Amygdala Circuit Substrates for Stress Adaptation and Adversity

Biol Psychiatry. 2021 May 1;89(9):847-856. doi: 10.1016/j.biopsych.2020.12.026. Epub 2021 Jan 8.

Abstract

Brain systems that promote maintenance of homeostasis in the face of stress have significant adaptive value. A growing body of work across species demonstrates a critical role for the amygdala in promoting homeostasis by regulating physiological and behavioral responses to stress. This review focuses on an emerging body of evidence that has begun to delineate the contribution of specific long-range amygdala circuits in mediating the effects of stress. After summarizing the major anatomical features of the amygdala and its connectivity to other limbic structures, we discuss recent findings from rodents showing how stress causes structural and functional remodeling of amygdala neuronal outputs to defined cortical and subcortical target regions. We also consider some of the environmental and genetic factors that have been found to moderate how the amygdala responds to stress and relate the emerging preclinical literature to the current understanding of the pathophysiology and treatment of stress-related neuropsychiatric disorders. Future effort to translate these findings to clinics may help to develop valuable tools for prevention, diagnosis, and treatment of these diseases.

Keywords: Adaptation; Amygdala; Circuit; Neuropsychiatric diseases; Stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review
  • Comment

MeSH terms

  • Amygdala
  • Brain
  • Cerebral Cortex
  • Humans
  • Psychotherapy
  • Stress Disorders, Post-Traumatic*