Evidence map›Paper›PMID 38472184›Full record

ArticleNature communications2024

Distributed neural representations of conditioned threat in the human brain.

Zhenfu Wen, Edward F Pace-Schott, Sara W Lazar, Jörgen Rosén, Fredrik Åhs, Elizabeth A Phelps, Joseph E LeDoux, Mohammed R Milad

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

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  11. Beta bursts mediate amygdala gating of hippocampal emotional encoding.bioRxiv : the preprint server for biology · 2025
    Article
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  16. Article
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  19. Prodromal dreams.Frontiers in psychiatry · 2025
    Article
  20. An Honest Reckoning With the Amygdala and Mental Illness.The American journal of psychiatry · 2024
    Review
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

8 authors.

Zhenfu WenDepartment of Psychiatry, New York University Grossman School of Medicine, New York, NY, USA.
Edward F Pace-SchottDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA.
Sara W LazarDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA, USA.ORCID 0000-0003-1126-8363
Jörgen RosénDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Fredrik ÅhsDepartment of Psychology and Social Work, Mid Sweden University, Östersund, Sweden.
Elizabeth A PhelpsDepartment of Psychology, Harvard University, Cambridge, MA, USA.ORCID 0000-0002-6215-8159
Joseph E LeDouxDepartment of Psychiatry, New York University Grossman School of Medicine, New York, NY, USA.ORCID 0000-0001-8518-132X
Mohammed R MiladDepartment of Psychiatry, New York University Grossman School of Medicine, New York, NY, USA. mohammed.r.milad@uth.tmc.edu.ORCID 0000-0002-8620-5132

Funding

Identifying neural mechanisms of PTSD symptom reduction induced by combined estrogen and prolonged exposure therapyR33MH111907 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILAD, MOHAMMED R · 2019 to 2021
$4.4M
Neuromodulation of the fear extinction circuit using temporally and anatomically specific TMS in humansR01MH125198 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILAD, MOHAMMED R · 2021 to 2025
$3.8M
Neural correlates of active avoidance learning and their interactions with fear extinction mechanisms in PTSD patientsR01MH123736 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILAD, MOHAMMED R · 2021 to 2025
$3.4M
The Influence of Estrogen on the Fear Extinction Network in HumansR01MH097880 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MILAD, MOHAMMED R · 2012 to 2016
$2.9M
Neural Mechanisms of Fear Extinction Across Anxiety DisordersR01MH097964 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI MILAD, MOHAMMED R · 2012 to 2016
$2.9M
Fear extinction and sleep across the spectrum of severity in post-traumatic hyperarousalR01MH109638 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI PACE-SCHOTT, EDWARD F. · 2016 to 2019
$2.5M
Structural, Functional, and Behavioral Effects of MeditationR01AT006344 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI LAZAR, SARA W · 2011 to 2015
$2.2M
NCCIH NIH HHS R01 AT006344NIMH NIH HHS R01 MH097880NIMH NIH HHS R01 MH097964NIMH NIH HHS R01 MH109638NIMH NIH HHS R01 MH123736NIMH NIH HHS R01 MH125198NIMH NIH HHS R33 MH111907
6 · The paper itself

Abstract

Detecting and responding to threat engages several neural nodes including the amygdala, hippocampus, insular cortex, and medial prefrontal cortices. Recent propositions call for the integration of more distributed neural nodes that process sensory and cognitive facets related to threat. Integrative, sensitive, and reproducible distributed neural decoders for the detection and response to threat and safety have yet to be established. We combine functional MRI data across varying threat conditioning and negative affect paradigms from 1465 participants with multivariate pattern analysis to investigate distributed neural representations of threat and safety. The trained decoders sensitively and specifically distinguish between threat and safety cues across multiple datasets. We further show that many neural nodes dynamically shift representations between threat and safety. Our results establish reproducible decoders that integrate neural circuits, merging the well-characterized 'threat circuit' with sensory and cognitive nodes, discriminating threat from safety regardless of experimental designs or data acquisition parameters.

Indexed as

BrainFearAmygdalaBrain MappingCuesHumansMagnetic Resonance ImagingPrefrontal Cortex

Identifiers

PMID38472184
PMCPMC10933283

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.