Brain-Derived Neurotrophic Factor (BDNF) plays an important role in brain development,
neural plasticity, and learning and memory. The Val66Met single-nucleotide polymorphism is a com-
mon genetic variant that results in deficient activity-dependent release of BDNF. This polymorphism
and its impact on fear conditioning and extinction, as well as on symptoms of post-traumatic stress
disorder (PTSD), have been of increasing research interest over the last two decades. More recently, it
has been demonstrated that regular physical activity may ameliorate impairments in fear extinction and
alleviate symptoms in individuals with PTSD via an action on BDNF levels and that there are differen-
tial responses to exercise between the Val66Met genotypes. This narrative literature review first de-
scribes the theoretical underpinnings of the development and persistence of intrusive and hypervigi-
lance symptoms commonly seen in PTSD and their treatment. It then discusses recent literature on the
involvement of BDNF and the Val66Met polymorphism in fear conditioning and extinction and its in-
volvement in PTSD diagnosis and severity. Finally, it investigates research on the impact of physical
activity on BDNF secretion, the differences between the Val66Met genotypes, and the effect on fear
extinction learning and memory and symptoms.