An emerging theme in the neuroscience of emotion is the question of how acute stress shapes, and distorts, social-emotional behavior. The prevailing neurocircuitry models of social-emotional behavior emphasize the central role of the amygdala. Acute stress leads to increased central levels of norepinephrine (NE) and cortisol (CORT), and evidence suggests that these endogenous neuromodulators synergistically influence amygdala responses to social-emotional stimuli. We therefore hypothesized that amygdala responses to emotional facial expressions would be susceptible to pharmacologically induced increases in central NE and CORT levels. To specifically test this hypothesis, we measured amygdala activation to emotional faces using functional magnetic resonance imaging in 62 healthy subjects under four pharmacological conditions: (1) single oral dose of placebo, (2) 4 mg of the selective NE-reuptake inhibitor reboxetine (RBX), (3) 30 mg of hydrocortisone, or (4) both drugs in combination. We found that a decrease in amygdala activation to positive facial emotion was coupled with an increase in amygdala activation to negative facial emotion in the RBX-CORT combined challenge condition. In conclusion, a pharmacologically induced elevation of central NE and CORT levels in healthy subjects created a negative response bias in the amygdala that did not exist at baseline. Our results implicate a causative role of NE-CORT interactions in the emergence of a negative bias of cognitive and emotional functions which is germane in stress-related affective spectrum disorders.

译文

情绪神经科学的一个新兴主题是急性压力如何塑造和扭曲社会情绪行为的问题。社会情绪行为的流行神经回路模型强调杏仁核的核心作用。急性应激导致去甲肾上腺素 (NE) 和皮质醇 (CORT) 的中枢水平升高,证据表明这些内源性神经调节剂协同影响杏仁核对社交情绪刺激的反应。因此,我们假设杏仁核对情感面部表情的反应容易受到药理诱导的中枢NE和CORT水平升高的影响。为了具体检验这一假设,我们在以下四种药理条件下使用功能磁共振成像在62名健康受试者中测量了杏仁核对情绪面孔的激活 :( 1) 单次口服安慰剂,(2) 4 mg选择性NE-再摄取抑制剂瑞波西汀 (RBX),(3) 氢化可的松30 mg,或 (4) 两种药物联合使用。我们发现,在RBX-CORT联合挑战条件下,杏仁核对积极面部情绪的激活减少与杏仁核对消极面部情绪的激活增加相结合。总之,在健康受试者中,药理学诱导的中枢NE和CORT水平升高在杏仁核中产生了基线时不存在的负反应偏差。我们的结果暗示了NE-CORT相互作用在认知和情感功能负偏见的出现中的致病作用,这与压力相关的情感谱系障碍密切相关。

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