Prevention of the return of extinguished fear by disrupting the interaction of neuronal nitric oxide synthase with its carboxy-terminal PDZ ligand

C Qin, XL Bian, HY Wu, JY Xian, YH Lin, CY Cai… - Molecular …, 2021 - nature.com
C Qin, XL Bian, HY Wu, JY Xian, YH Lin, CY Cai, Y Zhou, XL Kou, TY Li, L Chang, CX Luo…
Molecular psychiatry, 2021nature.com
Exposure therapy based on the extinction of fear memory is first-line treatment for post-
traumatic stress disorder (PTSD). However, fear extinction is relatively easy to learn but
difficult to remember, extinguished fear often relapses under a number of circumstances.
Here, we report that extinction learning-induced association of neuronal nitric oxide
synthase (nNOS) with its carboxy-terminal PDZ ligand (CAPON) in the infralimbic (IL)
subregion of medial prefrontal cortex negatively regulates extinction memory and …
Abstract
Exposure therapy based on the extinction of fear memory is first-line treatment for post-traumatic stress disorder (PTSD). However, fear extinction is relatively easy to learn but difficult to remember, extinguished fear often relapses under a number of circumstances. Here, we report that extinction learning-induced association of neuronal nitric oxide synthase (nNOS) with its carboxy-terminal PDZ ligand (CAPON) in the infralimbic (IL) subregion of medial prefrontal cortex negatively regulates extinction memory and dissociating nNOS-CAPON can prevent the return of extinguished fear in mice. Extinction training significantly increases nNOS-CAPON association in the IL. Disruptors of nNOS-CAPON increase extracellular signal-regulated kinase (ERK) phosphorylation and facilitate the retention of extinction memory in an ERK2-dependent manner. More importantly, dissociating nNOS-CAPON after extinction training enhances long-term potentiation and excitatory synaptic transmission, increases spine density in the IL, and prevents spontaneous recovery, renewal and reinstatement of remote fear of mice. Moreover, nNOS-CAPON disruptors do not affect other types of learning. Thus, nNOS-CAPON can serve as a new target for treating PTSD.
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