Current models of human fear learning processes emphasize a primary contribution of the ventromedial prefrontal cortex (vmPFC) to fear inhibition (i.e., fear extinction). Here, we discuss crucial findings from recent brain imaging studies that highlight the role of vmPFC and its subregions in how fear is acquired (i.e., fear conditioning).
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References
Schiller D, Delgado MR. Overlapping neural systems mediating extinction, reversal and regulation of fear. Trends Cogn Sci. 2010;14:268–76.
Etkin A, Egner T, Kalisch R. Emotional processing in anterior cingulate and medial prefrontal cortex. Trends Cogn Sci. 2011;15:85–93.
Battaglia S, Garofalo S, di Pellegrino G, Starita F. Revaluing the role of vmPFC in the acquisition of pavlovian threat conditioning in humans. J Neurosci. 2020;40:8491–8500.
Fullana MA, Harrison BJ, Soriano-Mas C, Vervliet B, Cardoner N, Àvila-Parcet A, et al. Neural signatures of human fear conditioning: an updated and extended meta-analysis of fMRI studies. Mol Psychiatry. 2016;21:500–8.
Harrison BJ, Fullana MA, Via E, Soriano-Mas C, Vervliet B, Martínez-Zalacaín I, et al. Human ventromedial prefrontal cortex and the positive affective processing of safety signals. Neuroimage. 2017;152:12–18.
Tashjian SM, Zbozinek TD, Mobbs D. A decision architecture for safety computations. Trends Cogn Sci. 2021;25:342–54.
Bechara A, Damasio H, Damasio AR, Lee GP. Different contributions of the human amygdala and ventromedial prefrontal cortex to decision-making. J Neurosci. 1999;19:5473–81.
Taschereau-Dumouchel V, Kawato M, Lau H. Multivoxel pattern analysis reveals dissociations between subjective fear and its physiological correlates. Mol Psychiatry. 2020;25:2342–54.
Lonsdorf TB, Richter J. Challenges of fear conditioning research in the age of RDoC. J Psychol. 2017;225:189–99.
Lonsdorf TB, Klingelhöfer-Jens M, Andreatta M, Beckers T, Chalkia A, Gerlicher A, et al. Navigating the garden of forking paths for data exclusions in fear conditioning research. Elife. 2019;8:e52465.
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SB and MAF conceived the idea. SB wrote the manuscript, MAF and BH provided revisions. All authors approved the final version of the manuscript.
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Battaglia, S., Harrison, B.J. & Fullana, M.A. Does the human ventromedial prefrontal cortex support fear learning, fear extinction or both? A commentary on subregional contributions. Mol Psychiatry 27, 784–786 (2022). https://doi.org/10.1038/s41380-021-01326-4
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DOI: https://doi.org/10.1038/s41380-021-01326-4
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