Why Your Axons Matter After a Concussion & How It Could Impact Post-Concussion Healthcare Plans

Have you ever had a concussion? Whether it be due to a sports injury or fall, concussions are one of the most common mild traumatic brain injuries (mTBIs), and the way your body handles them can differ based off your age, genetics, and the frequency in which you suffer TBIs. (Giza & Hovda, 2014).

This can make determining when you’ve recovered from a concussion difficult, but luckily, a lot is already known regarding how neurons are impacted and work to recover from concussions. As seen in Figure 1 below, mTBIs cause an influx of cations into neurons, inducing an energy crisis where ATP-requiring pumps shift into overdrive, eventually causing the sequestration of calcium within cellular mitochondria. This causes the mitochondria to become dysfunctional, thereby preventing the energy powerhouse of the cell from doing its job. Thus, restoration of ATP amounts is needed to recovery from a concussion (Giza & Hovda, 2014). For a deeper dive into the effects of mTBI on a neuron illustrated in Figure 1, click here.

Figure 1 – What occurs in a neuron after a mild traumatic brain injury (mTBI), such as a concussion (Giza & Hovda, 2014).

Axonal Regeneration

Aside from the need to restore the amount of ATP within a neuron to what is needed to fuel neuronal machinery, the regeneration of a neuron’s axon is vital to neuronal regeneration. Membrane lipids, specifically phospholipids, glycolipids, and cholesterol, make up a large part of axons. As seen in Figure 2, normal axon growth involves these newly synthesized lipids being transported from a neuron’s cell body to an axon’s growth cone, where lipids fuse with the acceptor membrane and expand the membrane (Roy & Tedeschi, 2021).

Figure 2 – this is an illustration of the growth cone that forms and lengthens an axon during neuron development/membrane expansion. (Roy & Tedeschi, 2021).

After severing of an axon, rapid sealing of disrupted membrane is necessary to restore the integrity of the axonal compartment. As seen in Figure 3, this involves phospholipids inserting themselves to create a new membrane in the area where the axon is severed, creating a new growth cone by restoring the axonal lipid bilayer. Not explicitly seen in Figure 3 but needed are glycolipids, which allow specific signal transduction and contribute membrane stability to axons, and cholesterol, which makes up a large component of the myelin sheath around axons that speeds of signal transmission (Roy & Tedeschi, 2021). Since membrane lipids are needed in axonal, and therefore neuronal, regeneration post-concussion, research into neuronal lipid homeostasis re-establishment has potential to progress society’s approach to treating concussions. More specifically, the ingestion of dietary lipids is a field of study being investigated as a route to treat concussions (Giza & Hovda, 2014).

Figure 3 – the top illustration shows how phospholipids made up the lipid bilayer of the neuronal membrane and what occurs if that membrane is disrupted, like during mTBIs. The bottom illustration displays what the myelin sheath and axonal membrane look like immediately after a TBI and then during axonal regeneration (Roy & Tedeschi, 2021).

Barriers to Understanding

But despite our knowledge of how phospholipids, glycolipids, and cholesterol contribute to axonal regeneration, current research has shown that administration of cholesterol-lowering drugs has conflicting impacts on axonal membrane and myelin sheath regeneration (Roy & Tedeschi, 2021). This challenge is significant in the field of TBI recovery because both the axonal membrane and myelin sheath, which contain cholesterol, are integral parts of a neuron in propagating an electrochemical signal and allowing efficient neuronal communication. Also, it begs the question: do other membrane lipid-altering drugs have conflicting impacts on neuronal regeneration?

Future Research & Its Potential Impact in Medicine

Therefore, current research into if and how administration/ingestion of dietary fatty acids can promote axon regeneration is being done, but it must be advanced. Two findings that address this challenge include:

  1. A study showed that increased expression of lipin 1, an enzyme that increases storage of lipids as triglycerides, contributed to failure to regenerate axons because it did not produce the phospholipids necessary for membrane expansion. Furthermore, depletion of lipin 1 promoted axonal regeneration (Roy & Tedeschi, 2021). This presents a new pathway for research, where a lipin 1 protease (degradation enzyme) or fatty acid that increases phospholipid levels may be investigated as helpful in promoting axonal recovery.
  2. It was found that lowering cholesterol promoted CNS axonal regeneration but negatively impacted myelin formation and repair (Roy & Tedeschi, 2021). Therefore, a research pathway that can be investigated is determining if cholesterol or cholesterol-containing fatty acids can be delivered with a spatial and temporal precision that promotes both axon and myelin regeneration.

For a description of the studies that concluded the findings upon which these research proposals are based, click here.

Answering these questions would broaden our understanding of the role of lipids in axonal regeneration, which would help us determine whether decisions such as the food we eat when recovering from a concussion can promote quicker and more effective neuronal regeneration. This can help ensure that our brains keep as many neurons as possible from dying, which would prevent the cognitive deficits seen after some TBI cases. If research supporting the ingestion of specific foods whilst recovering from concussion or other injuries came out, how would this impact what insurance policies cover, cost of healthcare regarding TBI recovery, and what physicians can prescribe as treatments?

Overall, research has shown that the most effective interventions and treatments for TBI are yet to be determined, but diet is a research area that has shown potential promise to yield recovery advice that does not need to be medically prescribed. Whether or not insurance would cover the cost of foods containing recovery-promoting lipids/other molecules is unknown, but the cost of that food is likely to be less than any prescription medications that could be prescribed, so advancement in our knowledge has potential to allow more accessible recovery from concussions. To learn more about the role of lipids in axon growth and regeneration after central nervous system injury, visit: https://pubmed.ncbi.nlm.nih.gov/34062747/

Footnotes:

1Giza, C., Hovda, D. “The New Neurometabolic Cascade of Concussion.” Congress of Neurological Surgeons, vol. 75, no. 4, 2014, pp. 524-533.

2Roy, D., Tedeschi, A. “The Role of Lipids, Lipid Metabolism and Ectopic Lipid Accumulation in Axon Growth, Regeneration and Repair after CNS Injury and Disease.” Cells, vol 10, no. 5, 2021, doi: 10.3390/cells10051078.

Watch your head! The Detrimental Effects of Traumatic Brain Injuries

According to the CDC [1], every day 586 people are hospitalized for Traumatic Brain Injury (TBI), and this does not include urgent care or emergency room visits for TBI. 

This injury can happen from blunt force to the head or your brain getting jostled around. Car accidents, sports, and falls are common culprits of brain jostling.[2] Unfortunately, the brain may be unable to just “walk it off.” Two scientists, Giza and Hovda, investigated the neurometabolic cascade of concussion (2014). 

Concussion vector illustration. Labeled educational post head trauma scheme
Figure 1: concussion symptoms from Adobe Stock
Short-Term and Immediate Effects of TBI

When we get blasted in the head with force, many processes go wrong. Our cells in the brain called neurons have sodium, potassium, and calcium inside and around them. When force hits our brain, these molecules start spilling out of our neurons, while calcium enters in at high rates. Neurons don’t like things moving out of control, so they use a lot of energy to try and get all our important molecules back where they need to be. 

Figure 2: Neuron

However, at the same time, the structural integrity of our neurons is harmed by the blunt force, so the neuron needs more energy to fix this as well! The neuron is now in an energy crisis. Consider when you’ve been pulled in fifty different directions and all you want to do is nap, that is how the neurons are feeling.

Neurons cannot communicate with each other as effectively, and inflammation occurs after TBI. All of these dysfunctions present themselves as brain fog, headaches or migraines, slow reaction speeds, impaired learning, and overall discomfort.                                        

Long-Term Effects of TBI

After severe TBI or patients with multiple TBI injuries, proteins that are seen in neurodegeneration are present. Specifically, tau protein accumulates, which creates tangles in our neurons that disrupt important cell functions and can lead to cell death. Even when cell death doesn’t happen, the tangles can harm cognitive functioning. Cell death can lead to neurodegenerative diseases, but more research is needed to determine the risk of neurodegeneration from TBI.

Neurons are more vulnerable because of the structural damage done after the head trauma. Many neurons have white matter, a protective sheath, but TBI can damage this beyond repair for some neurons. Similar white matter damage is seen in some patients with PTSD and depression. 

Protective Measures

The energy crisis and structural neuronal instability can typically recover within 10 days after injury, but repeated injuries too close together may create long-term damage. This raises the important topic of rest after TBI. 

Rest after TBI can help the neurons get back to normal functioning levels. More research is needed to understand the exact length of time needed to recover, but it’s highly important to prevent a further head injury. 

The more scientists understand the mechanisms behind concussions and TBI, the closer they can get to preventing long-term damage. Until then, watch your head! 

 

Resources

 [1] Centers for Disease Control and Prevention. (2024). TBI data. Centers for Disease Control and Prevention. https://www.cdc.gov/traumatic-brain-injury/data-research/index.html

[2] Mayo Foundation for Medical Education and Research. (2021, February). Traumatic brain injury. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/traumatic-brain-injury/symptoms-causes/syc-20378557

[3] Giza, C. C., & Hovda, D. A. (2014). The new neurometabolic cascade of concussion. Neurosurgery, 75(Supplement 4). https://doi.org/10.1227/neu.0000000000000505

 

Your Body’s Natural High…..

The endocannabinoid system (ECS) is mainly found in the central nervous system (CNS) and plays important roles to modulate plasticity and homeostasis in the brain. When we talk ECS, the major receptors for binding are CB1 and CB2 receptors and the two main endocannabinoids are 2-AG  and anandimide   [1]

The CB1 receptor is known to be the most abundant GPCRs in the CNS and does the function of inhibiting the release of both excitatory and inhibitory neurotransmitters. The CB1 receptor also binds the many ligands, including the notable THC, AEA, and 2-AG. THC is an active ingredient in marijuana and can elicit feelings of calm, just like endocannabinoids. However, endocannabinoids are naturally produced by the body.

While CB1 receptors are abundant in areas like the hippocampus and neocortex, CB2 receptors are found in areas such as cells and tissues of the immune system. CB2 receptors are also localized to the microglia, which relates to neuroinflammation in the CNS. Neuroinflammation also relates to diseases such as Alzheimer’s disease (AD), which is a huge area of research today. [2]

Now endocannabinoids. These are natural chemicals that are produced by the body. They interact with the cannabinoid receptors in the CNS, and affect process relating mood, memory, appetite, and pain sensation. These molecules are similar to the compounds found in the cannabis plant, which is they are called “endocannabinoids” meaning cannabinoids produced inside our bodies.

Societal stereotypes have taught us to associate cannabis with words like addiction, failure, druggie, crazy, and many other negative words. It is agreeable that the feelings of calmness induced by cannabis may lead to high risks of addiction, but did you know that cannabis may also hold some potential in increasing the quality of health when used appropriately? Currently, only the University of Mississippi is allowed to conduct research with cannabis. This confirms the existing research gaps in this area.

Relating this to AD, preclinical studies in animal studies have shown that modulating the endocannabinoid system can have neuroprotective effects, reducing inflammation and oxidative stress which are implicated in AD. Researchers also believe that the endocannabinoid system may serve as a  therapeutic target to provide pharmacological benefits for AD. The neuroprotective effects of endocannabinoids may be due to interference with several cellular and molecular mechanisms, including apoptosis and inflammation. The progression of AD is related to the changes in the endocannabinoid system. Both cannabinoid receptor agonists and endocannabinoids, such as AEA, can reduce the neurotoxicity caused by Aβ-peptide in a mitogen-activated protein kinase (MAPK) pathway. [3]

Figure 1. Diagram showing the binding action for the two main endocannabinoids in the body, 2-AG and AEA. [4]

Figure 2. Diagram explaining the binding action for CB1 and CB2 receptors. [5]

Figure 3. Artstract by student depicting how stereotypes and uncertainties around cannabis hold back research on how cannabis might improve human health.

References.

[1] Zou, S., & Kumar, U. (2018, March 13). Cannabinoid receptors and the endocannabinoid system: Signaling and function in the central nervous system. International journal of molecular sciences. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877694/#:~:text=As%20the%20two%20major%20endocannabinoids,D%20(NAPE%2DPLD).

[2] Kendall, D. A., & Yudowski, G. A. (2017, January 4). Cannabinoid receptors in the central nervous system: Their signaling and roles in disease. Frontiers in cellular neuroscience. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5209363/

[3] Li, S., Huang, Y., Yu, L., Ji, X., & Wu, J. (2023). Impact of the cannabinoid system in alzheimer’s disease. Current neuropharmacology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10207907/#:~:text=In%20addition%2C%20another%20study%20reported,role%20in%20the%20brain%2Dblood

[5] Levin, M. (2022, December 5). 7 natural ways to activate your endocannabinoid system. CBD.market. https://cbd.market/cbdblog/7-natural-ways-to-activate-your-endocannabinoid-system

My past or my future?

This blog post will focus on the interesting intersection between anxiety and memories. I personally found this fascinating because before discussing this in class, I never considered how memories of past events register in our brains, and how these events translate into trauma. I mostly investigated this topic from a psychology perspective but what does neuroscience have to say about this topic?

The brain’s ability to remember things is very important for our daily lives. Memories help us navigate the world, both physically and socially. They also help us adapt to changes and prepare for similar situations in the future. Sometimes, really stressful events can leave a lasting impact on our memory, especially if they’re traumatic.

Figure 1. Diagram showing past events that could potentially lead to cases of anxiety disorders such as Post Traumatic Stress Disorder (PTSD) [2]

Research using animal models suggest that stress affects learning and memory processes in the brain, particularly the hippocampus. Stress-induced hormones enhance memory formation, which can be observed in various behavioral tests like the forced swim test. This test involves placing rodents in water where they show an immobility response, which is considered a learned behavior. Drugs that increase neurotransmitter levels can affect this behavior, making it an important tool for antidepressant drug screening. Glucocorticoid hormones play a crucial role in memory consolidation, particularly through the action of the glucocorticoid receptor in the hippocampus. This receptor is essential for the acquisition and consolidation of memories associated with stressful experiences. [2]

Looking into more of the neuroscience, the roles of glucocorticoid hormones as well as histone modifications are crucial in the brain’s response to stress. Studies found that stress-induced changes in specific histone marks in neurons of the hippocampus, a brain region involved in memory and stress response, were associated with increased transcription of certain genes. These changes were observed after exposure to psychological stressors like forced swimming and novelty but not physical stressors like cold exposure.

Another interesting knowledge on this topic is the role of the HPA axis  in responding to stress. The release of cortisol regulated by the HPA axis (hypothalamic-pituitary-adrenal axis) and begins with the release of CRH from the hypothalamus. Cortisol is a glucocorticoid. Cortisol acts on glucose metabolism to maintain normal glucose levels especially during times of stress. [3]. Fluctuations in cortisol secretion often accompany psychiatric disorders, and normalization of its levels correlates with improvement in a patient’s health. This also means that cortisol may be useful as a biological marker that can help determine the likelihood of a mental illness, its onset, and the severity of symptoms. [4]

Figure 2. Schematic representing the brain’s response to stress [5]

References.

[1] Matthew Tull, P. (2021, April 21). How traumatic events cause PTSD. Verywell Mind. https://www.verywellmind.com/ptsd-causes-and-risk-factors-2797397

[2] Reul J. M. (2014). Making memories of stressful events: a journey along epigenetic, gene transcription, and signaling pathways. Frontiers in psychiatry5, 5. https://doi.org/10.3389/fpsyt.2014.00005

[3] Chourpiliadis, C. (2023, July 17). Physiology, glucocorticoids. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK560897/

[4] Dziurkowska, E., & Wesolowski, M. (2021). Cortisol as a Biomarker of Mental Disorder Severity. Journal of clinical medicine10(21), 5204. https://doi.org/10.3390/jcm10215204

[5] Abercrombie, H. C., Abrari, K., Arbel, I., Barrett, D., Beato, M., Beckwith, B. E., Bisaz, R., Bohus, B., Brewin, C. R., Brown, E. S., Buchanan, T. W., Buss, C., Campeau, S., Cleare, A. J., … Bierer, L. M. (2009, March 31). Glucocorticoids and the regulation of memory in health and disease. Frontiers in Neuroendocrinology. https://www.sciencedirect.com/science/article/abs/pii/S009130220900003X#preview-section-abstract

 

Battling the Brain Beast: Glioblastomas

When we talk about tumors, they can grow and exist differently. There are canceorus (malignant) tumors and non-cancerous (benign) tumors. A tumor is a solid mass of tissue that forms when abnormal cells group together. They can affect different parts of the body including the bone, skin, tissue, and organs. Factors that increase the risk of developing a tumor include gene mutations, smoking, family history of certain types of cancer and smoking. [1]

Glioblastomas (GBM) are brain tumors that affect the normal intracellular and intercellular signaling for the advantage of the tumor cells but to the disadvantage of the whole organism. Some of the subtypes of glioblastomas include classical GBM, mesenchymal GBM, proneural GBM, and neural GBM.

GBM can also occur as a primary tumor or a secondary tumor developing from pre-existing lower grade tumor glioma tumors. Primary GBM develop very quickly, without evidence of preexisting symptoms while secondary GBM develop from a lower grade tumor. Some of the common symptoms of glioblastomas include perisistent headaches, double or blurred vision, vomiting, new onset of seizures, changes in mood and personality. [2]

To delve more into the neuroscience of cellular processes involved in GBM, the Mitogen- activated protein kinase (MAPK) signaling and pathways are interrupted in GBM. This can affect functions such as cell survival. The MAPK pathway contains three activated protein kinases that are key components of a series of vital signal transduction pathways and regulte regulate proceses such as cell proliferation, cell differentiation, and cell death. Below is a diagram showing the MAPK pathways. [3]

 

Figure 1. Diagram showing the major MAPK pathways (cascades) in mammalian cells [4]

Think of the MAPK pathway like a chain reaction in your body’s cells that gets started when certain growth factors, like epidermal growth factor (EGF), bind to their special receptors on the cell surface. These receptors are like switches that turn on the pathway. When the growth factor binds to the receptor, it causes the receptor to team up with other proteins inside the cell, like GRB2 and SOS. These proteins then pass signals along to another protein called Ras, which acts like a messenger. Ras gets activated and starts a series of events that ultimately lead to the activation of MAPK, a protein that helps control cell growth and division.

In cancer, this pathway can go haywire. Sometimes, certain genes like the one for the epidermal growth factor receptor (EGFR) get too active, causing the MAPK pathway to go into overdrive. This can make cells grow and divide uncontrollably, leading to tumor growth and making the cancer more aggressive.

Figure 2. Cartoon schematizing the crostalk between glioblastoma cancer stem cells (GSCs) and major cellular components of glioblastoma tumor environment.

 

References.

[1] Professional, C. C. medical. (n.d.-a). Tumor: What is it, types, symptoms, treatment & prevention. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/21881-tumor

[2] Jigisha, T., Pier, P., & Vikram, P. (n.d.). Glioblastoma multiforme. AANS. https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Glioblastoma-Multiforme

[3] Morrison, D. K. (2012, November 1). MAP kinase pathways. Cold Spring Harbor perspectives in biology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3536342/#:~:text=Mitogen%2Dactivated%20protein%20kinase%20
[4] ZHANG, W., LIU, H. MAPK signal pathways in the regulation of cell proliferation in mammalian cells. Cell Res 12, 9–18 (2002). https://doi.org/10.1038/sj.cr.7290105
[5] Ryskalin, Larisa & Biagioni, Francesca & Lenzi, Paola & Frati, Alessandro. (2020). mTOR Modulates Intercellular Signals for Enlargement and Infiltration in Glioblastoma Multiforme. Cancers. 12. 10.3390/cancers12092486.

Putting the “fun” in dysfuntion!

Did you know that even your psychiatrist might be suffering from a mental illness? Increased awareness on mental illness today shows how far humans have come in trying to understand each other. While some places around the world are still trying to figure it out, many countries have embraced the need for empathy when dealing with people suffering from a mental illness.

Now, some neuroscience behind it. Relating this to mental illness, Wnt signaling may play a role in mental illness specifically schizophrenia  . This mental illness is characterized by disruptions in thinking, emotions, and behavior, just like the figure below depicts. The wnt signaling pathway  is like a set of instructions inside our cells that tells them what to do. It involves a protein called β-catenin. Normally, β-catenin is tagged for disposal by a group of proteins when there’s no Wnt signal around. But when a Wnt signal comes along and connects with its receptor, it’s like a green light for the pathway. This stops the disposal process, allowing β-catenin to build up inside the cell. Then, it moves into the nucleus, where it helps turn on specific genes that control cell behavior.

Figure 1. Cartoon depicting the common symptoms of schizophrenia

Research suggests that the irregular signaling in the Wnt signaling pathways may contribute to the development of schizophrenia by affecting brain development, neurotransmitter function, and synaptic plasticity. But specifically, the  dysregulation of Wnt signaling pathways may disrupt the formation and function of synapses, which are the connections between neurons in the brain. This disruption could lead to impaired communication between brain cells, contributing to the symptoms of schizophrenia. However, the exact relationship between Wnt signaling and schizophrenia is complex and requires further investigation.

Figure 2. Diagram showing wnt signaling pathway [1]

To break it down further, without Wnt ligand binding, an intracellular complex including GSK3β, Axin, APC, and CK1α keeps β-catenin phosphorylated and marked for degradation. However, Wnt ligands binding to their receptors cause a cascade leading to the dissociation of the destruction complex. This stabilizes β-catenin, allowing it to accumulate in the cytoplasm and move into the nucleus.

Looking at treatments, Lithium is  widely used as a treatment for bipolar disorder and sometimes schizophrenia, due to its potential impact on Wnt signaling pathways. Lithium is known to increase the levels of β-catenin and therefore subsequent activation of canonical Wnt signaling, which may play a role in mediating the mood-balancing effects of lithium. [2]

A note on empathy. Seeing how complex the science behind mental illness is, it makes us wonder when scientists might be able to figure it all out. These gaps in knowledge reveals how complex it might be for those actually experiencing an illness no one entirely understands. Therefore, it is important to always show empathy to individuals living with the symptoms of mental illness. Because even though they may not have received a diagnosis yet, they may be tangled in navigating through their own experiences. Someone suffering from a mental illness could be your neighbor or even best friend. Who knows?

 

Figure 3. Artstract created by student showing a word cloud to raise awareness on mental health

References.

[1] Inestrosa, N.C., Montecinos-Oliva, C. & Fuenzalida, M. Wnt Signaling: Role in Alzheimer Disease and Schizophrenia. J Neuroimmune Pharmacol 7, 788–807 (2012). https://doi.org/10.1007/s11481-012-9417-5

[2] Singh KK. An emerging role for Wnt and GSK3 signaling pathways in schizophrenia. Clin Genet. 2013 Jun;83(6):511-7. doi: 10.1111/cge.12111. Epub 2013 Apr 1. PMID: 23379509.

What a Journey!

My time at Concordia has been filled with thrill, lessons, failures, self-discovery, and many events that sneaked into my life unknowingly. However, did I enjoy it? Absolutely! Reflecting on my freshman year when I was not aware of the many events that lay ahead of me, I look back and my younger self and whisper: “You can do this, you will make it”. My younger self in my freshman year was very timid and scared of the things I was not used to, especially in academics. However, looking back I am glad to have gained so much from a liberal arts education here at Concordia. I will highlight specific events that had the greatest influence in my life.

First, Covid. The pandemic taught me a lot of things especially since it happened during a time I was learning independence. Working independently to take care of myself and school in the midst of a pandemic taught me the importance of resilience, communication, and outreach. I was able to navigate through this transition by holding conversations with people who I learnt from, watching people around me grow, and learning to be patient with myself.

Second, self discovery. I learnt a lot of things I did not know about myself before college. Most of them, I realized from hearing people voice out my strengths and weaknesses. This encouraged me to recognize my strengths and embrace my weaknesses. Failures from difficult classes revealed ways of building my weaknesses using my strengths and I am grateful for every moment. I am still discovering myself everyday and I am sure it will be a life long process. However, I will continue to travel this path of opportunity with gratitude in my heart.

Fourth, my Neuroscience major. Taking this class and completing my neuroscience major has allowed me to also learn so many skills. Taking biochemistry, neurobiology, and neurochemistry consecutively has deepened my admiration for neuroscience and research. This year, I read more research papers than I have ever read in all my time in school, and this was due to the research projects and classes I found myself . I struggled at first because I had not learnt the skill to navigate such literature. However, I understood that this was an important skill to learn, so I took up the challenge. Looking back now at the end of the semester, I am no longer scared of this skill I once lacked. I have been able to improve to the level of having confidence in my ability to navigate difficult academic literature. I am particularly grateful for this class because I felt encouraged to face this challenge when I encountered it initially. This is one skill I will definitely highlight on my resume from this semester.

Fifth, friends. Finding my community here at Concordia gave me a sense of belonging, especially when I struggled with different situations. I am grateful for the people who always made me realize my flaws and were kind to direct me in my areas of weakness. I am also grateful for those who congratulated me on my wins, even when I felt that they were negligible. Most times, when I felt alone, having those who had my best interest at heart reminded me of my strengths. More specifically, I am grateful for all the

I very excited to take these skills to the next journey. For me, this is only the beginning of a new transition. I wish to utilize the skills I have built to progress in my journey and career. Thank you Concordia!

Neurochemistry Has Value Outside of Science

Neurochemistry has been one of my favorite classes that I have taken in my college career. Although this is technically a science class, it covers the full spectrum of liberal learning that ultimately provides students with a strong foundation to excel in many different environments. This class is based around neurochemical signaling pathways, which I truly found fascinating. Although there are many methods used to understand how the body works and what goes wrong in different diseases, using signaling as a mode of understanding these processes allows for both very broad and also very specific interpretations.

This class has showed me that it is important to look at problems from diverse perspectives in order to reach the underlying issues. It is important to look at issues from a top-down approach as well as a bottom-up approach. Looking at behaviors from the molecular signaling level will allow for a particular understanding, and looking at the same topic from a global or societal perspective may lead you to completely different ideas. Value comes from looking at an issue from both perspectives to find tangible, actionable steps that can produce microscopic and macroscopic benefits.

I truly enjoyed hearing all of my classmates’ opinions and perspectives on all of the topics that were covered. Hearing other people’s ideas in such an in-depth way really deepened my understanding of our class topics. The discussions in this class provided an environment where diverse perspective can be shared that can help us have deeper understanding of why these topics are important. The perspectives of my classmates deepened my scientific knowledge as well as my social, ethical, and cultural knowledge.

While it may seem that covering such a wide scope of information would provide a disjointed education, I completely disagree. In my opinion, taking a topic and analyzing its microscopic and macroscopic implications really helps establish the importance of liberal education. When students are able to realize that chemistry is valuable outside of the lab, then they can integrate new modes of thinking that would not be possible otherwise. Integrating social, ethical, and cultural considerations into scientific discussion can provide new perspectives and allow for more relevant approaches to science.

Although I have only been at Concordia for a short time compared to my classmates, this class integrates many of the competencies that I have previously learned. This class provides a succinct format for understanding some of the tiniest details of life as well as some of life’s most complex problems. We cover many complex topics ranging from which ions are being moved through the membrane of a neuron following a concussion to how the public education system can be improved for diverse populations. These topics allow us to utilize a wide range of skills such as reading scientific literature, writing about complex topics, explaining our perspectives and opinions, and looking at concepts from different perspectives.

As a future medical professional, the skill of taking complex scientific and medical topics and breaking them down into understandable bits of information is extremely valuable to me. This is not only valuable for my own education and understanding of topics, but also for my ability to explain diseases and treatments to my patients. Over this semester I believe that my ability to take in, simplify, and explain complex neurochemical topics has greatly improved.

Even though I am not yet graduating, I know that the concepts we covered in this class will benefit my future career regardless of what field I end up in. This class has showed me that it is important to look at problems from diverse perspectives in order to get to the underlying issues. It is important to look at issues from a top-down approach as well as a bottom-up approach. Looking at behaviors from the molecular signaling level will allow for a particular understanding, and looking at the same topic from a global or societal perspective may lead you to completely different ideas. Value comes from looking at an issue from both perspectives to find tangible, actionable steps that can produce microscopic and macroscopic benefits.

OMG are those Endocannabinoids?

Endocannabinoids, often referred to as the body’s cannabis-like compounds, have gathered increasing attention in both scientific research and public discourse in recent years. These endogenous molecules, along with their receptors and metabolic enzymes, make up the endocannabinoid system (ECS). The ECS is a complex network of signaling pathways that play crucial roles in regulating a wide array of physiological processes. Understanding the endocannabinoid system is essential for several reasons, and there are many reasons why the public should care about this exciting research topic.

The endocannabinoid system is involved in the modulation and regulation of various bodily functions such as mood, appetite, immune response, sleep, and memory. Endocannabinoids act as signaling molecules that help maintain homeostasis (the body’s internal balance) by exerting regulatory effects on different organ systems and cellular processes. By influencing neurotransmission, inflammation, and metabolic activity, the ECS plays a fundamental role in supporting overall health and well-being.

 

Dysregulation of the endocannabinoid system has been implicated in the pathogenesis of numerous health conditions and diseases. Imbalances in endocannabinoid signaling have been associated with psychiatric disorders such as anxiety, depression, and schizophrenia, as well as neurodegenerative diseases like Alzheimer’s and Parkinson’s. Alterations in the ECS have also been linked to chronic pain syndromes, inflammatory disorders, and cardiovascular diseases. We must research to understand how the ECS can help in treating diseases.

 

Debra A. Kendall and Guillermo A. Yudowski’s research on “Cannabinoid Receptors in the Central Nervous System: Their Signaling and Roles in Disease” takes a look into the molecular mechanisms involved in the functions of cannabinoid receptors within the brain and the potential they show for various neurological and psychiatric disorders

In their research, they take a look into the two primary cannabinoid receptors found in the central nervous system (CNS): cannabinoid receptor type 1 (CB1) and cannabinoid receptor type 2 (CB2). These receptors are members of the G protein-coupled receptor (GPCR) family and are widely distributed throughout the brain. They play critical roles in modulating neurotransmission, synaptic plasticity, and neuroinflammation. Upon activation by endogenous cannabinoids (endocannabinoids) or exogenous cannabinoids (such as THC and CBD), CB1 and CB2 receptors initiate intracellular signaling cascades that regulate neuronal excitability and synaptic transmission. These signaling pathways involve the modulation of ion channels, second messenger systems, and protein kinases, and influence neuronal function and behavior.

 

Their research also highlights the therapeutic potential of cannabinoid-based medications in treating CNS disorders. Cannabinoid receptor agonists, such as synthetic cannabinoids and plant-derived cannabinoids, have shown efficacy in preclinical and clinical studies for alleviating pain, reducing spasticity, and enhancing mood in patients with neurological and psychiatric conditions. Modulation of the ECS through enzyme inhibition or receptor blockade offers several alternative strategies for further understanding cannabinoid receptor signaling and developing efficient therapeutic outcomes.

 

Endocannabinoids represent a fascinating area of research and show much potential for human health and disease. By fostering informed discussions and supporting evidence-based research, we can develop our understanding of the therapeutic potential of endocannabinoids and promote public health and well-being.

 

Sources

Campbell, V. A., and Gowran, A. (2007). Alzheimer’s disease; taking the edge off
with cannabinoids? Br. J. Pharmacol. 152, 655–662. doi: 10.1038/sj.bjp.0707446

Parsons, L. H., and Hurd, Y. L. (2015). Endocannabinoid signalling in
reward and addiction. Nat. Rev. Neurosci. 16, 579–594. doi: 10.1038/
nrn4004

Heifets, B. D., and Castillo, P. E. (2009). Endocannabinoid signaling and long-term
synaptic plasticity. Annu. Rev. Physiol. 71, 283–306. doi: 10.1146/annurev.
physiol.010908.163149

Perez, D. M., and Karnik, S. S. (2005). Multiple signaling states of
G-protein-coupled receptors. Pharmacol. Rev. 57, 147–161. doi: 10.1124/pr.57.
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Laprairie, R. B., Bagher, A. M., Kelly, M. E. M., Dupré, D. J., and
Denovan-Wright, E. M. (2014). Type 1 cannabinoid receptor ligands display
functional selectivity in a cell culture model of striatal medium spiny
projection neurons. J. Biol. Chem. 289, 24845–24862. doi: 10.1074/jbc.m114.
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Traumatic Brain Injury

Traumatic brain injury (TBI) is a public health concern which affects individuals, families, and society as a whole. It occurs when an external force disrupts the normal function of the brain. This instigates a wide range of cognitive, physical, and emotional impairments. Addressing TBI is important and I will discuss why the public should care about this research topic and what they should know about it in this blog.

TBI can have devastating and long-lasting consequences for affected individuals and their families. It can occur from car accidents, sports injuries, falls, or assaults. Depending on the severity and location of the injury, TBI can lead to several physical impairments such as deficits in motor skills, sensory disturbances, and chronic pain. Additionally, cognitive and emotional impairments such as memory problems, attention deficits, mood disorders, and impaired social functioning can significantly impact an individual’s quality of life and independence.

 

Christopher C. Giza and David A. Hovda’s research on “The New Neurometabolic Cascade of Concussion” sheds light on the complex physiological processes underlying traumatic brain injury (TBI), particularly concussion. This research offers insights into the understanding of TBI pathophysiology and has implications for diagnosis, treatment, and prevention strategies.

 

One key aspect of the neurometabolic cascade is the dysregulation of calcium ions within neurons, leading to excessive activation of calcium-dependent enzymes and pathways that contribute to neuronal excitotoxicity and cell damage. Giza and Hovda’s research highlights the critical role of calcium channel blockers and other neuroprotective agents in mitigating these effects and preserving neurons following concussion.

 

Their research also looks at the importance of energy metabolism in TBI pathophysiology. Disruptions in glucose metabolism and mitochondrial function compromise the brain’s ability to produce adenosine triphosphate (ATP), the primary energy source for neuronal activity. This energy crisis increases neuronal vulnerability to injury and impairs cellular repair and recovery processes. Neurotransmitters, particularly glutamate and gamma-aminobutyric acid (GABA), play a role in mediating synaptic transmission and excitatory-inhibitory balance in the injured brain. Dysregulation of these neurotransmitter systems contributes to neuronal hyperexcitability, synaptic dysfunction, and cognitive impairments observed following concussion.

 

In recent years, there has been a growing recognition of the need for multidisciplinary research and innovation in the field of TBI. One particularly exciting area of research involves the study of neuroplasticity—the brain’s remarkable ability to reorganize and adapt following injury. By looking at the principles of neuroplasticity, researchers are exploring innovative approaches to promote recovery and functional restoration in individuals with TBI.

 

In conclusion, traumatic brain injury is a significant public health issue that demands attention and action from society. If we can all play a role in raising awareness, promoting prevention strategies, and enhancing care delivery, we can mitigate the impact of TBI and improve the lives of individuals affected by this condition. Together, we can strive towards a future where TBI is not only survivable but also manageable, allowing individuals to thrive and contribute meaningfully to society.

 

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