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It's not an easy world out there. |
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Looks nice there on the campus today, but it's a |
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difficult world to survive in. |
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And we have evolution from it. |
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So what is going on in mammals, your brain right |
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now and other mammals and other species? |
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What we going to focus on will focus on the |
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core part of today's lecture. |
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There's textbook reading. |
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If you go to the reading material from Carlson and |
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Briquettes for Book on Behaviour, there's some other cool references |
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to read through. |
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Not too many, just a few examples to read through |
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after this. |
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But the cool thing I want you to take away, |
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there are two systems in your body for dealing with |
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stress. |
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The stress is when your body is under pressure and |
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you have to maintain homeostasis. |
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You have to maintain your body, your integrity. |
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Get on with things. |
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Doing that is not easy to make us make that |
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happen. |
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We have two systems in our body, in mammals, a |
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sympathetic adreno system called Sun for sure, and the hypothalamic |
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pituitary adrenal cortical system, the HP system or the HP |
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axis is a company. |
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So first of all, let's look at this sound system, |
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this sympathetic adrenal medullary system. |
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So here's an example of a lion attacking this would, |
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for a human, be a very stressful event if it |
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happens to you, where you happen to be in a |
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situation where a live lion is attacking you and those |
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stressful things. |
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And this is coined by a psychologist and somebody with |
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the idea of flight or flight. |
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And in this case, it's flying away from the lion. |
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You might fight that lion. |
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Very bad decision for most humans, or you might fly |
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away. |
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But either way, you need to respond. |
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You're kind of sitting relaxed, right, and making notes here. |
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And your body's set to do that. |
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But it's not going to be well set to run |
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away or fight a lion. |
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It needs to change. |
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You need more oxygen, more blood flow, a lot of |
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things in your body ready to make you do that. |
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Same for rabbits and for any animal trying to escape |
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What happens in the first. |
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The second lecture I gave a neuroanatomy. |
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I put up this slide that says, Here's these two |
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systems from a autonomic nervous system. |
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I said, I'll come back to it around today, this |
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lecture after reading week. |
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So what we have here on the left is a |
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sympathetic adrenal system that is critical for your response to |
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threat like a lion. |
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So what happens is that in your spinal cord or |
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a number of you can see on the left hand |
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side a sequence of neurones that are ready to be |
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activated to project out to a whole lot of bits |
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of your body, different organs, right the way out from |
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your eye down to your bottom, right at the bottom |
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of your body. |
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So these all these things in these parallel red fibres |
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coming out and rise, obviously they're marked and right here |
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they're not really right in your body, but they go |
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and do things like increase your heart rate, the heart |
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rate goes up. |
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You've got more oxygen in your blood to run faster |
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away from that line. |
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It's one of the critical things your your stomach is |
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going to switch into No longer digesting food. |
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Your bladder may get rid of any urine. |
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If you're carrying a lot of weight, you know, you |
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might pay out a fright and run. |
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There's a lot of things you can see that are |
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going on that are regulating your body to make your |
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pupils dilate, ready to to to react. |
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And again, sorry, the lighting system I can't control as |
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high as read these off, but hopefully you can see |
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that the core idea is on the left is the |
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system Upregulates Now now, if you kept having this going |
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on, your heart rates going higher and higher and your |
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your body's getting ready for threat, you would die. |
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You overstimulating your body beyond the amount of food you |
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can take in. |
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It's not going to digest anything. |
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It's just going to go into the stress state of |
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a reaction to a line. |
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|
Now, on the right hand side of that diagram, we |
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have the parasympathetic system which runs on a molecule called |
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a seat coordinates. |
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These two systems have their own specific molecules, adrenalin and |
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noradrenaline as written on the bottom. |
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There will come into that and there is a seat. |
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|
Alkaline is the other molecule on the right. |
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Now on the right hand side we have the system |
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allows you to calm down, come down from the heightened |
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state of threat, analyse your digestion to pick up, lowers |
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your heart rate, gets your body to digest things as |
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part of the rest and digest system. |
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|
So we've got this circuitry there and you can see |
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|
that on the left side, you've got the sympathetic system |
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coming out of the spinal cord and on the right, |
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right on the bottom of the spinal cord. |
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|
There are some key parts of the sympathetic system, but |
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|
a lot of these pathways come out right at the |
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|
top of the brain, right at the top of this |
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|
of the spinal cord section to regulate the heart. |
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|
And some of these are nerves from the cranial nerves |
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|
covered light to the heart to regulate the heart, heart |
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at the top there. |
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|
So this is what I'm talking about. |
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You can see my mind, maybe not up here. |
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|
These pathways to the eye and the heart and the |
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lungs and so on. |
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|
Okay. |
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And there's a little icon to highlight. |
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|
This is where we're going to spend a bit of |
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|
today's lecture looking at this particular organ in your body |
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|
you'd never really think about, here is a kidney. |
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|
So you need to, you know, organise your fluid or |
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|
the fluids in your body. |
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|
If you're a medic, you'll be learning a lot about |
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|
the kidney and you're doing brain and behaviour. |
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|
So we're not very interested in the kidney today. |
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|
What we are interested in is the adrenal glands. |
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|
Your body has all sorts of glands hidden behind it |
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|
and one of them is critical for running away from |
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|
that line is your adrenal gland. |
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|
And this, this adreno, the sympathetic adrenal medullary system is |
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|
the medullary part refers to the medulla, the middle part |
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|
of this adrenal gland. |
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|
And this is where adrenaline is when you you may, |
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|
as some of you ever come across EpiPens or this |
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|
worry about people eating peanuts and dying from it is |
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|
because they, you know, they take an EpiPen with them |
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|
filled with adrenaline because it will react. |
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It will allow their body to increase their heart rate. |
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|
The lungs will expand rapidly, bypass this circuit. |
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|
But if your body's acting normally, it's not part this |
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|
little structure here above your kidneys, the adrenal glands, and |
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|
does this beautiful job of secreting adrenaline around your body. |
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|
Written here is the nephron because that's what the US |
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|
system United States, they usually get epinephrine. |
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|
They like their own words for different things at times. |
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|
Okay on the left. |
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|
So that's all that. |
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|
That's all the bits of the body drawn. |
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|
If you look at this, these two major divisions within |
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|
the autonomic nervous system on the left, we have that |
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|
sympathetic system for regulating a fight or take flight system |
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|
which causes all these different things that including some unhelpful |
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|
things like nausea. |
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|
If you attack by line, you may feel a bit |
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|
sick, but it allows your eyes to expand and get |
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|
live raises. |
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|
Your heart rate raises your blood pressure. |
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|
Everything's ready for running or attacking. |
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|
On the right hand side, this parasympathetic system allows you |
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|
to eat things, steadies your hands. |
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|
Just, you know it. |
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|
It's all sorts of different parts of this. |
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|
You can see here, lowering heart rate and blood pressure |
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|
is also known the rest and digest state. |
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|
So this is two key systems for this. |
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|
Some this is the sympathetic or the sympathetic adrenal system. |
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|
Let's take a real world example to contextualise this. |
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|
Just something that came on Twitter. |
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|
This is this particular person. |
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|
I haven't put their their name and details up here, |
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|
but they provided this on Twitter some time ago, several |
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|
|
years ago. |
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|
This just describing using a Fitbit. |
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|
So monitoring the heart rate and reading text messages. |
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|
And that day that girlfriend broke up with them at |
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|
exactly noon in their timeline. |
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|
And you can see here this person's resting heart rate |
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|
just tracking along New noon occurs and up goes the |
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|
heart rate and it's sustained. |
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|
Go right. |
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|
And so midnight after they got this message of a |
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|
girlfriend of broken up with them, it's just one real |
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|
|
world example of what happens to your heart rate under |
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|
|
stress. |
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|
This is clearly this person describing a very stressful, horrible |
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|
|
experience and breaking up and seeing it live and seeing |
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|
that the heart rate has gone up and it hasn't |
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|
he hasn't gone back to rest and digest. |
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|
Yeah, even at midnight. |
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|
This is a carrying on the process. |
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|
So we've covered that same system. |
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|
We're now going to turn to this HD access system. |
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|
The other one, the two systems, because you just saw |
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|
in this example, the upregulated heart rate set to react. |
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|
Now a line is an immediate threat. |
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|
Breaking up with your partner, like maybe you've be with |
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|
|
your girlfriend for two years and you break up. |
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|
It's really severe. |
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|
And as your brain is going to think about all |
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|
|
the implications of Break-Up and what this means for me, |
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|
|
what are my what am I going to do with |
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|
|
my social life? |
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|
Lots of things go on. |
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|
That heart rate is going to be raised, raised for |
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|
|
some time, this extra stresses. |
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|
But it doesn't just have a rapid response, it has |
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|
|
it organised. |
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|
|
Longer term response allows you to adapt to challenging situations. |
|
|
|
So what we've shown here is the human brain. |
|
|
|
Here's the nose of the challenge we discussed and we're |
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|
|
looking at the corpus callosum, for example, not coloured in |
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|
just so you can identify them are number of little |
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|
|
nuclei here in the middle of the brain. |
|
|
|
Now in a rat or of old or something, these |
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|
|
are really big because they're really important words for humans |
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|
|
have a huge amount of cortex. |
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|
|
We've added all round that these, these key subcortical structures. |
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|
|
And again in my, my second lecture in your anatomy |
|
|
|
talks about cortex cortical structures and sub cortex. |
|
|
|
Today we're looking at to keep it of that. |
|
|
|
There's a whole load of this here. |
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|
|
There's a familiar body will come in a couple of |
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|
|
weeks time to someone who had a snooker cue smashed |
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|
|
into their face skewering and damaging their military bodies. |
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|
|
And I explain what happened to that patient. |
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|
But it bypassed that type of thalamus, went under here, |
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|
and it didn't have the problems I'm going to talk |
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|
|
about today. |
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|
So they didn't have any stress responses. |
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|
So here it's hard to build different nuclei in the |
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|
real brain. |
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|
They're not coloured. |
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|
This is just coloured to highlight them. |
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|
And these are the hypothalamic nuclei hypothalamic. |
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|
The word hypo just means lower. |
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|
So here's the thalamus above you that does all the |
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|
|
processing you need for connecting the cortex together. |
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|
But underneath is the hypothalamus and has these different nuclei. |
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|
All the top underneath them is another gland, the pituitary |
|
|
|
gland. |
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|
|
So this is a bit this is very strange. |
|
|
|
Your brain is structured inside your skull, encased in the |
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|
|
skull to protect your brain. |
|
|
|
Very important organ in your body sticking just out of |
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|
|
the skull. |
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|
|
And this little stalk is the pituitary gland, and it's |
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|
|
a little gland that goes into your blood system. |
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|
And it allows cells to send chemicals straight out of |
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|
|
your brain into your blood circulation outside your skull. |
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|
So it's it just sits there inside. |
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|
You can see it encased in bone here, but the |
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|
|
blood circulates through it. |
|
|
|
So let's dig into this in a bit more schematic, |
|
|
|
sort of what are they doing? |
|
|
|
So here is the hypothalamic pituitary adrenal axis and stress |
|
|
|
system. |
|
|
|
So here's the brain we just saw in the last |
|
|
|
slide is zoom in. |
|
|
|
This little tiny nuclei in here. |
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|
|
We're just going to call these the hypothalamus now. |
|
|
|
And the key thing they do here is to release |
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|
|
time into pituitary gland. |
|
|
|
There are cells there that produce a chemical called cortical |
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|
|
growth in releasing hormone. |
|
|
|
So these cells are releasing a hormone, not a neurotransmitter, |
|
|
|
but a hormone into the anterior pituitary gland. |
|
|
|
In the anterior anterior pituitary gland, there are a number |
|
|
|
of cells that release their the adrenal cortical trophic hormone. |
|
|
|
So you've got CRH and 88 C THC. |
|
|
|
These two different hormones, the cascade of hormones. |
|
|
|
And those hormones go on to land on your adrenal |
|
|
|
gland just above your kidney. |
|
|
|
So this is like on here is I so seems |
|
|
|
a bit like a lot of, a lot of different |
|
|
|
steps. |
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|
|
Why not just do one step? |
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|
|
But we'll see. |
|
|
|
We'll see why that might be the the adrenal cortex |
|
|
|
a bit right on the edge. |
|
|
|
So we had that reaction. |
|
|
|
That same system is the bit in the middle of |
|
|
|
it, but on the edges, the edge of it, the |
|
|
|
sort of the outer layer, the adrenal cortex is where |
|
|
|
a number of hormones are released. |
|
|
|
And if there are, there are glucocorticoids, mineralocorticoid and sex, |
|
|
|
steroids, there's a whole lot of that gland is producing |
|
|
|
a lot of hormones for your body. |
|
|
|
You don't want to damage that gland. |
|
|
|
That's very important to you. |
|
|
|
The key one, you may have heard all this you |
|
|
|
haven't heard anything about stress is corticosteroids is a particular |
|
|
|
hormone that goes and then regulates here. |
|
|
|
This is called different organs like your heart, your lungs, |
|
|
|
your digestive system, all being updated by this hormone. |
|
|
|
So these are circulating. |
|
|
|
So three steps. |
|
|
|
These these kind of ACLs like cortisol as corticosteroid erodes |
|
|
|
the cortisol. |
|
|
|
So the reason what is always a chemical that you |
|
|
|
can use like a salivary test, so you can look |
|
|
|
at policemen and say, oh, did they go out and |
|
|
|
have to do some particularly difficult experience? |
|
|
|
Recently you might take a Swoboda saliva and find you. |
|
|
|
Half of them have read high cortisol rates. |
|
|
|
It's used very classically in stress studies. |
|
|
|
Now this cortical cortisol is it circulates around your body, |
|
|
|
has all these effects to regulate your body for better |
|
|
|
or. |
|
|
|
This distress, but it also goes back into the pituitary |
|
|
|
gland that goes back into the hypothalamus. |
|
|
|
And you can see these going down or plus positive |
|
|
|
driving up signals. |
|
|
|
Red pluses have got some blue minus signals here. |
|
|
|
These this circulating cortisol goes to actually reduce the responses |
|
|
|
in these two. |
|
|
|
This is the brain. |
|
|
|
This circulates back. |
|
|
|
So it's like it's a system that as you produce |
|
|
|
more of it acts. |
|
|
|
But as you get too much of it, it dampens |
|
|
|
it down, but it does more than just short circuit. |
|
|
|
So what we've looked at in this previous slide, if |
|
|
|
I go back, we've looked at this cascade from the |
|
|
|
hypothalamus time. |
|
|
|
There are a few more brain areas involved because your |
|
|
|
brain is not just your hypothalamus has all these other |
|
|
|
amazing that state. |
|
|
|
So here's the human brain we're going to you've had |
|
|
|
a lecture from Sam Sullivan on the amygdala. |
|
|
|
You're going to hear a lot about memory. |
|
|
|
And at the campus of the campus will talk about |
|
|
|
today in relation to stress is the pituitary gland that |
|
|
|
is the hypothalamus. |
|
|
|
So here we're going to slice through a kernel section, |
|
|
|
through the brain. |
|
|
|
Here's a kernel section looking right in the middle of |
|
|
|
the brain, and here's the cortex in the side. |
|
|
|
Right in the middle is a particular nucleus called the |
|
|
|
power. |
|
|
|
The let's look at this very carefully, the power of |
|
|
|
an ocular nucleus of the hypothalamus, a tiny little bit |
|
|
|
of a massive in a rodent, the tiny in your |
|
|
|
brain, because you've got a lot of extra bits to |
|
|
|
do. |
|
|
|
It's the key that is the brain that releases this |
|
|
|
molecule that then cascades because the pituitary release, this act, |
|
|
|
and then you get this adrenal cortical and cortical means |
|
|
|
that they go and feed back into the system that |
|
|
|
exist. |
|
|
|
But cortisol also acts on the hippocampus and on the |
|
|
|
hypothalamus itself. |
|
|
|
There's also this higher level process in the hippocampus. |
|
|
|
So inhibits these three structures. |
|
|
|
Very nice. |
|
|
|
Just highlighting this is a negative response is also it's |
|
|
|
turning off the activity of these cells in these various |
|
|
|
regions in the hippocampus. |
|
|
|
So what happens, though? |
|
|
|
Okay, so that's your stress response. |
|
|
|
And if you go through some stress, period and it |
|
|
|
lasts like that break up, we saw in that person |
|
|
|
an elevated heart rate, eventually the cortisol to bring that |
|
|
|
down. |
|
|
|
But if you keep going through ongoing stress on and |
|
|
|
on, so say you're put into a war zone and |
|
|
|
you're in extended war zone. |
|
|
|
The Vietnam War went on and on and on and |
|
|
|
people did not know when they were coming home from |
|
|
|
that war. |
|
|
|
They were drafted into it. |
|
|
|
So that is an example of a long term for |
|
|
|
stress. |
|
|
|
Six exposure experience. |
|
|
|
What's been what's been studied is that the people who |
|
|
|
experience that prolonged stress will end up with a shrunken |
|
|
|
hippocampus. |
|
|
|
So this is a coronial, sectional coronial section through the |
|
|
|
brain. |
|
|
|
Here's the hippocampus showing healthy hippocampus here and a smaller |
|
|
|
hippocampal. |
|
|
|
It's quite hard to see, but you wouldn't want your |
|
|
|
hippocampus to be shrunken like in this diagram. |
|
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|
It's not a good effect. |
|
|
|
So ends up with this bad effect on the brain. |
|
|
|
But if we dive in and look at in more |
|
|
|
detail, so we're looking at beyond just humans and brain |
|
|
|
imaging, but we can't get that close. |
|
|
|
What we can do is study things like primates where |
|
|
|
we can look at a situation where some primates are |
|
|
|
housed in a slightly stressful situation and end up with |
|
|
|
ulcers in their stomach. |
|
|
|
These are the ones that they know they were stressed. |
|
|
|
They can look at their physiology to check things like |
|
|
|
that. |
|
|
|
He's not a very pleasant experiment to read about, but |
|
|
|
it has highlighted exactly what happens at a cellular level |
|
|
|
in primates brains like ours. |
|
|
|
And you can see that a control panel here who's |
|
|
|
not stressed as nicely organised cells in the campus, and |
|
|
|
it's all nicely disrupted in the hippocampus of a stressed |
|
|
|
animal. |
|
|
|
So that's a problem. |
|
|
|
This is not something you want to have. |
|
|
|
Your brain reacts to too much stress. |
|
|
|
Prolonged difficulties can cause problems in your brain. |
|
|
|
Now, this is quite a detailed slide. |
|
|
|
This is going back to scanning humans. |
|
|
|
We're looking at animals in the last one, but this |
|
|
|
is an example of the hippocampus and Gulf War related |
|
|
|
post-traumatic stress disorder. |
|
|
|
Patients at the end of this course, near the end, |
|
|
|
the second to last lecture going go back to post-traumatic |
|
|
|
stress disorder, the fascinating condition where treatments have advanced a |
|
|
|
lot in the last decade in terms of treatment. |
|
|
|
Back when this study was done in 2005, they weren't |
|
|
|
so advanced. |
|
|
|
What is this showing is that people who experience PTSD |
|
|
|
had smaller hippocampi, this they had of it. |
|
|
|
People who not healthy controls or even people who has |
|
|
|
who had been sent into the war zone are not |
|
|
|
experienced this disorder. |
|
|
|
So that these PTSD is kind of like flashbacks. |
|
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|
They're afraid generally they panic very easily. |
|
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|
They can't sleep at night. |
|
|
|
They get these Night-Time dreams. |
|
|
|
And in those cases, you get this reduction in the |
|
|
|
hippocampus, and I'll come back to that. |
|
|
|
That's an example in humans. |
|
|
|
Another experiment was done was to actually administer cortisol. |
|
|
|
And so to see if this. |
|
|
|
So what we're looking at here is the hippocampus being |
|
|
|
disrupted the size this for experiment done some time ago |
|
|
|
in 1996 and some time back but it's published in |
|
|
|
the journal Science because quite a breakthrough experiment in terms |
|
|
|
of understanding what may be going on is that that |
|
|
|
stress is a knock on effect. |
|
|
|
It shows that over prolonged stress, this cortisol, this is |
|
|
|
here the cortical response in on the right hand side. |
|
|
|
So a very low response to stress or a high |
|
|
|
response to to the cortisol is leads to less memory. |
|
|
|
So almost leading down into amnesia and not quite the |
|
|
|
person is really stressed, suffered, prolonged stress, you can you |
|
|
|
can look flying placebo or so what they did was |
|
|
|
they injected either just saline and just the salt water |
|
|
|
or this this same saline mixed with the cortisol was |
|
|
|
increasing people's response in physiologically inducing stress by injecting the |
|
|
|
hormone directly. |
|
|
|
And if you if you've had this prolonged stress, your |
|
|
|
response is very poor. |
|
|
|
A big response to that is people's memory is disrupted. |
|
|
|
And we'll come on to the link between the hippocampus |
|
|
|
and memory and a follow on nature. |
|
|
|
So one way that's been studied and I'll delve into |
|
|
|
memory in more detail is instead of taking warzone veterans |
|
|
|
and that's hard to study under control, what they'll do |
|
|
|
is take mice or rats and put them in. |
|
|
|
This is a rat here in a home cage and |
|
|
|
introduce a cat. |
|
|
|
I picked a ginger cat in this diagram, but it |
|
|
|
could be any time cat and the cat is placed |
|
|
|
in the environ for 75 minutes. |
|
|
|
And that's a very stressful experience for for a rodent |
|
|
|
because they are very evolved to smell like there are |
|
|
|
smell receptors in the tax cuts as is a threat. |
|
|
|
And so it will stress them out. |
|
|
|
They'll just high they won't be harmed. |
|
|
|
They're just introduced to this potential threat for a period. |
|
|
|
And what they can see is that the the what |
|
|
|
we're looking at here is this this is a measure |
|
|
|
of how close the come back to this top side |
|
|
|
of the bottom. |
|
|
|
One is, is the easiest one to understand. |
|
|
|
So this is this is. |
|
|
|
This is a hoax and nothing's happened to the rat. |
|
|
|
This is a rat who has been placed in the |
|
|
|
specific cage, but nothing happens. |
|
|
|
Very boring. |
|
|
|
And this is the plot for a cat that has |
|
|
|
been sorry. |
|
|
|
That rat has been exposed to the cat. |
|
|
|
And this is a task where rats have to scurry |
|
|
|
through a maze to find bits of food at the |
|
|
|
end of different alleyways. |
|
|
|
And if they remember very well, though, avoid going back |
|
|
|
down alleyways. |
|
|
|
The food is not very good at memory. |
|
|
|
They'll keep going back down the same alleyway and it's |
|
|
|
forgotten they've eaten the food there. |
|
|
|
And this is that normal rat. |
|
|
|
Fantastic. |
|
|
|
Rats are very good at this. |
|
|
|
But the rat has just been exposed to the cat. |
|
|
|
Keeps to getting ready to go. |
|
|
|
That stress, putting it just 75 minutes with the cat |
|
|
|
has induced this the stress response in that in that |
|
|
|
rat and it's having a harder time remembering where the |
|
|
|
food is in a maze and different school the radio |
|
|
|
maze as these little alleyways radiating out from the centre |
|
|
|
of it. |
|
|
|
So this middle one will come back to is a |
|
|
|
measure of synaptic plasticity. |
|
|
|
Like you two, you learned about neurones in the sign |
|
|
|
ups in the way they can form and communicate with |
|
|
|
each other. |
|
|
|
In brief, in synaptic plasticity they sign up to this |
|
|
|
can change and you can measure using different methods, increases |
|
|
|
or decreases in the way in which sign in sign |
|
|
|
ups. |
|
|
|
This can cause cells to communicate with one another to |
|
|
|
send action potentials. |
|
|
|
And what's shown here is that if you take this |
|
|
|
approach that the rats that had no interaction with the |
|
|
|
so very nice, typical robust responses to this procedure of |
|
|
|
stimulating its brain to check the synaptic plasticity, this was |
|
|
|
being written about in this in this here this this |
|
|
|
change to stimulating his brain. |
|
|
|
If it's been put in the chamber, we either have |
|
|
|
that same response very good plasticity. |
|
|
|
But if it's had the cat, there is always nothing. |
|
|
|
There's no almost no synaptic plasticity. |
|
|
|
This rat is still in a highly stressed state and |
|
|
|
is unable to really acquire that new information. |
|
|
|
It's not able to update. |
|
|
|
So if you combine these two things together, it suggests |
|
|
|
that we need we need to this over prolonged stress |
|
|
|
can disrupt memory and it disrupts the natural plasticity in |
|
|
|
the hippocampus. |
|
|
|
So we we can link this these two things together, |
|
|
|
these lost memories due to stress. |
|
|
|
So here in this diagram, this comes from a review |
|
|
|
by Kim and Diamond. |
|
|
|
They are talking about low level stress, up to high |
|
|
|
levels of stress. |
|
|
|
And you can have activation of new neurochemical systems. |
|
|
|
This is our assignment for you, which HPI access systems. |
|
|
|
And I have some effect on learning a memory. |
|
|
|
But as that stress goes higher, it damages the synaptic |
|
|
|
plasticity, it causes changes in the structure of the cells, |
|
|
|
and eventually here necrosis and cell death and disruptions and |
|
|
|
growing of cells in your brain. |
|
|
|
And we'll see the hippocampus grows, new cells, all of |
|
|
|
that gets highly disrupted. |
|
|
|
So you have this sort of how much stress you |
|
|
|
got causes brain cells to die and you have the |
|
|
|
campus and so on. |
|
|
|
So all of these have an impact on learning and |
|
|
|
memory in the short term or the long term. |
|
|
|
So stress is good for being able to respond to |
|
|
|
threat critical. |
|
|
|
You need it. |
|
|
|
You know, you need to get a focus on an |
|
|
|
exam. |
|
|
|
And that stress response needs you to be alert and |
|
|
|
not sit and just back and digest, but too much |
|
|
|
of it, and you'll end up causing problems. |
|
|
|
So how do we how do we know about more |
|
|
|
of these problems and the social impact? |
|
|
|
We're going to dive now into what happens in the |
|
|
|
impacts of early life so that the Fitbit example I |
|
|
|
gave from that person earlier, he broke up with his |
|
|
|
girlfriend at noon, got a text message, heart rate went |
|
|
|
up all day, and so the night is really bad. |
|
|
|
But that's a one shot late in life. |
|
|
|
What happens to stress? |
|
|
|
This example looking at Harlow. |
|
|
|
It was the key. |
|
|
|
Scientists looking at a social bonding will come on to |
|
|
|
that on Friday was exploring what happens if you give |
|
|
|
adversity early in life. |
|
|
|
There's a sort of sense in which we're all born |
|
|
|
equal. |
|
|
|
We can get on with it. |
|
|
|
It's fine. |
|
|
|
Well, he was able to do was to study macaque |
|
|
|
monkeys. |
|
|
|
And look what happened. |
|
|
|
This is a photograph is this is back in the |
|
|
|
1950s. |
|
|
|
This is Harry Harlow. |
|
|
|
And he explored the idea that maybe innately our bodies |
|
|
|
built to seek out warmth and protection, not just food. |
|
|
|
And he did a critical experiment. |
|
|
|
We would raise these these small baby monkeys, these really, |
|
|
|
really sad to read experiments. |
|
|
|
And of course, they haven't been carried out since those |
|
|
|
days. |
|
|
|
So people don't do these experiments now. |
|
|
|
You've established a scientific discovery around early life stress, and |
|
|
|
now we can do lots more with it. |
|
|
|
Back in the fifties, he was able to highlight the |
|
|
|
value of early life intervention for avoiding detrimental impacts. |
|
|
|
So these monkeys were given the option of food. |
|
|
|
They could they could hang on to a wife or |
|
|
|
a mother and an artificial mother for these monkeys that |
|
|
|
would give them food, or one that just gave them |
|
|
|
no food, nothing at all. |
|
|
|
But it was just soft and furry. |
|
|
|
And what they found was that the little monkeys, baby |
|
|
|
monkeys would go and get the food when they needed |
|
|
|
it, but cling on to the fur of the artificial |
|
|
|
mother. |
|
|
|
And we show that these cloth mothers would be in-built |
|
|
|
into their DNA, driven from a very early stage of |
|
|
|
their birth to focus on not to seek out that |
|
|
|
wolves. |
|
|
|
And so that's really important for the development. |
|
|
|
He then went on to, sadly, show that they're not |
|
|
|
even given this. |
|
|
|
These poor little monkeys, unfortunately, end up being what he |
|
|
|
described as depressed. |
|
|
|
But really, they show very little interaction with other other |
|
|
|
other eyes, all monkeys, and they're disturbed through the whole |
|
|
|
life. |
|
|
|
So you can take away those early supports very early |
|
|
|
on and then get them later and it's too late. |
|
|
|
They never quite adapt to the social hierarchy and later |
|
|
|
lives. |
|
|
|
So something's happening early in the early phases. |
|
|
|
Development when the primate is born through to growing up |
|
|
|
to becoming an adult. |
|
|
|
It has profound impacts on social interactions and stress coping. |
|
|
|
They won't couch that well with stress. |
|
|
|
So this is just a highlight of his that the |
|
|
|
care that a mother brings to the children, the offspring |
|
|
|
regulates those glucose, those those that the steam that cortisol |
|
|
|
is this glucocorticoid. |
|
|
|
So this lecture goes on. |
|
|
|
There's a number of clues here. |
|
|
|
Glucocorticoids as part of the HPI axis. |
|
|
|
The core one is corticosteroid is so is cortisol. |
|
|
|
Corticosteroid rots, the cortisol is released and it binds to |
|
|
|
receptors, has all these effects, raises your heart, does all |
|
|
|
the things we need to do, but you can regulate |
|
|
|
as paper key paper from this team so that the |
|
|
|
maternal care that's given during development affects this is in |
|
|
|
rats of a rat. |
|
|
|
In rats, they can monitor mother rats. |
|
|
|
If you give a lot of care and attention to |
|
|
|
their pups, it would change the physiology of their bodies, |
|
|
|
increase the capacity for these receptors and the response to |
|
|
|
stress. |
|
|
|
So the access response is improved in these mothers. |
|
|
|
They can show all these is more detail than you |
|
|
|
need to know about in this abstract. |
|
|
|
Don't worry about the these various details here. |
|
|
|
But the main point is all these things that allow |
|
|
|
the body that are gone through the HP axis, the |
|
|
|
hypothalamus, pituitary adrenal cortex, how to regulate with the cortisol |
|
|
|
is upregulated by maternal care. |
|
|
|
And this is an example of how you can look |
|
|
|
at you can measure this. |
|
|
|
So we're looking at rat pups for more nurturing mothers |
|
|
|
compared to ones that have low nurturing mothers. |
|
|
|
So we're going to track what we're going to do |
|
|
|
to two graphs now. |
|
|
|
So this is. |
|
|
|
Before the intervention this period. |
|
|
|
And this is after. |
|
|
|
This is the period after. |
|
|
|
So how what happens to the body when you apply |
|
|
|
these? |
|
|
|
The. |
|
|
|
The stress hormones. |
|
|
|
So what we're looking at is looking and grooming algae. |
|
|
|
More how much licking and grooming is applied versus the |
|
|
|
grooming and off back nursing. |
|
|
|
So grooming and nursing is not positive particularly. |
|
|
|
So it's it's you're looking at this licking and grooming |
|
|
|
the mother rats do for their pups. |
|
|
|
So humans you cuddle and maybe kiss and take care |
|
|
|
of and nurture your child and stroke them and sing. |
|
|
|
Nursery rhymes is what humans do. |
|
|
|
Pups for rats. |
|
|
|
They do. |
|
|
|
They groom them for and they lick them to make |
|
|
|
sure they're good. |
|
|
|
Good mothers do that, love. |
|
|
|
So here we have a group of rats, the high |
|
|
|
treatment and low treatment. |
|
|
|
And what we can see is the response, the way |
|
|
|
the plasma this this molecule is released by the pituitary |
|
|
|
gland. |
|
|
|
It targets the the the cortex of the of the |
|
|
|
the. |
|
|
|
Of the adrenal gland. |
|
|
|
This particular hormone is a better, higher response. |
|
|
|
So is a. |
|
|
|
Is is much higher high response in those those rats |
|
|
|
that didn't get the maternal care. |
|
|
|
So they're not bringing it back down as fast. |
|
|
|
And you can also look at the the cortisol Rask |
|
|
|
is up and it stays high throughout that period for |
|
|
|
these not very well treated rats. |
|
|
|
So these are the the black dots are the pups, |
|
|
|
the ones that grew up with that care going to |
|
|
|
Harlow's monkeys. |
|
|
|
Harlow's monkeys were maltreated. |
|
|
|
They didn't do well. |
|
|
|
You've got these rats that are not well treated by |
|
|
|
the mothers. |
|
|
|
And these graphs serve to show like on a on |
|
|
|
a evolving basis, the stress response differs between well treated |
|
|
|
ups and not treated pups. |
|
|
|
They look identical. |
|
|
|
And this experiment is taking these two groups of little |
|
|
|
pups. |
|
|
|
They look fine. |
|
|
|
But one thing well treated, the ones not being well |
|
|
|
treated. |
|
|
|
And this shows evidence that the early life experiences that |
|
|
|
care and the parents bring has an effect. |
|
|
|
The way we respond to stress. |
|
|
|
Sadly, you can go on to look at this in |
|
|
|
humans. |
|
|
|
So this is the axis of women after sexual and |
|
|
|
physical abuse and childhood. |
|
|
|
And these women have a higher response. |
|
|
|
Their cortisol levels are altered years and years later after |
|
|
|
childhood abuse. |
|
|
|
So this is quite sad. |
|
|
|
It will go on into the images of how sexually |
|
|
|
impacts of this. |
|
|
|
So you can see you can see these links between |
|
|
|
the previous rats experiment. |
|
|
|
We can most of this in the lab and we |
|
|
|
can measure this six fold change in these women who |
|
|
|
suffered abuse. |
|
|
|
So what's going on is that we've looked at these |
|
|
|
sort of general responses in humans and rats. |
|
|
|
So let's dig a little bit deeper. |
|
|
|
So what you can see in this diagram here is |
|
|
|
a one double helix of DNA. |
|
|
|
So, you know, many of you have a biology background, |
|
|
|
those that don't. |
|
|
|
DNA is the main molecule in our body. |
|
|
|
It leads us to storage and assembly. |
|
|
|
Information allows you to replicate, and we can pass on |
|
|
|
our DNA. |
|
|
|
It's the main way in which your children, your offspring, |
|
|
|
will pass on the facets of your eye colour, particular |
|
|
|
traits. |
|
|
|
You have all those things that's in most textbooks. |
|
|
|
Most people in society have heard of DNA. |
|
|
|
It's quite a common thing, particularly things like Jurassic Park |
|
|
|
have highlighted that example. |
|
|
|
What I'm showing you here is we can pass on |
|
|
|
our DNA to our children, but also the proteins that |
|
|
|
line the DNA inside your cells. |
|
|
|
Every single cell has a dense copy of your DNA, |
|
|
|
and it has these proteins called histones. |
|
|
|
It's just the proteins that induce the DNA folding. |
|
|
|
These are like little bulls that keep your DNA nicely |
|
|
|
tucked up in the cell. |
|
|
|
And histones can actually change. |
|
|
|
They can change the proteins so you can change those. |
|
|
|
And in fact, the particular thing that causes them changes |
|
|
|
methylation, a particular really simple chemical reaction. |
|
|
|
You can mitigate these histones or demethylation and just a |
|
|
|
very simple chemical change in these histones, these DNA winding |
|
|
|
molecules. |
|
|
|
And the key impressive thing is those changes, if you |
|
|
|
change your histones in the cell, can be passed on |
|
|
|
because when you cell separates and passes on, it will |
|
|
|
pass on not only the DNA, but these histones with |
|
|
|
it. |
|
|
|
So that's been found away without modifying an animal's DNA. |
|
|
|
What you can do is modify the histones, and that |
|
|
|
can potentially be passed on generations. |
|
|
|
So here's an example of a mother. |
|
|
|
We talked about this licking, grooming. |
|
|
|
Here's this mother who does high licking and grooming, and |
|
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here's a cute little two pups that she's going to |
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lick and groom. |
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She's a very attentive mother. |
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What happens is that her pups we've just heard earlier |
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have this increased response. |
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So they particularly show another molecule pick up on that |
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is serotonin. |
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So here's written out 5 to 7 receptors. |
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That's the particular specific scientific name for the receptor for |
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this molecule, serotonin. |
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So we've talked about cortisol so far. |
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We know what happens to serotonin. |
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And this little pup, it's got this increased serotonin response |
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that's activated, but also this methylation suppresses activity. |
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So if they get d methylated, which is near a |
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particular genes, there's more details in you need to have |
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a particular gene and r3c1. |
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And that changes the way the histones around that little |
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mouse's DNA is operated. |
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And the effect of that, which is known as epigenetics |
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is epigenetic effect is a regulation of the licking, licking, |
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grooming all in this particular gene, that particular gene, this |
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modified by the mother's licking and grooming. |
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And this is just the way that geneticists will describe |
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this, both pathways, the direct effect and this this this |
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effect on the histones cause a change in this little |
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mouse that it's got a change in it and inside |
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of it, cells and its own receptors, his own receptors, |
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and got up to be able to respond effectively. |
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And it's dealing. |
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Is not been changed. |
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The DNA is changed, stayed the same. |
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But the way in which these things are configured has |
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changed and it's now better able to cope with stress. |
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This lucky little top goes off the stress coping and |
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the idea is that that can then turn on and |
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pass down generations. |
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So there's no DNA changes, no reordering of the actual |
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genetic structure, but these epigenetic effects I passed on. |
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So here's just an abstract written out from a key |
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study. |
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By this this epigenetic regulation of this glucocorticoid receptor and |
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human raises. |
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So you can see examples of this. |
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That gene I just talked about earlier that one with |
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the pups is been able to look at it and |
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people who had suicide victims who are abused or not |
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have used it. |
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Charlotte, it's a really sad study. |
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They can look at the brain pathology post-mortem and see |
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changes in the regulation of these structures. |
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Very difficult scientific work to acquire these brains and it's |
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worth a put a highlight that this work is controversial. |
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So there's still ongoing debate. |
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The key thing is here is the extent to which |
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that epigenetic thing really does go over. |
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Many generations seem very strong in some animals, but it's |
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still motivated in and in in mammals. |
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So a lot of scientists will agree with what I've |
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just described, that there's an epigenetic passed on through the |
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histone regulation and others may take the view that the |
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evidence still needs to be really confirmed in more detail. |
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So finally, just looking at the early life stress, we |
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can also see impacts not just on the response of |
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the sister for in the previous slides have shown changes |
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in the brain. |
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Right. |
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We looked at how these changes in the design, not |
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the DNA changes in the histones. |
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What we're looking at in these last slides is really |
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the fact of of this. |
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The again, we're going back to rats who were next |
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to it, who had their nesting material taken away. |
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So we talked about if I go back to that |
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last example of that mother, really attentive mother looking after |
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her pups, great passes on these great skills that you |
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wouldn't agree with, like a pass it down. |
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The world's great, right? |
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But that's not the real world, is it? |
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So you could have a nice little nice and they |
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all go well and suddenly something comes in an invader |
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and all the nest. |
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And now there's no nesting material for these animals. |
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It's a bit like an earthquake occurring for humans. |
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Your house is destroyed. |
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You have to go live in a tent for a |
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while. |
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These are really negative impacts. |
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What this study in rats looked at was the impact |
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of having nesting material removed so it's no longer warm. |
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And so the rats and growing up, they're unable to |
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be looked after in the same way. |
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And that means to fragmented nursing and grooming. |
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The grooming is not happening as effectively What's shown here |
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is the cortisol equivalent in rats. |
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Corticosteroids and army is much higher. |
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There's a much higher stress response. |
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And these these animals that experienced that nest removal, so |
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they're not able to respond more to later life stress. |
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So this isn't the effect of the nest material being |
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taken away. |
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It's when they're nine days later, they've left the home, |
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these little pups walking around and you give a stress |
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response and you get this much higher stress response, just |
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like we saw earlier with the childhood abuse says women |
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who've been suffered childhood abuse. |
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Much higher response, of course, is a sixfold higher, really |
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high. |
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Here you can see this very little response. |
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These control mice or rats that grew up with the |
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rats grew up in a nice, messy environment. |
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The ones that didn't like the nest material have an |
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adverse impact later in life. |
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What's shown here is a spatial memory test that's better |
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shown, I think, with the diagram. |
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You take a little rice and you put it in |
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a nice warm pool of water, like a bath, a |
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large bathtub, a circular one. |
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And the not the rat learns to swim around is |
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looking for a way out of the water. |
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It's nice and warm, is filled with milk powder so |
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it can't see anything. |
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But hidden under the water is a platform. |
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If the rat finds it, it can get out, It |
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can give it a treat. |
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And it's taken out of out of out of this |
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water maze. |
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And it's called a morris water maze after Richard Morris, |
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who developed this task. |
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Very simple one, but it's used to thousands of houses |
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and studies. |
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So here the rat can't see that little maze. |
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The platform. |
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And what we're showing over here is a top down |
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view into a maze with the video cameras tracked. |
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One of these are rats all over the place. |
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You can see it's swimming past what they've done. |
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They're a bit, a bit cheeky and taken away that |
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platform. |
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So the mouse is going, Oh, great, I'll go to |
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the platform. |
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And this is it heading off to that platform, but |
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it's not there and elsewhere. |
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And that's when and you can see it's like circling. |
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Where is that hidden platform in a sort of. |
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Estimate what the rats thinking. |
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What happens if you get that early life stress? |
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So those rats were raised in their bedding. |
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All they have was just an estimate table taken away |
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long back early on. |
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Take those rats much later. |
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Give them the same test. |
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That's horrible. |
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Screaming all around, unable to remember where that platform is. |
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So you can see the difference between the ones that |
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had the control. |
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Rats were quite efficient at going in the right space, |
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but the stressed rats were pretty much likely to search |
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anyway. |
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They had almost no memory of where the platform was. |
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So these kind of experiments really have been driven clinical |
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teams to think, Wow, we really need to intervene. |
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So that's why we have a very large and we |
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should have more work on social workers trying to help |
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make sure small children are really well cared for and |
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don't suffer these kind of adversities. |
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Same goes for animals. |
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There are lots of charities to help make sure we |
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don't have this kind of negative impact because it's unfortunately |
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quite, quite impactful. |
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So this is the last slide. |
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So summary you've heard about there are particular maternal care, |
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so you could pass on information from caring mothers and |
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interactions with peers, and that regulates this access. |
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We've heard about effects, this epigenome, the histones. |
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That's what these white things are. |
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Regulate that. |
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This is where advisor press and hair will come back |
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on Friday to learn more about vs the presence of |
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adrenaline and serotonin molecule that changes the way our brain |
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operates. |
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That's what this icon is here that regulates how aggressive |
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animals in the car, how emotion reactive and how that |
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cognition and memory operates. |
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And you get this operative, the social functioning. |
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So rats, humans, monkeys, whatever mammal you're looking at, will |
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have to interact socially. |
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And that's where the stress has one of its most |
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powerful negative impacts. |
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You have pathological effects. |
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If this pathway is badly dealt with, you also have |
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memory impacts be heard. |
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But if it's well cared for, you have adaptive, good, |
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social functioning and on. |
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So this is the overall summary. |
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At the end, I recommend you read some of the |
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last pages of the pages in particular from Costa Rica, |
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and you can find enough is the cortex book. |
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You log into these the library, you'll find that and |
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then to just nice reviews and look at this axis |
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and explain it in a helpful way. |
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I'll give you some example essay questions here of how |
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we might have informed surveillance. |
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And if you can do those readings, you'll be able |
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to nail these questions very well. |
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You can discuss how stress affects the hypothalamic pituitary axis, |
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how the genes, the environment interact and regulating stress and |
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|
questions you might get asked is what does it stand |
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for? |
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What does it stand for? |
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|
Where is the hypothalamus? |
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|
Hypothalamus in a given brain section. |
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And you saw our point that it too is right |
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|
next. |
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It's just under the corpus callosum. |
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So if you study all these slides and you look |
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|
through and read the material, read the reading are provided, |
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she'll do very well in exam. |
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So I will see. |
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You say you had some negative stories about stress and |
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|
bonding and problems. |
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|
Friday's lecture over in ICU will be about love and |
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|
social bonding, so that will be a more positive experience. |
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See you next Friday. |
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Thank you very much. |