Neural communication

What triggers the action potential?

  • Soma receives input from dendrites (and on soma directly)
  • Axon hillock sums/integrates
  • If sum > threshold, action potential “fires”
  • Action potential propagates along the axon
  • Action potential’s rapid change in voltage triggers neurotransmitter (NT) release

Synaptic transmission

Synapse permits neuron to pass electrical or chemical messages to another neuron or target cell (muscle, gland, etc.)

Synapse Types & Locations

  • Chemical
  • Electrical
    • Gap junctions
    • Cytosol (and ionic current) flows through adjacent neurons

Gap cell junction-en.svg
By Mariana Ruiz <a href=“//commons.wikimedia.org/wiki/User:LadyofHats” title=“User:LadyofHats”>LadyofHats</a> - the diagram i made myself using the information on this websites as source: <a rel=“nofollow” class=“external autonumber” href=“http://academic.brooklyn.cuny.edu/biology/bio4fv/page/gap-junctions.html">;[1]</a>, <a rel=”nofollow" class=“external autonumber” href=“http://www-biology.ucsd.edu/classes/bipn140.FA05/10_2.jpg">;[2]</a>, <a rel=”nofollow" class=“external autonumber” href=“http://www.colorado.edu/MCDB/MCDB1150/ohd/gapjunctionmodel.JPG">;[3]</a>, and<a rel=”nofollow" class=“external autonumber” href=“http://www.lrz-muenchen.de/~jmd/gap%20junction2.gif">;[4]</a>. Made with Adobe Illustrator. Image renamed from <a href=”//commons.wikimedia.org/w/index.php?title=File:Gap_cell_junction.svg&amp;action=edit&amp;redlink=1" class=“new” title=“File:Gap cell junction.svg (page does not exist)”>File:Gap cell junction.svg</a>, Public Domain, Link

Steps in chemical transmission

  • Voltage-gated calcium Ca++ channels open
  • \(Ca^{++}\) influx causes synaptic vesicles to bind with presynaptic membrane, fuse with membrane, spill contents via exocytosis

  • NTs diffuse across synaptic cleft
  • NTs bind with receptors on postsynaptic membrane
    • Cause some post-synaptic effect
  • NTs unbind from receptor
  • NTs inactivated
  • NTs diffuse along concentration gradient

Relative sizes

  • Neural membrane ~8 nm
  • Synaptic vesicles ~40-60 or ~90-120 nm
  • Synaptic cleft ~20-50 nm
  • Cleft small relative to vesicles

Receptor/channel types

Leak/passive

  • Vary in selectivity, permeability

Transporters/exchangers

  • Ionic
    • \(Na^+\)/\(K^+\) ATP-ase/pump
  • Chemical
    • e.g., Dopamine transporter (DAT)

Ionotropic receptors (receptor + ion channel)

  • Ligand-gated
  • Open/close channel
  • Ions flow in/out depending on membrane voltage and ion type
  • Fast-responding (< 2 ms), but short-duration effects (< 100 ms)

Metabotropic receptors (receptor only)

  • G-proteins ->
  • Trigger 2nd messengers
  • Open/close adjacent channels, change metabolism

Receptors generate postsynaptic potentials (PSPs)

  • Small voltage changes
  • Amplitude scales with # of receptors activated
  • Excitatory PSPs (EPSPs)
    • Depolarize neuron (make more +)
  • Inhibitory (IPSPs)
    • Hyperpolarize neuron (make more -)

NTs inactivated

  • Buffering
    • e.g., glutamate into astrocytes (Anderson & Swanson, 2000)
  • Reuptake via transporters
    • e.g., serotonin via serotonin transporter (SERT)
  • Enzymatic degradation
    • e.g., acetylcholine esterase (AChE) degrades acetylcholine (ACh)

Questions to ponder

  • Why do NTs diffuse from pre- to post-synaptic membrane?
  • Why must NTs be inactivated?
  • What sort of PSP would opening a \(Na^+\) channel produce?
  • What sort of PSP would opening a \(Cl^-\) channel produce?
  • What sort of PSP would closing a \(K^+\) produce?

Synapse location and function

  • on dendrites
    • usually excitatory
  • on cell bodies
    • usually inhibitory
  • on axons
    • usually modulatory (change p(fire))

Neurotransmitters

What are they?

  • Chemicals produced by neurons
  • Released by neurons
  • Bound by neurons and other cells
  • Send messages (have physiological effect on target cells)
  • Inactivated after release

Things to know

  • Neurotransmitter
  • Where released from/to
  • What receptor(s) bind it

Amino acids

Family Neurotansmitter
Amino acids Glutamate
\(\gamma\) aminobutyric acid (GABA)
Glycine
Aspartate

Glutamate

Type Receptor Esp Permeable to
Ionotropic AMPA \(Na^+\), \(K^+\)
Kainate
NMDA \(Ca^{++}\)
Metabotropic mGlu

\(\gamma\) aminobutyric acid (GABA)

  • Primary inhibitory NT in CNS
  • Excitatory in developing CNS, [\(Cl^-\)] in >> [\(Cl^-\)] out
  • Binding sites for benzodiazepines (BZD; e.g., Valium), barbiturates, ethanol, etc.
    • BZD affect subset of GABA-A receptors
    • Increase total Cl- influx
Type Receptor Esp Permeable to
Ionotropic GABA-A \(Cl^-\)
Metabotropic GABA-B \(K^+\)

Other amino acid NTs

  • Aspartate
    • Like Glu, stimulates NMDA receptor
  • Glycine
    • Spinal cord interneurons

Acetylcholine (ACh)

  • Primary excitatory NT of CNS output
  • Somatic nervous system (motor neuron -> neuromuscular junction)
  • Autonomic nervous system (ANS)
    • Sympathetic branch: preganglionic neuron
    • Parasympathetic branch: pre/postganglionic
Type Receptor Esp Permeable to Blocked by
Ionotropic Nicotinic (nAChR) \(Na^+\), \(K^+\) e.g., Curare
Metabotropic Muscarinic (mAChR) \(K^+\) e.g., Atropine

Curare

Basal forebrain

Fig. 1: Map of the cholinergic basal forebrain. The region of interest depicts the cholinergic basal forebrain, based on a cytoarchitectonic map of cholinergic nuclei, overlaid on a human brain template in Montreal Neurological Institute space. The BFCN mask is based on combined histology and postmortem MRI [63], containing several cholinergic subdivisions within the basal forebrain, including the medial septal nucleus, diagonal band of Broca, nucleus subputaminalis, the basal magnocellular complex, and nucleus basalis of Meynert [57, 72].

(Avram et al., 2021)

Monoamine NTs

Family Neurotransmitter Comment
Monoamines Dopamine (DA) Catecholamine
Norepinephrine (NE)/Noradrenaline (NAd) Catecholamine
Epinephrine (Epi)/Adrenaline (Ad) Catecholamine
Serotonin (5-HT) Indolamine
Melatonin Indolamine
Histamine
  • Synthesis pathway: DA -> NE/NAd -> Epi/Ad

Information processing

  • Point-to-point
    • One sender, small number of recipients
    • Glu, GABA
  • Broadcast
    • One sender, widespread recipients
    • DA, NE, 5-HT, melatonin, histamine
  • Need to know
    • NT, where projecting, type of receptor to predict function

Dopamine

  • Released by
    • Substantia nigra -> striatum, meso-striatal projection
    • Ventral tegmental area (VTA) -> nucleus accumbens, ventral striatum, hippocampus, amygdala, cortex; meso-limbo-cortical projection
Clinical relevance
  • Parkinson’s Disease (mesostriatal)
    • DA agonists treat (agonists facilitate/increase transmission)
  • ADHD (mesolimbocortical)
  • Schizophrenia (mesolimbocortical)
    • DA antagonists treat
  • Addiction (mesolimbocortical)
Inactivated via
Type Receptor Comments
Metabotropic D1-like (D1 and D5) more prevalent
D2-like (D2, D3, D4) target of many antipsychotics

Norepinephrine

  • Role in arousal, mood, eating, sexual behavior
Clinical relevance
  • ADHD, Alzheimer’s Disease, Parkinson’s Disease, depression
Inactivated by
  • Norepinephrine transporter (NET), aka noradrenaline transporter (NAT)
    • Contributes to DA uptake, too.
  • Also monoamine oxidase inhibitors (MAOIs)
    • inactivate monoamines in neurons, astrocytes
    • MAOIs increase NE, DA
    • Treatment for depression
Type Receptor Comments
Metabotropic \(\alpha\) (1,2) antagonists treat anxiety, panic
\(\beta\) (1,2,3) ‘beta blockers’ in cardiac disease

Adrenaline/Epinephrine

  • Synthesized from norepinephrine
  • Both NT and hormone
    • As NT: Released in small amounts by medulla oblongata
    • As hormone: Released by adrenal medulla
  • Binds to (\(\alpha_{1,2}\), \(\beta_{1,2,3}\) receptors in blood vessels, cardiac muscle, lungs, eye muscles controlling pupil dilation, liver, pancreas, etc.
  • Release enhanced by cortisol from adrenal cortex
  • Unusual in NOT being part of negative feedback system controlling its own release

Serotonin (5-hydroxytryptamine or 5-HT)

  • Released by raphe nuclei in brainstem
  • Role in mood, sleep, eating, pain, nausea, cognition, memory
  • Modulates release of other NTs
  • Most (90%; (De Ponti, 2004)) of body’s 5-HT regulates digestion
  • Separate cortical, subcortical 5-HT projection pathways?
  • Seven receptor families (5-HT 1-7) with 14 types
  • All but one metabotropic
Clinical relevance
  • Ecstasy (MDMA) disturbs serotonin
  • So does LSD
  • Fluoxetine (Prozac)
    • Selective Serotonin Reuptake Inhibitor (SSRI)
    • Treats depression, panic, eating disorders, others
  • 5-HT3 receptor antagonists are anti-mimetics used in treating nausea

In this drawing of the brain, the serotonergic system is red and the mesolimbic dopamine pathway is blue. There is one collection of serotonergic neurons in the upper brainstem that sends axons upwards to the whole cerebrum, and one collection next to the cerebellum that sends axons downward to the spinal cord. Slightly forward the upper serotonergic neurons is the ventral tegmental area (VTA), which contains dopaminergic neurons. These neurons' axons then connect to the nucleus accumbens, hippocampus, and the frontal cortex. Over the VTA is another collection of dopaminergic cells, the substansia nigra, which send axons to the striatum.
Public Domain, Link

Comparisons among neuromodulators

  • Limited evidence for specific functions by neuromodulator
  • Same neuromodulators -> different effects on different target areas
  • Most neuromodulators relate to attention and novelty detection
  • Neuromodulators interact with one another

Melatonin

  • Released by pineal gland (pine cone-like appearance)

Histamine

  • Released by hypothalamus, projects to whole brain
  • \(H_1\)-\(H_4\) Metabotropic receptors, one ionotropic type in thalamus/hypothalamus
  • Role in arousal/sleep regulation
  • In body, part of immune/inflammatory response

Other NTs

  • Gases
    • Nitric Oxide (NO), carbon monoxide (CO)
  • Neuropeptides
    • Substance P and endorphins (endogenous morphine-like compounds) have role in pain
    • Orexin/hypocretin, project from lateral hypothalamus across brain, regulates appetite, arousal
    • Cholecystokinin (CCK) stimulates digestion
  • Purines
    • Adenosine (inhibited by caffeine)
  • Others
    • Anandamide (activates endogenous cannabinoid receptors)

Hormonal communication

Examples of substances that are both hormones and NTs

  • Melatonin
  • Epinephrine/adrenaline
  • Oxytocin
  • Arginine Vasopressin (AVP) or Anti-Diuretic Hormone (ADH)

Behaviors under hormonal influence

Ingestive (eating/ drinking)

  • Fluid levels
  • Na, K, Ca levels
  • Digestion
  • Blood glucose levels

To threat/challenge

  • Metabolism
  • Heart rate, blood pressure
  • Digestion
  • Arousal

Common factors

  • Biological imperatives
  • Proscribed in space and time
  • Foraging/hunting
    • Find targets distributed in space, evaluate, act upon
  • Often involve others

Principles of hormonal action

  • Gradual action
  • Change intensity or probability of behavior
  • Behavior influences/influenced by hormones
    • +/- Feedback
  • Multiple effects on different tissues
  • Produced in small amounts; released in bursts
  • Levels vary daily, seasonally
    • or are triggered by specific external/internal events
  • Effect cellular metabolism
  • Influence only cells with receptors
  • Point to point vs.“broadcast”
    • Wider broadcast than neuromodulators

Similarities between neural and hormonal communication

  • Chemical messengers stored for later release
  • Release follows stimulation
  • Action depends on specific receptors
  • 2nd messenger systems common

Hormonal release sites

  • CNS
    • Hypothalamus
    • Pituitary
      • Anterior
      • Posterior
    • Pineal gland
  • Rest of body
    • Thyroid
    • Adrenal (ad=adjacent, renal=kidney) gland
      • Adrenal cortex
      • Adrenal medulla
    • Gonads (testes/ovaries)

Two release systems from hypothalamus

Direct release

  • Hypothalamus (paraventricular, supraoptic nucleus) to
  • Posterior pituitary
    • Oxytocin
    • Arginine Vasopressin (AVP, vasopressin)

Indirect release

  • Hypothalamus -> releasing hormones
  • Anterior pituitary -> tropic hormones
  • End organs

Case studies

Responses to threat or challenge

Figure 1: General scheme of brain acute-stress regulatory pathways. Stressors activate brainstem and/or forebrain limbic structures. The brainstem can generate rapid hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system (ANS) responses through direct projections to hypophysiotrophic neurons in the paraventricular nucleus of the hypothalamus (PVN) or to preganglionic autonomic neurons (stress response triggers). By contrast, forebrain limbic regions have no direct connections with the HPA axis or the ANS and thus require intervening synapses before they can access autonomic or neuroendocrine neurons (top-down regulation). A high proportion of these intervening neurons are located in hypothalamic nuclei that are also responsive to homeostatic status, providing a mechanism by which the descending limbic information can be modulated according to the physiological status of the animal (‘middle management’). BST, bed nucleus of the stria terminalis; CVO, circumventricular organ; SAM, sympathoadrenomedullary system.

(Ulrich-Lai & Herman, 2009)

  • Neural response
    • Sympathetic Adrenal Medulla (SAM) response
    • Sympathetic NS activation of adrenal medulla, other organs
    • Releases NE and Epi into bloodstream

Figure 2: The brain circuitry that regulates autonomic stress responses. Stress-induced pre-autonomic outflow originates in multiple brain areas. The colours denote brain regions that are implicated in sympathetic activation (blue), parasympathetic activation (red) or both (bicoloured). The paraventricular nucleus of the hypothalamus (PVN) has substantial projections to both sympathetic and parasympathetic nuclei, including the nucleus of the solitary tract (NTS), the dorsal motor nucleus of the vagus nerve (DMX), the intermediolateral cell column (IML), the locus coeruleus (LC) and the ventrolateral medulla (VLM) (the latter two sets of projections are not shown for clarity). The rostral VLM, LC and PVN directly innervate the IML and are thought to initiate sympathetic responses. The NTS in turn receives direct input from neurons in the infralimbic cortex (IL), the central amygdala (CeA) and the PVN. Other hypothalamic regions, most notably the dorsomedial hypothalamus (DMH), modulate autonomic nervous system activation through connections with the PVN (and possibly other descending pathways) (see main text). Parasympathetic outflow is mediated largely by descending outputs from the DMX and the nucleus ambiguus (NA) and is under the direct influence of the prelimbic cortex (PL), the PVN and possibly other descending relays (see main text). Parasympathetic effects of the anterior bed nucleus of the stria terminalis (aBST) are probably mediated by relays in the PVN or the NTS. The anatomical complexity of autonomic nervous system integration is underscored by the mixing of sympathetic and parasympathetic projection neurons in individual nuclei.

(Ulrich-Lai & Herman, 2009)

  • Endocrine response
    • Hypothalamic Pituitary Adrenal (HPA) axis
    • Adrenal hormones released

FIGURE 1. Effector systems of the stress response. A stressor elicits rapid activation of the autonomic nervous system with its sympathoneuronal (SN) and sympatho-adrenomedullary (SAM) limbs releasing their main effectors, noradrenaline and adrenaline, respectively. Activation of the hypothalamic-pituitary-adrenocortical (HPA) axis results in synthesis and release of its main effector, cortisol or corticosterone, in rodents. ACTH, adrenocorticotropic hormone; CRF, corticotropin-releasing factor.

(Deussing & Chen, 2018)

  • Hypothalamus
    • Corticotropin Releasing Hormone (CRH) or Corticotropin Releasing Factor (CRF)
    • Paraventricular nucleus (PVN)
  • Anterior pituitary
    • Adrenocorticotropic hormone (ACTH)
  • Adrenal cortex
    • Glucocorticoids (e.g., cortisol)
    • Mineralocorticoids (e.g. aldosterone)

Figure 3: The brain circuitry that regulates HPA axis stress responses. Stress-induced activation of the dorsal part of the medial parvocellular paraventricular nucleus of the hypothalamus (PVNmpd) originates in several brain regions (excitatory inputs are coloured blue with solid lines and inhibitory (GABA (γ-aminobutyric acid)-ergic) inputs are coloured red with dashed lines). The paraventricular nucleus of the hypothalamus (PVN) receives direct noradrenergic, adrenergic and peptidergic innervation from the nucleus of the solitary tract (NTS). The dorsomedial components of the dorsomedial hypothalamus (dmDMH) and the arcuate nucleus (Arc) provide intrahypothalamic stress excitation. The anterior part of the bed nucleus of the stria terminalis (BST), particularly the anteroventral nucleus of the BST (avBST), activates hypothalamic-pituitary-adrenocortical (HPA) axis stress responses. The PVN also receives a stress-excitatory drive from the dorsal raphe, the tuberomammillary nucleus, the supramammillary nucleus and the spinal cord, among others (omitted in the interest of space). Activation of the PVNmpd is inhibited by numerous hypothalamic circuits, including the medial preoptic area (mPOA), the ventrolateral component of the dorsomedial hypothalamus (vlDMH) and local neurons in the peri-PVN region (pPVN), encompassing the PVN surround and the subparaventricular zone. The posterior subregions of the bed nucleus of the stria terminalis (pBST) provide a prominent forebrain inhibition of HPA axis responses; most of these inputs are GABAergic. Brain sections are modified, with permission, from Ref. 154 © (1998) Academic Press.

(Ulrich-Lai & Herman, 2009)

  • CRF receptors found throughout the brain

FIGURE 4. Distribution of mRNA expression of corticotropin-releasing factor (CRF)-related peptides in the rodent brain. Three-dimensional expression patterns of CRF-related peptide were collapsed onto a single sagittal brain section. Depicted are well-documented sites of high to moderate expression. Sites of expression are indicated by colored dots: CRF (orange), urocortin (UCN) 1 (green), UCN2 (light blue), UCN3 (purple). 7, Facial nerve; 12, hypoglossal nerve; Amb, ambiguous nucleus; AP, area postrema; arc, arcuate nucleus; Bar, Barrington’s nucleus; BLA, basolateral amygdala; BNST, bed nucleus of the stria terminalis (d, dorsal aspect; v, ventral aspect); CA1, cornu ammonis subfield 1; CA3, cornu ammonis subfield 3; CC, corpus callosum; CeA, central amygdala; Cereb, cerebellum; CingCx, cingulate cortex; CPu, caudate putamen; DeepN, deep nucleus of cerebellum; DG, dentate gyrus; EW, Edinger Westphal nucleus; FrCx, frontal cortex; GPe, external globus pallidus; Hip, hippocampus; IC, inferior colliculus; IO, inferior olive; IPN, interpeduncular nucleus; LC, locus coeruleus; LH, lateral hypothalamus; LS, lateral septum; LSO, lateral superior olive; LTDg, laterodorsal tegmental nucleus; MeA, medial amygdala; MePO, median preoptic area; MGN, medial geniculate nucleus; MS, medial septum; MVN, medial vestibular nucleus; NAc, nucleus accumbens; NTS, nucleus of the solitary tract; OB, olfactory bulb; OccCx, occipital cortex; OT, olfactory tubercle; PAG, periaqueductal gray; ParCx, parietal cortex; PB, parabrachial nucleus; PFA, perifornical area; PG, pontine gray; Pir, piriform cortex; Pit, pituitary (p, lobe, anterior lobe, intermediate, posterior lobe); PM, premammillary nucleus; PPTg, pedunculopontine tegmental nucleus; PVN, paraventricular nucleus of the hypothalamus; R, red nucleus; RN, raphe nuclei; RTB, reticular thalamic nucleus; SC, superior colliculus; SN, substantia nigra; Sp5n, spinal trigeminal nucleus; SPO, superior paraolivary nucleus; VMH, ventromedial hypothalamus, VTA, ventral tegmental area.

(Deussing & Chen, 2018)

Adrenal hormones

  • Steroids
    • Derived from cholesterol
  • Cortisol (CORT)
    • increases blood glucose, aids in fat, protein, & carbohydrate metabolism
    • suppressess immune response, e.g., anti-inflammatory
    • in presence of Epi/Ad, role in memory formation
    • Receptors found in cytosol of most cells; some on cell membranes
    • Regulates gene transcription
    • circadian rhythmicity: high in am, low in pm
  • Aldosterone
    • Regulates Na (and water)

Reproductive behavior – the milk letdown reflex

  • Supraoptic nucleus & Paraventricular nucleus (PVN) of hypothalamus release oxytocin
    • Into bloodstream via posterior pituitary (endocrine)
    • Onto neurons in nucleus accumbens (neurocrine), amygdala, brainstem
  • Oxytocin stimulates milk ducts to secrete

Oxytocin’s role…

  • Sexual arousal
  • Released during orgasm, causing rhythmic muscle contractions
  • Stimulates uterine, vaginal contraction during labor
    • But mouse OXY knock-out model still engages in reproductive behavior and gives birth without incident.
  • Oxytocin-producing cells in ovarian corpus luteum, testicles, retina, adrenal medulla, pancreas
  • Links to social interaction, bonding (Weisman & Feldman, 2013)
  • Alters face processing in autism (Domes et al., 2013)
  • May inhibit fear/anxiety-related behaviors by gating amygdala (Viviani et al., 2011)

Circadian rhythms

Melatonin

  • Diurnal rhythm
  • Night time peak, early morning low
  • Secretion suppressed by short wavelength or “blue” light (< 460-480 nm)
  • Rhythm irregular until ~3 mos post-natal (Ardura, Gutierrez, Andres, & Agapito, 2003)
  • Peak weakens, broadens with age

  • Pathway
    • Suprachiasmatic nucleus (SCN) of the hypothalamus
    • Paraventricular nucleus of the hypothalamus
    • Spinal cord
    • Superior cervical ganglion
    • Pineal gland

Thinking about neurochemical influences

  • Measure hormones in blood, saliva; can’t effectively measure NTs
  • Multivariate, nonlinear, mutually interacting
  • Varied time scales
    • Phasic (e.g., cortisol in response to challenge)
    • Periodic (e.g., melatonin; diurnal cortisol)
  • Peripheral effects + neural feedback
  • State variables and behavior
    • Are your participants sleepy, hungry, horny, distressed…
    • Endogenous & exogenous influences
    • Systems interact; need better, broader, and denser measurement

Enteric nervous system

Anatomy

  • A component of the Autonomic Nervous System (ANS), along with the Sympathetic (SNS) and Parasympathetic Nervous Systems (PNS).
  • number of neurons comparable to entire spinal cord (Alloway & Pritchard)

Gut/brain connection

Figure 1. Systems-Level Overview of Psychobiotic Action. Blue arrows indicate psychobiotic processes and effects, while red arrows indicate processes associated with leaky gut and inflammation. Probiotics directly introduce beneficial bacteria such as Lactobacilli and Bifidobacteria into the gut. Prebiotics (e.g., galacto-oligosaccharides) support the growth of such bacteria. SCFAs and gut hormones: Both probiotics and prebiotics increase production of short-chain fatty acids (SCFAs), which interact with gut mucosal enteroendocrine cells and catalyse the release of gut hormones such as cholecystokinin (CCK), peptide tyrosine tyrosine (PYY) and glucagon-like peptide- 1 (GLP-1). Prebiotics may have stronger effects in this regard in comparison to probiotics. SCFAs and gut hormones enter circulation and can migrate into the central nervous system. Gut hormones are also secreted by tissues other than enteroendocrine cells. Neurotransmitters: psychobiotics enhance neurotransmitter production in the gut, including dopamine (DA), serotonin (5-HT), noradrenaline (NA), and γ-aminobutyric acid (GABA), which likely modulate neurotransmission in the proximal synapses of the enteric nervous system. Vagal connections: the vagus nerve synapses on enteric neurons and enables gut–brain communication. Stress, barrier function, and cytokines: barrier dysfunction is exacerbated through stress-induced glucocorticoid exposure. This enables migration of bacteria with pro-inflammatory components, increasing inflammation directly and also triggering a rise in pro-inflammatory cytokines via the immunogenic response. These cytokines impair the integrity of the blood–brain barrier and permit access to potentially pathogenic or inflammatory elements. Pro-inflammatory cytokines (red circles) also reduce the integrity of the gut barrier. Psychobiotic action restores gut barrier function and decreases circulating concentrations of glucocorticoids and pro-inflammatory cytokines. They also increase concentrations of anti-inflammatory cytokines (blue circles), which enhance integrity of the blood–brain barrier, the gut barrier, and reduce overall inflammation. Cytokines clustering at the brain represent cytokine interaction with the blood–brain barrier. Central lymphatic vessels: cytokines may interact more directly with the brain than previously appreciated through the recently discovered central lymphatic vessels.

(Sarkar et al., 2016)

  • “Moody microbes or fecal phrenology?” (Forsythe, Kunze, & Bienenstock, 2016).
  • 2015 systematic review (with only \(n=10\) trials) shows “very limited evidence for the efficacy of probiotic interventions in psychological outcomes.” (Romijn & Rucklidge, 2015).
  • ROG: But do we have good data about what people actually consume?

Physiology

Fig. 1. Gastric pacesetter potentials or slow waves originate from the pacemaker area on the greater curve. Pacesetter potentials travel in a circumferential and aboral direction at a rate of approximately 3 cycles per minute (cpm). The cutaneously recorded electrogastrogram shows 3-cpm wave pattern. The fundus has no rhythmic electrical activity.

(Al Taee & Al-Jumaily, 2020)

References

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Al Taee, A., & Al-Jumaily, A. (2020). Electrogastrogram based medical applications an overview and processing frame work. In Hybrid intelligent systems (pp. 511–520). Springer International Publishing. https://doi.org/10.1007/978-3-030-14347-3\_50
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Domes, G., Heinrichs, M., Kumbier, E., Grossmann, A., Hauenstein, K., & Herpertz, S. C. (2013). Effects of intranasal oxytocin on the neural basis of face processing in autism spectrum disorder. Biological Psychiatry, 74(3), 164–171. https://doi.org/http://dx.doi.org/10.1016/j.biopsych.2013.02.007
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