Brain Rhythms and Sleep Study Guide Exam 3 PDF

Summary

This document is a study guide for a neuroscience exam, focusing on brain rhythms and sleep. It defines EEG, discusses different brain rhythms, and their correlations to behavioral states (e.g. alertness).

Full Transcript

‭Brain Rhythms and Sleep‬ ‭1.‬ E ‭ EG: principle of method, why is it used, which part of the CNS creates the oscillations.‬ ‭How does the amplitude of the EEG trace depend on the activity of the underlying‬ ‭neurons?‬ ‭a.‬ ‭EEG‬‭- electroencephalogram: classica...

‭Brain Rhythms and Sleep‬ ‭1.‬ E ‭ EG: principle of method, why is it used, which part of the CNS creates the oscillations.‬ ‭How does the amplitude of the EEG trace depend on the activity of the underlying‬ ‭neurons?‬ ‭a.‬ ‭EEG‬‭- electroencephalogram: classical method of recording‬‭brain rhythms from‬ ‭the cerebral cortex, measurement of generalized cortical activity‬ ‭i.‬ ‭The‬‭cerebral cortex‬‭produces a range of electrical‬‭rhythms that are‬ ‭easily measured and reflect intriguing behaviors‬ ‭ii.‬ ‭Is noninvasive and painless - wires are taped on the skull for low‬ ‭resistance interaction. Wires have fixed positions.‬ ‭b.‬ ‭Why it is used -‬‭diagnosis neurological conditions‬‭such as seizures, epilepsy,‬ ‭sleep disorders, and for research‬ ‭c.‬ ‭Recording the waves -‬‭electrodes are placed on their‬‭standard positions, and‬ ‭connected to banks of amplifiers and recording devices.‬ ‭i.‬ ‭Small voltage fluctuations are measured in microvolts between pairs of‬ ‭electrodes in the different brain regions (difference between electrodes)‬ ‭d.‬ ‭Creating the oscillations‬‭- EEG measures voltages‬‭generated by currents that‬ ‭flow during excitation of dendrites of pyramidal cortical neurons. It is an‬ ‭extracellular recording of multiple neurons‬ ‭i.‬ ‭The signal must pass through several layers of non neural tissue, such as‬ ‭the meninges, skull, and CSF (causes loss of some electricity)‬ ‭ii.‬ ‭thousands/millions of activated neurons are needed to observe a change‬ ‭in EEG‬ ‭e.‬ ‭Amplitude‬‭- associated with synchronous vs irregular‬‭firing. Depends on firing‬ ‭interval‬ ‭i.‬ ‭Synchronous - inputs fire at all the same interval. Upon summation, the‬ ‭EEG has a LOW firing frequency and HIGH amplitude‬ ‭ii.‬ ‭Irregular - inputs fire at different intervals. Upon summation, the EEG‬ ‭reading has a HIGH frequency and LOW amplitude.‬ ‭2.‬ ‭EEG rhythms are categorized based on their frequency; how do they correlate with the‬ ‭different behavioral states? What purpose do they serve according to current‬ ‭hypotheses?‬ ‭a.‬ ‭Gamma - Beta‬‭- lowest amplitude, highest frequency.‬ ‭i.‬ ‭Concentration, activated cortex,‬‭higher mental activity‬‭,‬‭problem solving,‬ ‭fear, arousal, cognition‬ ‭ii.‬ ‭Evident in someone highly attention, afraid, or stressed‬ ‭b.‬ ‭Alpha‬ ‭i.‬ ‭Relaxation, quiet, waking state‬ ‭ii.‬ ‭Evident in someone awake but with their eyes closed‬ ‭c.‬ ‭Theta‬ ‭i.‬ ‭Dreams, deep meditation, REM sleep‬ ‭ii.‬ ‭Small decrease in amplitude and increase in frequency‬ ‭d.‬ ‭Delta -‬‭highest amplitude, lowest frequency‬ ‭i.‬ ‭Deep dreamless sleep, loss of body awareness‬ ‭e.‬ ‭Functions of rhythms according to hypothesis‬ ‭i.‬ ‭Sleep hypothesis -‬‭brain's way of disconnecting cortex‬‭from sensory‬ ‭input. Slow rhythm to relay info, no sensory info from thalamus to the‬ ‭cortex so we fall asleep‬ ‭ii.‬ ‭Walter freeman hypothesis‬‭- neural rhythms coordinate‬‭activity,‬ ‭synchronize oscillation, bind together‬ ‭1.‬ ‭Playing basketball → ball is thrown at you → different groups of‬ ‭cells respond to different factors of the the ball → brain oscillates‬ ‭to create pattern of generalized activity to work together →‬ ‭becomes a perception‬ ‭3.‬ ‭Which are the mechanisms by which a large group of neurons may produce‬ ‭synchronized oscillations? What is the role of the thalamus in this process?‬ ‭a.‬ ‭Mechanisms of synchronous rhythms‬ ‭i.‬ ‭Pacemaker - central clock‬ ‭1.‬ ‭Coordinated rhythms then pass to the cortex through the‬ ‭thalamocortical axons‬ ‭ii.‬ ‭Collective behavior - sharing/distribution of timing function among‬ ‭neurons‬ ‭1.‬ ‭Some rhythms of the cortex do not depend on the thalamus but on‬ ‭cortical interconnections‬ ‭b.‬ ‭Thalamus‬‭- massive cortical input; pacemaker neurons‬‭→ cortex‬ ‭i.‬ ‭Generation of rhythmic action potential discharges of cortex (special set‬ ‭of voltage gated channels)‬ ‭ii.‬ ‭Fires without an external stimulus → channels activate whenever‬ ‭.‬ ‭Which are the three functional states of the brain and which are their characteristics (i.e.‬ 4 ‭awake, NREM sleep, REM sleep)?‬ ‭awake‬ ‭NREM‬ ‭REM‬ ‭EEG‬ ‭Low voltage, fast‬ ‭High voltage, slow‬ ‭Low voltage, fast‬ ‭sensation‬ ‭ ivid, externally‬ V ‭Dull or absent‬ ‭ ivid, internally‬ V ‭generated‬ ‭generated‬ ‭thought‬ ‭Logical, progressive‬ ‭Logical, repetitive‬ ‭Vivid, illogical, bizarre‬ ‭movement‬ ‭Continuous, voluntary‬ O ‭ ccasional,‬ ‭ uschel paralysis,‬ M ‭involuntary‬ ‭movement‬ ‭commanded by brain‬ ‭but not carried out -‬ ‭REM atonia‬ ‭Rapid eye movement‬ ‭often‬ ‭rare‬ ‭often‬ ‭5.‬ D ‭ efine sleep and describe in detail the sleep cycle. What physiological alterations occur‬ ‭during NREM versus REM sleep? How do EEG rhythms vary during the different stages‬ ‭of sleep?‬ ‭a.‬ ‭Sleep -‬‭readily reversible state of reduced responsiveness‬‭to, and interaction‬ ‭with, the environment‬ ‭i.‬ ‭Universal among higher vertebrates, ⅓ of life is spent asleep, deprivation‬ ‭can be devastating‬ ‭b.‬ ‭Sleep cycle‬‭- every night sleep begins with a period‬‭of NREM sleep. The cycle is‬ ‭NREM period interrupted by REM sleep‬ ‭i.‬ ‭NREM is roughly 75% of total sleep time interrupted by REM‬ ‭1.‬ ‭NREM is the first part of sleep‬ ‭ii.‬ ‭NREM → REM → NREM (cycle 90 min - ultradian rhythms)‬ ‭1.‬ ‭Ultradian rhythms - short period‬ ‭2.‬ ‭As the night progresses the depth of NREM decreases ( decrease‬ ‭3-4 stages) and REM duration increases‬ ‭3.‬ ‭Half of the night’s REM sleep during the last third → longest REM‬ ‭cycle 30-50 min (obligatory refractory period of 30 min NREM‬ ‭sleep‬ ‭c.‬ ‭NREM‬‭- period of rest for body & brain‬ ‭i.‬ ‭Body rests - muscle tension throughout the body is reduced and‬ ‭movement is minimal‬ ‭ii.‬ ‭Brain rests - rate of energy demands and firing rate at the lower point of‬ ‭the day‬ ‭iii.‬ ‭Usually not complex dreams (when awakened only vague thoughts), not‬ ‭same as REM dream‬ ‭iv.‬ ‭Increased parasympathetic system, so decreased HR and RR‬ ‭v.‬ ‭Dominant large slow EEG rhythms‬ ‭d.‬ ‭REM‬‭- rapid eye movement; brain looks more awake than‬‭sleep‬ ‭i.‬ ‭Muscle paralysis - atonia, loss of skeletal muscle tone‬ ‭1.‬ ‭Eyes move - could be due to decreased brain temp by 1 degrees‬ ‭so eyes move fast to increase‬ ‭ii.‬ ‭O2 consumption greater than that of an awake brain that concentrates on‬ ‭complex calculus‬ ‭iii.‬ ‭If awakened after REM, lifelike, vivid, and bizarre dreams are reported‬ ‭iv.‬ ‭Increased sympathetic activity, so increased HR and RR, clitoris and‬ ‭penis become engorged with blood‬ ‭v.‬ ‭EEG looks almost indistinguishable from that in wakefulness, fast‬ ‭low voltage oscillations → paradoxical‬ ‭e.‬ ‭EEG rhythms during stages of sleep‬ ‭i.‬ ‭Awake -‬‭beta and gamma waves‬ ‭ii.‬ ‭Stage 1 - transitional sleep (eyes rolling movements - few min - easy‬ ‭awakening) -‬‭theta waves‬ ‭iii.‬ ‭Stage 2 - deeper (5-15 min eye movements almost cease), preparing for‬ ‭deeper sleep‬ ‭.‬ ‭Spindles from the thalamic pacemaker‬ 1 ‭2.‬ ‭K complex - sharp dispersed waves‬ ‭iv.‬ ‭Stage 3 - slow delta waves begin to emerge‬ ‭v.‬ ‭Stage 4 - deepest stage of sleep, higher frequency delta waves‬ ‭vi.‬ ‭REM sleep (eye movements), beta and gamma rhythms‬ ‭6.‬ ‭What hypotheses have been put forward to explain why humans sleep and how do some‬ ‭dolphins sleep?‬ ‭a.‬ ‭Restoration hypothesis -‬‭sleep to rest and recover,‬‭prepare to be awaken again‬ ‭b.‬ ‭Adaptation‬ ‭- sleep to keep out of trouble, hide from‬‭predators, conserve energy‬ ‭c.‬ ‭Dolphins‬ ‭i.‬ ‭Have evolved to sleep w/ one hemisphere at a time‬ ‭ii.‬ ‭Spend 2h w/ left hemisphere asleep → 1 hour with both awake → 2 h w/‬ ‭right hemisphere asleep‬ ‭d.‬ ‭Only mammals and birds have REM sleep‬ ‭7.‬ ‭Should REM sleep and dreams be considered synonymous? Why do we say that “the‬ ‭body craves for REM sleep”?‬ ‭a.‬ ‭Dreams and REM are not synonymous‬ ‭b.‬ ‭We would rather focus on REM sleep in order to take objective measurements‬ ‭(but also NREM)‬ ‭c.‬ ‭Body craves for REM‬ ‭- Dement’s experience‬ ‭i.‬ ‭He would hook subjects up to EEGs and would wake them up when they‬ ‭would enter REM‬ ‭ii.‬ ‭He found that overtime when the subjects fell back to sleep they would‬ ‭enter REM quicker‬ ‭iii.‬ ‭Shows when the body is deprived of REM, it finds it quicker. However‬ ‭deprivation is not harmful‬ ‭d.‬ ‭Psychological interpretation‬‭- unconscious way to‬‭express forbidden‬ ‭secual/aggressive desires and to conquer anxiety - Freud‬ ‭8.‬ ‭Biological interpretation of dreams: what does the activation-synthesis hypothesis‬ ‭support?‬ ‭a.‬ ‭Activation synthesis hypothesis -‬‭dreams are the associations‬‭and memories‬ ‭of the cerebral cortex elicited by random discharges of the pons during REM‬ ‭sleep‬ ‭i.‬ ‭Neurons in the pons fire semi randomly → randomly activates the‬ ‭thalamus → thalamus randomly activates cortex → cortex synthesizes‬ ‭images into dreams‬ ‭1.‬ ‭Since they are random, that's why dreams don’t make sense‬ ‭b.‬ ‭REM, dreams and memory‬‭- REM deprivation impairs learning,‬‭increased REM‬ ‭after intense learning experience, sleep learning‬ ‭9.‬ ‭Neural mechanisms of sleep: critical neurons, brain regions and mechanisms involved in‬ ‭the regulation of wakefulness, NREM and REM sleep (REM on/off cells); why don’t we‬ ‭act-out our dreams? Define REM sleep behavior.‬ ‭a.‬ ‭Critical neurons -‬‭diffuse modulatory neurotransmitter‬‭systems‬ ‭i.‬ ‭NA and 5-HT neurons → fire during waking state‬ i‭i.‬ ‭ ch neurons → enhance REM events, others active during waking‬ A ‭iii.‬ ‭Ascending branches of the diffuse modulatory system control rhythmic‬ ‭behaviors of thalamus that in turn controls cortical EEG‬ ‭iv.‬ ‭Descending branches of diffuse modulatory systems also involved in‬ ‭sleep‬ ‭1.‬ ‭Provide sending pathway to thalamus → go to spinal cord →‬ ‭mediate REM atonia spinal cord reflexes‬ ‭b.‬ ‭Wakefulness and the ascending reticular activating system (ARAS) -‬‭During‬ ‭arousal or wakefulness neurons of the ARAS increase their firing‬ ‭i.‬ ‭NA, 5-HT, ACH, Histamine, hypocretin (orexin) → collectively synapse on‬ ‭thalamus/cortex → depolarization, suppression of rhythmic firing‬ ‭1.‬ ‭Orexin - regulates appetite, for those in narcolepsy they go‬ ‭straight into REM and fall right asleep. In this case the neurons‬ ‭that produced orexin have died.‬ ‭2.‬ ‭Orexin promotes wakefulness, so when we lose it we go into REM‬ ‭c.‬ ‭Falling asleep and NREM state‬ ‭i.‬ ‭Decreased in firing rates of most brain stem modulatory neurons using‬ ‭NE, 5-HT, ACh → EEG sleep spindles in early stages (rhythmicity of‬ ‭thalamic neurons) → spindles disappear and replaced by slow delta‬ ‭rhythms‬ ‭ii.‬ ‭Neuron firing slows down as you get drowsy‬ ‭d.‬ ‭Mechanisms of REM sleep - striate cortex‬ ‭i.‬ ‭Internally generated explosion in extrastriate activity (not induced by‬ ‭primary visual cortex)‬ ‭ii.‬ ‭Limbic activation → emotional component of dreams‬ ‭iii.‬ ‭Reduced activity of frontal lobes → reduced integration/interpretation of‬ ‭extrastriate visual images (bizarre)‬ ‭e.‬ ‭REM On/off cells‬ ‭i.‬ ‭REM-ON - cholinergic neurons in the pons that fire at the onset of REM‬ ‭sleep‬ ‭1.‬ ‭Increase firing at onset‬ ‭ii.‬ ‭REM-OFF - serotonergic (raphe), and noradrenergic (LC) neurons fire‬ ‭before the end of REM sleep‬ ‭1.‬ ‭Reach nadir at REM onset, silent during NREM and beginning of‬ ‭REM‬ ‭f.‬ ‭Why don’t we act out our dreams?‬ ‭i.‬ ‭Because descending pathways from the diffuse modulatory systems of‬ ‭the brainstem suppress spinal motor neurons‬ ‭ii.‬ ‭REM atonia keeps us from moving because the brain commands‬ ‭movement but the atonia prevents it‬ ‭iii.‬ ‭REM sleep behavior disorder‬ ‭1.‬ ‭Adaptive process → avoid self harm‬ ‭2.‬ ‭Sleepwalking - NREM stage 3 & 4 not REM, act out the dream, do‬ ‭not enter sleep atonia, midbrain systems that mediate REM atonia‬ ‭Neurobiology of Learning and Memory I‬ ‭1.‬ P ‭ hineas Gage, Karl Lashley, Wilder Penfield, Henry Molaison (H.M. patient), Brenda‬ ‭Milner, N.A.patient, John O’Keefe, Edvard/May Britt Moser: contributions in‬ ‭neuroscience?‬ ‭a.‬ ‭Phineas Gage -‬‭a railroad construction worker who‬‭was in an accident and‬ ‭ended up with an iron rod piercing through his skull and frontal lobe. Survived 12‬ ‭years after the accident, but he was not the same after. Had major personality,‬ ‭mood, and emotion changes. Gave first insight that different regions of the brain‬ ‭are associated with learning and memory.‬ ‭b.‬ ‭Karl Lashley -‬‭studied learning and memory in rats‬‭using experimental ablation‬ ‭to see how the cortex was associated in learning and memory. Concluded that all‬ ‭cortex areas are equipotential to learning and memory. Later research confirmed‬ ‭that this isn’t true, not all cortex areas are equipotential. Declarative memories‬ ‭reside in the neocortex but in order to get there they need to pass through‬ ‭structures in the medial temporal lobe, important for consolidation/storage‬ ‭c.‬ ‭Wilder Penfield -‬‭used electrical stimulation of parts‬‭of the brain as part of a‬ ‭surgical treatment for severe epilepsy. This showed that the temporal lobe has a‬ ‭special role in memory storage, as seen by the direct stimulation of the region‬ ‭with an electrode.‬ ‭d.‬ ‭H.M. -‬‭had surgery to remove his medial temporal lobe;‬‭left with anterograde‬ ‭amnesia and could not form new declarative memories. Showed that the medial‬ ‭temporal lobe is critical for declarative memory consolidation, and that working‬ ‭and procedural memories use distinct brain structures‬ ‭e.‬ ‭Brenda Milner -‬‭doctor that worked with H.M. for over‬‭50 years, and had to‬ ‭reintroduce herself everytime she met with him. She is the person that tilted the‬ ‭scale that the hippocampus is the most important region in learning and memory‬ ‭f.‬ ‭N. A. patient -‬‭his roommate’s fencing foil went through‬‭his right nostril and‬ ‭damaged left dorsomedial thalamus. Left with severe anterograde amnesia and‬ ‭retrograde amnesia for the last 2 years of declarative memory (but less severe‬ ‭than H.M’s. Showed‬‭medial temporal and diencephalic‬‭regions - interconnected‬ ‭regions that form a system of memory consolidation.‬ ‭g.‬ ‭John O’Keefe -‬‭discovered place cells, which are neurons‬‭in the hippocampus‬ ‭that selectively respond when the animal is in a particular position in its‬ ‭environment.‬ ‭h.‬ ‭Edvard/May Britt Moser -‬‭discovered grid cells, which‬‭are neurons in the‬ ‭entorhinal cortex that selectively respond when the animal is placed at multiple‬ ‭locations that form a hexagonal grid‬ ‭2.‬ ‭Which are the basic types of procedural memory? What is habituation and sensitization?‬ ‭a.‬ ‭Types of procedural memory‬ ‭i.‬ ‭Nonassociative learning‬‭- change in behavior response‬‭that occurs over‬ ‭time in response to stimulus‬ ‭1.‬ ‭Habituation‬‭- learn to ignore a meaningless stimulus.‬‭Response‬ ‭decreases as the stimulus becomes habituated.‬ ‭2.‬ S ‭ ensitization‬‭- learn to intensify response to stimulus. Ex - lights‬ ‭out and you hear footsteps would cause a magnified response bc‬ ‭footsteps in daylight isn’t as scary‬ ‭ii.‬ ‭Associative learning‬ ‭1.‬ ‭Classical conditioning -‬‭Association of stimulus that‬‭evokes a‬ ‭response with a second stimulus that normally does not evoke a‬ ‭response.‬ ‭2.‬ ‭Instrumental conditioning -‬‭association of response‬‭with a‬ ‭meaningful stimulus (reward), complex neural circuits‬ ‭3.‬ ‭Pavlov’s dogs and classical conditioning: what do US, CS, UR and CR stand for?‬ ‭a.‬ ‭Classical conditioning‬‭- association of a stimulus‬‭that evokes a response with a‬ ‭second stimulus that normally does not evoke a response‬ ‭i.‬ ‭Unconditioned stimulus (US)‬‭- evokes an unconditioned‬‭response (UR).‬ ‭no conditioning/training is required‬ ‭ii.‬ ‭Conditioned stimulus (CS)‬‭- normally does not evoke‬‭a response.‬ ‭Training is required before it yields the conditioned response (CR)‬ ‭b.‬ ‭Pavlov’s experiment‬ ‭i.‬ ‭The unconditioned stimulus is the food the dog is presented with. The‬ ‭unconditioned response is for the dog to salivate.‬ ‭ii.‬ ‭When the unconditioned stimulus is paired with a bell ringing, then the‬ ‭dog will begin to associate the bell with the unconditioned stimulus. The‬ ‭bell becomes the conditioned response.‬ ‭iii.‬ ‭When the dog hears the conditioned stimulus even without the‬ ‭unconditioned stimulus of the food, the dog will begin to salivate. The‬ ‭conditioned stimulus of the bell leads to the conditioned response of‬ ‭being salivated.‬ ‭iv.‬ ‭The conditioned stimulus must be presented before the unconditioned‬ ‭stimulus close together. If they are too far apart then the association‬ ‭becomes weaker depending on when the stimulus is present.‬ ‭1.‬ ‭Shorter time = greater association‬ ‭.‬ ‭Types of declarative memory: how is working memory different from short-term memory‬ 4 ‭and how can it be assessed in the clinic? Which brain regions are implicated in working‬ ‭memory?‬ ‭a.‬ ‭Definition -‬‭explicit memories - facts (semantic)‬‭and life events (episodic).‬ ‭Assessed for conscious recollection, results from conscious effort, easy to form‬ ‭and more easily forgotten‬ ‭b.‬ ‭Types of declarative memory‬‭- long term memories and‬‭short term memories‬ ‭i.‬ ‭Long term‬‭- can be recalled for days, months, years‬‭following initial‬ ‭storage. Usually important events‬ ‭ii.‬ ‭Short term‬‭- last from sec to hours and are vulnerable‬‭to disruption.‬ ‭Trying to recall what you ate for dinner last night and then how many‬ ‭nights before‬ ‭c.‬ W ‭ orking memory -‬‭temporary storage between sensory information and short‬ ‭term memory. Has a very limited capacity, short duration (several seconds), and‬ ‭requires repetition to be kept alive. (remembering a phone number read off)‬ ‭i.‬ ‭Assessed in the clinic‬ ‭1.‬ ‭digital span test -‬‭person sits in front of screen,‬‭is shown a list of‬ ‭numbers for a few seconds and then asked to recall as many‬ ‭numbers as they can; score of 7+/- 2 means working memory‬ ‭capacity is normal‬ ‭2.‬ ‭Wisconsin card sorting task -‬‭a person is asked to‬‭sort a deck of‬ ‭cards having a variable number of colored geometric shapes.‬ ‭Person is not told the pattern, only if the card they place is right or‬ ‭wrong so they have to try and figure out the criteria (color, number,‬ ‭shape). After 4 correct placements, the criteria changes again.‬ ‭Assesses both working memory and prefrontal cortex function‬ ‭ii.‬ ‭Implicated brain regions -‬‭neocortex, specifically‬‭neocortex of prefrontal‬ ‭cortex‬ ‭5.‬ ‭Define anterograde, retrograde and dissociative amnesia and describe transient global‬ ‭amnesia.‬ ‭a.‬ ‭Amnesia -‬‭serious loss of memory and/or ability to‬‭learn. Caused by‬ ‭concussions, alcoholism, encephalitis, brain tumor, stroke, epilepsy.‬ ‭i.‬ ‭Anterograde -‬‭inability to form new memories after‬‭trauma. Person will‬ ‭retain their old declarative memories but is unable to form new ones. (this‬ ‭is what happens in 50 first dates!!!)‬ ‭ii.‬ ‭Retrograde -‬‭memory loss for events before a trauma.‬‭A person will lose‬ ‭their more recent declarative memories, but may remember old‬ ‭declarative memories from childhood, etc. in severe cases they lose all‬ ‭declarative memories.‬ ‭iii.‬ ‭Dissociated amnesia -‬‭amnesia caused by no other cognitive‬‭deficit. For‬ ‭example alzheimer’s wouldn’t count because it has a cognitive‬ ‭component‬ ‭iv.‬ ‭Transient global amnesia -‬‭an attack of anterograde‬‭amnesia that lasts‬ ‭for a short period and often includes retrograde amnesia for recent‬ ‭events.‬ ‭1.‬ ‭Symptoms -‬‭A person may feel disorientated, ask the‬‭same‬ ‭questions repeatedly, and can’t form new memories for a short‬ ‭period of time.‬ ‭2.‬ ‭Attacks subside in a matter of hours, and they are left with a‬ ‭permanent memory gap‬ ‭3.‬ ‭Causes -‬‭brief cerebral ischemia/decrease in blood‬‭flow to‬ ‭memory regions, concussions, seizures, stress, sex, cold shows,‬ ‭and the antidiarrheal drug Clioquinol.‬ ‭.‬ ‭How did Karl Lashley reach the conclusion that the engrams are widely distributed in the‬ 6 ‭cerebral cortex? Are all cortical areas equipotential to learning and memory?‬ ‭a.‬ K ‭ arl Lashley‬‭studied learning and memory in rats using experimental ablation to‬ ‭see how the cortex was associated in learning and memory‬ ‭b.‬ ‭Experiment -‬‭He trained rats to run through a maze‬‭to get a food reward at the‬ ‭end. After the rats were trained, he used ablation to create bilateral lesions in the‬ ‭rats’ cortexes.‬ ‭i.‬ ‭Lesions before learning the maze -‬‭interfered with‬‭the ability to learn,‬ ‭and made it harder for the rats to learn the task and took them more time.‬ ‭ii.‬ ‭Lesions after learning the maze -‬‭damaged memory formation,‬‭so the‬ ‭rats couldn’t remember what they already learned, like the maze path.‬ ‭c.‬ ‭His conclusions -‬‭the larger the lesion, the more‬‭damage, so he concluded that‬ ‭all cortex areas are equipotential to learning and memory.‬ ‭i.‬ ‭However, later research confirmed that this isn’t true, not all cortex areas‬ ‭are equipotential. But Karl was right that engrams are widely distributed‬ ‭throughout the cerebral cortex‬ ‭d.‬ ‭Declarative memories reside in the neocortex but in order to get there they need‬ ‭to pass through structures in the medial temporal lobe, important for‬ ‭consolidation/storage‬ ‭7.‬ ‭Describe the basic anatomy of the medial temporal lobe. How did Wilder Penfield show‬ ‭that the temporal lobe plays a role in declarative memory storage? What do you know‬ ‭about the extraordinary case of H.M.?‬ ‭a.‬ ‭Anatomy -‬‭medial temporal lobe sits right below the‬‭temporal lobe, and contains:‬ ‭i.‬ ‭Hippocampus‬ ‭ii.‬ ‭Three cortical regions surrounding the rhinal sulcus -‬‭Entorhinal‬ ‭cortex, perirhinal cortex, and parahippocampal cortex‬ ‭b.‬ ‭Information flows through the lobe‬‭- responsible for‬‭consolidation of‬ ‭declarative memory.‬ ‭i.‬ ‭Cortical association areas project sensory info to mid temporal lobe →‬ ‭parahippocampal and rhinal cortical areas receive the sensory information‬ ‭→ hippocampus → fornix loops around → mammillary bodies of‬ ‭hypothalamus → thalamus‬ ‭c.‬ ‭Wilder Penfield -‬‭neurosurgeon; used electrical stimulation‬‭of parts of the brain‬ ‭as part of a surgical treatment for severe epilepsy‬ ‭i.‬ ‭He found that if the temporal lobe was stimulated, the patient would‬ ‭experience complex sensations, hallucinations, and recollection of past‬ ‭experiences. Patients on the table could remember their mother talking to‬ ‭them as a child, remembering an old carnival. This showed that the‬ ‭temporal lobe has a special role in memory storage, as seen by the direct‬ ‭stimulation of the region with an electrode.‬ ‭d.‬ ‭H. M.‬‭- Henry Molaison was in a bicycle accident and‬‭then suffered from epilepsy‬ ‭from age 10 and as he aged the condition became more severe.‬ ‭i.‬ ‭In 1953 when he was 27 years old, he had surgery to remove 8‬ ‭centimeters of the medial temporal lobe (cortex, amygdala, and anterior‬ ‭two thirds of hippocampus)‬ ‭ii.‬ ‭ he surgery stopped his seizures, and did not affect perception‬ T ‭intelligence or personality, but left him with extreme anterograde amnesia‬ ‭iii.‬ ‭He could not form new declarative memories, but his working memory‬ ‭and procedural memory were ok. He also developed partial retrograde‬ ‭amnesia and was able to form a few new declarative memories.‬ ‭iv.‬ ‭Conclusions -‬‭based on H.M.’s amnesia, the medial‬‭temporal lobe is‬ ‭critical for declarative memory consolidation, and that working and‬ ‭procedural memories use distinct brain structures‬ ‭8.‬ ‭How is the diencephalon implicated in memory storage? Lessons learned from the N.A.‬ ‭patient and the Korsakoff syndrome.‬ ‭a.‬ ‭Regions of the diencephalon implicated -‬‭damage in‬‭these regions can cause‬ ‭amnesia. Flow of info from hippocampus → fornix → mammillary bodies →‬ ‭anterior nucleus of thalamus‬ ‭i.‬ ‭Thalamus -‬‭anterior and dorsomedial nuclei‬ ‭ii.‬ ‭Hypothalamus -‬‭mammillary bodies‬ ‭b.‬ ‭N. A. patient -‬‭his roommate’s fencing foil went through‬‭his right nostril and‬ ‭damaged left dorsomedial thalamus.‬ ‭i.‬ ‭Left with severe anterograde amnesia and retrograde amnesia for the last‬ ‭2 years of declarative memory (but less severe than H.M’s‬ ‭ii.‬ ‭Conclusions -‬‭medial temporal and diencephalic regions‬‭-‬ ‭interconnected regions that form a system of memory consolidation‬ ‭c.‬ ‭Korsakoff’s syndrome -‬‭syndrome from chronic alcoholism,‬‭deficiency of‬ ‭thiamine.‬ ‭i.‬ ‭Early symptoms of thiamine deficiency: tremors, loss of balance,‬ ‭abnormal eye movement‬ ‭ii.‬ ‭Treated with supplemental thiamine. If untreated, structural changes and‬ ‭lesions can occur in the diencephalon that lead to Korsakoff’s syndrome‬ ‭iii.‬ ‭If left untreated, becomes Korsakoff’s syndrome, and the patient‬ ‭experiences anterograde amnesia, retrograde amnesia, confabulations‬ ‭(inverted memories due to memory gaps), and apathy‬ ‭9.‬ ‭Place cells and grid cells: function and localization in the rat brain.‬ ‭a.‬ ‭Place cells -‬‭neurons in the hippocampus that selectively‬‭respond when the‬ ‭animal is in a particular position in its environment. They would fire APs when the‬ ‭animal is in a specific environment, and use microelectrodes to impair a single‬ ‭neuron. Specific neurons fire at specific positions.‬ ‭i.‬ ‭Discovered by John O’ Keefe‬ ‭b.‬ ‭Grid cell -‬‭neurons in the entorhinal cortex that‬‭selectively respond when the‬ ‭animal is placed at multiple locations that form a hexagonal grid‬ ‭i.‬ ‭Discovered by Edvard and May Britt Moser‬ ‭c.‬ ‭Conclusion -‬‭snow importance of hippocampus in spatial‬‭learning and memory‬ ‭10.‬‭Which experimental studies proved that the striatum is implicated in procedural‬ ‭memory?‬ ‭a.‬ ‭Radial arm maze test‬ ‭i.‬ ‭ tandard version -‬‭mouse in a maze with 8 arms, some with food some‬ S ‭without, the rat had to locate the food through trial and error. Caused the‬ ‭rat to use declarative memory, therefore depending on hippocampus‬ ‭ii.‬ ‭Light version -‬‭light above arm with food - used of‬‭procedural memory‬ ‭forms a habit based on light food association‬ ‭1.‬ ‭Found that lesions in the striatum (caudate nucleus and putamen)‬ ‭caused poor performance, but lesions in hippocampus did not‬ ‭2.‬ ‭Therefore procedural memory depends on the striatum, and the‬ ‭striatum is not crucial for declarative‬ ‭Neurobiology of Learning and Memory II‬ ‭1.‬ W ‭ hich experiments shed light to the molecular and cellular processes underlying‬ ‭habituation and sensitization of the gill-withdrawal reflex in Aplysia Californica? Why did‬ ‭Eric Kandel use this animal model system?‬ ‭a.‬ ‭Eric Kandel -‬‭interested in cellular mechanisms of‬‭memory, wanted to record‬ ‭signals from the hippocampus. Wanted to study neurons during a simple‬ ‭memory.‬ ‭i.‬ ‭Used‬‭Aplysia California‬‭, the marine snail, because‬‭the rat brain was too‬ ‭complex and he wanted to study a simple reflex controlled by large and‬ ‭accessible neurons. This was the first model to understand molecular‬ ‭mechanisms of learning and memory.‬ ‭b.‬ ‭The gill withdrawal reflex -‬‭when a small amount of‬‭water is placed on the‬ ‭siphon of aplysia, the aplysia withdraws its gill.‬ ‭c.‬ ‭Habituation of gill withdrawal‬ ‭i.‬ ‭He observed that this reflex displays habituation up repeating the action‬ ‭(responsiveness decreases)‬ ‭ii.‬ ‭Reflex pathway‬‭- a bundle of neurons enter the abdominal‬‭ganglion →‬ ‭one sensory neuron axon from the siphon skin synapses with a motor‬ ‭neuron called L7 → motor neuron innervates the gill to contract the‬ ‭muscle‬ ‭iii.‬ ‭Location of habituation -‬‭realized it had to be either‬‭at the sensory,‬ ‭motor, or synapse. He tried blocking both the sensory neuron and motor‬ ‭neuron and found no change in the response no matter the amount of‬ ‭stimulation, so he concluded that habituation had to occur at the synapse.‬ ‭iv.‬ ‭The synapse -‬‭glutaminergic; he impaled the presynaptic‬‭neuron with a‬ ‭stimulating and recording electrode, and impaled the postsynaptic neuron‬ ‭with a recording electrode to record the EPSPs (reflex level of activation).‬ ‭1.‬ ‭Found that repeated electrical stimulation of the sensory neuron‬ ‭leads to a progressively smaller EPSP in the postsynaptic motor‬ ‭neuron.‬ ‭2.‬ ‭How does this occur -‬‭voltage gated Ca2+ channels‬‭in the‬ ‭presynaptic terminal become less effective, resulting in a decrease‬ ‭of neurotransmitter released by the sensory neuron‬ ‭d.‬ S ‭ ensitization of gill withdrawal -‬‭Kandel applied a brief electrical shock to the‬ ‭tail of Aplysia, which responded in an exaggerated gill withdrawal response in‬ ‭response to siphon stimulation‬ ‭i.‬ ‭Synapses is an axoaxonic synapse with sensory neuron -‬‭sensory‬ ‭info from the shock converges on the serotonergic L29 neuron, which in‬ ‭turn synapses with the sensory neuron that activates motor neuron L7‬ ‭1.‬ ‭Sensitizing stimulus to another body part causes indirect activation‬ ‭of L29 interneurons‬ ‭ii.‬ ‭Chemical pathway -‬‭release of serotonin from L29 →‬‭acts on‬ ‭serotonergic metabotropic receptors on membrane of sensory neuron →‬ ‭activate AC to produce cAMP → cAMP activates PKA → PKA‬ ‭phosphorylates K+ channel on sensory neuron membrane and channel‬ ‭closes → cell keeps depolarizing → more Ca2+ channels open and more‬ ‭NT released onto motor neuron so larger response‬ ‭iii.‬ ‭Short term memory -‬‭if one shock on the tail, sensitization‬‭lasts a few‬ ‭hours.‬ ‭1.‬ ‭Caused by secondary messengers acting on pre existing proteins‬ ‭(transient alterations in existing synaptic proteins)‬ ‭iv.‬ ‭Long term memory -‬‭If 4 shocks over 5 days, lasts‬‭a few weeks‬ ‭1.‬ ‭Caused by gene transcription/protein synthesis. Caused by‬ ‭persistent synthesis of new proteins‬ ‭v.‬ ‭Lessons -‬‭learning and memory results from modifications‬‭of synaptic‬ ‭transmission. Synaptic modification can be triggered by conversion of‬ ‭neural activity into intracellular second messengers‬ ‭2.‬ ‭Be able to describe in detail the molecular/cellular and neurophysiological mechanisms‬ ‭underlying LTP/LTD in the hippocampus (brain slice studies). What appears to be the‬ ‭maximum duration of LTP according to in vivo rat studies?‬ ‭a.‬ ‭Brain slice studies‬‭- Slices of hippocampus have microcircuits‬ ‭i.‬ ‭Pathway - input from entorhinal cortex → form synapses with DG → DG‬ ‭axons synapse with CA3 → CA3 axons branch to fornix or CA1 region‬ ‭1.‬ ‭Schaffer collateral - CA3 → CA1. many experiments for learning‬ ‭and memory here‬ ‭ii.‬ ‭Bliss and Lomo - cut hippocampus in thin slices and kept alive in CSF.‬ ‭impaled cells w/ electrodes to record response. Found that brief high‬ ‭frequency electrical stimulation of perforant path synapses on DG‬ ‭neurons induced long lasting strengthening of stimulated synapses - LTP‬ ‭b.‬ ‭Long term potentiation‬‭- form of synaptic modification.‬‭Neurons that fire‬ ‭together wire together! If an active presynaptic neuron synapses with an active‬ ‭postsynaptic neuron then the synapse will be stronger‬ ‭i.‬ ‭Modification of synapses so that they are more effective. Presynaptic‬ ‭neurons stimulated with a burst of high frequency stimulation that‬ ‭increased the EPSPs. More EPSPs = more activation‬ ‭ii.‬ ‭Maximum duration -‬‭high frequency stimulation can‬‭produce LTP in the‬ ‭rat hippocampus (in vivo) that lasts more than a year‬ ‭c.‬ L ‭ ong term depression‬‭- opposite of LTP. Neurons that fire out of synch lose‬ ‭their link! An active presynaptic neuron that synapses with a weak postsynaptic‬ ‭neuron will form a weak synapse‬ ‭i.‬ ‭Under persistent weak synaptic stimulation active synapses undergo LTD.‬ ‭presynaptic neurons are stimulated weakly and the EPSPs responses are‬ ‭now weaker → less effective‬ ‭3.‬ ‭Early versus late alterations that result in long-lasting changes in synaptic transmission‬ ‭during LTP.‬ ‭a.‬ ‭Early phase mechanism of LTP in CA1 -‬‭early phases‬‭of LTP induction are on‬ ‭pre existing molecules‬ ‭i.‬ ‭Excitatory synaptic transmission in the hippocampus is mediated by‬ ‭glutamate‬ ‭ii.‬ ‭CA1 neurons have NMDA receipts that are activated upon AMPA‬ ‭dependent depolarization of the postsynaptic cell → increased Ca2+‬ ‭mediates the strength of elimination of the synapse → activates PKC and‬ ‭CaMKII‬ ‭1.‬ ‭PKC → directly phosphorylates AMPA to stay opens more Na+‬ ‭can enter to increase depolarization‬ ‭2.‬ ‭CaMKII → insertion of new AMPARs in the postsynaptic‬ ‭membrane. CaMKII mobilizes vesicles w/ AMPA receptors to‬ ‭membrane, vesicles fuse and receptors join the membrane‬ ‭making the spine larger.‬ ‭iii.‬ ‭Prevention‬‭- LTP is prevented by NMDA receptor antagonists,‬‭Ca2+‬ ‭chelators inhibiting rise in postsynaptic Ca2+, and pharmacological‬ ‭inhibition of PKC/CaMKII‬ ‭b.‬ ‭Long term LTP -‬‭induces changes in synaptic structures,‬‭the spine size‬ ‭increases.‬ ‭.‬ ‭Which pharmacological experiments suggested that NMDA receptor activation, calcium‬ 4 ‭and CamKII/PKC are needed for the induction of LTP?‬ ‭a.‬ ‭Experimental evidence‬ ‭i.‬ ‭attractive mechanistic models → synaptic plasticity can contribute to‬ ‭formation of declarative memories. How synapses are strengthened‬ ‭following high frequency stimulation‬ ‭ii.‬ ‭NMDAR dependent plasticity also in other brain regions → same‬ ‭mechanism‬ ‭iii.‬ ‭The genetic knockout mice for CaMKII (a) → deficits in hippocampal LTP‬ ‭and memory. Don’t perform well on memory tasks‬ ‭b.‬ ‭Synaptic transmission is modified by altering the phosphorylation status of‬ ‭certain synaptic proteins‬ ‭5.‬ ‭LTP and LTD represent two opposite forms of synaptic plasticity, and both are triggered‬ ‭by calcium; please explain how this happens.‬ ‭a.‬ ‭The level of NMDA activation determines the amount of Ca2+ which‬ ‭triggers the LTP/LTD‬ ‭i.‬ ‭LTP‬ ‭1.‬ S ‭ trong depolarization → complete displacement of Mg2+ (all‬ ‭NMDAs open at the same time) and activation of kinases → large‬ ‭elevation of Ca2+ (phosphorylation)‬ ‭ii.‬ ‭LTD‬ ‭1.‬ ‭Weak depolarization → partial blockage by Mg2+ (not all NMDAs‬ ‭open) and activation of phosphatases → small elevation of Ca2+‬ ‭(dephosphorylation)‬ ‭6.‬ ‭Which in vivo experimental studies suggested that hippocampal LTP is indeed implicated‬ ‭in learning and memory (hint: water maze, transgenic mice, inhibitory avoidance‬ ‭studies)?‬ ‭a.‬ ‭Water maze‬ ‭i.‬ ‭Intrahippocampal injection of NMDAR blocker in rats during training in the‬ ‭water maze.‬ ‭ii.‬ ‭Rats placed in a bucket with opaque water, swam until they found the‬ ‭platform. They got there quicker and quicker with each test.‬ ‭1.‬ ‭If the blocker was injected the rats performed poorly on the test‬ ‭even if they knew where the platform was before.‬ ‭2.‬ ‭Ablation of NMDA receptors → rats could not learn the task‬ ‭b.‬ ‭Transgenic mice‬ ‭i.‬ ‭Genetic knockout mice for CaMKII (a) → deficits in hippocampal LTP and‬ ‭memory, don’t perform as well on the tests‬ ‭ii.‬ ‭Mice that overexpress NMDArs display enhanced learning ability in some‬ ‭learning tasks (appear to have photographic memory)‬ ‭c.‬ ‭Inhibitory avoidance studies‬ ‭i.‬ ‭Rodents love the dark, so a sliding door opens and the mouse in the light‬ ‭runs to the dark, but the mouse gets shocked in the dark.‬ ‭ii.‬ ‭After the first shock, the mouse is reintroduced to the compartment to see‬ ‭if they try to go in the dark again. Measure latency it takes the mouse to‬ ‭go from light to dark.‬ ‭1.‬ ‭High latency if they remember the shock‬ ‭iii.‬ ‭Learning induces LTP at hippocampal synapses. At the end, observed‬ ‭LTP in CA1 neurons, induced LTP due to the training.‬ ‭.‬ ‭Molecular basis of memory consolidation: CREB, protein synthesis and synaptogenesis.‬ 7 ‭Which experiments gave us insights into the mechanisms of memory consolidation (hint:‬ ‭protein synthesis inhibition studies)‬ ‭a.‬ ‭Protein synthesis‬‭- required during memory consolidation,‬‭for short term‬ ‭memory to become long term memory‬ ‭i.‬ ‭Intracerebral injection of protein synthesis inhibitors‬ ‭1.‬ ‭Injection during or shortly after training: the animals may learn the‬ ‭task but cannot remember when tested some days later. Doesn’t‬ ‭affect short term, but won’t remember it afterward‬ ‭2.‬ ‭Memories become increasingly resistant if the interval between‬ ‭training and protein synthesis inhibition increases‬ ‭b.‬ ‭Regulation of protein synthesis is by transcription factors‬ i‭.‬ ‭ nter nucleus → bind to DNA →regulate synthesis‬ E ‭ii.‬ ‭CREB‬‭- a transcription factor. Creb is phosphorylation‬‭by kinase →‬ ‭activated and goes into the nucleus and displaces CREB2‬ ‭1.‬ ‭cyclic AMP response element binding protein binds to specific‬ ‭genome elements → binds to CREB response elements (CREs)‬ ‭on DNA‬ ‭2.‬ ‭CREB 1 -‬‭activator of gene expression‬ ‭3.‬ ‭CREB 2 -‬‭repressor of gene expression‬ ‭c.‬ ‭Synaptogenesis‬ ‭i.‬ ‭Ca2+ activates calmodulin and protein kinase → effects in late phase‬ ‭making of dendritic spines → long term memory‬ ‭ii.‬ ‭Early phase‬ ‭1.‬ ‭Ca2+ released into synapse → binds to NMDA receptors →‬ ‭activates calmodulin → activates protein kinase → activates‬ ‭AMPA receptors‬ ‭2.‬ ‭Protein kinases convert ATP to cAMP and activate PKA → CREB‬ ‭activated and transcription regulators → activate synapse growth‬ ‭proteins which causes growth -‬‭Late phase‬ ‭8.‬ ‭Be able to define/discuss the significance of the following terms:‬ ‭a.‬ ‭gill-withdrawal reflex -‬‭from the aphasia snail, showed‬‭the habituation and‬ ‭sensitization studies‬ ‭b.‬ ‭perforant pathway -‬‭entorhinal cortex → DG. hippocampal‬‭microcircuit‬ ‭c.‬ ‭mossy fibers -‬‭DG → CA3. part of hippocampal microcircuit‬ ‭d.‬ ‭Schaffer collateral -‬‭from CA3 → CA1, many experiments‬‭for learning and‬ ‭memory. Part of hippocampal microcircuits‬ ‭e.‬ ‭NMDA/AMPA receptor regulation -‬‭AMPA opens immediately‬‭after Glu binds‬ ‭and allows Na+ to enter and depolarize the membrane. Depolarization causes‬ ‭the Mg2+ in the NMDA receptors to pop out, to allow more Na+ and Ca2+ to‬ ‭enter cell‬ ‭f.‬ ‭AMPLIfication -‬‭insertion of new AMPA receptors into‬‭the membrane, caused by‬ ‭increased in Ca2+‬ ‭g.‬ ‭PKC -‬‭phosphorylates AMPA to stay open and become‬‭more effective so more‬ ‭Na+ in cell increasing depolarization‬ ‭h.‬ ‭CamKII -‬‭mobilizes vesicles w/ AMPA receptors to membrane‬‭and inserts new‬ ‭receptors to join membrane and make spine longer‬ ‭i.‬ ‭CREB -‬‭transcription factor, binds to CREB response‬‭elements on DNA. activate‬ ‭or repress gene expression‬ ‭j.‬ ‭inhibitory avoidance task -‬‭showed learning induces‬‭LTP at hippocampal‬ ‭synapses‬ ‭Neurobiology of Disease: Schizophrenia‬ ‭1.‬ S ‭ chizophrenia: DSM symptoms, disease progression, main neuroanatomical‬ ‭abnormalities, and pathogenetic factors (genes versus environment).‬ ‭a.‬ ‭DSM symptoms‬ ‭i.‬ ‭Positive (psychotic) symptoms - excess in normal functions‬ ‭1.‬ ‭Hallucinations - perceptions not elicited by appropriate sensory‬ ‭stimulus‬ ‭a.‬ ‭Auditory (hearing voices, music), bully, derogatory, issue‬ ‭commands, thought echo (hearing your thoughts spoken‬ ‭aloud in your head)‬ ‭2.‬ ‭Delusions - distortion of reality‬ ‭a.‬ ‭Thought withdrawal (entity takes away their thoughts),‬ ‭thought insertion (controlled by another entity), thought‬ ‭broadcasting (everyone hears your thoughts), paranoid‬ ‭delusions (being plotted against, special powers),‬ ‭delusions of reference (thinks their getting a message to‬ ‭do something)‬ ‭3.‬ ‭Agitation - talking moving all the time‬ ‭4.‬ ‭Disorganized speech‬ ‭ii.‬ ‭Negative symptoms - reduction in normal functions‬ ‭1.‬ ‭Lack of interest, blunted affect, social withdrawal, passivity‬ ‭iii.‬ ‭Cognitive symptoms - cognitive impairment, learning and memory deficits,‬ ‭attentional deficits‬ ‭1.‬ ‭Can’t be treated with antipsychotics‬ ‭b.‬ ‭Disease progression‬ ‭1.‬ ‭Stage 1 - asymptomatic period‬ ‭2.‬ ‭Stage 2 - prodromal phase → odd/ eccentric behavior, mild‬ ‭negative symptoms. Mild and still functionable. (15-20 years)‬ ‭3.‬ ‭Stage 3 - acute phase of disease → positive symptoms, psychotic‬ ‭episodes remission, relapses‬ ‭a.‬ ‭Downhill functionality that patients never regain‬ ‭4.‬ ‭Stage 4 - prominent negative and cognitive symptoms, “burnout”‬ ‭phase of disability. Decreased positive symptoms but more‬ ‭disability‬ ‭.‬ ‭Main neuroanatomical abnormalities‬ c ‭i.‬ ‭Pronounced reduction in cortical gray matter (plus amygdala and‬ ‭hippocampus) in frontal and temporal regions‬ ‭1.‬ ‭Synaptic pruning in amygdala and hippocampus, frontal, temporal‬ ‭2.‬ ‭Loss of gray matter resulting from loss of synaptic contact rather‬ ‭than loss of cells‬ ‭ii.‬ ‭Deficits in working memory - dorsolateral prefrontal cortex shows less‬ ‭activity‬ ‭1.‬ ‭Decreased dendritic spine density in dorsolateral PFC‬ ‭iii.‬ ‭Cell death in thalamus‬ ‭1.‬ ‭Cell death in thalamus that forms a synapse w/ neuron in cortex‬ ‭and thalamic axon → synapse died because neurons in thalamus‬ ‭died → issues with sensory relay → no filter → no nothing can be‬ ‭filtered out → experienced at once which can cause symptoms‬ ‭iv.‬ ‭Enlarged third and lateral ventricles in schizophrenia‬ ‭1.‬ ‭Cortex is thinning → gray matter loss → counterbalance brian‬ ‭matter loss‬ ‭v.‬ ‭Anterior part of left hippocampus is smaller (CA1)‬ ‭vi.‬ ‭Disorganized hippocampal network‬ ‭d.‬ ‭Pathogenetic factors‬ ‭i.‬ ‭50/50 genetics vs environment. If one identical twin develops it, there is a‬ ‭50% chance that the other twin will‬ ‭ii.‬ ‭Environmental factors -‬‭pregnancy complications, viral‬‭infections,‬ ‭unwanted pregnancy‬ ‭iii.‬ ‭Urbanization, psychosocial factors‬ ‭2.‬ ‭Describe in detail the extended dopaminergic hypothesis of schizophrenia. Which‬ ‭dopaminergic pathways are affected in this disorder and how is this related to the‬ ‭emergence of symptoms?‬ ‭a.‬ ‭Dopaminergic synapse‬ ‭i.‬ ‭Tyrosine → TH converts to DOPA → DDC converts to dopamine →‬ ‭packed in vesicles and fuse to membrane → released in synapse → act‬ ‭on DA receptors‬ ‭ii.‬ ‭Dopaminergic receptors‬ ‭1.‬ ‭D1 like -‬‭D1, D5; coupled to Gs and increase cAMP‬ ‭2.‬ ‭D2 like -‬‭D2, D3, D4: coupled to Gi and decrease cAMP‬ ‭b.‬ ‭Mesolimbic pathway - OVERACTIVITY‬ ‭i.‬ ‭VTA → NA/amygdala/hippocampus‬ ‭ii.‬ ‭Positive symptoms of schizophrenia‬ ‭iii.‬ ‭The increased dopamine gives the positive symptoms‬ ‭c.‬ ‭Mesocortical pathway - HYPOACTIVITY‬ ‭i.‬ ‭VTA → frontal cortex‬ ‭ii.‬ ‭Negative symptoms of schizophrenia‬ ‭d.‬ ‭Normal vs schizophrenia state‬ ‭i.‬ ‭Normal -‬‭cortex gives negative feedback to dopaminergic‬‭neurons in the‬ ‭VTA to control the dopamine release‬ ‭ii.‬ ‭Schizophrenia‬‭- The VTA neurons stop working well,‬‭so no good‬ ‭negative feedback. The neurons become disinhibited, so the mesolimbic‬ ‭pathway becomes OVERACTIVE to account for the lack of negative‬ ‭feedback from the cortex‬ ‭.‬ ‭What evidence suggests that alterations in the glutamatergic neurochemical system are‬ 3 ‭also implicated in the pathogenesis of schizophrenia? (hint: ketamine/PCP)‬ ‭a.‬ ‭Glutamatergic hypothesis‬‭- PCP and Ketamine produce‬‭effects on behavior‬ ‭that resemble symptoms of schizophrenia (toxic delirium)‬ ‭i.‬ ‭High doses increase psychotic like symptoms‬ ‭ii.‬ ‭Post mortem studies shows a decrease in NMDA receptors in the frontal‬ ‭cortex of schizophrenic patients‬ ‭iii.‬ ‭Glutamatergic projections are hypoactivated‬ ‭4.‬ D ‭ iscuss the differences between typical and atypical antipsychotics regarding their‬ ‭mechanism of action, their therapeutic effects and adverse effect profile.‬ ‭a.‬ ‭Typical -‬‭chlorpromazine, haloperidol‬ ‭i.‬ ‭Mechanism of action -‬‭strong DOPA 2 antagonists, D3&4‬‭affinity‬ ‭1.‬ ‭Dirty - bind to a bunch of receptors‬ ‭ii.‬ ‭Therapeutic effects‬ ‭1.‬ ‭Will decrease the dopamine in the mesolimbic pathway, causing‬ ‭alleviation of positive symptoms‬ ‭2.‬ ‭Will target all the dopaminergic pathways‬ ‭iii.‬ ‭Adverse effects‬ ‭1.‬ ‭H1 - weight gain and drowsiness, a1 - hypotension and dizziness,‬ ‭M1 - anticholinergic effects, dry mouth, constipation‬ ‭2.‬ ‭Worsening of negative symptoms because it will decrease‬ ‭dopamine even more‬ ‭3.‬ ‭Causes mirroring of parkinson’s due to nigrostriatal pathway‬ ‭becoming affected‬ ‭a.‬ ‭Tardive dyskinesia - motor problems and erratic‬ ‭movements. Can be reversed if drug stopped early enough‬ ‭4.‬ ‭Hyperprolactinemia - mirrors postpartum bc it also reduces‬ ‭dopamine in the tuberoinfundibular pathway, sexual dysfunction,‬ ‭infertility‬ ‭b.‬ ‭Atypical -‬‭clozapine, risperidone, olanzapine‬ ‭i.‬ ‭Mechanism of action -‬‭target serotonergic receptors‬‭because D2 affinity‬ ‭isn’t great enough‬ ‭1.‬ ‭Dirty - antihistaminic effects, anti a1 and M1‬ ‭2.‬ ‭Serotonergic system modulates the Dopaminergic system - acts‬ ‭on DA neurons‬ ‭ii.‬ ‭Therapeutic effects‬ ‭1.‬ ‭Improvement of negative symptoms‬ ‭2.‬ ‭Decreases tardive dyskinesias‬ ‭3.‬ ‭Less motor effects bc on small target of D2 receptors‬ ‭iii.‬ ‭Adverse effects‬ ‭1.‬ ‭Metabolic effects - diabetes, weight gain, insulin resistance,‬ ‭drowsiness, cardiovascular, dyslipidemia‬ ‭5.‬ ‭A schizophrenic patient is treated with atypical antipsychotic: discuss how administration‬ ‭of this drug may affect the different dopaminergic pathways of the brain.‬ ‭a.‬ ‭The serotonergic system modulates the dopaminergic system‬ ‭i.‬ ‭Improves the negative symptoms because it doesn’t just decrease‬ ‭dopamine throughout all‬ ‭ii.‬ ‭Not a D2 antagonist so it won’t block all?‬ ‭6.‬ ‭Arvid Carlsson, John Nash, Emil Kraepelin, Eugen Bleuler, Henri Laborit: contributions to‬ ‭neuroscience?‬ ‭a.‬ A ‭ rvid Carlsson -‬‭discovered relationship between D2 antagonists and‬ ‭parkinsons. Saw schizophrenic patients in mental hospitals before the invention‬ ‭of antipsychotics.‬ ‭b.‬ ‭John Nash -‬‭a scientist, discovered game theory. Had‬‭schizophrenia and slowly‬ ‭lost his mind. “A beautiful mind”‬ ‭c.‬ ‭Emil Kraepelin -‬‭1887: defined schizophrenia as “dementia‬‭praecox → early age‬ ‭onset (deterioration of intellect)‬ ‭d.‬ ‭Eugen Bleuler -‬‭1911; coined the term schizophrenia‬‭(splitting of the mind),‬ ‭cognition split off from volition and emotion‬ ‭e.‬ ‭Henri Laborit -‬‭found that chlorpromazine could reduce‬‭the psychotic symptoms‬ ‭in schizophrenic patients, eventually concluded the disease could be due to an‬ ‭increase in dopamine because chlorpromazine was a D2 receptor antagonist‬ ‭Neurobiology of Disease: Major Depression‬ ‭1.‬ M ‭ ajor depression (MD): DSM symptoms, critical brain regions implicated in MD‬ ‭pathogenesis and symptomology, and treatment strategies (e.g. pharmacotherapy, ECT,‬ ‭psychotherapy).‬ ‭a.‬ ‭DSM symptoms‬ ‭i.‬ ‭To be diagnosed - must have 5 or more of the 9 symptoms present nearly‬ ‭every day during the same 2 week period. 1 symptom must be either‬ ‭depressed mood or loss of interest or pleasure‬ ‭1.‬ ‭Depressed mood or anhedonia (loss of pleasure/interest)‬ ‭2.‬ ‭Fatigue, diminished ability to think/cocnentrate, feelings of‬ ‭worthlessness/self loathing/guilt, recurrent thoughts of‬ ‭death/suicidal thoughts, psychomotor agitation/retardation,‬ ‭insomnia or hypersomnia, weight loss/gain‬ ‭b.‬ ‭Critical brain regions‬ ‭i.‬ ‭MDD is caused by decrease in serotonin, NA, DA‬ ‭ii.‬ ‭Neuronal pathways implicated in depression include the limbic system,‬ ‭reward system and many other cortical and subcortical brain regions‬ ‭iii.‬ ‭Depressed mood - NA, DA, 5-HT‬ ‭iv.‬ ‭Guilt and worthlessness, suicidal ideation - 5-HT‬ ‭v.‬ ‭Appetite and weight - hypothalamus and serotonin‬ ‭vi.‬ ‭Fatigue - NA, DA‬ ‭1.‬ ‭Somatic fatigue in striatum - decreased dopamine → decreased‬ ‭NA in spinal cord‬ ‭c.‬ ‭Treatment strategies‬ ‭i.‬ ‭Antidepressants‬ ‭ii.‬ ‭ECT -‬‭electrical currents passing through two electrodes‬‭on scalp →‬ ‭induce localized seizure discharge but anesthesia and muscle relaxants‬ ‭1.‬ ‭Effective in about 85% of severe depression and produced rapid‬ ‭relief, can accompany some memory loss for patients that do not‬ ‭respond to therapy and high sucide risk‬ ‭iii.‬ ‭ sychotherapy -‬‭overcome negative views of life, themselves, future.‬ P ‭30%/placebo effect effective‬ ‭2.‬ ‭Mechanism of action of MAOIs, TCAs, SSRIs (adverse effects?): do the conventional‬ ‭antidepressant drugs/placebo treatment work in all depressed patients? Please discuss.‬ ‭PS: you need to know the drugs mentioned in the lecture.‬ ‭a.‬ ‭MAOIs -‬‭monoamine oxidase inhibitors keep serotonin‬‭in the cleft‬ ‭i.‬ ‭Phenelzine‬ ‭b.‬ ‭TCAs -‬‭tricyclic antidepressants are reuptake inhibitors‬‭for NA and DA‬ ‭i.‬ ‭Imipramine, clomipramine, desipramine, nortriptyline‬ ‭ii.‬ ‭Therapeutic effects - NET and SERT‬ ‭iii.‬ ‭adverse effects - can inhibit potassium channels in heart and brain‬ ‭c.‬ ‭SSRIs -‬‭block reuptake of serotonin so it stays in‬‭the cleft‬ ‭i.‬ ‭Boos 5-HT levles‬ ‭ii.‬ ‭Fluoxetine (most prescribed drug in the 90s‬ ‭iii.‬ ‭Fluvoxamine, sertraline, paroxetine, citalopram, escitalopram‬ ‭iv.‬ ‭Adverse effects -‬‭anxiety, motor effects, sleep disturbance,‬‭nausea,‬ ‭vomiting, GI effects, sexual dysfunction‬ ‭.‬ ‭Describe the monoamine and the monoaminergic receptor hypotheses for MD: which‬ 3 ‭experimental evidence supports these theories? Criticisms?‬ ‭a.‬ ‭Monoamine hypothesis -‬‭depression associated with‬‭reduced levels of 5-HT,‬ ‭NA and DA‬ ‭i.‬ ‭Antidepressants induce acute increase of monoamine levels‬ ‭1.‬ ‭Reserpine - depletes monoamines → depression‬ ‭ii.‬ ‭Decrease 5-HIAA levels in the CSF of depressed patients with suicidal‬ ‭ideation.less metabolite in CSF → so less serotonin metabolized‬ ‭iii.‬ ‭Criticism -‬‭administration of antidepressant drugs‬‭induces only an acute‬ ‭increase of monoamine levels but significant improvement in patients‬ ‭symptomatology evidenced after 3-4 weeks of chronic antidepressant‬ ‭treatment (prolonged clinical antidepressant)‬ ‭1.‬ ‭Correcting level of monoamines does not fix the issue that fast‬ ‭b.‬ ‭Monoaminergic hypothesis -‬‭depression induces upregulation‬‭of postsynaptic‬ ‭monoaminergic receptors‬ ‭i.‬ ‭Post mortem studies showed an increase of postsynaptic 5-HT receptors‬ ‭in the prefrontal cortex of depressed patients‬ ‭ii.‬ ‭Criticism -‬‭change in receptor number/sensitivity‬‭following antidepressant‬ ‭treatment takes only some days‬ ‭4.‬ ‭Neuroendocrine (i.e. HPA stress axis) and neuroplasticity hypotheses for MD: which‬ ‭experimental evidence supports these theories?‬ ‭a.‬ ‭Neuroendocrine theory‬ ‭i.‬ ‭Depression can be induced by chronic stress/adverse life events; patient‬ ‭loses ability to cope with it‬ ‭ii.‬ ‭As a result, depression precipitates due to deregulation of body’s stress‬ ‭response‬ ‭iii.‬ ‭ PA axis:‬‭stress → hypothalamus releases CRH → pituitary releases‬ H ‭ACTH → adrenal cortex releases cortisol → cortisol is an‬ ‭immunosuppressant and does negative feedback on hypothalamus, binds‬ ‭to glucocorticoid receptors‬ ‭iv.‬ ‭Deregulation of HPA axis‬ ‭1.‬ ‭Non effective negative feedback in depressed patients, so they‬ ‭can’t completely turn it off so depressed patients have higher‬ ‭levels of cortisol in the blood → reduced number of glucocorticoid‬ ‭receptors‬ ‭2.‬ ‭Too much cortisol can affect the hippocampus, and high levels can‬ ‭kill neurons, glial cells, spines, synapse‬ ‭b.‬ ‭Neuroplasticity‬ ‭i.‬ ‭Prefrontal cortex is sensitive to stress‬ ‭ii.‬ ‭Decrease in volume of structures due to neuron, spine, and glial cell‬ ‭death‬ ‭1.‬ ‭Reduction of hippocampal volume (3.3 to 2)‬ ‭iii.‬ ‭PFC and hippocampus are usually resistant but chronic death can affect‬ ‭them‬ ‭iv.‬ ‭Brain derived neurotrophic factor (BDNF) - sustains viability of neurons‬ ‭and synaptogenesis‬ ‭1.‬ ‭Depression → decreased BDNF → apoptosis of neurons and‬ ‭decrease of synapses in the hippocampus‬ ‭5.‬ ‭Ketamine is the prototype rapid-acting antidepressant: please describe its theorized‬ ‭mechanism of action.‬ ‭a.‬ ‭Ketamine - non competitive NMDA receptor antagonist‬ ‭b.‬ ‭A single dose of ketamine → rapid (2h) and sustained (1 week) antidepressant‬ ‭responses in treatment resistant depressed patients‬ ‭c.‬ ‭Induces neurogenesis‬ ‭d.‬ ‭Upregulation of GLU neurotransmitters, acts regularly on GABAergic neurons‬ ‭that normally inhibit the glutamatergic neuron → GABA activity decreases‬ ‭e.‬ ‭Induce synaptogenesis of spines within a month on ketamine‬ ‭i.‬ ‭GLU released from neurons into cleft, binds to postsynaptic AMDAs‬ ‭ii.‬ ‭Glutamate burst → molecular synaptic plasticity pathways → rapid‬ ‭synaptogenesis‬ ‭.‬ ‭What is the forced swim test (FST) and how can we implement it in preclinical research‬ 6 ‭to screen for putative antidepressant drugs?‬ ‭a.‬ ‭Measures immobility levels to determine behavioral despair (depressive like‬ ‭behavior)‬ ‭b.‬ ‭Antidepressant drugs reduce immobility duration/learned helplessness‬ ‭7.‬ ‭Be able to define/describe the following terms:‬ ‭a.‬ ‭BDNF -‬‭depression decreases it causing apoptosis of‬‭neurons and decrease of‬ ‭synapses in hippocampus‬ ‭b.‬ ‭ketamine-induced “glutamate burst” -‬‭disinhibited‬‭GABAergic → glutamate‬ ‭burst → molecular synaptic plasticity pathways → rapid synaptogenesis‬ ‭.‬ R c ‭ eceptor -‬‭what a neurotransmitter binds to on the postsynaptic cell‬ ‭d.‬ ‭up/down-regulation -‬‭postsynaptic tells presynaptic‬‭that much is released, so it‬ ‭will internalize receptors. Altered rate of receptor synthesis or function‬ ‭e.‬ ‭Iproniazid -‬‭used to treat TB but also elevates a‬‭patient’s mood,‬‭enhances‬ ‭monoamines serotonin, NA< and DA in the brain.‬ ‭f.‬ ‭Melancholy -‬‭what hippocrates called depression‬ ‭g.‬ ‭Mood -‬‭if it goes below dysthymia its double depression‬ ‭h.‬ ‭Affect -‬‭the result of a drug??‬ ‭i.‬ ‭Anhedonia -‬‭loss of interest or pleasure‬ ‭j.‬ ‭psychomotor agitation -‬‭can’t stand still or stop‬‭moving‬ ‭Neurobiology of Disease: Alzheimer’s Disease, Parkinson’s Disease‬ ‭1.‬ A ‭ lois Alzheimer, Auguste Deter, James Parkinson, Friedrich Lewy: contributions to‬ ‭neuroscience?‬ ‭a.‬ ‭Alois Alzheimer -‬‭diagnosed first patient, performed‬‭the autopsy and found‬ ‭prominent neuropathological alterations‬ ‭b.‬ ‭Auguste Deter -‬‭Alzheimer’s patient, first described‬‭patient with AD. had‬ ‭memory deficits and progressive loss of cognitive abilities. Around 50 when‬ ‭presenting with symptoms and died 5 years later‬ ‭c.‬ ‭James Parkinson‬ ‭d.‬ ‭Friedrich Lewy‬ ‭2.‬ ‭Alzheimer’s Disease (AD): disease progression, neuropathological hallmarks. Aging of‬ ‭the healthy elderly brain?‬ ‭a.‬ ‭AD -‬‭most common cause of dementia in people over‬‭65, 6th leading cause of‬ ‭death‬ ‭b.‬ ‭Disease progression -‬‭usually 7-10 years could be‬‭fast or slow‬ ‭i.‬ ‭Early stage - loss of memory for recent events, repeat themselves, cannot‬ ‭grasp new ideas, confusion, poor judgment - looks like normal aging‬ ‭ii.‬ ‭Middle stage - confusion about where they are, walk off and become lost,‬ ‭mix up night and day, forgetfulness, odd behavior, hallucinations‬ ‭1.‬ ‭This is where diagnosis usually occurs‬ ‭iii.‬ ‭Late stage - totally dependent on caregivers, degeneration of motor‬ ‭neurons, inability to recognize familiar objects or surroundings, confined‬ ‭to bed or a wheelchair, trouble swallowing or eating, weight loss,‬ ‭incontinence, loss of speech‬ ‭c.‬ ‭Neuropathological hallmarks‬ ‭i.‬ ‭Brain atrophy - narrowed gyri, widened sulci, decreased brain weight,‬ ‭enlarged ventricles, death of neurons → neurodegenerative disorder‬ ‭ii.‬ ‭Amyloid rich senile plaques - extracellular plaques of dense material‬ ‭(amyloid, surrounded by swollen axons and dendrites, associated with‬ ‭astrocytic process and microglia‬ ‭iii.‬ ‭ eurofibrillary tangles - filamentous inclusions in the cell bodies and‬ N ‭dendrites of affected but still alive neurons, abnormal polymers of‬ ‭hyperphosphorylated tau protein‬ ‭iv.‬ ‭Hippocampus, entorhinal cortex, neocortex, nucleus basalis of meynert‬ ‭1.‬ ‭Basal nucleus is one of first to die in Alzheimers, decreased in‬ ‭acetylcholine in AD‬ ‭d.‬ ‭Aging of healthy brain‬ ‭i.‬ ‭Usually variable decline in mental agility‬ ‭ii.‬ ‭MCI - memory impairment that is alarming but does not affect daily life‬ ‭1.‬ ‭50% of those with MCI will get denial dementia - progressive‬ ‭impairment of memory and cognitive function‬ ‭e.‬ ‭Treatment -‬‭only can treat symptoms not cure‬ ‭i.‬ ‭Ach inhibitors to increase ACh by inhibiting its breakdown - bc basal‬ ‭nucleus is the first to go so try and boost ACh and slow cognitive decline‬ ‭3.‬ ‭Senile plaques and amyloid beta (Aβ) peptides: are they causally related to AD‬ ‭pathogenesis?‬ ‭a.‬ ‭Composition -‬‭Senile plaques are made of toxic AB‬‭peptides → AB40, AB42‬ ‭i.‬ ‭AB2 are the more toxic, key component in amyloid plaques‬ ‭b.‬ ‭Precursor -‬‭amyloid precursor protein (APP) - transmembrane‬‭protein we don’t‬ ‭really know‬ ‭c.‬ ‭APP processing‬ ‭i.‬ ‭B and y secretase cleave APP to make 3 fragments‬ ‭1.‬ ‭Middle and extracellular fragment cleaved by B - extracellular‬ ‭fragment (amino terminal fragment) travels to extracellular space‬ ‭2.‬ ‭Middle fragment is nucleated and forms the amyloid plaques that‬

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