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Low-intensity transcranial ultrasound stimulation promotes the extinction of fear memory through the BDNF-TrkB signaling pathway

Degong Meng, Cong Zhang, Jiamin Pei, Xiao Zhang, Hanna Lu, Hui Ji, Xiangjian Zhang, Yi Yuan

NeuroImage 2025 · 10.1016/j.neuroimage.2025.121441

rodentotherbehaviourcellular imaginghistology molecular

Abstract

Synaptic plasticity plays a crucial role in the extinction of fearful memories. Low-intensity transcranial ultrasound stimulation (TUS) can modulate synaptic plasticity and promote the extinction of fear memories. However, the mechanism by which TUS promotes the extinction of fear memory remains unclear. This study aimed to explore whether and how synaptic plasticity under TUS is involved in modulating fear memory and the role of the brain-derived neurotrophic factor (BDNF)-the tropomyosin-related kinase B (TrkB) signaling pathway in this process. We used behavioral tests and two-photon fluorescence imaging to investigate the modulatory effects of TUS on fear memory and examined the formation/elimination of dendritic spines and the calcium activity of pyramidal neurons in the prefrontal cortex in mice in vivo. We found that TUS of the prefrontal cortex can promote fear memory extinction in mice while promoting dendritic spine formation, reducing dendritic spine elimination, increasing pyramidal neuron activity, and enhancing the expression of BDNF and its receptor TrkB. Conversely, inhibiting the BDNF-TrkB signaling pathway weakened these effects of ultrasound stimulation. Our study demonstrated that TUS could promote the extinction of fear memories, indicating that TUS has the potential to be used in the clinical treatment of patients with fear memory.

Abstract via europepmc.

Speciesmouse (C57BL/6; C57BL/6J-Tg Thy1-GCaMP6f; Thy1-YFP-H)
Subjects6, 6, 12, 6, 6, 6, 6swept animals
Sessions per subject1
Randomisednot reported
Blindingnot reported
Sham / controlinactive transducer
Auditory controlnone
Readout timingoffline
Anaesthesianot reported
Readoutsbehaviour, cellular imaging, histology molecular — freezing time; two-photon calcium imaging and dendritic spine imaging; Western blot and qPCR (BDNF, TrkB)
Direction of effectexcitatoryTUS of the frontal association cortex promoted fear extinction, increased dendritic spine formation and pyramidal neuron calcium activity and raised BDNF and TrkB expression; TrkB blockade with ANA-12 weakened these effects.
Adverse eventsnot reported

Exposures

Exposure 1: TUS of FrA

Target: prefrontal cortex — “FrA”
Device: Olympus / Panametrics · Olympus · V302-SU

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,000✓✓✓
Pulse duration (ms)50✓✓✓⚑
Pulse repetition frequency (Hz)1✓✓✓
Duty cycle (%)5pulse duration × PRF gives 5%✓✓✓
Sonication duration (s)300✓✓✓⚑
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)not reported
In-situ estimatenot reported
In-situ pressure (kPa)not reported
In-situ Isppa (W/cm²)not reported
In-situ Ispta (W/cm²)not reported
Pressure, domain unspecified (kPa)200✓✓✓⚑
Isppa, domain unspecified (W/cm²)8.6✓✓✓
Ispta, domain unspecified (W/cm²)0.43✓✓✓
Protocol, in the paper’s words

Each session consisted of 5 min of stimulation followed by a 5-minute pause, repeated for a total of three 25-minute groups; 30 min of TUS applied once before fear extinction (D2); sham with signal source output switched off.

Consistency checks: intensity pressure inconsistent unspecified domain.

Flags from extraction

  • exposures[0].timing.pulse_duration_ms — Paper states NC/p = 50,000 cycles at 1 MHz and 'stimulation time SD = 50 ms' with PRF 1 Hz and DC 5 %; recorded 50 ms as the pulse duration (matches DC/PRF) but the paper does not label it a pulse duration.
  • exposures[0].timing.sonication_duration_s — Taken from '5 min of stimulation' followed by a 5 min pause, repeated to a 25-minute total; the structure within the 5 min is not described beyond PRF 1 Hz.
  • exposures[0].unspecified_domain.pressure_kpa — Pressure and intensities stated without saying where they apply (COMSOL simulation of the field is mentioned).
  • n_sessions_per_subject — Number of TUS sessions per animal not clearly stated.
  • auditory_control — Paper lists lack of active control at a non-target site and possible auditory confounds as a limitation; no auditory control was done.
  • anaesthesia — Mice awake during imaging; state during TUS not stated.