title: Dopamine Rebound-Excitation Theory: Putting Brakes on PTSD.
abstract: It is not uncommon for humans or animals to experience traumatic events in their lifetimes. However, the majority of individuals are resilient to long-term detrimental changes turning into anxiety and depression, such as post-traumatic stress disorder (PTSD). What underlying neural mechanism accounts for individual variability in stress resilience? Hyperactivity in fear circuits, such as the amygdalar system, is well-known to be the major pathophysiological basis for PTSD, much like a "stuck accelerator." Interestingly, increasing evidence demonstrates that dopamine (DA) - traditionally known for its role in motivation, reward prediction, and addiction - is also crucial in regulating fear learning and anxiety. Yet, how dopaminergic (DAergic) neurons control stress resilience is unclear, especially given that DAergic neurons have multiple subtypes with distinct temporal dynamics. Here, we propose theRebound-Excitation Theory, which posits that DAergic neurons' rebound-excitation at the termination of fearful experiences serves as an important "brake" by providing intrinsic safety-signals to fear-processing neural circuits in a spatially and temporally controlled manner. We discuss how DAergic neuron rebound-excitation may be regulated by genetics and experiences, and how such physiological properties may be used as a brain-activity biomarker to predict and confer individual resilience to stress and anxiety.
authors.affiliation: Department of Neurology, Brain and Behavior Discovery Institute, Medical College of Georgia, Augusta University , Augusta, GA , USA.
authors.forename: Jason C
authors.initials: JC
authors.lastname: Lee
authors.affiliation: Department of Neurology, Brain and Behavior Discovery Institute, Medical College of Georgia, Augusta University, Augusta, GA, USA; Department of Psychiatry, Medical College of Georgia, Augusta University, Augusta, GA, USA.
authors.forename: Lei Philip
authors.initials: LP
authors.lastname: Wang
authors.affiliation: Department of Neurology, Brain and Behavior Discovery Institute, Medical College of Georgia, Augusta University , Augusta, GA , USA.
authors.forename: Joe Z
authors.initials: JZ
authors.lastname: Tsien
keywords: dopamine; fear generalization; fear memory; post-traumatic stress disorder; stress resilience