Key result
Losartan enhances parahippocampal neural stability during encoding but fails to improve behavioral memory recognition.
Why the study?
ARBs have been associated with preventing posttraumatic stress disorder symptom development and improving memory, but the underlying neural mechanisms are poorly understood.
Does a single dose of losartan improve memory encoding and modulate neural processing in the hippocampus/parahippocampus in high-trait-anxious individuals?
RCT (n=40)
Double-blind
Randomly allocated and stratified by gender by an independent researcher
No
Does a single dose of losartan improve memory encoding and modulate neural processing in the hippocampus/parahippocampus in high-trait-anxious individuals?
A single dose of losartan modulates higher-order visual processing in the parahippocampal gyrus during memory encoding, providing insights into potential neural mechanisms for angiotensin receptor blockers in PTSD prevention.
Answers are grounded in this paper and cite their sources.
Losartan boosts parahippocampal stability without behavioral memory gains in high-trait anxiety; extends mechanistic ARB data but leaves clinical translation open.
Background: Angiotensin II receptor blockers (ARBs) have been associated with preventing posttraumatic stress disorder symptom development and improving memory. However, the underlying neural mechanisms are poorly understood. This study investigated ARB effects on memory encoding and hippocampal functioning that have previously been implicated in posttraumatic stress disorder development. Methods: In a double-blind randomized design, 40 high-trait-anxious participants (33 women) received the ARB losartan (50 mg) or placebo. At drug peak level, participants encoded images of animals and landscapes before undergoing functional magnetic resonance imaging, where they viewed the encoded familiar images and unseen novel images to be memorized and classified as animals/landscapes. Memory recognition was assessed 1 hour after functional magnetic resonance imaging. To analyze neural effects, whole-brain analysis, hippocampus region-of-interest analysis, and exploratory multivariate pattern similarity analysis were employed. Results: ARBs facilitated parahippocampal processing. In the whole-brain analysis, losartan enhanced brain activity for familiar images in the parahippocampal gyrus (PHC), anterior cingulate cortex, and caudate. For novel images, losartan enhanced brain activity in the PHC only. Pattern similarity analysis showed that losartan increased neural stability in the PHC when processing novel and familiar images. However, there were no drug effects on memory recognition or hippocampal activation. Conclusions: Given that the hippocampus receives major input from the PHC, our findings suggest that ARBs may modulate higher-order visual processing through parahippocampal involvement, potentially preserving intact memory input. Future research needs to directly investigate whether this effect may underlie the preventive effects of ARBs in the development of posttraumatic stress disorder.
No takes yet. Share an insight, caveat, or question.
Shkreli et al. (2023) conducted an RCT in High-trait anxiety (n=40). Losartan vs. Placebo was evaluated on Memory recognition performance (discrimination index Pr) (p=0.85). A single dose of losartan increased parahippocampal neural stability during memory encoding in high-trait-anxious individuals but did not improve behavioral memory recognition.
Synapse has enriched 10 related papers. Consider them for comparative context: