Loading...
Thumbnail Image
Publication

Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD

Roeckner, Alyssa R
Lin, Esther R-H
Hinrichs, Rebecca
Harnett, Nathaniel G
Lebois, Lauren A M
van Rooij, Sanne J H
Ely, Timothy D
Jovanovic, Tanja
Murty, Vishnu P
Bruce, Steven E
... show 10 more
Embargo Expiration Date
Abstract

Amygdala hyperreactivity early-post trauma has been a demonstrable neurobiological correlate of future posttraumautic stress disorder (PTSD). The basolateral amygdala (BLA) particularly is vital for fear memory and threat processing, but BLA functional dynamics following a traumatic event are unexplored. BLA reactivity to threat may be a trait that can predict PTSD and persist over time. Alternatively, BLA responsivity to threat cues may change over time and be related to PTSD severity. As part of a larger, multisite study, AURORA, participants 18-75 years old were enrolled in an emergency department (ED) within 72 h of a traumatic event (N = 304, 199 female). At 2-weeks and 6-months post-trauma, PTSD symptoms, BLA responses to threat (fearful>neutral faces), and functional connectivity (FC) during fMRI were assessed. Generalizability of findings was assessed in an external replication sample of ED patients (n = 33). Two weeks post-trauma right BLA reactivity positively predicted later PTSD severity. However, left BLA reactivity to threat at 6 months post-trauma was negatively associated with PTSD severity at that timepoint (ΔPseudo-R = 0.04, IRR = 0.38, p < 0.001). In addition, a decrease in BLA reactivity from 2-weeks to 6-months predicted greater PTSD severity at 6 months (ΔPseudo-R = 0.03, IRR = 0.58, p < 0.001). This replicated in the external sample. A reduction in left BLA FC with the dorsal attention network predicted increased PTSD severity over time. These findings support a shift in BLA function within the first 6 months post-trauma that predicts PTSD pathology and stand in contrast to prior conceptualizations of amygdala hyperreactivity as a trait-like PTSD risk factor.

Source

Roeckner AR, Lin ER, Hinrichs R, Harnett NG, Lebois LAM, van Rooij SJH, Ely TD, Jovanovic T, Murty VP, Bruce SE, House SL, Beaudoin FL, An X, Neylan TC, Clifford GD, Linnstaedt SD, Germine LT, Rauch SL, Haran JP, Storrow AB, Lewandowski C, Musey PI, Hendry PL, Sheikh S, Jones CW, Punches BE, Swor RA, Hudak LA, Pascual JL, Seamon MJ, Datner EM, Pearson C, Peak DA, Merchant RC, Domeier RM, Rathlev NK, O'Neil BJ, Sergot P, Sanchez LD, Joormann J, Sheridan JF, Harte SE, Koenen KC, Kessler RC, McLean SA, Ressler KJ, Stevens JS. Sequential decreases in basolateral amygdala response to threat predict failure to recover from PTSD. Neuropsychopharmacology. 2025 May 3. doi: 10.1038/s41386-025-02115-1. Epub ahead of print. PMID: 40319171.

Year of Medical School at Time of Visit
Sponsors
Dates of Travel
DOI
10.1038/s41386-025-02115-1
PubMed ID
40319171
Other Identifiers
Notes
Funding and Acknowledgements
Corresponding Author
Related Resources
Related Resources
Repository Citation
Rights
© 2025. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.