NIH-funded research R01 grant

Cholinergic Brain Pathways in PTSD and Fear Extinction

Official title: Neuroimaging Cholinergic Mechanisms of Fear Extinction in PTSD

Funded at University of Michigan at Ann Arbor · NIH-11081623 · Data updated 2026-11-12

We’re studying a brain chemical system (acetylcholine and a key receptor) to understand fear learning and PTSD better, with people who’ve experienced trauma.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Michigan at Ann Arbor
NIH-funded
Lab location1 site (Ann Arbor, United States)
Project startJune 1, 2023
Project endApril 30, 2028
Funding year2026
Award (this year)$754,009
NIH project number5R01MH131551-04
Project IDNIH-11081623 on NIH RePORTER

Who could benefit from this research

Could help

Adults with trauma exposure across the PTSD spectrum who can undergo PET imaging and participate in fear-learning assessments.

Less likely to help

Individuals unable to undergo PET imaging or fear-extinction tasks may not directly benefit from this study.

What this research studies

This project uses PET imaging to look at how the alpha-7 nicotinic acetylcholine receptor (α7 nAChR) relates to fear learning and the brain networks involved in PTSD. By comparing trauma-exposed individuals across PTSD severities, researchers will measure receptor availability using a specialized radioligand and connect those findings to fear-extinction brain circuits. The study builds on preliminary data suggesting lower α7 nAChR availability in PTSD and links to amygdala-prefrontal cortex connectivity. The goal is to clarify how cholinergic mechanisms contribute to fear extinction and PTSD symptoms, which could guide new treatments. The work is conducted at the University of Michigan with human participants and advanced neuroimaging.

Why it matters

Potential benefit: If successful, this research could inform new targets for PTSD treatments that enhance fear extinction and reduce symptoms.

How similar studies have gone: Preliminary human imaging data suggest α7 nAChR involvement in PTSD, but further human studies are needed to confirm and expand on these findings.

Where this research is happening

  • University of Michigan at Ann Arbor
    Ann Arbor, United States
    Active

Researchers

  • Principal investigator: Hillmer, Ansel — University of Michigan at Ann Arbor
  • Study coordinator: Hillmer, Ansel

Related research

Other NIH-funded projects on the same topics.

  • Ketamine to boost fear extinction and memory on PTSD patients

    A study testing whether ketamine can help people with PTSD better relearn and forget fear when given in a guided treatment plan.

    NIH research Yale University · New Haven, United States · NIH-11592530

  • Understanding fear system wiring in PTSD and how brain myelin changes relate to symptoms

    Researchers are studying how changes in brain myelin in PTSD might drive abnormal fear processing and connectivity to help guide new treatments.

    NIH research Northern California Institute/res/edu · San Francisco, United States · NIH-11355390

  • Ketamine to boost memory reconsolidation and fear extinction in PTSD

    A study at Yale will test whether ketamine given around intensive exposure therapy helps people with PTSD learn to forget or reduce fear more effectively.

    NIH research Yale University · New Haven, United States · NIH-11195277

  • Understanding how the brain learns to avoid fear in PTSD patients

    This study is looking at how the brain helps people with PTSD learn to avoid things that scare them and how this connects to overcoming their fears, using brain scans to compare those with PTSD and those who have experienced trauma but don’t have PTSD.

    NIH research University of Texas Hlth Sci Ctr Houston · Houston, United States · NIH-11179316

  • Understanding how fear is learned and remembered in PTSD

    This study is looking at how people with PTSD learn to recognize and remember threats, so we can create better treatments that help them manage their fears in everyday life.

    NIH research University of Texas at Austin · Austin, United States · NIH-11138193

  • Understanding how myelination affects the brain's response to fear in PTSD

    This study is looking at how changes in the protective covering of nerve fibers in the brain might be linked to the symptoms of PTSD, and it aims to find new ways to help people with this condition by examining brain tissue and using advanced imaging techniques.

    NIH research Northern California Institute/res/edu · San Francisco, United States · NIH-11080377

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.