Bipolar disorder (BD) is a mental disorder characterized by changes in mood. BD I has cycles of mania and depression while BD II has cycles of hypomania and depression. In general, the mania cycles are treated with mood stabilizers medication. Antidepressants tend to induce the manic cycles. Based on the effects of treatments like lithium, carbamazepine, and sodium valproate, researchers have developed the “arachidonic acid cascade hypothesis” for BD pathology. Those aforementioned medications all show down-regulation of the brain arachidonic acid (AA) metabolism. AA is a fatty acid that is released by phospholipase A2. It metabolizes into different compounds called eicosanoids. AA and eicosanoids have many functions, some of which are neurotransmission, blood flow, neurite outgrowth, and also inflammation. The mood stabilizers are thought to have effects on both AA and downstream cascade products. These effects of mood stabilizers show that the mechanism of BD has a neurobiological cause.
This subject struck close to home. My family has a history of mental illness ranging from depression, alcoholism, eating disorders, and also bipolar disorder. I am afraid to tell other people, even my friends, about the prevalence of mental disorders in my family, especially my own experience with depression. In general, most people do not talk about this type of disease. This is the stigma of mental illness.
The silence associated with mental illness is devastating, especially to those who need treatment. Going to a therapist or a psychiatrist has a negative connotation. After all, if we can’t control our mind, we must be broken. But those who need treatment need to know that it is okay to seek help. It is okay to seek support, but first that support must come from those closest to you. The stigma needs to be changed in order to get people help.
Diseases such as cancer and HIV are now socially “accepted,” so to say. They are biologically based. The workings of the mind and brain are also biologically based. Just a slight deviation of a neurotransmitter can cause a cascade of events leading to different behaviors. The actions of mood stabilizers show that BD and other mental illnesses also are biologically based. Why can they not be talked about as much as cancer?
For further reading, please look at these articles. One is written by Glenn Close, whose sister suffers from bipolar disorder. She also discusses the portrayal of the mentally ill in Hollywood.
http://www.huffingtonpost.com/glenn-close/mental-illness-the-stigma_b_328591.html
http://psychcentral.com/news/2010/09/23/stigma-for-mental-illness-high-possibly-worsening/18524.html
http://bringchange2mind.org/
Autism's Growing Behavior
Autism is a disease that has affected families around the world and has become an ever-growing problem in the United States. Autism is known as a complex, developmental disability linked to abnormal biology and chemistry in the brain. Experts believe that Autism presents itself during the first three years of a person’s life. The condition is the result of a neurological disorder that has an effect on normal brain function, affecting development of the person’s communication and social interaction skills. However, the exact mechanisms in which the disease functions remains unknown. In the United States, autism has been on an unusually steep rise since 1970. It is the goal of researchers to determine what has caused this sharp increase. In order to explain this, researchers have turned to examining the disease mechanistically.
Researchers have learned from twin and sibling studies that genetic factors play a role in autism. However, the genetic factors cannot be the sole reason autism develops in young children. Thus, experimental factors are proposed to be the cause for the increase in autistic individuals. These factors can include diet, exercise, vaccine sensitivity, or anything outside the body that could alter the interior. Being that this brings about a broad category of factors that could lead to autism, researchers have hypothesized a “redox/methylation” hypothesis.
In this hypothesis, researchers have noted that environmental factors lead to oxidative stress. Because neuronal cells exhibit the most sensitivity to oxidative stress, the brain is affected the most with autism. Given the correct risk genes, a number of adaptive responses involving sulfur metabolism are initiated once oxidative stress has taken its course. This leads to an inhibition of methionine synthase, which greatly reduces methylation activity. Most importantly, this affects DNA methylation and dopamine-stimulated phospholipid methylation. This decrease in DNA methylation disrupts epigenetic events that are characteristic of normal development. The decrease in dopamine-stimulated phospholipid methylation restricts the frequency-dependent synchronization of neuronal networks. Thus, communication between neurons is altered. This is linked to the lack of attention and cognition.
Although the “redox/methylation” hypothesis is purely speculation, the research has led to areas of interest involved with autism. The hypothesis has found a general explanation for autism but does lack in areas regarding specific cases of autism. However, the “redox/methylation” hypothesis does provide a starting point at which researchers can hope to build upon. In order to validate the hypothesis, the specific causes of autism need to be identified.
A True Capstone
Prior to walking into the Neurochemistry 475 classroom for the first time, I merely thought of the class as just a capstone required for graduation. However lazy this may seem, I think it is safe to say that several of my classmates had similar notions. Despite my lack of enthusiasm, I would later find out that the next three to four months of my life in Neurochemistry 475 would provide discussion into many controversial topics involved with neurodenerative disorders, behavioral disorders, and many other mechanisms involved with the brain. This may seem like pure science malarkey, but it actually turned out to be a combination of viewpoints blended into one mass discussion. This was not a simple coincidence, though. It was the underlying agenda of Professor Mach that brought the cornucopia of student masterminds to the discussion table. Students’ majors included biology, chemistry, and psychology. This provided for a conversation displaying a wide range of the opinionated spectrum.
The first few weeks of class were spent investigating background information relevant to the articles we would eventually discuss. This seemed to be what we college students refer to as “busy work,” but it was much more than that. We studied topics ranging from amino acids and nitric oxide to the endocannabinoid system (the system through which marijuana acts). Contrary to my prior belief, neurochemistry was starting to spark my interest. I found myself having conversations involving the class material outside the classroom. Being a chemistry major, it is rare to find a connection between science talk (molecules, mechanisms, etc.) and what is considered to be normal/social conversation. Not saying that I am completely antisocial, but it was nice to be able to bring something from the classroom into everyday life.
Since the ultimate goal of every college student is to get hired at that perfect job and become successful, it is only right that students apply what they learned in college to their occupation. This class has given me a brief insight into that sort of application. More importantly, I feel that the last four years of my life, particularly referring to chemistry, have combined to make this class more of a discussion on what I have learned than a traditional lecture-based class. I thoroughly enjoyed the group discussions for the mere fact that everyone in the classroom brought their own opinions to light. There is a time for talking, and there is a time for listening. By hearing the opinions of my peers, I was able to formulate my own ideas with their influences. I guess I found it really interesting how the different majors made for such diverse responses to the articles we read.
Overall, I really enjoyed this class. It allowed me to reflect my own thoughts into areas concerning my major and listen to others’ insights. The controversial topics we covered definitely grabbed my attention and made the assignments much more enjoyable. I was actually intrigued by the information we were researching. If I can leave any advice to Concordia students (particularly chemistry, biology, and psychology majors) aspiring to take this class, then I would have no problem in saying that Neurochemistry 475 is great for bringing together what you have learned over the past four years of your life.
Alcohol's Path to Intoxication
Alcohol abuse is an issue of both old and new generations. Leaving not one continent untouched, alcohol raises economic and health issues around the world. Alcohol abuse is a disease that is characterized by a pattern of excessive drinking despite the negative effects of alcohol on the individual’s work, health, legal, educational, and/or social life. Alcohol abuse affects approximately 10% of women and 20% of men within the United States. Given this information, a search for a pharmacological treatment seems necessary in an age where alcohol is an everyday commodity. In order to make that a reality, scientists have researched the mechanisms in which alcohol (ethanol) alters the nervous system.
The studies have revealed that ethanol has been found to modulate signal transduction through cascades that involve PKA and PKC pathways. Also, ethanol’s effect on the brain (via the previously mentioned cascades) has been observed on genetically engineered mice. This has led to the discovery that specific regions of the brain are involved with ethanol’s effects depending on the presence of signaling molecules. An example of this can be seen by examining the NMDA receptor and its sensitive response to ethanol. DARRP-32 and Fyn kinase regulate the NMDA receptor in the hippocampus. The PKC pathway also plays a role in which isozymes on GABAA receptors are the area of interest. PKCg has been shown to support ethanol enhancement of GABAA receptors and PKCe is an inhibitor.
This research has led to a greater understanding of how ethanol’s mechanism works within the brain, but the specific molecular mechanisms remain uncertain. If scientists are able to identify the specific genes that act in the brain in the presence of ethanol, then the targeted gene can be modulated to alter behavioral responses to ethanol. In the best possible scenario, this would lead to potential drug targets for treatment of alcohol abusers. This would be beneficial to some, but to others, just an escape from the alcohol’s grip. If a drug were to succeed in a fight against alcoholism, certain moral factors need to be implemented in the sale of it. Only those that really need it (alcoholics) ought to be the only ones prescribed. However the drug is used, it is still an area of great interest in a world that struggles with alcohol abuse.
A Capstone to My Neuronal Foundation
Throughout my neuroscience minor endeavor I gained knowledge about the structures and functions of the brain’s anatomy. The brain is very complicated and intricate and its neural pathways that link structures. And now, it’s all come down to neurochemistry. Most of my what’s? and why’s? will be answered with: This pathway, that receptor, this MAPKKK activating that MAPKK to the next MAPK, inhibition of this, excitation of that, autophosphorylation, ion channel blockers, retrograde signaling and leptin did it.
My neurochemistry experience was very exciting and nothing short of interesting. Sometimes the articles were a little complicated when it came to getting the big picture about what is going on in the brain. But what made the class is the way my peers and I contributed to each other’s learning by standing in front of the class every Wednesday and presenting what we had learned since Monday. Fridays were the days that we all got together in a circle and worked out all the kinks and cleared up our understanding of the weekly topic. Our conversations would range from the molecular mechanisms inside the brain, to a holistic understanding of what may be causing a disease or such ailments. I was always excited to hear what other had to say and how would refute or back up our peer’s. The great thing about the class is that we brought chemistry, biology, psychology, neuroscience, and even philosophy into the neurochemistry capstone.
Neurochemistry at Concordia has allowed me to analyze and think critically about certain issues of the brain and understand them by talking about them. Sometimes it is difficult to relay information to non-science majors and even people of the public. Being able to blog about class has provided me with a way to tell and show people that I am interested about science and that they should be too. If it wasn’t for the college students asking why? Or how come? Than we would still be left with mysteries about the greatest thing on earth: The Brain.
Alzheimer's Disease Has A Pathway
Alzheimer’s disease has affected over 4.5 million people within the United States, and the number is expected to grow to 13 million by the year 2050. Economically, this presents a huge problem. In 2009, $144 billion (per year) was spent on healthcare for patients with dementia. That turns out to be an average yearly cost of $33,000 per person. Obviously, this is less than manageable for many Alzheimer’s disease patients, which is why research into the disease is crucial for the advancement of treatment.
Alzheimer’s disease is a chronic, neurodegenerative disease of the brain that has been characterized by neuronal loss, b-amyloid plaque deposits, increased activity of catabolic genes and pathways, decreased energy production, mitochondrial activity, and free radical stress. Most importantly, it affects areas of the brain associated with learning and memory. However, it can also affect other areas of the brain. Two of the most common symptoms of Alzheimer’s disease are memory loss and dementia. By examining the MAPK signaling pathways, one can identify the mechanisms in which memory loss and dementia occur.
As stated before, b-amyloid plaque deposits are a major element in Alzheimer’s disease. Along with neurofibrillary tangles, b-amyloid plaques result in cognitive and memory dysfunction. Tau, a microtubule-associated protein, is known to be present in the neurofibrillary tangles. Since its phosphorylation is mediated by several kinases (JNK, p38, and ERK), it affects the MAPK pathways. Also, oxidative stress plays a key role in Alzheimer’s disease and is involved with the JNK and p38 pathways. An activated MAPK pathway is hypothesized to aid in the development of Alzheimer’s disease. The mechanisms in which it operates include induction of neuronal apoptosis, transcriptional and enzymatic activation of b- and g-secretases, and APP phosphorylation.
In recent years of research, scientists have made dramatic progress in understanding Alzheimer’s disease. Four genes have been linked to the disease. The mechanisms by which altered amyloid and tau protein metabolism, inflammation, oxidative stress, and hormonal changes may produce neuronal degeneration are being identified. This has led to the hypothesis that Alzheimer’s disease develops via MAPK signaling pathways.
Concordia Neurochemistry: The Values of Student Led Education
Neurochemistry proved to be everything I have hoped I would experience throughout my educational experience at Concordia. I believe that its function as a capstone course required that we students take it upon ourselves to learn the material and engage in discussion about relatively complex topics both for our educational gain and the education of our fellow neurochemistry classmates. From a pedagogical standpoint I applaud the design of the course. For the first time, we students have been given the vested responsibility to learn ourselves and help teach one another about topic covered in class as well as engage each other in discussion about the social, biological, and ethical implications of some the topics covered throughout the semester. I guess I was pleasantly surprised to see the entire class step up to the plate and authentically care about the hand they had in progressing the class forward.
In addition to the discussion based aspects of the class I found that the exam formats were very effective in allowing the students to express what they had learned through both class based discussion and general problem-solving skills. The format of the exams we took were of two parts, an in-class portion where the students were given a limited amount of information about a neurochemical problem and other factual information in addition to that problem, and secondly a take home portion of the exam in which the article the exam is based off of is given to the students and the students compose information regarding the cause of the problem as well as evaluate the accuracy of their in-class portion. I found this to be an open-ended yet extremely effective method for students to apply the problem solving skills gained throughout the semester
Finally, the blog posts have been among the most rewarding experiences throughout the summer because it gives us students the opportunity to communicate science to the general public. This scientific communication also happens to be the writing formats, which we would most like to read regarding neurochemistry and the social ramifications of particular problems in its realm. I have been extremely fortunate to participate in this course at Concordia College and I will surely not forget the educational benefits of discussion based science courses in the future.
Obesity and HFCS: Where are Nader’s Raiders Now?
Obesity in America has come to be known worldwide as the epidemic of the western world. Though the fast food industry has been the patsy of many lawsuits regarding uncontrollable weight gain, the culprit may actually be the 32 oz cola rather than the burger and fries. The most common sweetener used in soft drinks and other non-diet beverages is high fructose corn syrup (HFCS) a mixture of glucose and fructose. HFCS has taken the place of sweeteners such as glucose, for two reasons: fructose is more readily supplied by corn, America’s most prevalent crop, and pound for pound HFCS tastes sweeter than glucose. Sounds great right? A smaller amount of HFCS provides the same sweet sensation that we get from an equal amount of pure glucose, thus HFCS provides more sweetness for less calories. This is true but fructose doesn’t play the same ballgame that glucose does in the body.
The Concordia Neurochemistry class focused on the role leptin and insulin play in obesity, and the results were concerning to say the least. The article under investigation clarified HFCS’s potential role in increased weight gain through an improper biological response to the sugar. Even though they both taste sweet, fructose and glucose are fundamentally different. Glucose is extremely important to our natural energy production. Glucose is transported into the cells of our body as a result of elevated insulin levels. Cellular glucose intake means increased energy production.
Fructose does not play the same role as glucose. Fructose actually bypasses the transport into the cells and goes straight to the liver, where the liver then transforms the fructose into a precursor to triglycerides (fatty molecules).
So regarding obesity in America, much of it can likely be attributed to our excessive intake of HFCS through soft drinks and processed foods. In addition to the fat producing effects of HFCS, it does not merit the same spike in insulin levels that glucose does, so we don’t realize that we are full. The absence of insulin levels while consuming food that is high in HFCS can lead to overeating which lends itself to an energy surplus, thus we gain weight. The positive correlation between fructose and weight gain is impressively strong.
In conclusion, all sugars are not equally processed. Indeed overconsumption of any calories will lead to weight gain, however, considering that HFCS is immediately converted into a fat precursor, it is advisable to opt for foods that are primarily sweetened with glucose.
More Pain More Gain or More Pain Less Brain?
Brain plasticity, what does it mean? Usually we associate brain plasticity with the ability to readily learn new tasks and recover from potential damage, however recent research regarding concussions show that not only do periods of heightened plasticity not protect subjects from mechanical brain trauma but it makes them more vulnerable. Indeed the most common period for us to experience brain trauma is when our brains are not fully developed, specifically our frontal lobes, which continue to develop throughout the age of 25. The reason behind the long-term brain trauma vulnerability, is that the myelination, a cholesterol-like protective tissue, of our frontal lobes has not entirely taken place. So unlike brain trauma experienced by their elders, young adults exhibit a susceptibility to slower recovery and worse overall long-term cognitive outcomes in the wake of brain trauma such as a concussion.
This brings to light a serious question regarding the ethics of athletic performance throughout early adulthood especially regarding whether or not a previously concussed participant are ready to reenter the athletic field. Looking back on my high school athletic experiences what was most obvious was the potentially self-destructive notion of more pain, more gain. Keeping this in mind, and considering the glory of athletic success throughout those years, it was blatantly obvious that people, who have suffered from a concussion, were eager to “recover” so they could quickly return to the field and support their team.
Our neurochemistry class talked extensively about the potential long-term damage an athlete could subject themselves to because of premature reentry. The primary reason that premature reentry is so dangerous for concussed subjects is that the brain’s natural defense system against trauma has been drastically weakened. This defense system incorporates your brain’s ability to repair mildly damaged neurons and to re-equilibrate the chemical levels of those neurons. If a second traumatic event occurs while the brain is fervently working to repair the first concussion, the brain goes into a significant state of decreased repair, which often leads to irreparable damage.
Furthermore, in order to properly recover from a concussion it is advisable for the subject to take a break from the functions of a normal day. In fact concussion victims that immediately engage in normal tasks such as schoolwork, normal motor function, and coordinated motor function show a marked decrease in cognitive recovery rate. If such therapy required for a concussion victim to recover fully, are we ultimately jeopardizing students’ academic and cognitive future by allowing them to participate in concussion related athletics and return to the field without knowing indefinitely if they have fully recovered? While concussion related stories about professional athletes and permanent damage increases to become more prevalent in the media I believe there will be a movement toward improving concussion recovery diagnostics and much controversy surrounding the potential dangers surrounding school athletics.
House, Medical Genius and Opiate Addict
Dr. Gregory House has an uncanny knowledge of the medicine. He is able to approach medical issues from a different perspective than other doctors in the series and his biting criticism, though abundantly entertaining to viewers is unwanted but tolerated because of the man’s diagnostic expertise. So what can’t House do? Though his problem-solving skills are second to none, House is unable to break his serious addiction to vicoden, a commonly prescribed opiate used to temporarily attenuate serious pain. House began self-medicating chronic pain resulting from a leg infarction, and his addiction is hardly a surprise. Considering that opiates such as vicoden, morphine, and heroin all biologically change the way in which the brain works, discontinuing opiate intake can lead to serious and potentially life-threatening withdrawal side effects.
House is among thousands of people who suffer from opiate addiction and this is the primary reason that opiates are a last resort therapy to alleviating pain. Even short term dosage of opiates lead to tolerance by changing the landscape of the brain. When opiates are taken, they bind to opiate receptors in the brain, which eventually decrease the transmission of pain signals through our neurons. As opiates are continually taken to lessen pain signaling, a tolerance establishes, thus a higher opioid dosage is required to produce the same painkilling response.
Tolerance is most likely due to one of two hypotheses: 1.) Continued dosage of opioids cause pathways to be activated in the body, which reduce to amount of opioid receptors on the neuron, thus decreasing the overall possible opioid signal. 2.) The opioid receptor itself is disconnected from the G-protein on the inside of the neuron, which facilitates opioid signal transduction. These two possible causes of tolerance do not apply to all opioids, for instance, morphine causes a disconnection between the opioid receptor and the associated G-protein but does not cause the expression of opioid receptors on the surface of the neuron to decrease. The two hypotheses can both apply to a particular opioid or one of them can apply, but what has been shown is that in all cases, increased opioid treatment leads to tolerance. The tolerance that is developed is likely the addictive mechanism behind the danger of opioids. For example, if a frequent opioid user were to stop taking opioids, the body would be very susceptible to pain amplification which is a result of the biological change that has occurred on their neurons.
With the negative side effects of opioid treatment it is no wonder that doctors are reluctant to prescribe opioids for pain treatment and why Dr. House is reluctant stop taking them.