Evidence map›Paper›PMID 24094510›Full record

ArticleBiological psychiatry2014

Angiotensin type 1 receptor inhibition enhances the extinction of fear memory.

Paul J Marvar, Jared Goodman, Sebastien Fuchs, Dennis C Choi, Sunayana Banerjee, Kerry J Ressler

Registry-linked trialAbstract read
In one paragraph

Article in Biological psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02709018 (Enhancing Fear Extinction Via Angiotensin Type 1 Receptor Inhibition), which is not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT02709018 nacompletednot on this mapstarted 2016, after this paper: background citation

Enhancing Fear Extinction Via Angiotensin Type 1 Receptor Inhibition: A Randomized Controlled Trial in Posttraumatic Stress Disorder

TypeinterventionalSponsorUniversity of California, San DiegoRan2016 to 2020Enrolled149ConditionsPosttraumatic Stress DisorderArmslosartan, Placebo
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 115 citations in OpenAlex.

  1. Trial
  2. Angiotensin involvement in trauma processing-exploring candidate neurocognitive mechanisms of preventing post-traumatic stress symptoms.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  3. Review
  4. Ang II-mediated effects on BBB integrity in psychiatric and neurological disorders.Progress in neuro-psychopharmacology & biological psychiatry · 2026
    Review
  5. Article
  6. Article
  7. Article
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  15. Enhancing Fear Extinction: Pharmacological Approaches.Current topics in behavioral neurosciences · 2023
    Article
  16. Article
  17. Review
  18. Review
  19. Review
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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

6 authors at 2 institutions in 2 countries.

Paul J MarvarBehavioral Neuroscience and Psychiatric Disorders, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Physiology and Pharmacology, University of Bristol, Bristol, United Kingdom. Electronic address: pmarvar@emory.edu.
Jared GoodmanBehavioral Neuroscience and Psychiatric Disorders, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Sebastien FuchsDepartment of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Dennis C ChoiBehavioral Neuroscience and Psychiatric Disorders, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Sunayana BanerjeeBehavioral Neuroscience and Psychiatric Disorders, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Kerry J ResslerBehavioral Neuroscience and Psychiatric Disorders, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia.
Emory University · USCedars-Sinai Medical Center · US

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
YNPRC NHP CLINICAL MEDICINE RESIDENCY PROGRAM - SUPPLEMENTP51RR000165 · NCRR · EMORY UNIVERSITY · PI RENGARAJAN, JYOTHI · 1985 to 2011
$114.0M
Genetic and estrogen-dependent regulation of the human PAC1R receptor and PTSDR01MH096764 · NIMH · MCLEAN HOSPITAL · PI RESSLER, KERRY J. · 2012 to 2016
$2.1M
Stress-induced hypertension and the role of the neuroimmune systemR00HL107675 · NHLBI · GEORGE WASHINGTON UNIVERSITY · PI MARVAR, PAUL J · 2014 to 2016
$746k
Stress-induced hypertension and the role of the neuroimmune systemK99HL107675 · NHLBI · EMORY UNIVERSITY · PI MARVAR, PAUL J · 2011 to 2012
$111k
Howard Hughes Medical InstituteNCRR NIH HHS 2P51RR000165-51NCRR NIH HHS P51 RR000165NHLBI NIH HHS K99 HL107675NHLBI NIH HHS K99 HL107675-01NHLBI NIH HHS R00 HL107675NIH HHS P51 OD011132NIMH NIH HHS R01 MH096764
6 · The paper itself

Abstract

backgroundThe current effective treatment options for posttraumatic stress disorder (PTSD) are limited, and therefore the need to explore new treatment strategies is critical. Pharmacological inhibition of the renin-angiotensin system is a common approach to treat hypertension, and emerging evidence highlights the importance of this pathway in stress and anxiety. A recent clinical study from our laboratory provides evidence supporting a role for the renin-angiotensin system in the regulation of the stress response in patients diagnosed with PTSD.

methodsWith an animal model of PTSD and the selective angiotensin receptor type 1 (AT1) antagonist losartan, we investigated the acute and long-term effects of AT1 receptor inhibition on fear memory and baseline anxiety. After losartan treatment, we performed classical Pavlovian fear conditioning pairing auditory cues with footshocks and examined extinction behavior, gene expression changes in the brain, as well as neuroendocrine and cardiovascular responses.

resultsAfter cued fear conditioning, both acute and 2-week administration of losartan enhanced the consolidation of extinction memory but had no effect on fear acquisition, baseline anxiety, blood pressure, and neuroendocrine stress measures. Gene expression changes in the brain were also altered in mice treated with losartan for 2 weeks, in particular reduced amygdala AT1 receptor and bed nucleus of the stria terminalis c-Fos messenger RNA levels.

conclusionsThese data suggest that AT1 receptor antagonism enhances the extinction of fear memory and therefore might be a beneficial therapy for PTSD patients who have impairments in extinction of aversive memories.

Indexed as

Angiotensin II Type 1 Receptor BlockersAnimalsDisease Models, AnimalExtinction, PsychologicalFearLosartanMaleMemoryMiceMice, Inbred C57BLStress Disorders, Post-TraumaticAngiotensin II Type 1 Receptor BlockersLosartanAngiotensin receptor type 1 (AT(1))cardiovascular diseasefear memoryPTSDrenin-angiotensinstress

Identifiers

PMID24094510
PMCPMC3975818
OpenAlexW2053674362

What OpenQuestion holds

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Registered trials

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.