Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience

Chronic stress may trigger depressive episodes in vulnerable individuals but the underlying mechanisms remain incompletely understood. Converging lines of evidence indicate that these mechanisms may converge on the dysregulation of synaptic transmission in the anterior cingulate and anterior insula,...

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Main Authors: Devin Rocks, Conor Liston
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Neuroscience Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S0168010224001603
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author Devin Rocks
Conor Liston
author_facet Devin Rocks
Conor Liston
author_sort Devin Rocks
collection DOAJ
description Chronic stress may trigger depressive episodes in vulnerable individuals but the underlying mechanisms remain incompletely understood. Converging lines of evidence indicate that these mechanisms may converge on the dysregulation of synaptic transmission in the anterior cingulate and anterior insula, disrupting motivation and hedonic function. In this review, we examine how chronic stress and antidepressants modulate synaptic connectivity in stress-sensitive brain circuits. We discuss the roles of various synaptic and molecular pathways in these processes, their interaction with circadian rhythms, and their contributions to the regulation of mood, with a particular focus on anhedonia. In the short term, stress effects on neuronal activity may be adaptive, but repeated engagement of these adaptations may lead to circuit dysfunction—a phenomenon known as allostatic load. We also highlight new insights from neuroimaging studies that suggest that synaptic reorganization within fronto-insular circuits that process valence, salience, and motivation could play a critical role in driving risk for depression and transitioning between mood states. We propose a working model in which synapse loss in the anterior cingulate and anterior insula may contribute to depression by disrupting effort valuation computations, which regulate decision making and hedonic function by integrating information about anticipated rewards and the effort required to obtain them.
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spelling doaj-art-370947d3baac47aebed62dc0814e814a2025-02-06T05:11:00ZengElsevierNeuroscience Research0168-01022025-02-012112436Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilienceDevin Rocks0Conor Liston1Weill Cornell Medicine, 413 East 69th Street, Box 240, New York, NY 10021, United StatesCorresponding author.; Weill Cornell Medicine, 413 East 69th Street, Box 240, New York, NY 10021, United StatesChronic stress may trigger depressive episodes in vulnerable individuals but the underlying mechanisms remain incompletely understood. Converging lines of evidence indicate that these mechanisms may converge on the dysregulation of synaptic transmission in the anterior cingulate and anterior insula, disrupting motivation and hedonic function. In this review, we examine how chronic stress and antidepressants modulate synaptic connectivity in stress-sensitive brain circuits. We discuss the roles of various synaptic and molecular pathways in these processes, their interaction with circadian rhythms, and their contributions to the regulation of mood, with a particular focus on anhedonia. In the short term, stress effects on neuronal activity may be adaptive, but repeated engagement of these adaptations may lead to circuit dysfunction—a phenomenon known as allostatic load. We also highlight new insights from neuroimaging studies that suggest that synaptic reorganization within fronto-insular circuits that process valence, salience, and motivation could play a critical role in driving risk for depression and transitioning between mood states. We propose a working model in which synapse loss in the anterior cingulate and anterior insula may contribute to depression by disrupting effort valuation computations, which regulate decision making and hedonic function by integrating information about anticipated rewards and the effort required to obtain them.http://www.sciencedirect.com/science/article/pii/S0168010224001603StressResilienceSynapsePlasticityPrefrontal cortexInsular cortex
spellingShingle Devin Rocks
Conor Liston
Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
Neuroscience Research
Stress
Resilience
Synapse
Plasticity
Prefrontal cortex
Insular cortex
title Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
title_full Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
title_fullStr Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
title_full_unstemmed Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
title_short Synaptic plasticity in fronto-insular circuits underlying stress susceptibility and resilience
title_sort synaptic plasticity in fronto insular circuits underlying stress susceptibility and resilience
topic Stress
Resilience
Synapse
Plasticity
Prefrontal cortex
Insular cortex
url http://www.sciencedirect.com/science/article/pii/S0168010224001603
work_keys_str_mv AT devinrocks synapticplasticityinfrontoinsularcircuitsunderlyingstresssusceptibilityandresilience
AT conorliston synapticplasticityinfrontoinsularcircuitsunderlyingstresssusceptibilityandresilience