Dorsomedial prefrontal cortex mediates the impact of serotonin transporter linked polymorphic region genotype on anticipatory threat reactions

Floris Klumpers, M. Kroes, I. Heitland, Daphne Everaerd, Sophie E.A. Akkermans, R.S. Oosting, Guido van Wingen, Barbara Franke, J.L. Kenemans, G. Fernandez, J.M.P. Baas

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background
Excessive anticipatory reactions to potential future adversity are observed across a range of anxiety disorders, but the neurogenetic mechanisms driving interindividual differences are largely unknown. We aimed to discover and validate a gene-brain-behavior pathway by linking presumed genetic risk for anxiety-related psychopathology, key neural activity involved in anxious anticipation, and resulting aversive emotional states.

Methods
The functional neuroanatomy of aversive anticipation was probed through functional magnetic resonance imaging in two independent samples of healthy subjects (n = 99 and n = 69), and we studied the influence of genetic variance in the serotonin transporter linked polymorphic region (5-HTTLPR). Skin conductance and startle data served as objective psychophysiological indices of the intensity of individuals’ anticipatory responses to potential threat.

Results
Threat cues signaling risk of future electrical shock activated the dorsomedial prefrontal cortex (dmPFC), anterior insula, bed nucleus of the stria terminalis, thalamus, and midbrain consistently across both samples. Threat-related dmPFC activation was enhanced in 5-HTTLPR short allele carriers in sample 1 and this effect was validated in sample 2. Critically, we show that this region mediates the increase in anticipatory psychophysiological reactions in short allele carriers indexed by skin conductance (experiment 1) and startle reactions (experiment 2).

Conclusions
The converging results from these experiments demonstrate that innate 5-HTTLPR linked variation in dmPFC activity predicts psychophysiological responsivity to pending threats. Our results reveal a neurogenetic pathway mediating interindividual variability in anticipatory responses to threat and yield a novel mechanistic account for previously reported associations between genetic variability in serotonin transporter function and stress-related psychopathology.
Original languageEnglish
Pages (from-to)582-589
JournalBiological Psychiatry
Volume78
Issue number8
DOIs
Publication statusPublished - 2015

Keywords

  • Anxiety
  • Fear
  • fMRI
  • 5-HTTLPR
  • Psychophysiology
  • Serotonin transporter

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