Evidence map›Paper›PMID 24055595›Full record

Trial reportNeurobiology of learning and memory2014

Cannabinoid modulation of prefrontal-limbic activation during fear extinction learning and recall in humans.

Christine A Rabinak, Mike Angstadt, Maryssa Lyons, Shoko Mori, Mohammed R Milad, Israel Liberzon, K Luan Phan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Neurobiology of learning and memory, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 140 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Dose-related reductions in prefrontal recruitment during cognitive reappraisal following oral delta-9-tetrahydrocannabinol in posttraumatic stress disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
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  12. Cannabinoid Modulation of Frontolimbic Activation and Connectivity During Volitional Regulation of Negative Affect.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2016
    Trial
  13. Article
  14. Article
  15. Review
  16. Article
  17. Understanding the Role of Endocannabinoids in Posttraumatic Stress Disorder.International journal of molecular sciences · 2025
    Review
  18. Article
  19. Article
  20. Review

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Christine A RabinakDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States. Electronic address: rabinak@med.umich.edu.
Mike AngstadtDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States.
Maryssa LyonsDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States.
Shoko MoriDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States.
Mohammed R MiladDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02129, United States.
Israel LiberzonDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States.
K Luan PhanDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, United States; Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60608, United States.
University of Michigan–Ann Arbor · USMassachusetts General Hospital · USUniversity of Illinois Chicago · US

Funding

MICHIGAN INSTITUTE FOR CLINICAL AND HEALTH RESEARCH (MICHR) (UL1): (BPCA)UL1RR024986 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHANLEY, THOMAS P. · 2007 to 2011
$51.2M
Cannabinoid Control of Fear Extinction Neural Circuits In HumansR21MH093917 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PHAN, K. LUAN · 2012 to 2013
$431k
NCRR NIH HHS UL1 RR024986NCRR NIH HHS UL1RR024986NIMH NIH HHS 1R21MH093917-01A1NIMH NIH HHS R21 MH093917
6 · The paper itself

Abstract

Pre-extinction administration of Δ9-tetrahydrocannibinol (THC) facilitates recall of extinction in healthy humans, and evidence from animal studies suggest that this likely occurs via enhancement of the cannabinoid system within the ventromedial prefrontal cortex (vmPFC) and hippocampus (HIPP), brain structures critical to fear extinction. However, the effect of cannabinoids on the underlying neural circuitry of extinction memory recall in humans has not been demonstrated. We conducted a functional magnetic resonance imaging (fMRI) study using a randomized, double-blind, placebo-controlled, between-subjects design (N=14/group) coupled with a standard Pavlovian fear extinction paradigm and an acute pharmacological challenge with oral dronabinol (synthetic THC) in healthy adult volunteers. We examined the effects of THC on vmPFC and HIPP activation when tested for recall of extinction learning 24 h after extinction learning. Compared to subjects who received placebo, participants who received THC showed increased vmPFC and HIPP activation to a previously extinguished conditioned stimulus (CS+E) during extinction memory recall. This study provides the first evidence that pre-extinction administration of THC modulates prefrontal-limbic circuits during fear extinction in humans and prompts future investigation to test if cannabinoid agonists can rescue or correct the impaired behavioral and neural function during extinction recall in patients with PTSD. Ultimately, the cannabinoid system may serve as a promising target for innovative intervention strategies (e.g. pharmacological enhancement of exposure-based therapy) in PTSD and other fear learning-related disorders.

Indexed as

AdultCannabinoid Receptor AgonistsConditioning, ClassicalDouble-Blind MethodDronabinolExtinction, PsychologicalFearFemaleFunctional NeuroimagingHumansLimbic SystemMagnetic Resonance ImagingMaleMental RecallPlacebosPrefrontal CortexCannabinoid Receptor AgonistsDronabinolPlacebosAmygdalaExtinctionfMRIHippocampusVentromedial prefrontal cortexΔ9-Tetrahydrocannabinol

Identifiers

PMID24055595
PMCPMC3960373
OpenAlexW1966852679

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.