Pastime, Passion, or Potential Therapeutic Treatment?

This Is Your Brain on Music. A brief summary | by Thomas A Dorfer | The Startup | Medium

While we often like to think of music as simply an art that we appreciate for its aesthetic value, most of us use music as a ‘tool’ to regulate our needs in one way or another. Despite this, we’re not always aware of the direct impact it has on us neurologically. A review article by Chanda and Levitin in 2013 describes some of the most scientifically backed benefits of music on the brain, comprising four main areas of research: reward, motivation and pleasure; stress and arousal; immunity; and social affiliation. I will also discuss another potential neurological effect that music has, as well as an intriguing musical ability that is not well understood. 

To briefly summarize these aspects of neurological impact, music has been found to trigger our reward systems through activation of dopamine and endogenous (made naturally within our bodies) opioid release. This can serve to inhibit feelings of stress or anxiety temporarily, and further motivate us to listen to music through reinforcement. Regarding stress and arousal, certain types of music- mainly slow tempo, low pitch- can reduce stress and arousal in individuals, very possibly through a reduction of cortisol levels along the hypothalamic-pituitary (HPA) axis of the brain. This effect has been indicated to help protect against neurotoxic effects of chronic stress. Both of these aspects, reward and stress/arousal, have also been suggested to be behind lowered requirements of analgesia after painful surgeries when the patient listens to music. 

Music may also impact the immune system, with studies suggesting that it could enhance our bodies’ immune functioning through increasing molecules that support the immune system and decreasing molecules that counteract it, although it’s not entirely clear what is mediating this effect. Finally, Chanda and Levitin provide an overview for the effects of music on social affiliation, asserting that music may help to establish and maintain social bonds through its impact on oxytocin, vasopressin, and endogenous opioids. 

A lesser known but notable impact that music has on the brain is the synchronization of brain stem neurons with tempo. As it turns out, humans have an innate ability to ‘entrain’, or simultaneously activate, neurons in our brainstem with those in our motor system through the tempo of music. Essentially, this means that when you hear a steady rhythm, it not only activates your auditory system, but automatically engages your motor system as well, even if you’re not physically moving. 

This function does have clinical importance, with research showing that rhythmic entrainment of motor function can significantly improve recovery of mobility in patients with neurological diseases, including stroke, Parkinson’s disease, traumatic brain injury, and cerebral palsy. Quite coincidentally, the movie I watched while writing this blog showed an example of this. In the 2010 film The King’s Speech, a future king with a stammer sees a speech therapist, and is without a stutter for the first time when he speaks while listening to music with headphones on. Part of this strategy was to make it so he couldn’t hear himself talk, but musical entrainment could very possibly play a role as well, smoothing out the actions of muscles necessary to control speech.

As a musician, I find the potential impacts that music can have on health or wellbeing an especially critical area of research going forward. Music may not be the cure for cancer, or for anything, but it may offer reduction of motor symptoms in certain neurological diseases, among other potential therapeutic uses. Future research will hopefully not only uncover new impacts of music on the brain, but strengthen our understanding of current findings through reducing common limitations of confounding distraction variables and locus of control issues. At the very least, listening to that song on repeat every time you’re sad or jammin to tunes while you jog won’t kill ya. 

 

 

Listening the Pain Away

Music and the Brain

If you think about it, we hardly go anywhere that does not have some type of music playing in the background; the grocery store, driving in the car, the gym, and the list goes on. We are so often encompassed with music that we may not even know that is playing. Most people would probably just assume that a store or company is just playing the music to have some sort of background noise while a person goes about their business, but without even knowing, the music being played might be affecting something even stronger than our passive thoughts: our brains. Although a fairly new science, the impact of music on the brain is indeed an exciting one.

Where and what?

Diagram showing the different areas of the brain activated when listening to music. https://medium.com/@Tells_a_Story/music-to-our-ears-4e6127a062ee

Studies using function magnetic resonance imaging (fMRI) have shown that when music is played, various regions of the brain respond. The frontal lobe responds and strengthens signaling to music due to the due to its purpose in decision making and planning. Since the temporal lobe processes what we hear, it is also triggered when listening to music. Also, music can be seen as sort of an addictive drug due to the fact it enhances signaling in the nucleus accumbens which releases dopamine in the reward system. These are just a few to describe, but music can also affect areas like the occipital lobe, Broca’s area, the cerebellum, the amygdala, the hippocampus, the hypothalamus, and even a few more. Since listening or playing music affects so many areas of the brain, it would make sense that  a variety of reactions are triggered that affect our behaviors and feelings. Music has the ability to help a person recall a memory that might be associated with the song, can reduce stress, and music can even goes as far to be used to help patients who have acute or chronic pain, have had a stroke, or who have epilepsy.  To understand music’s full capabilities, more extensive research will be needed, but it is definitely exciting to think about the possibilities!

Managing pain with music

Those dealing with chronic pain, like patients with fibromyalgia, or those dealing with acute pain, like pre- or post-operative patients, may benefit from introducing music therapy as an additive treatment to their pain treatment. It may seem like an abstract concept now, but recent studies have began to show how music can help those in pain and may be able to

Diagram showing the connections between music and pain perception. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570730/

reduce the amount of opioids or other pain killers prescribed. One study showed that dopamine release peaked “immediately before peak emotional response.” This response is also correlated to endogenous opioid signaling. When a person experiences a “wanting” emotion towards hearing a pleasurable song there is an increase in the circulation of endogenous opioids and an increase in the presence of the mu opioid receptor. With this understanding, scientists and researchers have theorized that music could potentially be a complementary treating to pharmaceuticals in treating pain. This means that the dosage or need for opioids could possibly be decreased immensely which could in turn reduce opioid addiction prevalence. The scientists who conducted the study mentioned above, found that using a technique called automated discovery showed the most pain reduction. This technique uses an algorithm to compile playlists that are tailored to a person’s music interests but continues to provide new music to its listener. Patients with chronic pain were “treated” with this type of music therapy and ended up showing a decreased need for opioid treatments for their pain. Although there is still much more research needed to completely understand the role of music on the brain, the potentials for music therapy seem endless and extremely beneficial for many health aspects.

Neurochemistry: Liberal Learning at its Best

Coming into Concordia confident that I would pursue a Neuroscience major, the Neurochemistry course is one that has always been on my radar. To say I enjoyed this class is an understatement. Each week, I came to class ready to read and engage with peers on a relevant topic in today’s world. This class is also unlike one I had taken before, so the new methods of learning information were extremely beneficial to my understanding of the course content and helped me develop my critical thinking and communication skills. Courses such as this are the reason I chose to come to Concordia: wonderful classmates who were just as excited and ready to be there, an engaging course with focuses on real-world topics relevant to many of our future career choices, and a discussion-based learning style to allow us to dive deeper into topics that we are actually interested in. As I said earlier, I can’t speak highly enough of this course, as it is surely one of my favorites so far in my Concordia experience. Concordia’s five goals for liberal learning present a good template to explain my takeaways from this course.

Instill a love for learning

For me, I think I have always had a love for learning, leading me to pursue challenging courses that I know I am interested in. Also, Concordia offers the chance to take a variety of classes outside of your major, so I’ve had the opportunity to expand my love for learning in that regard as well. Still, while I would say I had a pretty well-developed love for learning coming into Neurochemistry, this course revolutionized the way I see that love for learning. Like I mentioned earlier, this course has a different style than any I had taken before, and the discussion-based “workplace” setup of the course solidified for me the fact that I am passionate about Neuroscience and love learning and exploring the subject with peers. Also, reading dense literature articles is very relevant to what I am considering pursuing for a career, so I appreciated getting to develop those skills in a classroom setting before going off into the “real world.” Neurochemistry greatly helped develop and expand my love for learning.

Develop foundational skills and transferable intellectual capacities

This goal was incredibly evident throughout the Neurochemistry course. Especially considering everyone (or most everyone) taking the course was a Neuro major or minor, these skills we learned are so valuable to not only our major, but also to future career paths. As mentioned previously, reading literature articles is one example of a foundational skill that I appreciated getting to focus on in class. Also, I know that my communication skills have improved throughout the duration of this course in a variety of ways. Blogging was something completely new to me, so it was a helpful learning experience to spend time focusing on writing a creative, compelling piece of writing while also including valuable information about the science as well. Along with blogging, communication was an important facet of this course through the Wednesday “speed-dating” days and Friday discussion days. In both of these, it was important to demonstrate understanding of the topic and reflect that well through your communication with peers.

Develop an understanding of disciplinary, interdisciplinary and intercultural perspectives and their connections

Because Neuroscience is a very interdisciplinary field in itself, this course definitely expanded on those themes. Especially in reading current literature, we were exposed to a wide variety of research fields, techniques, and concepts that did not fit under one umbrella. Also, the community action project, one of the main elements of the course, was combined with social work students, who had different insights on certain subjects. Their perspectives helped widen the range of ways I was able to think about concepts.

Cultivate an examined cultural, ethical, physical and spiritual self-understanding

While this goal may not apply as directly to the Neurochemistry course, I still found elements of this within my time in Neurochem. Self-understanding is crucial to being successful, and I think it’s a concept which I have developed throughout my years at Concordia. Specific to Neurochemistry, we were able to have rich discussions on many “hot topics” that brought about questions where self-understanding comes into play. Being confident in my own opinions and experiences is probably where I see this the most.

Encourage responsible participation in the world

The biggest way in which this was accomplished was through the community action project in the course. My group members and I were able to get into the community and engage with at-risk youth, promoting addiction awareness and resources should they need them. It was a pivotal experience, as I had yet to really see addiction in action and this project allowed me to do so and feel like I was making a difference. I don’t know that I would have received as great of an opportunity if it weren’t for the Neurochemistry course.

All Together

Neurochemistry, in my opinion, was the epitome of a capstone course. It allowed me to step back, reflect on all that I’ve already achieved at Concordia, and also see where I am able to go. I had such a fun time in this class and I will surely miss our engaging discussions, interesting course concepts, and just having fun with classmates. My biggest piece of advice would be to take Neurochemistry if you get the chance!

Why You Should Take Neurochemistry at Concordia

photo by C.Eisenschenk

I’ll be honest; the Neurochemistry 475 course here at Concordia College seemed to be a challenging feat for me when I first saw it on my required course list. Unlike some of my peers, I had only taken a survey of organic and biochemistry course while others had completed multiple semesters of both subjects. This fact made me question whether or not I would struggle in the course, but the course, while still challenging in some regards, helped me form and cultivate new foundational learning skills. It’s ironic in a way that the class I was most nervous for is the one I will miss the most from my semester workload.

Benefits of Taking NEU 475

I’ll use Concordia’s five goals of liberal learning to summarize my experience in the course to provide a framework for future Concordia students taking the course.

  1. Instill a Love for Learning: I’ve always loved school, and that’s never changed. While I may tire of homework or studying, my desire to learn and absorb new knowledge has still been present. This course present neurochemical material in a way that relates it to the world, which helped my learning of the signaling pathways and molecular levels of the brain. The discussion aspect adds such a nice element for differing views and opinions and makes me interested to learn how neurochemistry is involved in various areas.
  2. Develop Foundational Skills and Transferable Intellectual Capacities: The written and oral exams that occur within the class are extremely valuable in developing foundational skills that are necessary in many fields, but especially science. My critical thinking was put to the test by having to break down information and fit it into what knowledge I have to try and formulate a hypothesis about what signaling pathway is occurring. This critical thinking will be necessary when analyzing scientific writing and can transfer into many areas of life.
  3. Develop an Understanding of Disciplinary, Interdisciplinary and Intercultural Perspectives and Their Connections: The discussions that students partake in the class truly helps you understand other perspectives. During the discussions, either personal experiences or research on them, would be brought up to relate the neurochemical research to the world in order to understand how it impacts specific people or is used in different disciplines.
  4. Cultivate an Examined Cultural, Ethical, Physical and Spiritual Self-Understanding: The course helped me self-evaluate and reaffirm which areas of neuroscience I was interested in and also allowed me to reflect on the ethics of medicine on a deeper, more personal level. With our weekly discussions on course content, peers would often ask each other, what would you do in this case? It sounds like an easy question, but when you take the research into account and the neurochemical foundation behind it, it takes your self-understanding up to a new level.
  5. Encourage Responsible Participation in the World: The blogs are a great resource in relaying the course material in a more generalized format so the public and whoever is interested in reading on the topic can fully understand the neurochemical functioning behind something. I believe it has already helped me greatly in my current job that I have working with neurodevelopmental disorders as it provides me with a greater background knowledge on what is physically happening in the brain to cause specific symptoms.

 Neurochemistry here at Concordia has benefitted me in a variety of ways and helped me refine a great set of foundational skills like critical thinking, communication, and empathy. I’ve thoroughly enjoyed my time in the class, and it has helped me establish my passions in the neuroscience field. I’m thankful for Dr. Mach’s expertise on the subject matter and willingness to help students learn in any way they may need and for the insightful discussions with peers. If you’re still on the fence about taking NEU 475, TAKE IT!

Music To My Ears (And To My Brain!)

While there are inevitably reasons why people enjoy listening to music, many of these reasons can be attributed to changes in the brain, giving off a reward signal that leads to the pleasurable feelings associated with music. Music’s impact on the brain is a relatively new area of research, so there are still many, many unanswered questions. However, research over the last couple of decades have given us more information than ever before on the neurochemistry of music. The four areas on which to focus are 1) reward, motivation, and pleasure, 2) stress and arousal, 3) immunity, and 4) social affiliation.

Reward, Motivation, and Pleasure

The main question regarding music’s impact on reward is whether it has the same features of another rewarding stimulus that encourages repetition of the activity to obtain the pleasurable feeling. Music is already known to have the capacity to evoke emotions in an individual, and these emotions can span across the entire spectrum: happy, sad, joy, fear, etc. While musical pleasure can be tied to the intensity of emotional arousal, music doesn’t seem to have the survival benefit or addictive properties associated with other reward-inducers, such as drugs of abuse. There is evidence, however, that music effects the same reward systems as other reinforcing stimuli, so music is surely capable of giving off a rewarding feeling.

Music has also been identified as involving activation of the nucleus accumbens (NAc), which is a brain region crucial to reward responses. This was discovered through the use of positron emission tomography (PET) and functional magnetic resonance imaging (fMRI), demonstrating that pleasure-inducing music was associated with higher blood flow (activation) to the NAc. To support the contention that music acts along the same pathways as other rewarding stimuli, fMRI was used to identify the involvement of dopaminergic reward pathways in the processing of music.

Stress and Arousal

Music has largely been thought to decrease stress levels and modulate arousal levels. Interestingly, music has also been used following a stressful operation to decrease use of painkillers in recovery. There are plenty of ways for music to be used as therapy, especially since it is known to have a notable effect on mood. Guided Imagery and Music, a specified therapy technique, was shown to reduce activation of the HPA stress axis and decrease cortisol levels, both of which are very positive responses. However, these findings do depend on the type of music, as some genres had the opposite effect. This could also mean that personality plays an important role in music’s effects, as preferred genres will likely have a more significant effect. Music is believed to initiate reflexive brainstem responses, which explains why it can affect stress levels and mood.

Immunity 

Music’s role in immunity is one that has produced many questions, but also some interesting findings as to how music could be used to strengthen immune responses. It might be obvious that music can cause positive feelings, but what may not be obvious is the fact that those positive feelings can mitigate negative effects of age and stress on the body and brain. One specific experiment studied the effect of group drumming on participants and found that it caused enhanced immune functioning and a buffered stress response. What a positive finding! There are also studies that concluded that recreational music-making can counteract immune modulation normally caused by advancing age and stress levels. Essentially, there appears to be a modulatory role for music in immune regulation.

Social Affiliation

It’s clear that music creates positive feelings within those who experience it. Two possible sources of these social effects are the neuropeptides called oxytocin and vasopressin. These molecules suggest a biological basis for music’s role in the formation of social bonds. For example, a 30-minute singing lesson caused an increase in oxytocin levels. However, there are questions surrounding music’s role in social affiliation due to the findings so far not having controls required for full comparison. This is an important future pursuit.

Conclusion

While the neurochemistry of music is a relatively new area of research and discovery, it is clear that there are interesting findings yet to be discovered. Future research should consider more comparative controls, allowing for more conclusive results. Still, it means that there’s music to your ears, but also music to your brain!

For further reading, check out the paper linked here.

NEU 475: How A Senior Came To Love Her Major

Wait, you didn’t love your major? As a senior in college?

Yes, it’s the truth; going into my senior year as a Biology and Neuroscience double major, I was quite sure that in my career I wanted to pursue the ecological side of biology and wanted little to do with molecular biology and neuroscience. When I came to Concordia, I was completely unsure about what I wanted to major in or what career path I wanted to follow. Based on a questionnaire from a prospective student visit day, Concordia’s registrar gave me Biology and Neuroscience majors and placed me into freshman-level chemistry and biology along with inquiry courses.

Along the way, I discovered that I am most passionate about environmental studies and religion, but I have enjoyed classes across diverse subject matters from art to English in my four years at Concordia. I continued my Neuro major because PSEO credits would allow me to comfortably pursue two majors and minors and I certainly enjoyed aspects of the major including interdisciplinary foci emphasizing the nexus of neuroscience and art/music/literature etc., psychology-focused classes, animal behavior, and, of course, wonderful, passionate, and incredibly intelligent classmates. However, I could see that I didn’t share the intrinsic passion for the subject matter with my fellow Neuro majors.

What happened in NEU 475?

Ironically, NEU 475 (Neurochemistry) was the course that I was most nervous to take out of the entire Neuro major. Although I had done well academically in previous chemistry courses required for the major, I have no particular affinity or aptitude for chemistry and had to work hard for those grades. Additionally, I knew that most classmates going into this course had taken two semesters of organic chemistry and two semesters of biochemistry, giving them a strong foundation that made my one-semester survey of organic and biochemistry look pretty wimpy. Envisioning lengthy biochemical pathways to memorize, I walked into class on the first day with apprehension.

By the time we were a month into the course, my feelings had done a complete 180. We spent the first few weeks refreshing background knowledge about important neurochemical signaling pathways, which was useful even for the most neurochemically informed of my classmates and put us on a ‘level playing field’ knowing what we needed to be familiar with to succeed in course discussions. After that, we began discussing papers about different issues in neurochemistry. The format encouraged asking questions in class discussion after a close reading of the paper to ensure that we understood it as fully as possible. The next class period allowed us to each investigate one component of the paper (or tangentially related topic) and discuss them individually with classmates, coming together for a larger-group discussion on the third and final day addressing each paper.

The collaborative format of these discussions from days one through three erased my concerns of being the least knowledgeable in the class as we all brought our own expertise and passion into the topic at hand. I was able to relate ideas about Alzheimer’s, spirituality, ecology, animal behavior, and dozens more topics based on other classes I’ve taken and on personal experiences. I ‘blossomed’ in this course as I felt emboldened to ask questions and share ideas I had, confident that I was adding to the discussion rather than making myself look silly.

So, you ‘blossomed’, but did you BREW?

Yes! I will summarize this section using Concordia’s five goals for liberal learning as a framework:

  1. Instill a love for learning: Through neurochemistry, I gained confidence discussing neurochemical concepts from molecular signaling pathways to cultural implications of neurological disorders and greatly enjoyed doing so. My future considerations about subjects that might include neuroscientific components will spark this excitement to broaden conversations to do so.
  2. Develop foundational skills and transferable intellectual capacities: Beyond broad and neurochemistry-specific critical thinking skills, this class helped me greatly improve my science communication skills through weekly blog posts challenging us to translate these heavily molecular ideas into language that any reader should understand.
  3. Develop an understanding of disciplinary, interdisciplinary and intercultural perspectives and their connections: As stated above, the class informed my understanding of neurochemistry as a discipline in particular as well as how to make connections with other realms of science and humanities. Beyond this, our open-ended, student-led classroom discussions enabled us to draw from personal experiences, causing me to learn more about other students’ diverse perspectives on many current issues that we discussed.
  4. Cultivate an examined cultural, ethical, physical and spiritual self-understanding: I found myself doing significant self-examination and growing during this course as I reflected on what sparks my interest and passion. I found that the spiritual side of the issues we discussed was often what I was most drawn to, which helped inform my decision to apply to divinity graduate programs to continue my education and pursuing questions that are also often asked in neuroscientific contexts, such as the nature of consciousness, ethics, etc.
  5. Encourage responsible participation in the world: Finally, I was fortunate to work with neurochemistry classmates Kenny and Zach as well as three Social Work majors to complete a PEAK community action project aiming to educate educators about PTSD in children. This outreach into future classrooms and in support of future students was one of the most meaningful aspects of this course, or any I’ve taken at Concordia.

In summary, NEU 475 changed my outlook on my Neuroscience major as well as my future plans post-graduation. I enjoyed the opportunity to discuss neurochemical pathways, ethical queries, and current events with a fantastic group of motivated and intelligent scholars and wish everyone happiness in the future as they pursue their own passions!

Neurochemistry: a reflection

Joy, fulfillment, hope, gratitude, and passion. These are the emotions that come to mind as I reflect on my capstone neurochemistry class and on my Concordia College education as a whole. My four years have been marked by cycles of awe, inquiry, and growth in which my personal and scholarly development far exceeded my expectations. I am deeply grateful for the faculty and peers at Concordia who have shared their wisdom and expertise with me.

This final blog post is rather bittersweet. I’ve anticipated Neurochemistry 475 since my first year because it combines twin passions of mine: a fascination for cellular/molecular neuroscience and a passion for discussion-based humanities courses. I’m struck by how much I already miss this class, especially the community of aspiring neuroscientists (and neuro-interested doctors/dentists/et. al.) who came together with shared goals of understanding more about the brain than we did four months ago.

Reflections on Concordia’s goals for Liberal Learning:

1) Instill a love for learning

My Concordia College education extended my initial love of learning to just about every discipline I’ve encountered on campus, deepening my fierce desire to learn. Neurochemistry followed suit with other upper-division science courses in that concepts I previously thought straightforward turned out to be significantly more complex. Memorable examples include learning that the primary inhibitory neurotransmitter, GABA, actually is excitatory early in development (which blew my mind) and that oxytocin, which I thought was the “love hormone” actually can increase with negative emotional feelings as well. These examples illustrate the enormous complexity of the human brain— after 3.5 years of intensive study, my biggest takeaway is that I really don’t know much at all about how the brain works.

2) Develop foundational skills and transferable intellectual capacities

I’ve expanded my neurochemistry knowledge this semester, and I’ve learned a lot about becoming a scientist, and what sort of scientist I aspire to be. I’ve become much more competent at reading and summarizing primary literature, and at finding and piecing together neurochemical pathways. I’ve developed a foundational knowledge of key signaling pathways (GPCR, RTK, Jak/Stat, and Wnt/β-catenin) which are already useful in other classes and will continue to inform future scholarly work. While these signaling pathways are intrinsically interesting, the best class days were when, like during the addiction unit, we as a class tied intricate neurobiology to real-world examples nearly everyone can relate to.

3) Develop an understanding of disciplinary, interdisciplinary, and intercultural   perspectives and their connections

Neurochemistry 475 is a culmination of the neuroscience major, my 7th consecutive chemistry course, my love affair with the nexus of ambitious science and contemplative humanities, and the experience of co-learning with a cohort of highly motivated, compassionate, intelligent students. This class would have been much less impactful if not for the insightful perspectives and knowledge offered by classmates, making our Friday afternoon discussions, whether on Olin Hill, Spread out on the Knutson couches, or virtually via Zoom, so meaningful.

4) Cultivate an examined cultural, ethical, physical, and spiritual self-understanding

I distinctly remember our Friday afternoon discussion on Alzheimer’s Disease—our conversation wrestled with complex philosophical and societal questions about what it means to be a part of the natural aging process, and how best to ameliorate distress in those suffering from dementia/AD. This conversation in particular stands out because of how everyone brought their unique skills and perspectives to the conversation, and I walked away with a richer appreciation for the utter complexity and mystery of neuroscience and broader society. Neurochemistry 475 enabled me to build off of the discussion skills developed throughout my religion, philosophy, and other humanities courses to think through interpersonal/societal consequences of whatever the topic of the week, be it ASD or obesity.

     5) Encourage responsible participation in the world

Drawing connections between the sciences and humanities, whether in class, through discussions, or in my blog posts strengthened my desire to continue pursuing science communication throughout my career. Further, the blogs and community action project gave me experience translating relatively high-level neurochemistry concepts to become understandable and interesting for general audiences, a unique and impactful opportunity. This is how I want to do neuroscience, zooming in to understand the molecular mechanisms at play in a given system/disease/ etc., but then zooming out to connect with broader audiences.

Neurochemistry 475 was a key part of my Concordia education, and one I will miss next semester and beyond. Neurochemistry has sharpened my drive to pursue neuroscience, through research, teaching, and outreach, as my vocation and equipped me with technical and conceptual tools to achieve those goals. I’m deeply grateful for Dr. Mach and my classmates who made this class a wonderful learning experience. Thank you.

Endocannabinoid Signaling and Multiple Sclerosis: Promising Treatment Avenues

Artstract #3: ECS signaling balances excitation and inhibition by decreasing neuroinflammation

 

When you hear the term “endocannabinoids” what’s the first thing that comes to mind? If you’re like most people, that term evokes a strong association (and subsequent emotional reaction) with cannabis, and/or marijuana. While cultural attitudes surrounding cannabis are rapidly changing in the United States, cannabis is still a hot-button issue. Interestingly, the endocannabinoid system (ECS), is so named because CB1 and CB2 receptors bind THC, the psychoactive ingredient in marijuana. However, for the purposes of this post, we will be focusing on the medicinal benefits of modulating the ECS, primarily regarding Multiple sclerosis (MS).

https://cdn.shopify.com/s/files/1/2693/2444/files/ECS-blog-1.jpg?v=1529069506: note that CB2 is in fact expressed in the brain—primarily in microglial cells. This is alluded to in the bottom-left icon “immune system” but fails to specify that there are immune cells in the brain.
  1. Endocannabinoid System (ECS).

The ECS is a highly complex neuro-regulatory system that serves multiple functions in the brain. To understand the ECS we must know what the receptors and ligands (binding molecules) are. Two main receptors comprise the ECS, CB1, and CB2. Whereas CB1 receptors are nearly exclusively expressed in the synapse, CB2 receptors are predominantly found in immune cells, which for the nervous system are microglia. There are two primary endogenous cannabinoids (eCBs): arachidonylethanolamine (AEA) and 2-arachidonylglycerol (2-AG). These are lipid-based ligands synthesized locally from the plasma membrane. Perhaps the most interesting feature of the ECS (and maybe why the ECS is being investigated for potential therapies for myriad diseases) is that of retrograde transmission. In a nutshell, retrograde transmission means that, instead of presynaptic Neuron A talking to postsynaptic Neuron B through typical neurotransmission, Neuron B signals backward across the synapse to modulate Neuron A signaling. This process usually tamps down signaling, a kind of feedback inhibition, but is not always the case.

http://www.md-health.com/images/10420942/symptoms-of-multiple-sclerosis-1024×720.jpg
  1. Multiple Sclerosis (MS).

MS is the most common autoimmune demyelinating disease of the central nervous system and is caused when the body’s own immune system targets myelin (the protective sheath surrounding many axons which speeds transmission) and leads to neurodegeneration and pronounced disabilities. Much is known about how the disease progresses, but it is not yet known what causes the initial autoimmune attack and there is a critical unmet need for treatment options. Enter the ECS. Recent data has shown surprisingly beneficial and even neuroprotective effects in MS from increased ECS signaling, both from eCBs and exogenous cannabinoids (THC and CBD). This data is excellent news for those suffering from especially the progressive form of the disease as it holds potential to revolutionize how medicine treats MS.

https://www.sciencedirect.com/science/article/pii/S0301008217300709#abs0010
  1. How does ECS impact MS

There are two key ways ECS signaling positively impacts MS pathology: decreasing external symptoms and inhibiting neuroinflammation.

First, data shows that simply increasing eCBs dramatically decreases spasticity (muscle spasms—a common and debilitating symptom of MS). Similar to how some anti-depressants work, the drug used to increase eCBs extends how long eCBs stay in the synapse by inhibiting their uptake and degradation by the enzyme FAAH. The benefits to motor function are primarily ascribed to CB1 receptors because activation in the MS brain can rebalance the excitation/inhibition imbalance which, when unchecked, leads to further neurodegeneration.

Secondly, EC signaling has been showing to directly decrease neuroinflammation! This works by the same mechanism, prolonging the synaptic of AEA in microglia boosts CB2 signaling, leading to lower concentrations of IL-1β and TNFα, two neuroinflammatory cytokines. This decreases microglial activation and also contributes to excitation/inhibition balancing, which is crucial for healthy neuronal functioning.

Interestingly, both CB1 and CB2 receptor signaling converge to re-balance the neuronal outputs of excitatory (glutamatergic) and inhibitory (GABAergic) neurons. This is totally in line with typical ECS functioning, which helps explain why the ECS is being probed for therapeutic potential for nearly all neurological diseases: if a master neurochemical regulator is out of whack, re-tuning it may help.

The take-home message from this sciency-blog is twofold: First, the ECS has so much more going on than just “getting people high”, it’s a critical regulator of incredible neural importance, 2) Enhancing ECS signaling has fantastic potential to improve the lives of those suffering from MS and other neurological disorders!

https://www.sciencedirect.com/science/article/pii/S0301008217300709#abs0010

Marijuana as Medicine: Uncovering the Endocannabinoid System

Use of marijuana for recreational or medicinal purposes has become a significant topic of discussion over the past decade. While the push for legalization has become increasingly ‘trendy’, as some would say, the physiological systems this drug affects have been helping our bodies thrive throughout our entire lifetime. The endocannabinoid system (ECS) in particular is a direct recipient of THC, the compound in marijuana responsible for its psychoactive, and possibly medicinal effects. Given the ECS’s wide variety of roles in the brain, impaired signaling to this system may contribute to development of several neurological diseases.

Although THC does bind to endocannabinoid receptors, our body produces endogenous endocannabinoids (eCBs) that bind to these receptors as part of our body’s normal functioning. These receptors, the CB1 receptor and CB2 receptor, are located in many areas of the brain, and one of the unique things about the ECS signaling process is the fact that endocannabinoid receptors on neurons are located presynaptically or on the axonal segments, instead of postsynaptically like many receptors. This allows for retrograde signaling, where communication between neurons occurs in the opposite direction that it normally does.

The binding of eCBs to these receptors through this retrograde signaling is now understood to regulate several everyday processes in the brain, including mood regulation, synaptic plasticity (involved with learning an memory), and pain perception. There’s a decent chance you’ve heard about cannabinoid receptors in the brain prior to reading this blog, but did you know that in addition to their CNS locations, cannabinoid receptors are also found within the rest of the body? Researchers have discovered these receptors in a plethora of PNS locations such as the spleen, heart, liver, male and female reproductive systems, sympathetic nerve terminals and immune cells, where they serve many diverse functions.  

Dysregulation of the ECS has been implicated in several neurological diseases and conditions. In Huntington’s disease, for example, expression of the CB1 receptor is reduced, and impaired ECS signaling has also been implicated for Alzheimer’s disease and Multiple Sclerosis. Conversely, enhancement of ECS signaling has been shown to improve symptoms of these diseases, as well as symptoms of Traumatic Brain Injury. These improvements are thought to be through the ECS’s mechanisms of neuroprotection against the cytotoxic factors such as nitric oxide seen in Multiple Sclerosis, the degeneration of the striatum seen in Huntington’s disease, AB toxicity seen in Alzheimer’s disease, and excitotoxicity and inflammation seen in Traumatic Brain injury.

While marijuana use is linked to some side effects, evidence seems to suggest that the potential benefits of THC, through interaction with the eCB system, outweigh the risks. And yet, marijuana continues to be labelled a schedule 1 drug (the most restricted level of controlled substances), while cocaine and methamphetamine are less restricted as schedule 2 drugs. The order of these drugs’ rankings don’t make logical sense in the context of their respective addictive and lethal properties, but they do reflect the stigma toward marijuana (and groups of people that have been associated with its use) throughout the decades.

This high level of restriction can additionally create difficulties for conducting research with marijuana. On the bright side, however, the recent election does offer insight into how benefits of marijuana are slowly becoming more valued; all 5 states that held a vote to either legalize marijuana either medically or recreationally, overwhelmingly passed it. There is still much to discover surrounding marijuana and the ECS, but with the rising interest and support, I feel confident that we will.

 

 

 

 

 

A Semester of New Opportunities and Experiences

Neurochemistry 475 has given me new skills, opportunities, and experiences, while contributing to my knowledge on a vast range of topics including: Anxiety, Mental Illness, Addiction, Concussion, Alzheimer’s Disease, Autism, Obesity, Endocannabinoids, and Music in the Brain. I will now reflect on the benefits of the Neurochemistry 475 experience. 

Benefits of the Experience

Neurochemistry 475 has allowed me to apply the skills and knowledge I have developed at Concordia. This is because I had learned about neuroanatomy, pathways, neurochemicals, signal transductions, as well as other components of the central nervous system in previous courses. But neurochemistry put all the puzzle pieces together to create a big picture. Neurochemistry also challenged previous information I had obtained over my college career and forced me to think critically about different topics. Not only did this course force me to think critically, I also had to practice reading, summarizing, and understanding literature on my own, since this course is largely discussion based. Having a deep understanding of the literature is extremely important in order to communicate effectively to peers and the public. The skill of communication is key to gaining an understanding of a wide range of information and having sophisticated conversations to create a bigger picture, as well as inform the public about a wide range of issues. The students would have discussions every class period in different formats and then create individual blog posts for the public to read.  When communicating with the public we are becoming responsibly engaged in the world (BREW), which will hopefully lead to the spread of knowledge and ideas to create a positive outcome.

Artstract created by H.Pfau

Neurochemistry 475 is offered at Concordia College at Moorhead, which is a liberal arts institution. This means that they focus on instilling a love for learning, developing new foundational and intellectual capacities, understanding different perspectives and their connections, create a sense of overall self-understanding, and encourages people to become responsibly engaged in the world. These focuses can be shown through neurochemistry 475 because learning is encouraged not only in the classroom, but students are asked to practice skills that will help with learning after the college experience. This course emphasized the importance of understanding different disabilities so we as researchers might be able to help develop new therapeutics, be empathetic to others situations, and understand why people may behave in a certain manner. Also, as previously mentioned, during this course the students wrote blog posts to interact with and educate the community. But this course also offered a PEAK experience where students were further able to become responsibly engaged with the community through a community action project. For example, my community action group gathered data throughout the community about mental health during the COVID-19 pandemic, summarized the data, and sent out pamphlets to multiple facilities, so they could make adjustments that would benefit their population they work with.

Conclusion

Overall, this course has given me new opportunities and experiences, which strengthened my communication and critical thinking skills. Neurochemistry 475 has also enlightened me about neurochemicals and signal transduction that occurs in the central nervous system. As well as educate me about what happens when the mechanisms are disrupted in neurological and neuropsychiatric diseases. The course experience as a whole has helped me become responsibly engaged in the world, while becoming a more knowledgeable and well rounded individual, which will come in handy in any career path I might choose. 

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