Kerry Ressler, MD, PhD
Address:
Chief Scientific Officer
James and Patricia Poitras Chair in Psychiatry
Chief, Division of Depression & Anxiety Disorders
McLean Hospital
Professor of Psychiatry, Harvard Medical School
“PTSD & Fear: From Neurobiology to Future Prevention and Treatment”
Posttraumatic stress disorder (PTSD) manifests after exposure to a traumatic event and is characterized by avoidance/numbing, intrusive symptoms and flashbacks, mood and cognitive disruptions, and hyperarousal/reactivity symptoms. These symptoms reflect dysregulation of the fear system likely caused by poor fear inhibition/extinction, increased generalization, and/or enhanced consolidation or acquisition of fear. These phenotypes can be modeled in animal subjects using Pavlovian fear conditioning, allowing investigation of the underlying neurobiology of normative and pathological fear. Preclinical studies reveal a number of cell-types, systems and circuits critical for aversive learning and memory that have informed the development of therapies used in human clinical trials. In this talk, I will discuss recent evidence for genetic, neurobiological, and neural circuit mechanisms to understanding PTSD. Finally, I’ll discuss neurobiology-driven future approaches to treatments and interventions that have been developed via a bench to bedside translational models.
Kerry J. Ressler, MD, PhD, is the Chief Scientific Officer at McLean Hospital and Professor of Psychiatry at Harvard Medical School. He is an international leader in understanding the biology of posttraumatic stress disorder and amygdala function. He is a member of the National Academy of Medicine, a prior HHMI Investigator, Past-president of the Society for Biological Psychiatry and the American College of Neuropsychopharmacology. He is author of >500 manuscripts focused on the molecular neuroscience of fear as well as the human psychobiology of stress and trauma through leadership of multiple national consortia for deep phenotyping and understanding biomarkers and the genetic architecture of PTSD.
Reading List
- Ressler KJ, Rothbaum BO, Tannenbaum L, Anderson P, Graap K, Zimand E, Hodges L, Davis M. Cognitive Enhancers as Adjuncts to Psychotherapy: use of D-cycloserine in phobic individuals to facilitate extinction of fear. Arch Gen Psychiatry. 2004 Nov;61(11):1136-44. doi: 10.1001/archpsyc.61.11.1136. PMID: 15520361.
- Ressler KJ, Mercer KB, Bradley B, Jovanovic T, Mahan A, Kerley K, Norrholm SD, Kilaru V, Smith AK, Myers AJ, Ramirez M, Engel A, Hammack SE, Toufexis D, Braas KM, Binder EB, May V. Post-traumatic stress disorder is associated with PACAP and the PAC1 receptor. Nature. 2011 Feb 24;470(7335):492-7. doi: 10.1038/nature09856.
- Dias BG, Ressler KJ. Parental olfactory experience influences behavior and neural structure in subsequent generations. Nature Neurosci. 2014 Jan;17(1):89-96. doi: 10.1038/nn.3594. Epub 2013 Dec 1. PMID: 24292232; PMCID: PMC3923835.
- McCullough KM, Choi D, Guo J, Zimmerman K, Walton J, Rainnie DG, Ressler KJ. Molecular characterization of Thy1 expressing fear-inhibiting neurons within the basolateral amygdala. Nature Commun. 2016 Oct 21;7:13149. doi: 10.1038/ncomms13149. PMID: 27767183; PMCID: PMC5078744.
- Ressler KJ, Berretta S, Bolshakov VY, Rosso IM, Meloni EG, Rauch SL, Carlezon WA Jr. Post-traumatic stress disorder: clinical and translational neuroscience from cells to circuits. Nature Rev Neurol. 2022 May;18(5):273-288. doi: 10.1038/s41582-022-00635-8. Epub 2022 Mar 29. PMID: 35352034; PMCID: PMC9682920.