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Advanced Neurology                                              The anterior cingulate cortex in social empathy



            social transfer of pain was found to be more dependent   that ACC-MDL can modulate alternative freezing
            on olfactory perception , while visual and auditory   behavior. Studies have also found that rats that
                                [36]
            sensations contributed equally to the social onset of   experienced foot stimulation were more likely to
            pain . This is very different from the social transfer of   induce alternative freezing behavior [22,75,76] . In addition,
               [66]
                                                        [67]
            fear, which relies on visual and auditory sensations .   resting state-functional magnetic resonance imaging
            Although the ACC encodes our own pain emotions     (rs-fMRI)  has  revealed  significantly  enhanced  regional
            and the emotional states of others , further research   connectivity of the ACC after electric shock, suggesting
                                         [68]
            in rodents is needed to determine whether social cues   that the plasticity of ACC neurons may also be altered
            transmitted through multiple sensory inputs can mediate   in rodents with the same painful experience [77] ; similar
            pain empathy.                                      to the preferential recruitment of hippocampal neurons
                                                               in learning and memory with synchronous excitation
            5.2. Anterior cingulate cortex-basolateral nucleus of   in recall, there may also be a preferential recruitment
            amygdala pathway                                   of neurons activated by previous painful experiences
            The ACC and the amygdala are associated with       when reactivated by observational fear. Determining the
            observational learning  and social decision-making.   subpopulation of ACC-MDL projection neurons is thus
            Studies have shown that the pharmacological inhibition   necessary to further explore the mechanisms of empathy
            of both the ACC and the BLA significantly decreased   at the neuronal level.
            freezing behavior in observer mice [14,44,69]  and there was   Experiments in which rats were under observational
            a  synchronous  increase  in  the  theta  rhythm  between   fear stimuli followed by conditioned fear experiments
            the ACC and the BLA during the transmission of social   have revealed enhanced conditioned fear, and the dynamic
            fear in rodents [44,70] . In addition, ACC neurons have   tracking of neurons activated by both  types of fear  has
            been observed to rapidly alter basal firing rates during   revealed that conditioned fear preferentially activated
            social fear transmission [45,71] . Kim et al. have shown that   neurons in the CA1 region of the dorsal hippocampus,
            the optogenetic inhibition of ACC-BLA projections did   which were also activated by observational fear, suggesting
            not affect the freezing behavior of observational fear but   that the overlapping activated neurons may have the ability
            the inhibited fear memory in observational fear the next   to integrate both types of fear learning . This may also
                                                                                               [78]
            day . The above findings suggest that the neural circuit   be the neuronal basis of the alternative freezing behavior
               [72]
            from the ACC to the BLA is involved in the transmission   that is more likely to be evoked in foot-stimulated rats,
            and encoding of social fear information (Table 1), where
            ACC input dominates BLA encoding of social cues and   suggesting that there may be a bidirectional positive
            subsequent observational fear memory but does not   feedback neural mechanism between observational and
                                                               conditioned fears. As mentioned in the previous section,
            affect the re-expression of memory [14,45,71] . Post-long-term   mirror  neurons in the  ACC have the dual property of
            potentiation (LTP) activation depends on the de-silencing   encoding signals for pain signals and observational fears .
                                                                                                           [48]
            of silent synapses in the ACC-BLA pathway that occurs
            after observational fear . However, no experiments   Mediodorsal (MD)-ACC projections, in turn, are involved
                                [73]
            have been conducted to demonstrate the extent to which   in the development of pain emotions and sensations as
                                                                                                         [79-81]
            this change in synaptic plasticity after observational fear   well as in the enhancement of pathological states  .
                                                               Although there is still no experimental confirmation of an
            affects behavior. Instead, combining observational fear
            experiment with inhibitory avoidance experiment (IA)   overlapping relationship between activated ACC neurons
            has revealed a rapid disappearance of LTP after the IA test,   and mirror neurons in this circuit, the speculation that
            along with observed rapid maturation of silent synapses   the mechanism by which the formation of observational
            and enhanced excitatory synaptic transmission, which   fear shares a neural loop with affection pain awaits further
                                       [74]
            facilitated the ACC-BLA circuit . This is in contrast   investigation.
            to previous studies, which found that the maturation of   Another interesting phenomenon is that the destruction
            silent synapses is able to promote the expression of post-  of ACC-MDL projecting neurons delays the onset of
            LTP .                                              alternative  behavior  but  does  not  completely  prevent  it,
               [73]
                                                               so there may be other neural loops mediating alternative
            5.3. Anterior cingulate cortex-mediodorsal thalamic   freezing behavior in rodents . Uncertainty surrounds the
                                                                                     [77]
            nucleus pathway                                    ability of ACC interneurons and ACC neurons projecting
            Recent studies have found that the optogenetic     to the MDL regulating alternative freezing behavior and
            activation of  ACC  to lateral MDL circuit reduces the   whether there is a more precise microcircuit mechanism
            occurrence of freezing behavior (Table 1), suggesting   between projecting neurons and interneurons.


            Volume 2 Issue 1 (2023)                         7                          https://doi.org/10.36922/an.281
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