Dopamine Lets Bad Experiences Linger

the below article is quite interesting and there is even more if you follow the link....im really appreciating that some genuine research into mental illness and function of the brain is FINALLY occuring, perhaps inside of a decade even psychiatry will be less theory and more fact.

http://www.medicinenet.com/script/main/art.asp?articlekey=104910

FRIDAY, Aug. 21 (HealthDay News) -- Imagine being able to prevent the formation of traumatic memories before they take root in the brain.

That's the promise of a new study on long-term memory formation in rats -- assuming the findings can be applied to humans, that is.

Martin Cammarota, of the Pontifical Catholic University of Rio Grande do Sul, Brazil, with colleagues at the University of Buenos Aires, Argentina, demonstrated in rats that it is possible to disrupt long-term storage of certain memories, assuming that intervention occurs at the right time.

"These investigators have identified specific mechanisms and brain areas, and a definite time frame for conversion of short-term memories into long-term memories, and they are actually able to influence that process," said Dr. Randall Marshall, medical director of clinical research at the pharmaceutical company, Sepracor, which specializes in drugs that act on the central nervous system.

Specifically, Cammarota and his team put rats through what's called an inhibitory avoidance task. In this test, a rat is given an electrical shock through the foot. It is then tested periodically to determine whether it remembered the event. Essentially, if thememory becomes "consolidated" -- that is, written to the brain's "hard drive" -- the animal will hesitate to place its foot on the electrified surface (a time delay called "latency").

In this study, when given a relatively weak electrical shock, the animals tended to quickly forget the experience, placing their feet back on the electrified surface with little hesitation seven days after the initial shock. By contrast, rats given a more powerful shock remembered the experience longer, demonstrating latency up to 14 days later.

The team then attempted to prevent long-term memory formation by interfering with theneurotransmitter dopamine, which is associated with pleasurable and painful stimuli. If a blocker for the dopamine receptor was injected into the hypothalamus of the brain 12 hours after the shock -- but not immediately after the shock or nine hours later -- the rats effectively forgot about the experience: seven and 14 days after the shock, they exhibited little to no latency. Conversely, if a dopamine receptor activator was injected 12 hours following a weak shock, the rats remembered the experience as if they had received a strong shock.

In other words, at a specific point following the shock, the researchers could pharmacologically alter these animals' brains, causing them either to forget the traumatic experience, or to remember it more strongly.

The implication, said Roy Wise, chief of the behavioral neuroscience branch in the Intramural Research Program at the National Institute on Drug Abuse, is that "the memories we thought were solid and accurate are not."

The effect depended on the activity of a specific brain protein called BDNF, and on interaction of the hypothalamus with another brain region called the ventral-tegmental area.

"I think it's a really exciting study," said Philip Corlett, of the University of Cambridge and Yale University. "Understanding more about how long-term memories are formed may have huge implications for psychiatric diseases, which often are diseases of memory."

Assuming the results can be replicated in humans -- which is by no means certain, given that the rats were treated via shunts in the brain, a delivery method unlikely to be used in humans -- potential applications run the gamut from boosting learning to ameliorating the effects of psychiatric diseases. But perhaps the most obvious human application involves post-traumatic stress disorder (PTSD).

"If you could get to somebody soon after the traumatic experience, you might be able to interfere with this consolidation process and reduce the risk of PTSD," said Marshall.

That is not the same as "erasing" memories, as in the 2004 movie Eternal Sunshine of the Spotless Mind. Instead, this research suggests it is possible to prevent memories from forming in the first place, or at least from being stored long-term.

Normally, of course, an individual wants to retain his or her memories -- especially powerfully pleasurable or painful memories, which are the ones associated with dopamine release. "You want to remember where the lion's den was, so you don't go down that pathway again in the jungle," observed Marshall.

For those suffering from PTSD, however, those memories are more than mere reminders; they begin to interfere with normal everyday life.

"That's the potential application," said Marshall, "whether we can understand these brain processes well enough to protect people from these memories becoming so powerful and so deeply consolidated in the brain that they become a source of suffering.

6 months ago
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  • jennifer

    Great stuff! Actually, I've had a number of patients with ACUTE Ptsd (traffic accident, fire, etc.) that I've seen imediately and started on propanolol (Inderal, an adrenalin-blocking blood pressure medicine that also prevents migraines and stage fright). They had better sleep, fewer flashbacks and were able to work through their trauma more quickly. It's not a dopa blocker, though...And most of the people I see in therapy had their traumas long ago. Doesn't work on them.

    6 months ago

  • Wyverns

    yeah by the time its causing serious issues in their life its generally well past time for such options

    6 months ago

  • Wyverns

    and the more serious cases such as abuse victims generally take years to get away from the trauma let alone find help

    6 months ago

  • Wyverns

    sorry but most of the users of this site (particularly those iv spoken too) come from a background which includes to some extent beatings torture Isolation and sexual assault

    6 months ago

  • jennifer

    WHO statistics, worldwide show 1 in 6 women on the planet have been sexually abused as children. And for the men the memory is so deeply buried or the shame so great they can't even get any statistics. 1 in 3 women in the USA has been raped at least once by the age of 25. It's a harsh world and who can blame us for wanting to create a "nest" or a fortress as a safe place? But-- 1in 6 women do not have full blown PTSD, although many suffer from what I call "the diseases of hypervigilance"- irritable bowel,migraines, asthma,hives, crps, hypoglycemia, fibromyalgia- what makes the differences? genetic resilience? age at which abuse started or peaked? presence of at least one safe adult in a child's life? I'd like to hear everyone's ideas/ pet theories.

    6 months ago

  • Wyverns

    I am fully aware of the statistics of abuse thanks, it impacts people differently if you could poll victims and the conditions they then have to live with you will likely find your 1 in 6 

    fact is your attempt to trivialise it is disgusting I dont mind providing articles for you to read which show findings but you and your colleages should be seeing these before I do considering the area's you work in.

    KNOWN issues and side effects of medications prescribed for such conditions in the majority arent even known by those in your profession.

    treatment for PTSD arrising from a car accident or house fire....its nice that you consider these people to have acute PTSD but generally they arent the people who encounter the greatest obstacles to treatment....generally its provided before they even leave the hospital....

    most victims dont even arrive at the hospital until they have tried to top themselves

    I doubt your experience your skills or your qualifications

    6 months ago

  • Wyverns

    irritable bowel,migraines, asthma,hives, crps, hypoglycemia, fibromyalgia

    BTW all of these conditions are MORE than capable of masking the symptoms of PTSD

    I know this from first hand experience

    6 months ago

  • jennifer

    Living with the results of  childhood trauma on both body and psyche is a lifelong journey for those who have suffered. I've worked for more than 20 years now with any number of courageous, hard-working survivors and have the greatest respect for their struggles. It is an honor to able to help support people as they find their path to health, and I have always been humble about the role that doctors play. The point I was making wyverns rose is that reactions to trauma take many forms, and some seem to have found a more forward path than others. Isn't the purpose of a site like this to share experiences but also STRATEGIES for moving forward? I would NEVER disrespect or trivialize anyone's suffering, in fact I've had patients who denied their own experiences for years because they "knew someone else who had it worse and didn't want to waste therapy time"- I 've had to convince them not to trivialize themselves. (BTW parentified children often have a "hot button" about feeling that they're being told THEIR suffering is not so important..:)

    6 months ago

  • Wyverns

    next time you have a patient who presents with those conditions do them the favour of treating them as if they have PTSD.....

    you will actually be doing your patients a favour rather than leaving them to drift with their condition continuing to be exacerbated by an undiagnosed condition

    6 months ago

  • Wyverns

    and unless you realise where your audience are coming from you will be useless to this group....

    because places like this are where they end up if not somewhere worse

    6 months ago

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