Sleep and Memory

Sleep and Memory Consolidation

Sleep is an essential component of our daily lives, and it plays a critical role in our cognitive and emotional functioning. One important aspect of sleep is its role in memory consolidation – the process by which new information is transferred from short-term to long-term memory. In recent years, researchers have made significant advances in understanding the relationship between sleep, circadian rhythms, and memory consolidation. One particularly insightful paper on this topic is “Role of circadian rhythm and REM sleep for memory consolidation” by Zhengui Xia and Dan Storm.

The paper explores the complex relationship between sleep, circadian rhythms, and memory consolidation. The authors suggest that the circadian rhythm, which regulates the sleep-wake cycle, plays a critical role in memory consolidation. They propose that the timing of learning and memory consolidation can impact the effectiveness of memory formation, and that the circadian rhythm affects various aspects of brain function, including synaptic plasticity, gene expression, and neurotransmitter release.

CRE-Mediated Signaling

The paper referenced in this blogpost discusses the role of signaling pathways in hippocampus-dependent memory consolidation. The following paragraph summarises the section of the paper that discusses the role of CRE-mediated signaling in LTM consolidation: The process of memory consolidation is initiated by Ca2+ signals generated by NMDA receptors and is dependent on de novo transcription and translation. CRE-mediated transcription is strongly implicated in the consolidation of long-term memory (LTM) and integrates Ca2+ and cAMP signals. The CREB-binding protein, CREB, is implicated in LTM and other forms of neuroplasticity in mice and drosophila. Studies on mice show that stimulation of CRE-mediated transcription during training depends on activation of NMDA receptors and MAPK. Inhibition of CRE-mediated transcription by administration of CRE inhibitors to the hippocampus blocks memory formation, indicating the involvement of CRE-mediated transcription in memory consolidation.

CREB-mediated transcription enhances LTM formation. https://elifesciences.org/articles/33007/figures

REM Sleep

REM (Rapid Eye Movement) sleep is a stage of sleep characterized by rapid eye movements, low muscle tone, and vivid dreaming. It is one of the four stages of sleep, along with non-REM (NREM) sleep stages 1, 2, and 3. REM sleep is typically associated with heightened brain activity and increased heart rate and blood pressure. The authors delve into the role of REM sleep in memory consolidation. They suggest that REM sleep plays a critical role in the consolidation of emotional memories, procedural memories, and declarative memories. They propose that this may be due to increased activity in brain regions involved in memory consolidation, as well as increased levels of neurotransmitters such as acetylcholine.

The implications of this research are significant. A better understanding of the relationship between sleep, circadian rhythms, and memory consolidation could ultimately lead to more effective treatments for sleep disorders and cognitive impairments. For example, individuals with sleep disorders or cognitive impairments may benefit from interventions that target the timing and quality of sleep, or that enhance the activity of neurotransmitters involved in memory consolidation.

In conclusion, “Role of circadian rhythm and REM sleep for memory consolidation” provides valuable insights into the complex relationship between sleep, circadian rhythms, and memory consolidation. By understanding the neurobiological mechanisms underlying this relationship, researchers and healthcare professionals may be able to develop more effective interventions for individuals with sleep disorders or cognitive impairments.

Psychopathy

What is Psychopathy?
Psychopathy is a personality disorder that is often characterized by a lack of empathy, impulsivity, and manipulative behavior. While there is still much to learn about the disorder, recent research has shed light on its neurobiological roots. In a paper published in the journal Molecular Psychiatry, researchers explore the genetic and environmental factors, brain regions, and neurotransmitters that may be implicated in psychopathy. They also suggest potential directions for future research and highlight the importance of better understanding the neurobiological mechanisms underlying the disorder.

The authors suggest that genetics may account for a significant portion of the variance in psychopathy, but that environmental factors such as childhood abuse and neglect may also play a role. They suggest that gene-environment interactions may be particularly important in the development of psychopathy. This highlights the need for continued research into both genetic and environmental factors that may contribute to the disorder.

Biology of Psychopathy

The researchers also discuss the brain regions and neurotransmitters that may be involved in psychopathy. Their results concluded that expression of ZNF132 and RPL10P9 is greatly reduced in neurons and astrocytes of habitually violent offenders. They also suggest that dysfunction in the prefrontal cortex, amygdala, and other brain regions may be implicated, as well as imbalances in neurotransmitters such as serotonin and dopamine. They also introduce a theory that states that a deficient opioid system may be implicated in psychopathy, which would explain why psychopaths tend to engage in drug abuse; to satisfy their reward system. This suggests that further research on the neurobiological basis of psychopathy could lead to a better understanding of the brain mechanisms involved in the disorder.

Brain areas that are affected by psychopathy. https://neurosciencenews.com/psychopahty-neural-basis-18234/

The authors highlight several potential directions for future research, including the need for more precise measurements of psychopathy, the use of animal models to study the disorder, and the development of more effective treatments. They suggest that identifying specific biomarkers of psychopathy could be particularly useful in developing more targeted treatments. Additionally, the authors suggest that a better understanding of the neurobiological mechanisms underlying psychopathy may have broader implications for understanding other psychiatric disorders.

Research on the neurobiological roots of psychopathy could ultimately have implications for reducing crime rates by identifying effective treatments for individuals who exhibit psychopathic traits and who are at higher risk of engaging in criminal behavior. Additionally, a better understanding of the neurobiological mechanisms underlying psychopathy could lead to more targeted interventions aimed at preventing the development of psychopathic traits in the first place, potentially reducing the number of individuals who engage in criminal behaviour.

In conclusion, the research on the neurobiological roots of psychopathy provides a valuable framework for understanding the disorder and may lead to new treatments and diagnostic tools in the future. Continued research in this area is critical to further our understanding of this disorder and to improve outcomes for individuals affected by it.

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What Happens in Obesity

It’s fairly well known that obesity can lead to an increased risk for numerous different health outcomes, such as type 2 diabetes and cardiovascular diseases. Obesity also causes a state of constant low-grade inflammation in the body, which in turn has it’s effects on the brain as well that people often don’t realize. Many thing’s go wrong in the body and brain that contribute to obesity, primarily an imbalance of energy homeostasis and hunger cues.

What’s Happening in the Brain

The hypothalamus’s role in hunger and energy usage

The hypothalamus region of the brain controls several endocrine functions that take metabolic feedback and regulate energy homeostasis. Basically, the hypothalamus will give signals to either increase or decrease hunger and energy use in response to the signals the body sends to the hypothalamus. Obesity can occur due to disorders of the hypothalamus, such as Prader-Willi syndrome. This is an inherited disorder that causes the hypothalamus to not recognize the sensation of being full when eating. This causes a constant urge to eat, and puts you are risk for obesity.

The Melanocortin System

The main player in this regulatory function is the melanocortin system. Insulin and leptin circulate the body in levels that are proportionate to the amount of adipose (fat) tissues, and the nutritional status of the body. These molecules bind to receptors in the melanocortin system and will decrease food intake, and increase energy usage.

Melanocortin system in energy use and food intake

In a healthy brain these cues are in balance, leading to a balance of energy usage and food intake. In obesity it’s been studied that there is a dysfunctional melanocortin system, leading to an increase of food intake and decreased energy usage.

Dietary Fats

Difference in saturated vs. unsaturated fatty acids

Surely you’ve been told to eat the ‘right’ foods, and that fats usually aren’t those right foods. And maybe you’ve heard of ‘good’ fats and ‘bad’ fats, but what makes those different? The main two groups are saturated fatty acids (SFAa), and unsaturated fatty acids.

Saturated fats the ‘bad’ fats. They are typically solid at room temperature, meat and dairy products are the main dietary sources of these. Their structure consists of only single bonds, and have the maximum amount of hydrogen atoms in their structure. These fats are known to raise both good and bad cholesterol in the body, raising the risk of cardiovascular and other diseases.

Sources of different fats

Unsaturated fatty acids are the ‘good’ fats. These are more complex molecules, consisting of double bonds that cause bends in their chain. These fats are typically liquid or fluid like at room temperature. Common sources of these are oils such as vegetable or canola oil, nuts, and fish. These fats typically raise the level of good cholesterol in our body.

Effects of Fats in the Body and Brain

Studies have been done in rodents about the effects of certain fats on the hypothalamus. A diet with high amounts of SFAs have been shown to increase hypothalamic inflammation in days, while mono-unsaturated fatty acids did not compromise and hypothalamic function. SFAs have also been shown in these studies to cross into the brain and accumulate in the hypothalamus, where they block insulin and leptin signaling, and will disrupt the melanocortin system. It’s recommended that about 10-30% of our calorie intake should be fats, although only about 5-10% of caloric intake should be saturated fats.

References
  1. https://my.clevelandclinic.org/health/articles/22566-hypothalamus
  2. https://www.sciencedirect.com/science/article/pii/S2212877821000466
  3. https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/fat/art-20045550
  4. “Hypothalamic Inflammation in Obesity and Metabolic Disease” A. Jais

Unlocking the Secrets of Endocannabinoids: The Surprising Role They Play in Our Health and Well-being

What Are Endocannabinoids?

Endocannabinoids are naturally occurring molecules that are similar in structure to the active compounds in cannabis. These molecules are produced by the body and interact with the same receptors as THC, the main psychoactive compound in cannabis.

Structure

There are two main endocannabinoids: anandamide (AEA) and 2-arachidonoylglycerol (2-AG). Anandamide has a chemical structure consisting of an ethanolamine head group, an arachidonic acid chain, and an amide bond linking them together. 2-AG, on the other hand, consists of a glycerol backbone with two arachidonic acid chains attached to it via ester bonds. Both endocannabinoids are synthesized on demand from membrane phospholipids and are rapidly metabolized to terminate their signaling effects.

Structures of the main endocannabinoids, anandamide and 2-AG, which... | Download Scientific Diagram
Figure 2. Structures of the main endocannabinoids, anandamide and 2-AG.

Receptors

The two main receptors that are relevant to endocannabinoids are CB1 receptors and CB2 receptors. CB1 receptors are primarily found in the brain and central nervous system, while CB2 receptors are primarily found in immune cells and peripheral tissues.

Endocannabinoids, such as anandamide and 2-arachidonoylglycerol (2-AG), bind to these receptors to regulate various physiological processes, including pain, appetite, mood, and inflammation. CB1 receptor activation is associated with the psychoactive effects of cannabis, while CB2 receptor activation is associated with anti-inflammatory effects.

Research has also shown that there are other receptors that can interact with endocannabinoids, such as TRPV1 receptors and GPR55 receptors. These receptors may have additional roles in mediating the effects of endocannabinoids in the body.

Signaling Pathways

CB1 and CB2, are G protein-coupled receptors (GPCRs) that are located throughout the body. When endocannabinoids bind to these receptors, they initiate a signaling cascade that leads to various physiological effects.

When an endocannabinoid binds to a CB1 receptor, it activates a G protein that can lead to the inhibition of adenylyl cyclase, which in turn reduces the production of cyclic adenosine monophosphate (cAMP). This leads to a decrease in the activity of intracellular enzymes such as protein kinase A (PKA) and mitogen-activated protein kinases (MAPKs), which ultimately results in the inhibition of neurotransmitter release from presynaptic neurons.

In addition, CB1 receptor activation can also lead to the activation of ion channels such as inwardly rectifying potassium (K+) channels and voltage-gated calcium (Ca2+) channels. This can result in the hyperpolarization of the postsynaptic membrane and a decrease in the excitability of neurons.

On the other hand, when an endocannabinoid binds to a CB2 receptor, it can activate several signaling pathways, including the inhibition of adenylyl cyclase and the activation of PI3K/Akt and MAPK signaling cascades. CB2 receptor activation can also lead to the inhibition of intracellular calcium release and the activation of potassium channels, which can contribute to the anti-inflammatory and immunomodulatory effects of endocannabinoids.

Endocannabinoids in Neurodegenerative Disease

The paper discussed in class highlights the potential roles of cannabinoid receptors in various diseases of the central nervous system (CNS). The authors describe the potential therapeutic benefits of targeting these receptors for the treatment of neurodegenerative diseases such as Alzheimer’s, Parkinson’s, and Huntington’s disease.

The authors describe the endocannabinoid system as a key regulator of neurotransmitter release, synaptic plasticity, and immune function in the CNS. They discuss the role of CB1 receptors in regulating the release of neurotransmitters such as glutamate, GABA, and dopamine, and the potential therapeutic benefits of CB1 agonists in modulating these pathways.

The authors also describe the potential therapeutic benefits of CB2 receptor activation in the treatment of neuroinflammatory and neurodegenerative diseases, as well as pain and psychiatric disorders. They discuss the anti-inflammatory and immunomodulatory effects of CB2 receptor activation, as well as its potential role in regulating microglial activation and neurogenesis.

Metabolic Syndrome’s Relationship with the Hypothalamus

Artstract By Hailey

 

Metabolic syndrome is a combination of conditions that increase one’s risk for type 2 diabetes, heart disease, and stroke. It is characterized by excess fat in the abdominal areas, high blood pressure, and high blood sugar.

High Fat Diet

One of the things that can cause metabolic syndrome is inflammation via a poor diet. Specifically, a high fat diet filled with saturated fatty acids that are in food like cake, butter, chocolate, and red meat. This inflammation starts in the hypothalamus. The hypothalamus functions to control homeostasis. Some fats and oils are also linked to insulin and leptin resistance. Leptin resistance causes someone to eat more and more because it becomes harder for them to feel full. Insulin resistance leads to high blood sugar and many other physiological comorbidities. With a diet high in saturated fatty acids, the hypothalamus cannot control normal homeostatic processes like blood sugar or appetite.

This inflammation in the hypothalamus occurs through many cell signaling pathways. One pathway in particular is affected by saturated fatty acids. In figure 1, we see saturated fatty acid (SFA) triggers activation of IKK and NF-κB to produce the expression of pro-inflammatory genes in the hypothalamus like SOCS3 and cytokines. In fact, inhibiting this signaling pathway inhibits insulin and leptin resistance.2

Figure 1. Pathway of Inflammation in Hypothalamus

Hypothalamic Dysfunction

As stated earlier the hypothalamus controls the body’s homeostasis. With a high fat diet causing inflammation in the hypothalamus, there are other things that may come of it. Hypothalamic dysfunction can lead to brain tumors, infertility, and osteoporosis. Metabolic syndrome can cause hypothalamic dysfunction, so it is important for body and brain health to prevent and treat it.3

America’s Relationship with Food

The answer to this problem seems simple: eat less saturated fats. But, it is not simple. The United States has had a problem with obesity and metabolic syndrome for decades. The U.S. Department of Agriculture found that Americans eat 20% more calories in 2000 than in 1983 and consumption of added fats rose by two thirds. Additionally, fast food (which is often full of saturated fats) makes up about 11% of an average American’s diet. This may be due to the convenience of these meals. We often find ourselves spending more time at work than at home with no time to make a home cooked meal, so we rely on drive-throughs to get our meals.4

How Can We Address This?

  1. Quality over quantity
    • The focus needs to be on good nutrition. Food assistance programs in the United States has helped to address hunger overall, but not healthy nutrition. Programs need to improve access to more quality foods.
  2. Integrate healthy nutrition into health care
    • Although nutrition exists within health care, food and nutrition needs to be raised to the same level as medication. This can be done through prescriptions. Prescriptions for meals and food would help support a patient in their journey to good health.5

Making healthy food more assessable is a crucial step to address the problem of obesity and metabolic syndrome. Accessibility will help Americans prevent and treat hypothalamic dysfunction as well as obesity and metabolic syndrome overall.

  1. National Heart, Lung, and Blood Institute. (2022). What Is Metabolic Syndrome? https://www.nhlbi.nih.gov/health/metabolic-syndrome
  2. Jais, A., & Brüning, J. C. (2017). Hypothalamic inflammation in obesity and metabolic disease. The Journal of Clinical Investigation127(1), 24–32. https://doi.org/10.1172/JCI88878
  3. Mount Siani. (2023). Hypothalamic Dysfunction. https://www.mountsinai.org/health-library/diseases-conditions/hypothalamic-dysfunction#:~:text=Symptoms%20may%20include%20feeling%20cold,lack%20of%20interest%20in%20activities.
  4. Public Health. (2023). Why Are Americans Obese? https://www.publichealth.org/public-awareness/obesity/#:~:text=As%20for%20what%20is%20driving,food%20and%20too%20little%20exercise.
  5. Aubrey, A. (2022). The U.S. diet is deadly. Here are 7 ideas to get Americans eating healthie NPR News. https://www.npr.org/sections/health-shots/2022/08/31/1120004717/the-u-s-diet-is-deadly-here-are-7-ideas-to-get-americans-eating-healthier

Obesity Effects on the Brain

Artstract by Jessica Howard

Obesity can have multiple harmful effects on a person’s life. Most of us know mostly about the physical effects such as increased risk for heart disease. But there are also harmful effects to the brain, specifically the hypothalamus. The hypothalamus is the part of the brain in charge of homeostasis of the body using hormones. This includes, temperature regulation, energy expenditure, and eating habits. One important hormone that the hypothalamus uses to balance energy expenditure with calorie intake is insulin (Sateil & Olefsky, 2017).

How Energy is normally regulated

Normally, in the hypothalamus there are chemicals in the brain that control food intake and energy expenditure. The agouti-related peptide (AgRP) is inhibited by insulin while proopiomelanocortin (POMC) is activated by insulin. This causes the body to decrease its food intake while increasing its energy expenditure. AgRP expressing neurons normally activate melanocortin receptor expressing neurons (MC4R) which leads to increased food intake and decreased energy expenditure. POMC expressing neurons act as inhibitors of MC4R neurons which decreases food intake and increases energy expenditure. Insulin is an important part of keeping these two systems balanced for energy homeostasis (Sateil & Olefsky, 2017).

Salteil, A. R., & Olefsky, J. M. (2017). Hypothalamic inflammation in obesity and metabolic disease. The Journal of Clinical Investigation 127(1), 24-32. Doi:10.1172/JCI88878.

What Goes Wrong?

Obesity caused by a high fat diet activates stress signals in the hypothalamic neurons which release things called cytokines and other inflammatory responses. These responses lead to a decrease in sensitivity of the AgRP and POMC expressing neurons, this is also known as insulin resistance. This means that the neurons no longer respond as strongly to the presence of insulin. So AgRP neurons aren’t getting inhibited and POMC neurons aren’t getting activated, this means that there will be an increase in energy intake and a decrease in energy expenditure (Sateil & Olefsky, 2017).

One way which insulin is inhibited is by the activation of the MAPK pathway. This triggers the activation of JNK signaling which is a mediator of insulin receptor substrate proteins, which help transmit signals from insulin to create a cellular response (Shaw, 2011). In other words the JNK signaling inhibits insulin receptor substrate proteins by phosphorylating them, which deactivates them. This leads to insulin resistance in that cell. When this happens in AgRP neurons they are no longer inhibited and food intake increase, which then leads to more weight gain that serves to continue the insulin problem (Sateil & Olefsky, 2017).

Salteil, A. R., & Olefsky, J. M. (2017). Hypothalamic inflammation in obesity and metabolic disease. The Journal of Clinical Investigation 127(1), 24-32. Doi:10.1172/JCI88878.

What Can Be Done?

Obesity is a very serious condition that can cause great harm to all organs in the body, not just the brain. That is why it is important to seek treatment sooner rather than later. It is best to start with your doctor and get recommendations for a dietitian. A dietitian can help you create a meal plan that is balanced and healthy. It is also important to get regular exercise that with increase your heart rate, like swimming or fast walking. It can also be helpful to join a local weight loss group. This will offer you both a method of accountability and support from others facing similar challenges. It is also important to seek support from your family and friends. Tell them what you are trying to accomplish so that they can also help keep you accountable and keep you from any tempting situations. By sticking with your plan it is possible to lose weight and get better to live a longer healthier life (NHS inform, 2023).

References

NHS inform. (2023). Obesity causes and treatments. causes & treatments – Illnesses & conditions . Retrieved April 15, 2023, from https://www.nhsinform.scot/illnesses-and-conditions/nutritional/obesity#:~:text=The%20best%20way%20to%20treat,a%20local%20weight%20loss%20group

Salteil, A. R., & Olefsky, J. M. (2017). Hypothalamic inflammation in obesity and metabolic disease. The Journal of Clinical Investigation 127(1), 24-32. Doi:10.1172/JCI88878.

Shaw, L. M. (2011, June 1). The insulin receptor substrate (IRS) proteins: At the intersection of metabolism and cancer. Cell cycle (Georgetown, Tex.). Retrieved April 15, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142458/#:~:text=The%20IRS%20proteins%20are%20a,in%20response%20to%20insulin%20stimulation.

 

The Truth About Fad Diets and Diet Culture

artstract by Olivia Pederson

What is a Fad Diet? 

We have all heard and seen that the south beach diet, the keto diet, the 3-day diet, the juice diet, and many more of these types of diets are recommended for fast weight loss, but this is 100% wrong. These diets are all called ‘fad diets’ which mean that they are popular for a short time, have no standard dietary recommendation, and made pseudoscientific claims for fast weight loss. These diets are not supported by clinical research and often make unsubstantiated statements about health and disease.

45 million Americans go on diets each year, and roughly 50% of them use fad diets. These diets usually only last a couple weeks to a couple months, but once the diet is over it is easy to fall back into the way people were eating before. This turns into a diet cycle that doesn’t end. This cycle can lead to poor health outcomes such as eating disorders, malnutrition, anemia, metabolic abnormalities, and impaired quality of life.

New Years Resolutions and Social Media

The beginning of the new year brings up this idea of new years resolutions. January is a very common month to see these new diet trends make an appearance as well as weight loss products. In the United States alone, 80% of people fail their new years resolutions by February. This is done by not following healthy lifestyle changes over an extended period of time.

Social media plays a large role in diet culture and fad diets. These social media platforms influence many peoples lifestyle behavior or social norms. These fad diets are usually promoted by celebrities or by people who are a part of a company to sell a product. Many of these diets and products promoted for weight loss are not evidence-based. Social media also portrays unrealistic body standards to people, especially young people. There are always people posing or flexing their body instead of relaxing and showing what they actually look like, which can really effect how people see their own bodies. It is important to take each social media post with a grain of salt because it is more than likely not accurate.

The Science Behind Obesity

The hypothalamus in the brain controls a number of neuroendocrine functions that integrate metabolic feedback and control energy balance. Insulin plays an important role here because it is used to help turn food into energy. Leptin is another important character here because it is a hormone released from fat cells and regulates long-term energy balance. These two signals are essential in hypothalamic control of energy balance.

The image above shows this mechanism. The hypothalamus senses and integrates feedback from certain hormones that circulate in the body. Insulin and leptin act on neuronal subsets of the hypothalamus to control energy balance. Through certain excitation and inhibition of specific neurons, energy usage and food intake is balanced out. If the body is resistance to leptin and insulin, the pathway does not get excited and inhibited in the correct way which leads to more food intake (weight gain) and less energy usage.

This image shows the many pathways involved in metabolic inflammation of the hypothalamus. This image just shows how complex inflammation is and how many moving parts there are. Inflammation of the hypothalamus affects many different cells types such as microglia, astrocytes, oligodendrocytes, and macrophages. Understanding the way that all the pieces fit together can help understand that obesity can be connected to the brain and help ways to properly treat obesity.

Proper Lifestyle Changes

Proper weight loss is complex and there are many factors that play into it. Each persons body is different and needs different levels of nutrients so it is essential to not follow other peoples diets exactly. Looking at the food pyramid and creating balanced meals is the first step to changing a lifestyle. The focus should be on eating foods that make you feel good and not just cutting out foods.

Physical activity is also important. Exercise of any kind can release certain chemicals in the brain to make you feel good. The focus should always be on what makes you feel the best. Knowing the lifestyles changes and knowing the science behind obesity can help people understand themselves more and seek out help from a trusted healthcare provider if they don’t see any changes. There are treatments options such as medication and surgeries that can help people if traditional eating and exercise changes do not work.

 

 

References:

Healthy Eating Plate

en.wikipedia.org/wiki/Fad_diet

reidhealth.org/…/fad-diets-the-new-years-resolutions-worst-enemy

reidhealth.org/…/fad-diets-the-new-years-resolutions-worst-enemy

doi.org/10.1172/JCI88878

Metabolic Syndrome: The disease you may not know is there

Abstract by Anna Dekkenga

Is Metabolic Syndrome the same as Obesity?

  Metabolic syndrome is defined as a cluster of conditions that occur together, increasing your risk of heart disease, stroke, and type 2 diabetes. Some of these conditions could include high blood pressure, high blood sugar, excess body fat, and abnormal triglyceride or cholesterol levels. All these conditions, together, lead to metabolic syndrome. But just because someone suffers from high blood pressure or abnormal cholesterol levels doesn’t mean they also have metabolic syndrome. However, any of these conditions increase a person’s risk of having metabolic syndrome.

  So, obesity is considered a symptom of metabolic syndrome. They are not one in the same. And just because a person is obese, just like I mentioned above, doesn’t mean that they suffer from metabolic syndrome. Even vice versa, if a person is at a healthy weight, they may suffer from metabolic syndrome. This can be seen below, pictured in Figure 1.[1]

Figure 1. Metabolic syndrome: you can’t always see it.

 

 

 

 

 

 

 

 

 

 

 

What’s the cause of these symptoms?

  According to Alexander Jais and Jens C Bruning, “obesity has been known to induce a state of systemic low-grade inflammation that contributes to the development of numerous comorbidities.”[2] Not only can inflammation lead to many of these health-related issues, but it can also cause major changes in the brain, specifically in areas that keep homeostasis and systematic metabolism in check.

  But what starts inflammation? A high fat diet leads to inflammation in the brain, as well as insulin and leptin resistance which will be discussed more later. A diet high in fat consists of pastries, biscuits, creams, cheese, cheese crackers, and many types of popcorn. Although eating these foods may be a contributing factor, it all depends on moderation.

  More specifically, hypothalamic inflammation is the main link to the development of metabolic syndrome. The hypothalamus is a structure that is located deep within the structure of the brain, it can be seen in Figure 2. The hypothalamus plays a major role in the body; it acts as the body’s “smart control coordinating center.”[3] The hypothalamus controls many neuroendocrine functions, or the relationship that occurs between the nervous system and endocrine system. These functions help to regulate energy homeostasis.

Figure 2. Location of the Hypothalamus.

 

 

 

 

 

 

 

 

 

 

 

 

 

Insulin and Leptin

  As previously mentioned, leptin and insulin levels are both affected by a high fat diet. Leptin is a hormone that helps to regulate energy levels by directing the central nervous system to adjust food intake accordingly. In other words, leptin tells the body when to stop eating and if leptin become dysregulated, a person may not know when to stop. The hormone insulin has a similar role. Insulin’s main role is to regulate the amount of sugar in the blood. When insulin is dysregulated, this most likely leads to high blood sugar which, as previously stated, leads to metabolic syndrome in many people. [4] [5]

 

Figure 3. The role of leptin in the body.
Figure 4. Insulin resistance in the body.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Healthy lifestyle changes

  1. Choose heart healthy foods (fruits, vegetables, whole grains. Limit alcohol, sugars, and saturated fats)
  2. Exercise regularly
  3. Manage stress
  4. Don’t smoke
  5. Get enough sleep
  6. Medications for weight loss, cholesterol, blood sugar, blood pressure, etc. [6]

So, what?

  Why should you care about any of this information? Well, in the United States alone, 1 in 3 adults suffer from metabolic syndrome. Although, most people don’t even know that they have this condition. So, it’s important to understand the risk factors and to take care of yourself. Statistically, you know someone with this disease. A person who leaves metabolic syndrome untreated will have a shorter lifespan than a person without the disease, the body must work much harder. Keep your body happy and healthy, it’ll love you for it. [7]

References

[1] Metabolic Syndrome

[2] Hypothalamic inflammation in obesity and metabolic disease

[3] The Hypothalamus

[4] Leptin and Leptin Resistance

[5] The Role of Insulin

[6] Metabolic Syndrome Treatment 

[7] What is Metabolic Syndrome

Sleep for the brain

Sleep as we know consumes 6-8 hours of the average persons 24 hour day. Therefore, taking either 1/4 or 1/3 of your day. To say that sleep is important would be an understatement as it is very much needed for the brain to function.

Sleep is when our body takes a break to regenerate and goes through different stages throughout sleep. Those stages include wake, N1, N2, N3, and REM; stages N1 to N3 are considered non-rapid eye movement (NREM) sleep. The wake stage depends on if someone has their eyes open or closed in preparation of sleep, if the eyes are open beta waves are at play or if they are closed alpha waves are evident. Once the body begins to fall asleep stage 1 becomes apparent, the light sleep, which lasts a total of 5% for sleep time and has active theta waves. Stage 2 (N2) is when sleep spindles and K complexes are active and accounts for 45% of sleep. Sleep spindles have an important role in memory consolidation and K complexes function to maintain sleep and memory consolidation. Stage 3 is when the body repairs and regrows tissues, builds up bone, muscle, and strengthens the immune system. Stage 3 can also be referred to as deep sleep with the delta waves being most active and accounting for 25% of sleep. Lastly, REM sleep which has beta waves and is when dreaming or nightmares are most likely to occur.1

In time, older adults experience more insomnia and an earlier wake time possibly due to changing circadian rhythm that goes along with age. Therefore, imbalance of the circadian rhyme causes problematic secretion of melatonin and cortisol. Cortisol and melatonin are inversely related as an individual wakes up cortisol rises throughout the day and upon going to sleep melatonin rises and cortisol goes down. Other factors such as blue light have been shown to have an effect on sleep. Take for example how melatonin functions to be the hormonal signal for preparing the body to sleep and having melatonin disrupted by abnormal evening light exposure. This light exposure from the backlit of the computer or bright room setting causes reductions in melatonin secretion.  Thus effecting sleep in ways such as prolonging sleep onset latency, decreasing rapid eye movements, and changing slow wave sleep.

Why does the blue light have more of an effect compared to white light? Well knowing that the circadian system has peak sensitivity to around 450-480nm light within the blue portion of the spectrum, blue light therefore can increase an individual’s alertness and suppress melatonin excretion. LEDs are in computers, TV, smartphones, tablets, as well as some light bulbs and have a blue range of around 460nm.2

Chemically in the brain there are a few pathways at play when sleep is activated. Those pathways include cAMP, MAPK, and CREB. It has been found that activity in these pathways is gone in memory deficient mice and that exposure to constant light may disrupt hioppocampal oscillations of MAPK activity causing deficits in contextual memory persistence. Therefore, if MAPK is inhibited at its peak activity it lowers the persistence of memory. Overall, cAMP, MAPK, and CREB pathways are found to be most active during REM sleep and having sleep disturbances especially during REM sleep may have impairments in hippocampus-dependent memory.3

Sleep is important and it is important to try and get the best sleep each night considering it may have a direct impact on your mental health status especially with age looking at memory function.

 

Work cited:

1. Patel AK, Reddy V, Shumway KR, et al. Physiology, Sleep Stages. [Updated 2022 Sep 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526132/

2. Shechter, Ari, Elijah Wookhyun Kim, Marie-Pierre St-Onge, and Andrew J. Westwood. 2018. “Blocking Nocturnal Blue Light for Insomnia: A Randomized Controlled Trial.” Journal of Psychiatric Research 96 (January): 196–202. https://doi.org/10.1016/j.jpsychires.2017.10.015.

3. Worley, Susan L. n.d. “The Extraordinary Importance of Sleep.”

4. Xia, Zhengui, and Dan Storm. 2017. “Role of Circadian Rhythm and REM Sleep for Memory Consolidation.” Neuroscience Research 118 (May): 13–20. https://doi.org/10.1016/j.neures.2017.04.011.

Antisocial Personality Disorder: A Difficult Case to Solve

The Neurological Impact on Psychopathy

Psychopathy, or now more commonly known as antisocial personality disorder, in the simplest definition is the neuropsychiatric disorder that is commonly associated with deficient emotional responses, lack of empathy, aggression, manipulativeness, and lacking behavioral controls. This definition makes it clear that there must be some difference in the brains and/or genes of those with this disorder. Gene expression specifically has recently been linked to those with ASPD compared to those without. Genes that have been found in people with ASPD- RPL109, ZNF132, CDH5, and OPRD1 genes-have also been linked to genes found in those with autism. Similarly, there was findings that psychopathy is normally passed down from the father to son, possibly because of the XY genes of males compared to the XX gene in females. PEG10 is one paternally imprinted gene that was connected to the passing down of ASPD. Furthermore, another neurological change in those with psychopathic behaviors is related to dopamine release. Dopamine released from the cerebellum also has regulatory functions in social behavior. There is a connection between the cerebellum and antisocial behavior along with immune response-related pathways enrichment in those that express psychopathic behavior (1).

This illustrates the parts of the brain that are different in those who have ASPD. (5)

Diagnosis of ASPD

The overall consensus on how many people in the United States have ASPD is 1-4%. However, how does one determine this serious diagnosis? First, there are other antisocial disorders that have similar symptoms to ASPD. Borderline personality disorder includes unstable moods or manipulating behaviors, both overlapping with ASPD. Narcissistic personality disorder is diagnosed by looking for inflated sense of self-importance, which is also similar to those with ASPD. The only way to correctly differentiate between ASPD and other personality disorders is through behavior analysis by a psychiatrist or psychologist. People can begin developing ASPD traits in their early teen years or late childhood. This age makes diagnosis difficult because it can also be mistaken for ADHD, depression, or oppositional defiant disorder. Specific behavioral symptoms that a professional may look for during diagnosis is physical aggressiveness, reckless behaviors, blaming others, breaking the law, etc (2).

The different clusters of personality disorders, with ASPD falling into cluster B. Differentiation between these can be difficult. (4)

Is there a cure?

There is no cure. There is medication and therapy that may help the person control the effects of the disorder; however, there is no way to completely cure a person from ASPD. Therapy can include cognitive behavioral therapy that focuses on changing one’s thinking and behavior. Therapy can also include group therapy or family therapy. Family therapy could be important for the people that live with someone who has ASPD. ASPD does not just affect the person with the disorder, but also people around them, which is why it is so important to understand what the disorder entails. The stigma around having the disorder might negatively influence if people want to recognize it within themselves or want to get help (3).

Conclusion

Antisocial personality disorder has not been studied enough to where we have many long-term treatment options. However, new research is finding the links between this disorder and genes or neurotransmitter releases. Understanding brain chemistry is important in understanding what exactly causes such a behavior and possibly find more ways to diagnose the disorder.

Citations:

  1. Tiihonen, J., Koskuvi, M., Lähteenvuo, M., Virtanen, P. L. J., Ojansuu, I., Vaurio, O., Gao, Y., Hyötyläinen, I., Puttonen, K. A., Repo-Tiihonen, E., Paunio, T., Rautiainen, M.-R., Tyni, S., Koistinaho, J., & Lehtonen, Š. (2019). Neurobiological roots of psychopathy. Molecular Psychiatry, 25(12), 3432–3441. https://doi.org/10.1038/s41380-019-0488-z
  2. Antisocial personality disorder: Causes, symptoms & treatment. (n.d.). Cleveland Clinic. Retrieved April 5, 2023, from https://my.clevelandclinic.org/health/diseases/9657-antisocial-personality-disorder
  3. Antisocial personality disorder – Diagnosis and treatment. (2023, February 24). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/antisocial-personality-disorder/diagnosis-treatment/drc-20353934
  4. Types of personality disorders. (2018, November 12). Priory. https://www.priorygroup.com/mental-health/personality-disorder-treatment/types-symptoms-of-personality-disorders 
  5. News, N. (2021, April 14). The neural basis of psychopathy. Neuroscience News. https://neurosciencenews.com/psychopahty-neural-basis-18234/

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