Ensembles of spatial-temporal cues determine the context associated with a given episodic memory, and efficient encoding of such cues is critical for producing appropriate behavioral reactions to emotionally charged contexts. Growing evidence suggests that deficiencies in the neural mechanisms regulating contextual memory formation constitute a central component of posttraumatic stress disorder. Because the hippocampus plays a critical role in consolidating contextual spatialtemporal cues, it is plausible to assume that impaired hippocampal function may be causally linked to poor trauma contextual memories and to the etiology of posttraumatic stress disorder. Rodent studies have convincingly demonstrated that glucose administration greatly enhances memory performance in numerous challenging tasks (1). In this issue of Biological Psychiatry, an elegant study by Glenn et al. (2) extended this principle to fear learning in humans, where evidence is provided to support the concept that glucose consumption leads to superior retention of hippocampal-dependent contextual learning—as shown by acoustic startle responses and expectancy ratings for an aversive (mild shock) unconditioned stimulus. Contextual fear conditioning thus appears to link neuronal glucose sensing to hippocampaldependent memory formation in humans. Although glucose may improve hippocampus-dependent context encoding, much remains to be learned about the mechanisms by which hippocampal neurons sense local variations in the levels of glucose. But how may neurons sense local changes in glucose availability in the first place? The so-called glucosensing neurons are cells whose membrane potential appears to be under direct control of glucose availability. Such neurons are named “glucose-excited” or “glucose-inhibited” according to whether their firing rate counts increase or decrease, respectively, in response to local changes in glucose provision (3). The mechanisms controlling glucose-excited neuronal firing are believed to be similar to the mechanisms operating in insulin-secreting beta cells of the pancreas (4). In these cells, intracellular glucose metabolism is controlled by glucokinase (GK), the rate-limiting factor in neuronal glycolysis (4). The action of GK on glucose activates an intracellular cascade of signaling events leading to increases in cytosolic adenosine triphosphate (ATP)/adenosine diphosphate ratios, with consequent closure of ATP-sensitive potassium (KATP) channels, the net effect of which is membrane depolarization (3). These KATP channels appear to be critical for neurons to respond to local changes in glucose availability. Evidence exists favoring a central role for KATP channels in controlling hippocampal function and specifically in contextual
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