” place in the shuttle task: rats must enter a compartment in which they were previously shocked (Lubar, 1964). This positional conflict generates freezing that can oppose shuttling (Theios and Dunaway, 1964; Theios et al., 1966; Savonenko et al., 1999b; Lázaro-Muñoz et al., 2010; Moscarello and LeDoux, 2013). Recent lesion/inactivation studies have implicated the BLA (Choi et al., 2010; Lázaro-Muñoz et al., 2010), striatum (Darvas et al., 2011), and IL in shuttle avoidance (Moscarello and LeDoux, 2013). However, the use of this task makes it difficult to distinguish the effects of lesions on avoidance circuits from effects on freezing circuits.
We, therefore, developed an active avoidance task in which rats can avoid a signaled footshock by stepping onto a nearby platform that was never associated with shock, thereby eliminating the positional conflict of shuttle avoidance. Freezing levels are further reduced by bar pressing for sucrose pellets. We pharmacologically inactivated four structures [PL, IL, BLA, or ventral striatum (VS)] and measured tone-induced avoidance as well as tone-induced freezing and suppression of bar pressing. Our goal was to distinguish structures mediating avoidance from those mediating passive fear responses by comparing the effects of inactivation across behaviors.
Materials and Methods
Bar-press training.
A total of 156 male Sprague Dawley rats (Harlan Laboratories) weighing 300–360 g were housed and handled as described previously (Quirk et al., 2000). Rats were restricted to 18 g/d standard laboratory rat biscuits, followed by 7 d of training to press a bar for sucrose pellets on a variable interval schedule of reinforcement averaging 30 s (VI–30 s). Rats were trained until they reached a criterion of 10 presses per minute. All procedures were approved by the Institutional Animal Care and Use Committee of the University of Puerto Rico School of Medicine, in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals (eighth edition).
Cannula implantation.
After bar-press training, rats were anesthetized with isofluorane inhalant gas (5%) in an induction chamber and positioned in a stereotaxic frame. Isofluorane (2–3%) was delivered through a face mask for anesthesia maintenance. Rats were implanted bilaterally with 26 gauge guide cannulas (Plastics One) targeting PL (AP, +3.0 mm; ML, ±0.60 mm; DV, −2.5 mm), IL (AP, 2.8 mm; ML, ±0.60 mm; DV, −4.2 mm), BLA (AP, −2.8 mm; ML, ±5.0 mm; DV, −7.6 mm), or VS (AP, +2.0 mm; ML, ±2.0 mm; DV, −6.4 mm; Paxinos and Watson 1998). For IL, an angled placement (30°) was used to avoid backflow into PL (Sierra-Mercado et al., 2011). Cannulas were fixed to the skull with dental cement and three stainless steel screws. After surgery, a triple antibiotic (Neosporin) was applied around the wound margin, and an NSAID analgesic (Ketofen; 2 mg/kg) was injected intramuscularly. Stainless steel obturators (33 gauge) were inserted into the guide cannulas to prevent cannula blockage until infusions were made. After surgery, animals were allowed to recover for 7 d before the experiments.
Drug infusions.
Rats were infused as described previously (Sierra-Mercado et al., 2011). The day before infusions, injectors were briefly inserted into the cannulas without infusing, and rats were acclimated for infusion handling. Injector tips extended 1.0 mm beyond the guide cannula. Muscimol (MUS; Sigma-Aldrich) was used to enhance GABAA receptor activity, thereby inactivating target structures, and was infused 45 min before behavioral testing. MUS or saline vehicle (SAL) was infused at a rate of 0.2 μl/min for PL or IL (0.11 nmol/0.2 μl per side) and 0.25 μl/min for BLA (0.11 nmol/0.5 μl per side) and VS (0.11 nmol/0.3 μl per side). Dosages of MUS were selected to match our previous study of PL, IL, and BLA in fear conditioning (Sierra-Mercado et al., 2011), in which these dosages did not affect locomotion. After infusion, injectors were left in place for 1 min to allow the drug to diffuse.
Platform-mediated avoidance training.
Rats were conditioned and tested in standard operant chambers (26.7 cm long, 27.9 cm wide, 27.9 cm tall; Coulbourn Instruments) located in sound-attenuating cubicles (MED Associates). The floor of the chambers consisted of stainless steel bars delivering a scrambled electric footshock. Between experiments, shock grids and floor trays were cleaned with soap and water, and chamber walls were cleaned with wet paper towels. Sucrose pellets were available on a VI–30 s schedule throughout all phases of training, testing, and extinction. Availability of reward motivated rats to leave the platform during the intertrial interval, enabling trial-by-trial assessment of avoidance. Rats were conditioned with a pure tone (30 s, 4 kHz, 75 dB) coterminating with a shock delivered through the floor grids (2 s, 0.4 mA). The intertrial interval was variable, averaging 3 min. Compared with our fear conditioning task, we used a longer shock duration (2 s vs 0.5 s) to mobilize rats onto the platform and a slightly lower shock intensity (0.4 mA vs 0.5 mA) to prevent overconditioning. An acrylic square platform (14.0 cm each side, 0.33 cm tall) located in the opposite corner of the sucrose-delivering bar protected rats from the shock. The platform was fixed to the floor and was present in all stages of training (including bar-press training) to reduce novelty.
Rats were conditioned for 10 d to reduce tone-induced freezing and allow spontaneous press rates to return to preconditioning levels. Each day, rats received three sessions consisting of three tone–shock trials each (nine tone–shock pairings per day). Rats were left in the training chamber between sessions for 5 min to reinforce bar-press training and to reduce contextual fear. Rats failing to avoid during the first two trials of day 10 of conditioning were excluded from the experiment (5 of 156 rats). On day 11, rats were infused with either muscimol or saline and presented with a two-tone test with the shocker off. For the avoidance extinction experiment, rats were presented daily with 15 tones without shocks in the same conditioning chamber with the platform present. After two extinction training days, rats were presented with an extinction test (two tones) the following day.
Histology.
After completion of experiments, rats were transcardially perfused with 0.9% saline followed by 10% buffered formalin. Brains were extracted and stored in a 30% sucrose/10% formalin solution for 3 d. Coronal sections were cut (40 μm thick) on a cryostat, mounted on slides, and stained for Nissl bodies for cannula placement histology. Because of misplacement of cannulas on one or both sides of the brain, 20 of 151 rats were excluded from this study, leaving a total of 131 rats.
Data analysis.
Behavior was recorded with digital video cameras (Micro Video Products), and freezing was detected using software (Freezescan; Clever Systems). Trials of experimental groups (SAL and MUS) were compared with unpaired Student's two-tailed t tests for avoidance expression experiments or repeated-measures ANOVA, followed by Tukey's post hoc comparisons (STATISTICA; StatSoft) for the avoidance extinction experiment. The amount of time freezing to the tone was expressed as a percentage of the tone duration. We also measured time spent freezing 1 min before tone onset (pretone freezing). Successful avoidance was defined as the rat having at least two paws on the platform between seconds 28 and 30 of the tone (shock period). Avoidance was scored from video recordings of the sessions by a trained observer. We also measured time spent on the platform 1 min before tone onset (pretone avoidance) as well as during the tone. We measured percent suppression of bar pressing to the tone (Quirk et al., 2000), calculated as follows: (pretone rate − tone rate)/(pretone rate + tone rate) × (100). A value of 0 indicates no suppression, whereas a value of 100 indicates complete suppression.
Results
Acquisition of platform-mediated avoidance
For conditioning of platform-mediated avoidance, rats were presented with nine tone–shock trials per day. Because the platform was located far from the sucrose-delivering bar, mounting prevented rats from bar pressing, thereby constituting a “cost” of avoidance. We used a cohort of unimplanted rats to characterize several behaviors across acquisition of avoidance training. After 10 d of conditioning, rats learned to step onto the platform at the start of the tone, returning to the bar at the end of the tone (30 s; Fig. 1). After the first day of conditioning, freezing and suppression increased, intertrial interval pressing decreased, but avoidance was still minimal. With additional days of training, avoidance increased, freezing decreased, and ITI pressing returned to preconditioning levels (Fig. 2). This is consistent with earlier (Mowrer and Lamoreaux, 1946; Miller, 1948; Mowrer, 1960) as well as more recent (Choi et al., 2010; Lázaro-Muñoz et al., 2010; Martinez et al., 2013; Moscarello and LeDoux, 2013) studies showing that acquisition of avoidance reduces freezing, reflecting the adaptive nature of avoidance. We next used pharmacological inactivation to determine the structures mediating expression of platform-mediated avoidance.
Inactivation of prelimbic cortex blocks avoidance
In our auditory fear-conditioning task, in which rats also bar press for sucrose, inactivation of PL impairs both conditioned freezing and tone-induced suppression of bar pressing (Corcoran and Quirk, 2007; Sierra-Mercado et al., 2011). Moreover, PL neurons exhibit sustained tone responses correlating with freezing across the 30 s tone (Burgos-Robles et al., 2009; Sotres-Bayon et al., 2012). Inactivation of IL in fear conditioning does not block expression of conditioned freezing but impairs its extinction (Laurent and Westbrook, 2009b; Sierra-Mercado et al., 2011). Given that PL and IL are capable of modulating tone-triggered freezing (Sotres-Bayon and Quirk, 2010), we reasoned that these structures might also modulate tone-triggered avoidance. We, therefore, inactivated either PL or IL after 10 d of conditioning (on day 11), using the same dose of muscimol that we used previously (Sierra-Mercado et al., 2011). There was little contextual fear across all experiments (SAL and MUS groups), as evidenced by low levels of pretone freezing (all group averages <13.4%) and low levels of pretone time on platform (all group averages <13.9%).
As shown in Figure 3A, inactivation of PL reduced avoidance (SAL, 85.7%; MUS, 26.7%; t(34) = 3.73; p < 0.001) but did not reduce freezing (SAL, 60.0%; MUS, 68.4%; t(34) = 0.69; p = 0.49), spontaneous bar pressing (SAL, 17.8 presses/min; MUS, 18.6 presses/min; t(34) = 0.25; p = 0.80), or suppression of bar pressing (SAL, 83.9%; MUS, 90.0%; t(34) = 0.62; p = 0.54). PL inactivation also reduced time on platform during the tone (SAL, 65.7%; MUS, 29.6%; t(34) = 2.54; p = 0.016). This contrasts with auditory fear conditioning, in which PL inactivation reduced both freezing and suppression of bar pressing (Sierra-Mercado et al., 2011). In contrast to PL, as shown in Figure 3B, inactivation of IL had no effect on avoidance (SAL, 81.3%; MUS, 80.0%; t(26) = 0.08; p = 0.94) or time on platform during tone (SAL, 96.7%; MUS, 61.0%; t(26) = 0.70; p = 0.49). Furthermore, passive fear was increased, as indicated by freezing (SAL, 27.3%; MUS, 49.5%; t(26) = 2.30; p = 0.030), suppression of bar pressing (SAL, 88.0%; MUS, 99.1%; t(26) = 2.15; p = 0.048), and spontaneous press rates (SAL, 22.7 presses/min; MUS, 13.1 presses/min; t(26) = 2.68; p = 0.017). This increase in passive fear suggests that IL reduces freezing during avoidance as previously shown (Moscarello and LeDoux, 2013), but is not necessary for expression of platform-mediated avoidance.
Inactivation of VS blocks avoidance and increases passive fear
PL projects robustly to VS (Sesack et al., 1989; Gabbott et al., 2005), an area implicated in locomotor control (Kelly and Moore, 1976) and shuttle avoidance (Darvas et al., 2011). A recent study reported delayed acquisition of avoidance after pretraining VS lesions (Wendler et al., 2014), but no prior study examined the role of VS in the expression of previously acquired avoidance.
We, therefore, tested whether VS was critical for platform-mediated avoidance by inactivating the VS region receiving the most input from PL (covering both the core and shell of accumbens; Sesack et al., 1989). Similar to PL, inactivation of VS impaired avoidance (SAL, 88.9%; MUS, 16.4%; t(19) = 3.18; p = 0.005), as shown in Figure 3C. Additionally, VS inactivation also decreased time on platform during tone (SAL, 76.3%; MUS, 4.2%; t(19) = 8.10; p < 0.001). Inactivation of VS also increased freezing (SAL, 37.0%; MUS, 68.3%; t(19) = 2.16; p = 0.043) but had no effect on suppression of bar pressing (SAL, 89.9%; MUS, 90.1%; t(19) = 1.07; p = 0.30) or on spontaneous pressing (SAL, 12.6 presses/min; MUS, 10.3 presses/min; t(19) = 0.72; p = 0.48). Thus, both VS and PL are necessary for avoidance. To address possible effects on locomotion, we performed an open field test. We corroborated that inactivation of VS does not alter locomotion (t(12) = 0.97; p = 0.35) similar to a previous study (Atallah et al., 2007). Additionally, to test for a possible interaction between freezing and avoidance, we performed a regression analysis comparing freezing with time on platform across all four experiments (n = 97) and found no significant correlation (r = 0.12; F(1,96) = 1.51; p = 0.22), suggesting that freezing does not compete with avoidance in this task.
Inactivation of BLA blocks both avoidance and passive fear
Another PL target is the BLA (Chiba et al., 2001; Vertes, 2004; Gabbott et al., 2005), which is necessary for acquisition, expression, and extinction of conditioned fear (LeDoux, 2000; Anglada-Figueroa and Quirk, 2005; Blair et al., 2005; Davis, 2006; Ponnusamy et al., 2007; Laurent and Westbrook, 2009a; Sotres-Bayon et al., 2012). Lesions or inactivation of BLA impair expression of shuttle avoidance (Choi et al., 2010) as well as “escape from fear” (Amorapanth et al., 2000). In agreement with these findings, we found that inactivation of BLA virtually eliminated expression of platform-mediated avoidance (SAL, 80.0; MUS, 18.8%; t(17) = 3.29; p = 0.0045; Fig. 3D) and reduced time on platform during the tone (SAL, 76.3; MUS, 20.7%; t(17) = 3.58; p = 0.002). However, in contrast to PL, IL, and VS, inactivation of BLA significantly reduced both freezing (SAL, 66.3%; MUS, 23.0%; t(17) = 3.30; p = 0.004) and bar-press suppression (SAL, 96.9%; MUS, 52.2%; t(17) = 2.19; p = 0.043; Fig. 3D) but had no effect on spontaneous pressing (SAL, 16.3 presses/min; MUS, 20.0 presses/min; t(17) = 0.66; p = 0.51). The reduction in passive fear to the tone (freezing and suppression) is consistent with the role of BLA in storage of the tone–shock association (Quirk et al., 1995; LeDoux, 2000; Blair et al., 2001).
Inactivation of IL impairs extinction of avoidance
Previous studies have linked IL to fear extinction (Mueller et al., 2010; Peters et al., 2010; Santini and Porter, 2010; Thompson et al., 2010; Fontanez-Nuin et al., 2011; Holmes et al., 2012), proposing that IL inhibits freezing via feed-forward inhibition of the amygdala (Quirk et al., 2003; Amano et al., 2010; Amir et al., 2011). In particular, inactivating IL immediately before fear extinction training leaves extinction intact but impairs retrieval of extinction the next day (Laurent and Westbrook, 2009b; Sierra-Mercado et al., 2011; Holmes et al., 2012). We, therefore, hypothesized that IL may also be important for extinction of avoidance.
Inactivation of IL had no effect on within-session extinction of avoidance on day 11 (Fig. 4). ANOVA on this day revealed no effect of group (F(1,28) = 0.84; p = 0.37) or interaction of group with trial block (F(6,150) = 0.85; p = 0.53). The following day (day 12), retrieval of avoidance extinction was impaired (group: F(1,28) = 7.97, p = 0.009; trial block: F(6,150) = 30.40, p < 0.001; interaction: F(6,150) = 7.39, p < 0.001). Post hoc comparisons confirmed that MUS-infused rats avoided more than controls in trial blocks 1 and 2 (p < 0.05), and showed elevated suppression in block 1 (p = 0.030). Surprisingly, MUS-infused rats continued to show impaired retrieval of avoidance extinction 1 d later (day 13; SAL, 25.0%; MUS, 86.4%; t(28) = 3.90; p < 0.001) despite receiving extinction drug free the previous day. Inactivation of IL also reduced spontaneous bar pressing on day 11 (SAL, 22.7 presses/min; MUS, 13.1 presses/min; t(28) = 2.68; p = 0.017) and increased tone-induced suppression on day 12 (SAL, 29.4%; MUS, 74.9%; t(28) = 4.22; p < 0.001). Freezing was elevated only during the first block of extinction on day 11 (SAL, 23.2%; MUS, 56.7%; t(28) = 4.07; p < 0.001), but not during subsequent drug-free days. Thus, inactivating IL during the first day of extinction prevented rats from subsequently learning extinction.
Discussion
We developed a signaled active avoidance task that facilitates comparison of passive fear responses (freezing and suppression) with avoidance responses. Pharmacological inactivation of PL, VS, or BLA all blocked avoidance. Unlike inactivation of PL and VS, inactivation of BLA decreased passive fear responses. Inactivation of IL left avoidance intact but impaired subsequent extinction of avoidance.
Ventral striatum is necessary for platform-mediated avoidance
VS represents a limbic–motor interface (Mogenson et al., 1980) and is critical for instrumental conditioning (Cardinal et al., 2002); however, there are few studies directly assessing its role in active avoidance. Acquisition of shuttle avoidance was impaired by pretraining lesions of the VS (Wendler et al., 2014). Additionally, restoring dopamine in the striatum of dopamine-depleted mice rescued shuttle avoidance learning (Darvas et al., 2011). Rather than acquisition of avoidance, we focused on expression of previously learned avoidance. Inactivation of VS blocked the expression of platform-mediated avoidance but also increased passive fear to the tone, indicating that rats maintained the tone–shock association in the absence of avoidance memory.
BLA signals the tone–shock association in platform-mediated avoidance
In auditory fear conditioning, there is extensive evidence that the BLA stores the tone–shock association (Fanselow and LeDoux, 1999; LeDoux, 2000; Blair et al., 2001; Maren and Quirk, 2004; Pelletier et al., 2005; Davis, 2006). This is consistent with our observation that both avoidance and fear responses to the tone were lost after BLA inactivation. Thus, rats would not be expected to express either passive fear or avoidance to tones no longer associated with shocks. This is consistent with reduced expression of tone-signaled shuttle avoidance after lesions of the basal or lateral nuclei of the amygdala (Choi et al., 2010), as well as the lack of effect of amygdala lesions on expression of Sidman shuttle avoidance, in which there is no tone (Lázaro-Muñoz et al., 2010).
Prelimbic cortex is necessary for platform-mediated avoidance
We found that inactivation of PL impaired avoidance expression but had no effect on freezing or suppression. Previous studies have not examined the effect of post-training lesions or inactivation of PL on the expression of active avoidance. Pretraining lesions of PL were shown to have no effect on shuttle avoidance (Moscarello and LeDoux, 2013), suggesting the possibility of post-lesion recovery of function. The lack of effect on freezing contrasts with our previous fear-conditioning studies, in which PL inactivation reduced both freezing and suppression of bar pressing to a conditioned tone (Sierra-Mercado et al., 2011). Platform-mediated avoidance requires many more days of training than fear conditioning (10 d vs 1 d), which may recruit additional regions into the freezing circuit (Poulos et al., 2010; Zelikowsky et al., 2013). Unit recording data will be needed to further understand the role of PL in avoidance.
PL projects densely to the VS (Sesack et al., 1989; Vertes, 2004) and could drive avoidance through these projections (Fig. 5). Alternatively, PL could modulate VS indirectly through BLA (Sesack et al., 1989; Vertes, 2004), which then projects to the VS (Kita and Kitai, 1990; Stuber et al., 2011), or through other structures. Projections from BLA to VS have been previously proposed for active avoidance (Killcross et al., 1997; LeDoux and Gorman, 2001), but additional techniques (e.g., optogenetics) are needed to identify the specific circuits of active avoidance.
Infralimbic cortex is necessary for avoidance extinction but not expression
In contrast to PL, inactivation of IL did not impair platform-mediated avoidance, even though it increased freezing and suppression. The increase in passive fear replicates a recent finding from a shuttle avoidance task, in which IL inactivation increased freezing; however, the expression of avoidance was also impaired in that study (Moscarello and LeDoux, 2013). Because freezing more readily competes with avoidance in the shuttle task (Savonenko et al., 1999a; Choi et al., 2010; Martinez et al., 2013), IL may mediate inhibition of freezing but may not mediate expression of avoidance. In platform-mediated avoidance, freezing is somewhat reduced because of a lower level of shock (0.4 vs 0.7 mA) as well as the motivation to press for sucrose. Under these conditions, IL is not necessary for avoidance even though it inhibits freezing.
Importantly, we found that IL is necessary for forming a memory of extinction of avoidance, consistent with its role in extinction of fear conditioning (Burgos-Robles et al., 2007; Laurent and Westbrook, 2009b; Amir et al., 2011; Fontanez-Nuin et al., 2011; Sierra-Mercado et al., 2011). Previous studies have linked extinction of active avoidance with the amygdala (Jiao et al., 2011), medial septum (Pang et al., 2011), and anterior thalamus (Gabriel et al., 1983), but not to IL. This adds to a growing number of tasks for which IL is essential for extinction, including appetitive conditioning (Rhodes and Killcross, 2004; Rhodes and Killcross, 2007; Peters and De Vries, 2013), conditioned taste aversion (Mickley et al., 2005), and cocaine seeking (Peters et al., 2008). IL could mediate extinction of avoidance via projections to VS and/or to the amygdala. Interestingly, inactivation of IL impeded subsequent extinction learning, even under drug-free conditions. A similar finding has been reported for extinction of step-down inhibitory avoidance (Cammarota et al., 2005), suggesting the existence of a critical time window for the learning of avoidance extinction.
Avoidance in anxiety disorders
Excessive avoidance is now a required symptom for the diagnosis of PTSD (American Psychiatric Association, 2013). Emerging findings from human functional imaging studies implicate the PL–VS circuit in avoidance: (1) the dorsal anterior cingulate cortex (dACC), which is a functional homolog of PL (Milad et al., 2007), has been linked to avoidance of snakes (Nili et al., 2010) and shocks (Straube et al., 2009); and (2) VS has also been linked to avoidance of shocks (Delgado et al., 2009). PTSD patients show excessive activity in dACC as well as decreased activity in the ventromedial prefrontal cortex (vmPFC; a functional homolog of IL; Milad et al., 2009; Linnman et al., 2012). Excessive avoidance in PTSD, therefore, may reflect excessive activity in cingulate–striatal circuits mediating avoidance expression and/or deficient activity in vmPFC circuits mediating avoidance extinction.
Notes
Supplemental material for this article is available at http://media.md.rcm.upr.edu/Mediasite/Play/07ed951d40254bc5889a25ac71e945761d. It is a video example of platform-mediated avoidance. This material has not been peer reviewed.
Footnotes
This work was supported by an American Psychology Association Diversity Program in Neuroscience fellowship and Grant MH102968 to C.B.-R., by Grants MH058883 and MH086400 to G.J.Q., and by the University of Puerto Rico President's Office. We thank E. Martinez-Maria, H. D. Bravo-Rivera, and M. Montesinos-Cartagena for surgical and experimental assistance. We also thank J. M. Moscarello and J.E. LeDoux for helpful comments on this manuscript.
The authors declare no competing financial interests.
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