The Food and Drug Administration has already approved a drug called agomelatine that blocks this type of serotonin receptor (5-HT2C) and is used as an antidepressant.
Such a drug might also be useful to treat patients who already suffer from PTSD. These patients' traumatic memories are already consolidated, but some research has shown that when memories are recalled, there is a window of time during which they can be altered and reconsolidated. It may be possible to weaken these memories by using serotonin-blocking drugs to interfere with the reconsolidation process, says Goosens, who plans to begin testing that possibility in animals.
The findings also suggest that the antidepressant Prozac and other selective serotonin reuptake inhibitors (SSRIs), which are commonly given to PTSD patients, likely do not help and may actually worsen their symptoms. Prozac enhances the effects of serotonin by prolonging its exposure to brain cells. While this often helps those suffering from depression, "There's no biological evidence to support the use of SSRIs for PTSD," Goosens says.
"The consolidation of traumatic memories requires this serotonergic cascade and we want to block it, not enhance it," she adds. "This study suggests we should rethink the use of SSRIs in PTSD and also be very careful about how they are used, particularly when somebody is recently traumatized and their memories are still being consolidated, or when a patient is undergoing cognitive behavior therapy where they're recalling the memory of the trauma and the memory is going through the process of reconsolidation."
Story Source:
The above post is reprinted from materials provided by Massachusetts Institute of Technology. Note: Materials may be edited for content and length.
Journal Reference:
Such a drug might also be useful to treat patients who already suffer from PTSD. These patients' traumatic memories are already consolidated, but some research has shown that when memories are recalled, there is a window of time during which they can be altered and reconsolidated. It may be possible to weaken these memories by using serotonin-blocking drugs to interfere with the reconsolidation process, says Goosens, who plans to begin testing that possibility in animals.
The findings also suggest that the antidepressant Prozac and other selective serotonin reuptake inhibitors (SSRIs), which are commonly given to PTSD patients, likely do not help and may actually worsen their symptoms. Prozac enhances the effects of serotonin by prolonging its exposure to brain cells. While this often helps those suffering from depression, "There's no biological evidence to support the use of SSRIs for PTSD," Goosens says.
"The consolidation of traumatic memories requires this serotonergic cascade and we want to block it, not enhance it," she adds. "This study suggests we should rethink the use of SSRIs in PTSD and also be very careful about how they are used, particularly when somebody is recently traumatized and their memories are still being consolidated, or when a patient is undergoing cognitive behavior therapy where they're recalling the memory of the trauma and the memory is going through the process of reconsolidation."
Story Source:
The above post is reprinted from materials provided by Massachusetts Institute of Technology. Note: Materials may be edited for content and length.
Journal Reference:
- Michael V. Baratta, Suhasa B. Kodandaramaiah, Patrick E. Monahan, Junmei Yao, Michael D. Weber, Pei-Ann Lin, Barbara Gisabella, Natalie Petrossian, Jose Amat, Kyungman Kim, Aimei Yang, Craig R. Forest, Edward S. Boyden, Ki A. Goosens. Stress enables reinforcement-elicited serotonergic consolidation of fear memory. Biological Psychiatry, 2015; DOI: 10.1016/j.biopsych.2015.06.025