Inflamed Minds: The Silent Fire Fueling America’s Obesity Crisis

Abstract by Alisha Debleye: This depicts the connection of the Gut and the inflammation on the brain. 

Let me take you on a journey that begins not in a fast food drive-thru or a grocery aisle stocked with ultra processed snacks, but inside the brain, in a small yet powerful region called the hypothalamus. It’s a place where every bite we take and every calorie we burn is carefully regulated by complex signaling systems. This tiny structure is the conductor of our body’s energy orchestra.

And for most of human history, this system worked just fine. We ate what we needed, our hormones sent signals to stop eating, and our bodies used energy efficiently. But in today’s world, with diets high in saturated fats and sugar, this ancient system is under attack. What starts on our plates ends up disrupting our brains, literally inflaming them. Therefore, obesity is no longer just a “weight issue.” It’s a neurological condition with deep consequences for public health in the United States.

A Silent Fire in the Brain

A groundbreaking study published in the Journal of Clinical Investigation reveals that obesity-related inflammation begins not in the belly or the thighs, but in the hypothalamus, the very part of the brain that regulates hunger and energy use1.

Within just three days of starting a high-fat diet, inflammation begins to flare in this region. Before any weight is visibly gained, the hypothalamus starts to lose sensitivity to insulin and leptin, two hormones responsible for telling us when to stop eating1. As this feedback loop breaks down, overeating begins.

Figure 1: In healthy brains, leptin and insulin suppress appetite through neurons in the arcuate nucleus (ARC). But in inflamed brains, this signal is ignored, fueling increased hunger and weight gain.

The Domino Effect

As hypothalamic inflammation sets in, it doesn’t stay put. Microglia, the brain’s immune cells, begin releasing inflammatory molecules like TNF-α and IL-6. These cytokines damage nearby neurons and spread dysfunction throughout the brain. The blood-brain barrier becomes more permeable, allowing even more inflammatory substances to enter.

The science is clear. Diet-induced inflammation impairs our ability to feel full and use energy properly, leading to a vicious cycle of overeating and weight gain1.

And the damage isn’t limited to neurons. Astrocytes, another type of brain cell, swell and become reactive. Their once-helpful support turns toxic, and they start producing molecules that accelerate the inflammatory cascade. Over time, this neural chaos disrupts synaptic communication and even leads to neuron death, especially in the ARC region, which governs satiety.

Abstract by Alisha Debleye: Depicting the connections around the brain and how each part is a domino effect when things go wrong.

The Price We Pay

This is more than just a scientific curiosity. It’s a national crisis. In the U.S., more than 42% of adults are obese, and the medical costs are staggering, an estimated $147 billion per year2.

And yet, so much of the public conversation around obesity is still framed as a moral failing, a lack of willpower. The truth is, chronic exposure to high-fat, high-sugar diets rewires our brains, making it biologically harder to stop eating.

Worse yet, this inflammation may start even before birth. Research shows that maternal obesity primes the developing brains of offspring for inflammation, setting them up for metabolic disorders later in life1.

Hope in Reversal

But here’s where it gets hopeful.

Studies suggest that unsaturated fats, particularly omega-3 fatty acids, can reverse some of this hypothalamic inflammation1. Exercise, too, has been shown to reduce cytokine activity in the brain, restoring insulin and leptin sensitivity. And promising new therapies target the inflammatory pathways directly, from NF-κB inhibitors to drugs that reduce endoplasmic reticulum (ER) stress.

In other words, early intervention matters. The fire in the brain can be extinguished if we act fast enough.

Why This Matters to You

This isn’t just another health scare story. It’s a wake-up call.

We need to rethink how we talk about, and treat, obesity. We need public policies that address the quality of our food supply, not just calorie counts. We need compassion, not blame. And we need research funding that prioritizes neurological and inflammatory causes of obesity.

If the brain controls the body, then protecting the brain should be the first line of defense in tackling the obesity epidemic.

So next time you hear someone say, “Just eat less,” remember: it’s not always that simple. Behind every craving, every binge, and every struggle with weight may be a brain under siege.

Let’s stop judging. Let’s start understanding. Let’s cool the fire, one neuron at a time.

References:

[1] Jais, A., & Brüning, J. C. (2017). Hypothalamic inflammation in obesity and metabolic disease. *The Journal of Clinical Investigation*, 127(1), 24–32. https://www.jci.org/articles/view/88878  
[2] CDC. (2022). Adult Obesity Facts. https://www.cdc.gov/obesity/data/adult.html

Fire in the Brain: Obesity and Metabolic Disease

In their 2017 article, Hypothalamic Inflammation in Obesity and Metabolic Disease, researchers Jais and Brüning looked at how the hypothalamus becomes inflamed in people with obesity. The hypothalamus helps control hunger and how the body uses energy. The authors explain that when we eat too much high-fat/high-sugar food, it can trigger inflammation in this part of the brain. This inflammation makes it harder for the brain to properly regulate appetite and metabolism, which can lead to more weight gain and increase the risk of diseases like type 2 diabetes. Their work shows that obesity is not just about eating too much, but also about how the body, especially the brain, responds to what we eat [1].

Why Are We Talking About Genes and Obesity?

Obesity is a global problem, affecting millions of people [2]. While it’s easy to blame fast food or lack of exercise, scientists have found that there’s much more to the story. One important piece of that story is our genes. They are tiny instructions in our DNA that help shape how our bodies work. Some people have genetic differences that can make them more likely to gain weight, even when they try to eat well and stay active. Understanding the role of genes and brain inflammation helps explain why some people struggle more than others, and it opens the door to better, more personalized treatments.

But even though we know genes and brain inflammation play a role together, scientists still don’t fully understand how these processes work together. There are many different genes involved, and they don’t all act the same way in every person. Treatments that target inflammation in the brain are still in the early stages, and more research is needed to figure out what works and what doesn’t. This makes it a big challenge, but also an exciting area for new discoveries.

Exploring the Interplay of Genetics and Nutrition in the Rising Epidemic of Obesity and Metabolic Diseases
Here we see all of the ways that obesity is complex. It is not one simple answer for every human.

What are the Specific Genetic Defects?

Genetic obesity happens when a change in just one gene causes serious weight problems, often starting in early childhood. These changes affect parts of the brain, especially the hypothalamus, that control hunger and how the body uses energy. For example, a mutation in the LEP gene can cause a lack of leptin, a hormone that helps control appetite, leading to constant hunger and rapid weight gain. This can sometimes be treated with leptin replacement therapy. Other genes, like LEPR, stop the body from responding to leptin, even if it’s there. The MC4R gene, the most common cause of single-gene obesity, affects signals that tell the brain when you’re full. Mutations in POMC and PCSK1 can cause more complex problems, like hormone imbalances and poor energy control. All of these genes play a role in key brain pathways that manage appetite, energy use, and even how much we enjoy food [3].

Where Do We Go From Here?

Research like this shows us that obesity can be caused by more than just eating too much-  it can also be linked to brain changes and inflammation. Certain genetic differences can make some people more vulnerable to these changes. By understanding these processes, scientists can begin to develop treatments that go beyond diet and exercise. They can hopefully provide treatments that actually target the brain and genes involved. This opens up new possibilities for helping people with obesity in a way that’s more effective and more fair.

Science and Real Life

This research matters because it shifts how we think about obesity. It reminds us that weight gain isn’t just a personal failure- sometimes, it’s biology, and that changes everything. If doctors and society can better understand the real causes behind obesity, we can create more compassionate healthcare and offer personalized treatment plans, all the while reducing the stigma that people with obesity often face.

created by Rachel Cavaness, CHATGPT

 

[1] Jais, A., & Brüning, J. C. (n.d.). Hypothalamic inflammation in obesity and metabolic disease. The Journal of Clinical Investigation, 127(1), 24–32. https://doi.org/10.1172/JCI88878

[2] Guideline Development Panel for Treatment of Obesity, American Psychological Association. (2020). Summary of the clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents. The American Psychologist, 75(2), 178–188. https://doi.org/10.1037/amp0000530

[3] Abawi, O., Wahab, R. J., Kleinendorst, L., Blankers, L. A., Brandsma, A. E., van Rossum, E. F. C., van der Voorn, B., van Haelst, M. M., Gaillard, R., & van den Akker, E. L. T. (2023). Genetic Obesity Disorders: Body Mass Index Trajectories and Age of Onset of Obesity Compared with Children with Obesity from the General Population. The Journal of Pediatrics, 262. https://doi.org/10.1016/j.jpeds.2023.113619

Hypothalamic Inflammation: The Brain’s Role in Obesity and Metabolic Disease

Artstract by M. Shercliffe.

We’ve all heard it before: obesity is an equation of calories in versus calories out. To lose weight you merely need to eat less and exercise more. Pretty simple, right? However, the reality is far more complex. Emerging research reveals that the brain, particularly the hypothalamus, plays a central role in metabolic regulation and that inflammation in this region may be a key driver of obesity and its associated diseases. A 2017 review entitled “Hypothalamic Inflammation in Obesity and Metabolic Disease” [1] synthesizes groundbreaking findings on how hypothalamic inflammation disrupts energy balance, promotes overeating, and contributes to insulin resistance. This blog post will highlight the review, exploring the molecular and cellular mechanisms behind these processes and why they matter for understanding, and hopefully treating, metabolic disorders.

 

The Hypothalamus: Master Regulator of Metabolism

The hypothalamus is the brain’s metabolic control center. Nestled deep within the brain, it integrates hormonal and nutrient signals to regulate hunger, energy expenditure, and glucose metabolism. Two key neuronal populations in the arcuate nucleus of the hypothalamus are critical for this balance:

  1. AgRP/NPY neurons: Promote hunger and reduce energy expenditure.
  2. POMC neurons: Suppress appetite and increase energy expenditure.

These neurons respond to hormones like leptin and insulin, which communicate the body’s energy status. In a healthy system, rising leptin (from fat stores) and insulin (from food) activate POMC neurons and inhibit AgRP neurons, curbing appetite and boosting metabolism[1]. However, in obesity, this system breaks down due to a phenomenon known as leptin and insulin resistance, as illustrated below in Figure 1.

Figure 1. Illustration of the interplay between insulin and leptin signaling in lean and obese subjects [2].

The Culprit: Hypothalamic Inflammation

Unlike systemic inflammation, which arises later in obesity, hypothalamic inflammation kicks in early, often before significant weight gain. Here’s how it happens:

  1. The Trigger? Saturated Fats.

A high-fat diet (HFD), particularly one rich in saturated fatty acids, rapidly activates inflammatory pathways in the hypothalamus. Saturated fatty acids cross the blood-brain barrier and:

  • Activate Toll-like receptor 4 (TLR4) and MyD88, triggering NF-kB and JNK signaling.
  • Induce endoplasmic reticulum stress, which further disrupts insulin and leptin signaling[1].

These pathways converge to promote leptin and insulin resistance in AgRP and POMC neurons, blunting their response to hormonal signals.

  1. The Vicious Cycle of Inflammation and Overeating

Once inflammation takes hold, it creates a feedback loop:

  • Impaired POMC function leads to reduced a-MSH (an appetite suppressant) and increased B-endorphin (which may paradoxically promote cravings).
  • Hyperactive AgRP neurons cause enhanced hunger signaling and reduced energy expenditure.
  • HFD reduces inhibitory synapses on POMC neurons, further disinhibiting hunger[1].

The result? The brain no longer “hears” signals to stop eating, leading to uncontrolled calorie intake.

  1. Non-Neuronal Factors: Microglia and Astrocytes

Neurons aren’t the only cells involved. The hypothalamus is rich in glial cells, and HFD throws them into disarray:

  • Microglia become activated, releasing pro-inflammatory cytokines which exacerbate neuronal dysfunction.
  • Astrocytes (which help support neuronal metabolism) also release pro-inflammatory factors and induce RNA stress in the hypothalamus, amplifying the inflammatory response[1].
Figure 2. Influence of leptin and insulin in the ARC and PVN in metabolic homeostasis and dysfunction [1].

From Brain to Body: Systemic Consequences

Hypothalamic inflammation doesn’t just affect appetite, it has drastic metabolic consequences:

  • Peripheral Insulin Resistance: Hypothalamic inflammation impairs the brain’s ability to regulate liver glucose production and adipose tissue lipolysis, worsening systemic insulin resistance.
  • Autonomic Dysregulation: Altered signaling to the sympathetic nervous system reduces thermogenesis and promotes fat storage.
  • Maternal Programming: Maternal obesity or HFD consumption can “imprint” hypothalamic inflammation in children, predisposing them to metabolic dysfunction later in life[1].
Figure 3. Illustration of changes in nutritional signals, inflammatory cytokines, metabolic hormones, and microbiome-derived molecules due to HFD [3].

Therapeutic Implications: Can We Target Hypothalamic Inflammation?

The good news? Understanding these mechanisms opens doors for potential interventions, including:

  • Anti-inflammatory agents: Blocking TNF-a or TLR4 signaling in the hypothalamus restores leptin sensitivity in animal models[4].
  • Omega-3 fatty acids: Unsaturated fats counteract saturated fatty acid-induced inflammation[5].
  • Exercise: Reduces hypothalamic inflammation by dampening NF-kB and endoplasmic reticulum stress[6].

However, translating these findings to humans remains a challenge, and more research is needed to develop targeted therapies.

The hypothalamus isn’t just a passive responder to obesity, it’s an active player in its development. By disrupting hormonal signaling, synaptic plasticity, and even the brain’s immune environment, hypothalamic inflammation locks the body into a state of metabolic dysfunction. This research shifts the narrative of obesity from mere overeating and under-exercising to a complex neurological disorder, offering new hope for treatments that target the brain to break the cycle. These findings serve as a reminder that the brain and body are inextricably linked in health and disease, including metabolic disorders.

 

The hypothalamus regulates metabolism through complex interactions between POMC/AgRP neurons, glial cells, AND circulating metabolic hormones, BUT saturated fats from high-fat diets trigger hypothalamic inflammation through TLR4/NF-kB activation, ER stress, and microglial overactivation that disrupts these systems, THEREFORE this creates a cycle of neuronal dysfunction, appetite dysregulation, and metabolic impairment that may require targeted anti-inflammatory interventions to break.

 

References

[1] A. Jais and J. C. Brüning, “Hypothalamic inflammation in obesity and metabolic disease,” J. Clin. Invest., vol. 127, no. 1, pp. 24–32, Jan. 2017, doi: 10.1172/JCI88878.

[2] S. Dey, N. Murmu, M. Bose, S. Ghosh, and B. Giri, “Obesity and chronic leptin resistance foster insulin resistance: An analytical overview,” BLDE Univ. J. Health Sci., vol. 6, Jan. 2021, doi: 10.4103/bjhs.bjhs_29_20.

[3] “Metabolic factors in the regulation of hypothalamic innate immune responses in obesity | Experimental & Molecular Medicine.” Accessed: Apr. 22, 2025. [Online]. Available: https://www.nature.com/articles/s12276-021-00666-z

[4] S. S. da Cruz Nascimento et al., “Anti-inflammatory agents as modulators of the inflammation in adipose tissue: A systematic review,” PLoS ONE, vol. 17, no. 9, p. e0273942, Sep. 2022, doi: 10.1371/journal.pone.0273942.

[5] K. Albracht-Schulte et al., “Omega-3 fatty acids in obesity and metabolic syndrome: a mechanistic update,” J. Nutr. Biochem., vol. 58, pp. 1–16, Aug. 2018, doi: 10.1016/j.jnutbio.2018.02.012.

[6] L. Della Guardia and R. Codella, “Exercise Restores Hypothalamic Health in Obesity by Reshaping the Inflammatory Network,” Antioxidants, vol. 12, no. 2, p. 297, Jan. 2023, doi: 10.3390/antiox12020297.




 

Bigger isn’t better: Inflammation Affects on the Brain

Bigger Isn’t Better: Inflammation Affects on The Brain

Swelling of the brain might seem like a minor concern when it comes to overall brain health, but inflammation affects homeostasis, disrupting processes such as hunger regulation and metabolism. Hypothalamic inflammation leads to issues such as overeating, energy imbalance, and systemic health issues like diabetes and heart disease. Inflammation is the silent driver of metabolic dysfunction that produces diabetes.

Low-grade inflammation is often caused by obesity, which weakens signaling and disrupts metabolic homeostasis. This type of signaling is labeled as anorexogenic signaling which contributes to fat cell mass and has an affect on the relationship between food intake and energy expenditure. As shown in Figure 1., when anorexigenic signaling decreases, orexigenic signal increases which signals the body to increase appetite and food intake. On the other hand, anorexigenic signaling lowers food intake. Diet also plays a significant role in inflammation. A high fat diet (HFD) or low fat diet (LFD) can affect this signaling in a positive or negative way.[1]

 

gastrointestinal vagal afferent fibres ...
Figure 1. Anorexigenic versus Orexigenic signaling in inflammation and fat gain/loss

 

How Hypothalamic Inflammation Develops

Hypothalamic inflammation is chronic inflammation that affects the hypothalamus region the most, this region is in charge of regulating energy, balance and bodily functions that contribute to homeostasis.

Two hormones, Insulin and Leptin, are major players in how hypothalamic inflammation develops. Leptin is a hormone that is secreted by adipose tissue, AKA body fat, which stores energy. Leptin contributes to Insulin resistance; elevated levels of Leptin are typically due to an increased fat mass. Insulin resistance interferes with Leptin’s normal function: maintaining energy by suppressing hunger. Leptin’s job is to signal to the brain when energy storage is in primal conditions. When Leptin contributes to Insulin resistance it disrupts the glucose metabolism and promotes fat accumulation. There are a multitude of diseases that  contribute to hypothalamic inflammation as shown in Figure 2. 

Figure 2. Factors that contribute to hypothalamic inflammation such as, disease, factors, and cellular mechanisms involved.

 

The blood–brain barrier (BBB) acts as security, regulating the transport of the metabolic signals we receive from the central nervous system (CNS). Disruptions in BBB function can contribute to metabolic and neurological disorders, such as obesity and metabolic syndrome. Elevated triglyceride levels have been shown to impair Leptin transport across the BBB, inducing peripheral Leptin resistance and weakening the brain’s ability to regulate energy homeostasis. Similarly, chronic inflammation and Insulin resistance can alter theBBB strength, affecting cognitive functioning and increasing the chance of neurodegenerative diseases such as Alzheimer’s.[2]

This type of systemic metabolic dysfunction contributes to cognitive and neurological impairments, highlighting the need for targeted interventions to restore metabolic balance and brain health.

Chronic inflammation in the hypothalamus plays a critical role in metabolic dysfunction. There are two main signaling pathways involved:

c-Jun N-terminal kinase (JNK)

IκB kinase (IKK)

These kinases are activated in response to metabolic stress, including excessive nutrient intake, obesity, and Insulin resistance. JNK activation interferes with Insulin signaling by phosphorylating IRS-1, a key mediator in the Insulin pathway, contributing to Insulin resistance and Leptin dysfunction.

Similarly, IKK plays a pivotal role in activating NF-κB, a transcription factor that drives inflammatory responses, further disrupting metabolic homeostasis and impairing brain function.

Elevated activity of these pathways not only exacerbates hypothalamic inflammation but also impairs blood-brain barrier integrity, influencing cognitive function and neurodegenerative disease risk. Understanding how JNK and IKK contribute to metabolic inflammation offers valuable insight into the mechanisms driving obesity, Insulin resistance, and associated neurological disorders.

YUM! Saturated Fatty Acids

We have a general idea of what foods are unhealthy versus heathy. What we choose to put in our bodies develops habits that determine our overall health. It is important to treat your body well and keep your body happy. Studies show that the influence diet has affects not only your body, but also your brain. The response is negative or positive based on what you feed it.

LFD

A low-fat diet (LFD) prioritizes reducing saturated fats, AKA your dietary fat, as shown in Figure 3. While recommended for heart health and weight management, newer research suggests that fat quality matters more than quantity. Some fats, like omega-3 fatty acids, support brain health, while excessive intake of unhealthy fats can promote inflammation and Insulin resistance as shown is Figure 4.

Depreciate those Extra Calories” -Go with the best diet… – Nutrition Meets Food Science
Figure 3.

Acute HFD

Short-term exposure to a high-fat diet (HFD) has been shown to disrupt normal metabolic processes, leading to temporary Insulin resistance and increased inflammatory markers. In animal studies, acute HFD exposure has been linked to impaired Leptin signaling, weakening the brain’s ability to regulate hunger and energy balance.

Chronic HFD

Long-term consumption of a high-fat diet presents more severe consequences. Chronic HFD has been extensively studied for its role in promoting obesity, metabolic dysfunction, and neuroinflammation. Continued exposure to excessive saturated fatty acids contributes to the risk of hypothalamic inflammation, disrupting Leptin and Insulin signaling, impairing the BBB strength, and increasing the risk of neurodegenerative diseases. [3]

Figure 4. Good fats versus bad fats

The Melanocortin System and Energy Regulation

The melanocortin system is involved in various physiological processes, including energy balance, immune regulation, and pigmentation. This complex network comprises melanocortin peptides derived from pro-opiomelanocortin (POMC), five melanocortin receptors (MCRs), and two endogenous antagonists—agouti-signaling protein and agouti-related peptide. Research has discovered the importance of this system and its broader influence on inflammation, metabolic regulation, and neural signaling.

The melanocortin system consists of  three important players: POMC, AgRP, and FOXO1 neurons.

POMC neurons

The activity of POMC neurons is tightly regulated by various signals, including Leptin and Insulin, which contributes to promote satiety. POMC neurons are functionally opposed by AgRP neurons, which exert antagonistic effects on melanocortin signaling by inhibiting MC3R and MC4R activity, promoting hunger and reducing energy expenditure.[4]

AgRP neurons

Agouti-related peptide (AgRP) is primarily involved in regulating appetite, energy balance, and promoting food intake. Melanocortin receptors, MC3R and MC4R, take part in metabolism and food intake. By binding to these receptors, AgRP effectively suppresses melanocortin signaling, leading to increased feeding behavior and reduced energy expenditure, as shown in Figure 5. 

FOXO1

AgRP’s role in metabolism and energy balance is closely linked to transcription factors that regulate cellular processes, including FOXO1. FOXO1 (Forkhead box protein O1) is a key transcription factor involved in Insulin signaling, gluconeogenesis, AKA the process where the liver and kidneys make sugar, and neuroendocrine regulation.

When energy levels are low, FOXO1 becomes more active and enhances AgRP gene transcription, promoting appetite stimulation and increasing food intake. This interaction is crucial in energy deficient states, such as fasting or caloric restriction, where the body prioritizes nutrient intake and conservation. Conversely, Insulin signaling inhibits FOXO1 activity, reducing AgRP expression and suppressing hunger.[5]

Figure 6.
Figure 6. Artwork of metabolic brain

The Brain is #1

The brain is the most important part of our bodies. It is responsible for everything that we are able to do. Protecting our brain and prioritizing brain health means making healthy choices that support our metabolic balance and minimize inflammation. A high-fat diet, when sustained over time, not only leads to obesity but also fuels Insulin resistance and inflammatory processes that compromise brain health. This type of damage can be avoided with lifestyle changes by prioritizing anti-inflammatory nutrients.We can improve metabolic flexibility by choosing whole, nutrient-dense foods. By making healthy choices, we set a foundation for long-term physical and cognitive resilience.

 

REFRENCES

Banks WA, Farr SA, Salameh TS, Niehoff ML, Rhea EM, Morley JE, Hanson AJ, Hansen KM, Craft S. Triglycerides cross the blood-brain barrier and induce central leptin and insulin receptor resistance. Int J Obes (Lond). 2018 Mar;42(3):391-397. doi: 10.1038/ijo.2017.231. Epub 2017 Oct 9. PMID: 28990588; PMCID: PMC5880581.

Henn, R. E., Elzinga, S. E., Glass, E., Parent, R., Guo, K., Allouch, A. M., Mendelson, F. E., Hayes, J., Webber-Davis, I., Murphy, G. G., Hur, J., & Feldman, E. L. (2022). Obesity-induced neuroinflammation and cognitive impairment in young adult versus middle-aged mice. Immunity & ageing : I & A19(1), 67. https://doi.org/10.1186/s12979-022-00323-7

Jais, A., & Brüning, J. C. (2017, January 3). Hypothalamic inflammation in obesity and metabolic disease. The Journal of clinical investigation. https://pmc.ncbi.nlm.nih.gov/articles/PMC5199695/

Kentish, S.J. and Page, A.J. (2015), The role of gastrointestinal vagal afferent fibres in obesity. J Physiol, 593: 775-786. https://doi.org/10.1113/jphysiol.2014.278226

Wang, W., Guo, D. Y., Lin, Y. J., & Tao, Y. X. (2019). Melanocortin Regulation of Inflammation. Frontiers in endocrinology10, 683. https://doi.org/10.3389/fendo.2019.00683

 

Potential Pathways to Escape Brain Cancer

Do you know what types of cancer are more likely to kill you? Do you know how to avoid contracting or how to treat these? Unfortunately, some cancers are more deadly than others, these tending to be the types whose course of disease is unpredictable, making their effective treatment rather unknown. Glioblastoma (GBM) is one such cancer, it being a lethal, malignant form of brain cancer that usually kills its host within 2 years if not less. Luckily though, recent research into how different cellular signaling pathways regulate tumor growth in GBM has shown promise in identifying ways to treat cancers like GBM. Here, we’ll discuss this topic and how regulating two molecules, the cAMP Response Element Binding Protein (CREB) and the BCL2-Like 11 (for short, “Bim”) protein, may fight the growth of cancer.

 

What Makes GBM So Complicated?

Part of what makes GBM, and other alike cancers, so hard to treat is that fact that are multiple types of GBM, and this impacts what the best course of treatment is. In addition, one type, called Neural GBM, has no obvious pattern when it comes to when genes it causes mutation to, making the survival rates of those with GBM very low. However, the fact that GBM causes mutations in a differing number of genes seems to be the common thread amongst all types.1

 

What Pathways May Be Involved in GBM

Figure 1. This illustrates how the MAPK, PI3K, and cAMP pathways regulate the activity of CREB, with asterisks indicating potential places for drug treatments.1

And these genes impact the expression of different pathways within neurons. With mesenchymal GBM, certain mutations lead to dysfunction of the mitogen-activated protein kinase (MAPK) and phosphoinositide-3-kinase (PI3K) pathways, which ultimately end up impacting what genes in a neuron are transcribed by regulating activity of cAMP Response Element Binding Protein (CREB), seen in Figure 1. CREB is called a transcription factor for this reason, and when its activity is upregulated in cases of GBM that disrupt the MAPK and PI3K pathways, is dysregulates the activity of typical proteins, causing tumor cell growth and irregular neuron development.1

Also seen in Figure 1 is how CREB activity is also regulated by the cyclic adenosine 3′,5′-monophosphate (cAMP) pathway. Opposite to the MAPK and PI3K pathways, cAMP has a low level of activation in tumor growths, so researchers hypothesize that elevating it would inhibit tumor growth.1 For more in-depth information on how treating different aspects of each pathway may degrade tumors, see [here].

 

The cAMP Pathway & Its Involvement in GBM

Figure 2. This displays the cAMP pathway and molecules, like Fsk, and PDEi, that would lead to its increased activation.1

Low cAMP levels are positively correlated with tumor malignancy, making it a promising target for cancer treatments. Research suggests that enzymes that work to activate cAMP, like forskolin (Fsk) and phosphodiesterase inhibitor (PDEi), would be effective.1 These are illustrated in Figure 2, and for more information on how they work, see [here].

But what makes the cAMP pathway cause tumor cell death? Well, research has shown that it may be due to its activity increasing the expression of Bim.

 

Bim & How it Impacts Tumor Growth in GBM

Figure 3. This displays the impact of stress signals on the expression of Bim proteins and their impact on the mitochondria.2

 

In mammals, Bim proteins directly interact with Bak and Bax, two pro-apoptotic proteins, meaning they induce cell death. They do this by increasing the mitochondrial outer membrane (MOM) permeability, demonstrated in Figure 3. This allows things to enter or exit the mitochondria that shouldn’t and initiates apoptotic pathways, thus causing cell death.2

Not only does expression of the Bim gene through its interaction with pro-apoptotic proteins, but it also acts to increase cell death by:

  1. Neutralizing the anti-apoptotic BCL-2 proteins, or…
  2. Uncoupling mitochondrial respiration, causing an increase in cellular levels of reactive oxygen species (ROSs).2

For more information on the pathways by which Bim works and what stimuli initiates its activation, see [here], and for a review on what the MOM does for the cell, watch this video: [MOM].3

 

How Bim Activation Can Be Used to Treat GBM

Bim typically is transcribed in response to certain stimuli independent of CREB, but in some cancer patients, the transcription of it and the creation of its Bim proteins may be decreased. So, if Bim levels can be increased in tumor cells, this may lead to their death in patients with GBM and alike cancers.2

Interestingly, the MAPK pathway inhibits Bim-regulated apoptosis as well, promoting tumor cell growth. So, Bim agonists may also be considered in GBM patients whose MAPK pathways are overly activated to induce tumor cell death.2

 

Conclusion

In conclusion, CREB activity is regulated by the PI3K, MAPK, and cAMP pathways, but the cAMP pathway’s activation of CREB leads to the creation/activation of proteins different than the MAPK and PI3K pathways. Therefore, if doctors and researchers can determine which pathway is disrupted in patients with GBM, they can administer treatment that directly targets the root of the problem, and this applies to all types of cancer. In the example of the cAMP pathway, it’s been shown that increased Bim expression leads to death of cancer cells, so in such patients where it is the cAMP pathway being disrupted, Bim activators may be effective treatments against GBM that don’t cause the side effects that a CREB inhibitor might, as Bim acts independently of CREB. Further research needs to be done on this topic, but ultimately, research on the genes involved in tumor cell growth provides a promising explanation as to why they occur and how we could possibly treat them without invasive treatments such as chemotherapy.

 

Footnotes:

1Fung, N.H, et. al. “Understanding and exploiting cell signaling convergence nodes and pathway cross-talk in malignant brain cancer.” Cellular Signaling, vol. 57, 2019, https://doi.org/10.1016/j.cellsig.2019.01.011

2Sionov, R.V., et. al. “Regulation of Bim in Health and Disease.” Oncotarget, vol. 6, no. 27, 2015, https://www.oncotarget.com/article/5492/text/

3Gauthier, Nicholas. “Outer Mitochondrial Membrane; Overview and Function.” Study.com, 2025, https://study.com/learn/lesson/video/outer-mitochondrial-membrane-function-layers-composition.html

The Silent Saboteur: How Brain Inflammation Could Be Fueling the Obesity Epidemic

For decades, we’ve pointed fingers at willpower and calories in the battle against obesity. Eat less. Move more. Sounds simple, right?

But what if we’ve been missing a critical piece of the puzzle all along – something hidden deep within the brain? What if, instead of a lack of self-control, the true culprit behind rising obesity rates is inflammation in the brain itself?

A Crisis Hiding in Plain Sight

Obesity is no longer just a personal health concern – it’s a global epidemic. Despite the flood of diet plan, exercise apps, and miracle weight-loss pills, the numbers keep climbing. And while conventional wisdom tells us it’s all about lifestyle choices, a growing body of research is challenging that narrative.

One groundbreaking shift in our understanding comes from the field of neuroscience, where researchers have begun investigating how inflammation in the brain – specifically, in a region called the hypothalamus – might be silently sabotaging our efforts to maintain a healthy weight. [1]

Meet Your Brain’s Control Center

Think of the hypothalamus as your body’s internal thermostat for energy (Figure 1). This small but mighty structure regulates hunger, satiety (that feeling of fullness), body temperature, and metabolism. It’s constantly receiving signals from hormones like leptin and insulin, helping the body make smart decisions about when to eat and when to stop. But when this delicate system in thrown off by chronic inflammation, the entire process goes haywire. [2]

Hypothalamus: What It Is, Function, Conditions & Disorders

Figure 1 [3] The hypothalamus helps manage your body temperature, hunger and thirst, mood, sex drive, blood pressure and sleep.

The Hidden Fire Within

Recent studies, like the one reviewed by researchers Jais and Burning, have illuminated how brain inflammation may play a far more active role in obesity than we ever imagined. Here’s what the science reveals:

  1. It starts sooner than you think: Within just days of switching to a high-fat diet, signs of inflammation begin to appear in the hypothalamus. This inflammation doesn’t wait for the number on the scale to climb – it often precedes noticeable weight gain. In other words, the damage may begin before you even realize anything is wrong. [1]
  2. Brain cells join the battle: Under normal conditions, cells in the brain known as microglia and astrocytes act as its maintenance crew, keeping things clean and running smoothly. But when exposed to excess dietary fat, these cells go into overdrive. They start pumping out inflammatory molecules like TNF-alpha and IL-6, which begin to damage the neurons responsible for hunger and metabolism regulation (Figure 2). [1]
  3. Hormonal static: As inflammation ramps up, your hypothalamus starts to lose its ability to respond to leptin and insulin – two critical hormones that tell your brain, “We’ve got enough energy; we don’t need more food.” With this signaling broken, the brain keeps shouting for food, even when the body is full. The result? A cycle of overeating, insulin resistance, and further weight gain (Figure 2). [1]

Figure 2 [1] Cellular network of hypothalamic inflammation.

Why This Matters (More Than You Might Think)

This isn’t just fascinating science – it’s deeply personal. Millions of people struggle with their weight despite eating well, exercising regularly, and following medical advice. And when the pounds don’t budge, the default explanation is often self-blame.

But what if the issue isn’t a lack of effort – but an inflamed brain working against you?

Understanding the role of hypothalamic inflammation reframes the entire conversation. It removes the stigma and shame so often attached to obesity and offers a new lens: what if your Brian is just trying to protect you, but got its are crossed along the way?

Need some further explanation? Watch this video by Yuri Elkaim:

A New Path Forward

The good news is that this research doesn’t just point out a problem – it also lights the way to potential solutions. Scientists are now exploring treatments aimed at reducing inflammation in the brain as a way to restore proper metabolic function. [1]

Early animal studies show that compounds like IL-10 agonists – which help cool down brain inflammation – could reverse some of the hypothalamic damage, improve insulin sensitivity, and even normalize appetite signals. It’s still early days, but the implications are enormous. [4]

Hope on the Horizon

There’s still so much we don’t understand about the intricate dance between brain, body, and metabolism. But one thing is becoming clear: the old narrative about willpower and laziness no longer holds up.

Obesity isn’t just a simple math problem of calories in and out. It’s a complex neurobiological condition, influenced by inflammation, hormones, and brain function (Figure 3). And by looking deeper – literally, into the brain – we can start to craft smarter, more compassionate solutions. [1]

Obesity-induced inflammation: connecting the periphery to the brain | Nature Metabolism

Figure 3 [5] Illustrates how chronic inflammation affects multiple organs, disrupting hormone signaling, immune responses, and metabolism, which collectively contribute to obesity and metabolic disease.

So the next times someone tells you “just eat less and exercise more,” remember this…the real fight might not be in your fridge or at the gym… it might be happening deep inside your brain.

References

[1] Jais, A., & Brüning, J. C. (2017). Hypothalamic inflammation in obesity and metabolic disease. Journal of Clinical Investigation, 127(1), 24–32. https://doi.org/10.1172/jci88878

[2] Yeung, A. Y. (2023, January 3). Physiology, obesity neurohormonal appetite and Satiety Control. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK555906/

[3] professional, C. C. medical. (2025, March 3). Hypothalamus: What it is, function, conditions & disorders. Cleveland Clinic. https://my.clevelandclinic.org/health/body/22566-hypothalamus

[4] Ropelle ER, et al. IL-6and IL-10 anti-inflammatory activity links exercise to hypothalamic insulin and septic sensitivity through IKKbeta and ER stress inhibition. PLoS Biol. 2010;8(8):e1000465.

[5] Le Thuc, O., & García-Cáceres, C. (2024, July 12). Obesity-induced inflammation: Connecting the periphery to the brain. Nature News. https://www.nature.com/articles/s42255-024-01079-8

It’s about time you’ve met your metabolism

The article we have covered in a previous week, “Hypothalmic inflammation in obesity and metabolic disease” by Alexander Jais and Jens C. Brüning was an article about metabolic inflammation being connected to obesity in many surprising ways. Basically, we know already that obesity is an obstacle for the brain and it’s functioning. However, due to this feature, this is in a way how this correlation works.The topic today is why people should care about this topic and what the people must know, so without further ado let’s get reading!

The article informs us of a typical metabolic homeostasis, and then what happens to it under insulin and leptin resistance. Though, the article specifically focuses mainly on the insulin and leptin resistance aspect. As a result of this connection, we can now at least suspect the connection!

Figure one, pictured above, from the article mentioned above is especially excellent at explaining this where it was needed (excellently timed, or in other words placed well). That piece is a diagram expressing exactly this. The myriad, but consistent colors complements the black parts which either crosses something out, or is a metaphorical old-timey scale. Although, one slight problem could be that it could feel a large bunch overwhelming if you’re not too familiar with the applied terms of figure one in the Neuroscience field. This was an excellent piece to me for it is maximized simplicity because, for clear reasons, that kind of thing strongly helps. The figure may also benefit people uninvolved in Neuroscience as well because figure one uses so much brief, yet descriptive, labeling, and I find that effective myself in general because it’s easy on the eyes to track or logicate.

Now, at this point, one, such as yourself, may wonder why people really should care about all the above information. Well, let’s answer with essential basics to answer ourselves by quickly asking ourselves something simpler first; what really is metabolism? Well, the answer is absolutely nothing short of deeply important. According to Arturo Sánchez López de Nava and Avais Raja, metabolism is known as “the whole sum of reactions that occur throughout the body within each cell and that provide the body with energy.” (Arturo Sánchez López de Nava and Avais Raja 2022).^2 Considering what we know about energy, the ability to do action internally and externally, it’s no shock to pretty much anyone that such a scenario can turn serious fast. Let us put this into perspective with another topic.

In my class, I personally examined the various effects that the person with a penis has in the impact of their child’s birth via their diet. Surprisingly, I learned from the University of Tennessee Institute of Agriculture, even very specific nutritional choices have a direct effect on the child. Using protein as an example, a low amount of protein may cause a higher birth weight while high amounts of protein may lead to glucose intolerance in their child.^3 It is little short of incredible how essential our nutritional choices are, and even more so that we seemingly take little worry to what it does to us.

References:
1) “Hypothalmic inflammation in obesity and metabolic disease” by Alexander Jais and Jens C. Brüning
2)https://www.ncbi.nlm.nih.gov/books/NBK546690
3) https://animalscience.tennessee.edu/wp-content/uploads/sites/7/2022/05/Relevant-Repro-Blog-7_-Paternal-Impacts.pdf

Rewire Your Metabolism: How Healthy Fats Heal Insulin and Leptin Resistance

Figure 1: Illustrates how brain inflammation contributes to leptin and insulin resistance, with unsaturated fats helping to reduce inflammation and improve metabolism. Created by Sharleen Mtesa.

We’ve all heard the saying “you are what you eat,” but when it comes to hormones like insulin and leptin, that couldn’t be more true. These two messengers have a big job: insulin helps manage your blood sugar, and leptin tells your brain when you’re full. These two hormones play a critical role in keeping our metabolism on track. And when they’re working properly, they help us maintain a healthy balance between hunger and energy.

But when our diets are high in processed foods, unhealthy fats, and sugar, these hormones can stop functioning correctly. That’s when insulin and leptin resistance kicks in leading to constant cravings, weight gain, and blood sugar issues.

Therefore, incorporating healthy unsaturated fats into your diet like those found in olive oil, avocados, nuts, and fatty fish can be a game-changer. These fats help reduce inflammation, improve hormone sensitivity, and support your body’s ability to manage hunger and energy more effectively. Let’s take a closer look at how these fats actually work to restore balance and boost your health.

How Inflammation Disrupts Insulin and Leptin Resistance.

According to the paper “Hypothalamic Inflammation in Obesity and Metabolic Disease,” a high-fat diet (HFD) triggers inflammation in the hypothalamus, impairing how the brain responds to key hormones like insulin and leptin. This inflammation leads to insulin resistance, which makes it harder for the body to manage blood sugar, and leptin resistance, which disrupts the brain’s ability to signal when you’re full, ultimately increasing hunger and food intake.[1]

The inflammatory process involves the activation of proinflammatory cytokines, like TNF-α, that interfere with insulin and leptin signaling. This damage to hormone function results in metabolic imbalances, weight gain, and constant cravings. These effects on hunger and energy regulation create a vicious cycle, making it harder to maintain a healthy weight and manage blood sugar levels

How Unsaturated Fatty Acids Help Reverse Insulin and Leptin Resistance.

Unsaturated fatty acids, particularly monounsaturated fats (MUFAs) and polyunsaturated fats (PUFAs), play a very important role in restoring metabolic balance. These healthy fats not only help with weight control but also improve the body’s response to insulin and leptin by reducing inflammation and promoting fat metabolism.

  • Monounsaturated fats (MUFAs): Found in olive oil, nuts, and avocados.
  • Polyunsaturated fats (PUFAs): Especially omega-3s and omega-6s, found in fatty fish, flaxseeds, and walnuts.

1. Improving Insulin Sensitivity.

Insulin helps cells absorb glucose from the blood, but when the body becomes resistant, blood sugar levels rise, contributing to type 2 diabetes. Unsaturated fats aid in restoring insulin sensitivity in the following ways:

  • Better Cell Membrane Function: Unsaturated fats become part of cell membranes, making them more flexible and fluid. This improves insulin receptor function, allowing glucose to enter cells more efficiently.
  • Reduced Inflammation: Chronic inflammation, often caused by a diet high in saturated fats and processed foods, disrupts insulin signaling. Omega-3s have powerful anti-inflammatory effects, reducing inflammation and improving insulin function. These omega-3s help calm the immune system, prevent activation of inflammatory receptors, and reduce the production of TNF-α, a cytokine that contributes to insulin resistance.
  • Fewer Toxic Fats in Organs: Excess fat storage in organs like the liver and muscles leads to insulin resistance (lipotoxicity). Unsaturated fats help reduce fat accumulation and promote healthy fat metabolism, encouraging the body to use fat for energy instead of storing it in organs. For example, oleic acid (found in olive oil) and omega-3s help reduce diacylglycerol (DAG) buildup in the liver, which is linked to insulin resistance.
  • Gene Regulation: Unsaturated fats activate proteins (like PPARs) [2] that regulate how the body uses sugar and fat, improving glucose control and reducing fat storage.

Figure 2: Insulin Signaling Pathway
This figure shows how insulin activates signaling pathways like PI3K/Akt and MAPK to promote glucose uptake, glycogen synthesis, and cell growth, while SOCS proteins regulate the response through negative feedback.[3]

2. Restoring Leptin Sensitivity

Leptin is produced by fat cells and signals the brain when you’re full. However, in leptin resistance, the brain doesn’t respond, leading to overeating and fat storage. Unsaturated fats help restore leptin sensitivity by:

  • Calming Brain Inflammation: High-fat, high-sugar diets cause inflammation in the brain, especially in the hypothalamus, where leptin acts. Omega-3s help reduce this inflammation, allowing leptin signals to reach the brain effectively.
  • Helping Leptin Cross the Blood-Brain Barrier: Leptin travels from the blood to the brain across the blood-brain barrier. Chronic inflammation can disrupt this process. Omega-3s help improve blood-brain barrier function, enabling leptin to reach the brain more efficiently.
  • Improving Leptin Signaling: Unsaturated fats support better leptin receptor function and reduce the expression of SOCS3, a protein that blocks leptin signaling. As a result, the brain can detect leptin properly, helping to reduce hunger and cravings.[4]

Figure 3: Overview of Leptin Signaling Pathway.
This figure shows the leptin signaling pathway, where leptin activates JAK2, leading to phosphorylation of key sites (pY985, pY1138) and triggering downstream signals like STAT3, PI3K, and ERK. These pathways regulate hunger and energy balance, with SOCS3 acting as a feedback inhibitor.[5]

Feed Your Hormones Right.

When it comes to balancing your metabolism, hormones like insulin and leptin are key players and what you eat has a huge impact on how well they work. Chronic inflammation from highly-processed foods and unhealthy fats can throw these systems off, leading to cravings, weight gain, and blood sugar spikes.

But the good news? Healthy unsaturated fats like those found in olive oil, avocados, nuts, and fatty fish can help reset the system. By calming inflammation, improving hormone signaling, and supporting better fat metabolism, these fats make it easier for your body to respond to hunger and energy cues the way it’s supposed to.

So instead of fearing fat, focus on the right kinds. A few smart swaps in your daily meals can go a long way in supporting hormone health, boosting energy, and helping you feel your best from the inside out.



 

 

 

 

 

 

Footnotes

[1] Jais, A., & Brüning, J. C. (2017). Hypothalamic inflammation in obesity and metabolic disease. The Journal of clinical investigation, 127(1), 24–32. https://doi.org/10.1172/JCI88878

[2] Varga, T., Czimmerer, Z., & Nagy, L. (2011). PPARs are a unique set of fatty acid regulated transcription factors controlling both lipid metabolism and inflammation. Biochimica et biophysica acta, 1812(8), 1007–1022. https://doi.org/10.1016/j.bbadis.2011.02.014

[3],[5] Howard, J. K., & Flier, J. S. (2006). Attenuation of leptin and insulin signaling by SOCS proteins. Trends in Endocrinology & Metabolism, 17(9), 365–371. https://doi.org/10.1016/j.tem.2006.09.007

[4] Park, H. K., & Ahima, R. S. (2014). Leptin signaling. F1000prime reports, 6, 73. https://doi.org/10.12703/P6-73

 

Your Brain on Fat: Why Hypothalamic Inflammation Matters

Most of us know that a high-fat, high-sugar diet can lead to weight gain. Many people are aware of how obesity is linked to type 2 diabetes, heart disease, and other chronic conditions. But here’s something less commonly known: the food we eat can trigger inflammation in the brain within just a few days, before we even see a change on the scale.

That’s the core insight from the article “Hypothalamic inflammation in obesity and metabolic disease”. This research shows that the brain, particularly the hypothalamus, isn’t just passively responding to weight gain. Instead, it plays an active role in the development of obesity and related diseases.

The Hypothalamus: A Key Player in Energy Balance

Fig 1
Fig 1 [1]

The hypothalamus is a critical region of the brain responsible for regulating hunger, satiety, and overall energy expenditure[1]. As shown in Figure 1, it contains two key types of neurons: POMC neurons, which help reduce appetite, and AgRP neurons, which stimulate it. Under normal conditions, these neurons respond to signals from hormones like insulin and leptin to maintain balance between energy intake and use[1].

However, diets high in saturated fats—particularly palmitic and stearic acids—can disrupt this system quickly. These fatty acids can cross the blood-brain barrier and accumulate in the hypothalamus. Once there, they activate inflammatory pathways like TLR4 and NF-kB, triggering cellular stress and impairing the brain’s ability to respond to leptin and insulin[1]. Essentially, the brain stops receiving the “I’m full” signal, which promotes overeating and weight gain, even before visible changes in body weight occur[1].

Type 2 Diabetes

Type 2 diabetes occurs when the body doesn’t use insulin properly, causing blood sugar levels to rise [2]. This is due to the pancreas producing too little insulin and the body’s cells not responding well to it. Over time, high blood sugar can damage the eyes, kidneys, nerves, and heart[2].

Although once known as “adult-onset diabetes,” type 2 can now affect children, largely due to rising obesity rates[2]. While there’s no cure, the condition can often be managed with weight loss, healthy eating, exercise, and, when needed, medications or insulin therapy[2].

Common symptoms may develop gradually and include:

  • Increased thirst and urination

  • Excessive hunger

  • Weight loss

  • Fatigue

  • Blurred vision

  • Slow-healing sores

  • Frequent infections

  • Tingling or numbness in hands/feet

  • Darkened skin patches, especially in the neck or armpits

Leptin, Obesity, and Type 2 Diabetes

Leptin, a hormone produced by fat cells, plays a central role in appetite control, energy balance, and glucose regulation[3]. In a healthy system, leptin levels rise as fat stores increase, signaling the brain to reduce food intake and increase energy expenditure[3].

But in obesity, something goes wrong: leptin levels are high, but the brain becomes resistant to its effects. This leptin resistance means the brain doesn’t register fullness, which contributes to increased food intake and, over time, insulin resistance a key feature of type 2 diabetes (T2DM). Leptin acts through several neuronal pathways, including GABAergic neurons and cells in the ventral premammillary nucleus of the hypothalamus, though the exact locations and mechanisms are still being studied [3].

Why This Matters

This research challenges the idea that obesity is simply the result of overeating or a lack of willpower. Instead, it highlights a deeper issue: neuroinflammation. The food we eat doesn’t just affect our waistline—it changes the way our brain functions. Inflammation in the hypothalamus can alter how we process hunger and fullness, pushing us toward patterns of overeating and disrupted metabolism.

Understanding this connection opens the door to new therapeutic strategies. If we can find ways to reduce brain inflammation or restore leptin sensitivity, we might be able to intervene early in the development of obesity and metabolic disease, not just treat the symptoms after the fact.

[1]Jais A, Brüning JC. Hypothalamic inflammation in obesity and metabolic disease. J Clin Invest. 2017 Jan 3;127(1):24-32. doi: 10.1172/JCI88878. Epub 2017 Jan 3. PMID: 28045396; PMCID: PMC5199695.

[2] Mayo Clinic. (2025, February 27). Type 2 diabetes. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

[3]Manglani, K., Anika, N. N., Patel, D., Jhaveri, S., Avanthika, C., Sudan, S., Alimohamed, Z., & Tiwari, K. (2024). Correlation of Leptin in Patients With Type 2 Diabetes Mellitus. Cureus, 16(4), e57667. https://doi.org/10.7759/cureus.57667

Pattern Separation in the Dentate Gyrus

Figure 1. Impact of stress and anxiety on pattern separation.
Created by Sharleen Mtesa. The image shows a brain with disrupted signals and emotional shadows, symbolizing how stress affects memory. Puzzle pieces and swirls represent confusion, while the background figure reflects emotional burden.

Have you ever noticed how certain memories, especially those tied to fear, stress, or strong emotions, seem impossible to forget? These moments, whether terrifying, traumatic, or deeply moving, often stay with us for life. Scientists have found that a small part of the brain called the dentate gyrus (DG) plays a major role in this [1]. The DG, located in the hippocampus, processes incoming information and helps determine which memories are stored long-term, particularly those linked to strong emotions. 

But memory isn’t just about storing emotional experiences, it’s also about keeping them distinct. When stressful or emotional events are similar, how does the brain prevent confusion between them?

Therefore, one key function of the DG is pattern separation, the brain’s ability to transform similar experiences into distinct, non-overlapping memories.

Figure 2. The location of the dentate gyrus in the brain.
This image shows where the dentate gyrus is located inside the hippocampus, a part of the brain involved in memory and emotion.[2]

How the Brain Keeps Stressful Memories Separate

According to the paper “Making memories of stressful events: a journey along epigenetic, gene transcription, and signaling pathways”, the DG achieves pattern separation through a very selective process. Only a small number of neurons in the DG become active during a stressful experience. This phenomenon, called sparse activation[1], helps keep memories sharp and distinct.

But this selectivity isn’t random, it’s carefully controlled by molecular switches within the brain cells. One of the most important switches is a histone tag called H3S10p-K14ac. Think of it like a key that unlocks tightly packed DNA, allowing important memory-related genes, like c-Fos and Egr-1, to be turned on. Without this tag, these genes remain inactive.[1]

Even though stress activates many parts of the brain, only DG neurons with this specific histone tag begin recording the memory. This ensures that the brain focuses its response on just a few key cells, helping to preserve the distinctiveness of each memory.

How the Dentate Gyrus Works Its Memory Magic.

The DG has some cool tricks to keep your memories sharp and organized:

1. Sparse Coding
  • Only a small group of neurons fire for each experience.
  • ➡️ Prevents similar memories from overlapping.
  • Example: Meeting two people with similar voices? DG helps you tell them apart.
2. Input from the Entorhinal Cortex (EC)
  • EC sends sensory + spatial data to the DG.
  • DG reshapes it and passes it to the hippocampus.
  • Ensures detailed, clear memory storage.
3. Inhibitory Microcircuits
  • GABAergic interneurons = your brain’s memory traffic cops.
  • Prevents too many neurons from firing at once.
  • Example: Helps you remember where you actually parked today, not yesterday.
4. Neurogenesis = Fresh Memory Power
  • DG keeps growing new neurons, even in adulthood.
  • These newbies help make fresh, flexible, and distinct memories.
  • Keeps your brain adaptable, not stuck in the past.

Figure 3. Simplified Flow of Information in the Hippocampal Formation.
This figure shows how sensory input from cortical association areas is processed by the parahippocampal and perirhinal cortices, then transmitted to the entorhinal cortex, which relays it to the hippocampus. Within the hippocampus, the dentate gyrus (DG) acts as the initial processing stage, playing a key role in pattern separation, transforming similar inputs into distinct memory representations before passing information to CA3, CA1, and the subiculum. [3]

How Stress & Anxiety Mess With the DG’s Memory Magic.

Stress doesn’t just make you feel awful, it actually affects how your brain remembers.

  1. Stress Hurts Neurogenesis
  • DG produces new brain cells throughout life (neurogenesis).
  • Chronic stress = high cortisol (a hormone the body releases under stress) = fewer new neurons. [4]
  • Fewer neurons → DG can’t keep memories separate → confusion & memory blending.
     2. HPA Axis Overdrive Weakens DG
  • When stress continues for too long, the HPA axis(the body’s stress response system) stays overactive, keeping stress hormones high. [5]
  • High cortisol levels weaken connections between neurons in the DG.
  • ➡️ This makes it harder for the brain to separate new experiences from past ones
  • Leads to anxiety, fear, and biased memory recall.
  1. Pattern Completion Takes Over
  • DG usually favors pattern separation.
  • Under stress, it shifts to pattern completion (retrieving old memories based on partial cues).
  • What that looks like:
    • Fear Overgeneralization: Mistaking safe situations for dangerous ones.
    • Exaggerated Emotional Reactions: Past trauma colors present experiences.
  1. Memory Interference: Past vs. Present
  • DG normally prevents interference between old and new memories.
  • Stress disrupts that filter:
    • Past memories bleed into new ones.
    • Makes it hard to feel safe even when you are. [6]

How to Boost DG Function & Beat Stress

Want to keep your DG happy and your memories sharp? Try these:

  • Exercise: Boosts neurogenesis + lowers cortisol
  • Mindfulness & Meditation: Calms your stress response system
  • Cognitive Behavioral Therapy (CBT): Helps reframe overgeneralized fears
  • SSRIs/Antidepressants: Improve memory-related brain plasticity

Final Thoughts: Protecting Your Brain’s Memory Filter

The dentate gyrus may be small, but its role in shaping how we process and separate emotional memories is huge. When working well, it helps us distinguish the past from the present, keeping our memories organized and our reactions in check.

But chronic stress and anxiety can disrupt this process, blurring lines between memories, fueling fear, and making it harder to feel safe in the moment. The good news? The DG is flexible and responsive. With habits like exercise, mindfulness, therapy, and proper treatment, we can support brain health and improve memory clarity.

Because memory isn’t just about holding on, it’s about understanding, adapting, and moving forward. 





 

 

 

 

 

Footnotes:

[1] Reul J. M. (2014). Making memories of stressful events: a journey along epigenetic, gene transcription, and signaling pathways. Frontiers in psychiatry, 5, 5. https://doi.org/10.3389/fpsyt.2014.00005

[2] Centre of Excellence for Early Childhood Development. (2008, December 5). Glossary – Brain. Encyclopedia on Early Childhood Development. https://www.child-encyclopedia.com/sites/default/files/docs/glossaire/Glossary_Brain_DG.pdf

[3] Weilbächer, R., & Gluth, S. (2016). The interplay of hippocampus and ventromedial prefrontal cortex in memory-based decision making. Brain Sciences, 7(1), 4. https://doi.org/10.3390/brainsci7010004 

[4] Schoenfeld, T. J., & Gould, E. (2012). Stress, stress hormones, and adult neurogenesis. Experimental neurology, 233(1), 12–21. https://doi.org/10.1016/j.expneurol.2011.01.008

[5] Lee, J. W., & Jung, M. W. (2017). Separation or binding? Role of the dentate gyrus in hippocampal mnemonic processing. Neuroscience & Biobehavioral Reviews, 75, 183-194. https://doi.org/10.1016/j.neubiorev.2017.01.049 

[6] Kim, E. J., Pellman, B., & Kim, J. J. (2015). Stress effects on the hippocampus: a critical review. Learning & memory (Cold Spring Harbor, N.Y.), 22(9), 411–416. https://doi.org/10.1101/lm.037291.114 



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