| It's not an easy world out there. | |
| Looks nice there on the campus today, but it's a | |
| difficult world to survive in. | |
| And we have evolution from it. | |
| So what is going on in mammals, your brain right | |
| now and other mammals and other species? | |
| What we going to focus on will focus on the | |
| core part of today's lecture. | |
| There's textbook reading. | |
| If you go to the reading material from Carlson and | |
| Briquettes for Book on Behaviour, there's some other cool references | |
| to read through. | |
| Not too many, just a few examples to read through | |
| after this. | |
| But the cool thing I want you to take away, | |
| there are two systems in your body for dealing with | |
| stress. | |
| The stress is when your body is under pressure and | |
| you have to maintain homeostasis. | |
| You have to maintain your body, your integrity. | |
| Get on with things. | |
| Doing that is not easy to make us make that | |
| happen. | |
| We have two systems in our body, in mammals, a | |
| sympathetic adreno system called Sun for sure, and the hypothalamic | |
| pituitary adrenal cortical system, the HP system or the HP | |
| axis is a company. | |
| So first of all, let's look at this sound system, | |
| this sympathetic adrenal medullary system. | |
| So here's an example of a lion attacking this would, | |
| for a human, be a very stressful event if it | |
| happens to you, where you happen to be in a | |
| situation where a live lion is attacking you and those | |
| stressful things. | |
| And this is coined by a psychologist and somebody with | |
| the idea of flight or flight. | |
| And in this case, it's flying away from the lion. | |
| You might fight that lion. | |
| Very bad decision for most humans, or you might fly | |
| away. | |
| But either way, you need to respond. | |
| You're kind of sitting relaxed, right, and making notes here. | |
| And your body's set to do that. | |
| But it's not going to be well set to run | |
| away or fight a lion. | |
| It needs to change. | |
| You need more oxygen, more blood flow, a lot of | |
| things in your body ready to make you do that. | |
| Same for rabbits and for any animal trying to escape | |
| What happens in the first. | |
| The second lecture I gave a neuroanatomy. | |
| I put up this slide that says, Here's these two | |
| systems from a autonomic nervous system. | |
| I said, I'll come back to it around today, this | |
| lecture after reading week. | |
| So what we have here on the left is a | |
| sympathetic adrenal system that is critical for your response to | |
| threat like a lion. | |
| So what happens is that in your spinal cord or | |
| a number of you can see on the left hand | |
| side a sequence of neurones that are ready to be | |
| activated to project out to a whole lot of bits | |
| of your body, different organs, right the way out from | |
| your eye down to your bottom, right at the bottom | |
| of your body. | |
| So these all these things in these parallel red fibres | |
| coming out and rise, obviously they're marked and right here | |
| they're not really right in your body, but they go | |
| and do things like increase your heart rate, the heart | |
| rate goes up. | |
| You've got more oxygen in your blood to run faster | |
| away from that line. | |
| It's one of the critical things your your stomach is | |
| going to switch into No longer digesting food. | |
| Your bladder may get rid of any urine. | |
| If you're carrying a lot of weight, you know, you | |
| might pay out a fright and run. | |
| There's a lot of things you can see that are | |
| going on that are regulating your body to make your | |
| pupils dilate, ready to to to react. | |
| And again, sorry, the lighting system I can't control as | |
| high as read these off, but hopefully you can see | |
| that the core idea is on the left is the | |
| system Upregulates Now now, if you kept having this going | |
| on, your heart rates going higher and higher and your | |
| your body's getting ready for threat, you would die. | |
| You overstimulating your body beyond the amount of food you | |
| can take in. | |
| It's not going to digest anything. | |
| It's just going to go into the stress state of | |
| a reaction to a line. | |
| Now, on the right hand side of that diagram, we | |
| have the parasympathetic system which runs on a molecule called | |
| a seat coordinates. | |
| These two systems have their own specific molecules, adrenalin and | |
| noradrenaline as written on the bottom. | |
| There will come into that and there is a seat. | |
| Alkaline is the other molecule on the right. | |
| Now on the right hand side we have the system | |
| allows you to calm down, come down from the heightened | |
| state of threat, analyse your digestion to pick up, lowers | |
| your heart rate, gets your body to digest things as | |
| part of the rest and digest system. | |
| So we've got this circuitry there and you can see | |
| that on the left side, you've got the sympathetic system | |
| coming out of the spinal cord and on the right, | |
| right on the bottom of the spinal cord. | |
| There are some key parts of the sympathetic system, but | |
| a lot of these pathways come out right at the | |
| top of the brain, right at the top of this | |
| of the spinal cord section to regulate the heart. | |
| And some of these are nerves from the cranial nerves | |
| covered light to the heart to regulate the heart, heart | |
| at the top there. | |
| So this is what I'm talking about. | |
| You can see my mind, maybe not up here. | |
| These pathways to the eye and the heart and the | |
| lungs and so on. | |
| Okay. | |
| And there's a little icon to highlight. | |
| This is where we're going to spend a bit of | |
| today's lecture looking at this particular organ in your body | |
| you'd never really think about, here is a kidney. | |
| So you need to, you know, organise your fluid or | |
| the fluids in your body. | |
| If you're a medic, you'll be learning a lot about | |
| the kidney and you're doing brain and behaviour. | |
| So we're not very interested in the kidney today. | |
| What we are interested in is the adrenal glands. | |
| Your body has all sorts of glands hidden behind it | |
| and one of them is critical for running away from | |
| that line is your adrenal gland. | |
| And this, this adreno, the sympathetic adrenal medullary system is | |
| the medullary part refers to the medulla, the middle part | |
| of this adrenal gland. | |
| And this is where adrenaline is when you you may, | |
| as some of you ever come across EpiPens or this | |
| worry about people eating peanuts and dying from it is | |
| because they, you know, they take an EpiPen with them | |
| filled with adrenaline because it will react. | |
| It will allow their body to increase their heart rate. | |
| The lungs will expand rapidly, bypass this circuit. | |
| But if your body's acting normally, it's not part this | |
| little structure here above your kidneys, the adrenal glands, and | |
| does this beautiful job of secreting adrenaline around your body. | |
| Written here is the nephron because that's what the US | |
| system United States, they usually get epinephrine. | |
| They like their own words for different things at times. | |
| Okay on the left. | |
| So that's all that. | |
| That's all the bits of the body drawn. | |
| If you look at this, these two major divisions within | |
| the autonomic nervous system on the left, we have that | |
| sympathetic system for regulating a fight or take flight system | |
| which causes all these different things that including some unhelpful | |
| things like nausea. | |
| If you attack by line, you may feel a bit | |
| sick, but it allows your eyes to expand and get | |
| live raises. | |
| Your heart rate raises your blood pressure. | |
| Everything's ready for running or attacking. | |
| On the right hand side, this parasympathetic system allows you | |
| to eat things, steadies your hands. | |
| Just, you know it. | |
| It's all sorts of different parts of this. | |
| You can see here, lowering heart rate and blood pressure | |
| is also known the rest and digest state. | |
| So this is two key systems for this. | |
| Some this is the sympathetic or the sympathetic adrenal system. | |
| Let's take a real world example to contextualise this. | |
| Just something that came on Twitter. | |
| This is this particular person. | |
| I haven't put their their name and details up here, | |
| but they provided this on Twitter some time ago, several | |
| years ago. | |
| This just describing using a Fitbit. | |
| So monitoring the heart rate and reading text messages. | |
| And that day that girlfriend broke up with them at | |
| exactly noon in their timeline. | |
| And you can see here this person's resting heart rate | |
| just tracking along New noon occurs and up goes the | |
| heart rate and it's sustained. | |
| Go right. | |
| And so midnight after they got this message of a | |
| girlfriend of broken up with them, it's just one real | |
| world example of what happens to your heart rate under | |
| stress. | |
| This is clearly this person describing a very stressful, horrible | |
| experience and breaking up and seeing it live and seeing | |
| that the heart rate has gone up and it hasn't | |
| he hasn't gone back to rest and digest. | |
| Yeah, even at midnight. | |
| This is a carrying on the process. | |
| So we've covered that same system. | |
| We're now going to turn to this HD access system. | |
| The other one, the two systems, because you just saw | |
| in this example, the upregulated heart rate set to react. | |
| Now a line is an immediate threat. | |
| Breaking up with your partner, like maybe you've be with | |
| your girlfriend for two years and you break up. | |
| It's really severe. | |
| And as your brain is going to think about all | |
| the implications of Break-Up and what this means for me, | |
| what are my what am I going to do with | |
| my social life? | |
| Lots of things go on. | |
| That heart rate is going to be raised, raised for | |
| some time, this extra stresses. | |
| But it doesn't just have a rapid response, it has | |
| it organised. | |
| 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 | |
| looking at the corpus callosum, for example, not coloured in | |
| just so you can identify them are number of little | |
| nuclei here in the middle of the brain. | |
| Now in a rat or of old or something, these | |
| are really big because they're really important words for humans | |
| have a huge amount of cortex. | |
| We've added all round that these, these key subcortical structures. | |
| 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. | |
| There's a familiar body will come in a couple of | |
| weeks time to someone who had a snooker cue smashed | |
| into their face skewering and damaging their military bodies. | |
| And I explain what happened to that patient. | |
| But it bypassed that type of thalamus, went under here, | |
| and it didn't have the problems I'm going to talk | |
| about today. | |
| So they didn't have any stress responses. | |
| So here it's hard to build different nuclei in the | |
| real brain. | |
| They're not coloured. | |
| This is just coloured to highlight them. | |
| And these are the hypothalamic nuclei hypothalamic. | |
| The word hypo just means lower. | |
| So here's the thalamus above you that does all the | |
| processing you need for connecting the cortex together. | |
| But underneath is the hypothalamus and has these different nuclei. | |
| All the top underneath them is another gland, the pituitary | |
| gland. | |
| So this is a bit this is very strange. | |
| Your brain is structured inside your skull, encased in the | |
| skull to protect your brain. | |
| Very important organ in your body sticking just out of | |
| the skull. | |
| And this little stalk is the pituitary gland, and it's | |
| a little gland that goes into your blood system. | |
| And it allows cells to send chemicals straight out of | |
| your brain into your blood circulation outside your skull. | |
| So it's it just sits there inside. | |
| You can see it encased in bone here, but the | |
| 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. | |
| We're just going to call these the hypothalamus now. | |
| And the key thing they do here is to release | |
| time into pituitary gland. | |
| There are cells there that produce a chemical called cortical | |
| 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. | |
| Why not just do one step? | |
| 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. | |
| 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. | |
| They're afraid generally they panic very easily. | |
| 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 | |
| here's a cute little two pups that she's going to | |
| lick and groom. | |
| She's a very attentive mother. | |
| What happens is that her pups we've just heard earlier | |
| have this increased response. | |
| So they particularly show another molecule pick up on that | |
| is serotonin. | |
| So here's written out 5 to 7 receptors. | |
| That's the particular specific scientific name for the receptor for | |
| this molecule, serotonin. | |
| So we've talked about cortisol so far. | |
| We know what happens to serotonin. | |
| And this little pup, it's got this increased serotonin response | |
| that's activated, but also this methylation suppresses activity. | |
| So if they get d methylated, which is near a | |
| particular genes, there's more details in you need to have | |
| a particular gene and r3c1. | |
| And that changes the way the histones around that little | |
| mouse's DNA is operated. | |
| And the effect of that, which is known as epigenetics | |
| is epigenetic effect is a regulation of the licking, licking, | |
| grooming all in this particular gene, that particular gene, this | |
| modified by the mother's licking and grooming. | |
| And this is just the way that geneticists will describe | |
| this, both pathways, the direct effect and this this this | |
| effect on the histones cause a change in this little | |
| mouse that it's got a change in it and inside | |
| of it, cells and its own receptors, his own receptors, | |
| and got up to be able to respond effectively. | |
| And it's dealing. | |
| Is not been changed. | |
| The DNA is changed, stayed the same. | |
| But the way in which these things are configured has | |
| changed and it's now better able to cope with stress. | |
| This lucky little top goes off the stress coping and | |
| the idea is that that can then turn on and | |
| pass down generations. | |
| So there's no DNA changes, no reordering of the actual | |
| genetic structure, but these epigenetic effects I passed on. | |
| So here's just an abstract written out from a key | |
| study. | |
| By this this epigenetic regulation of this glucocorticoid receptor and | |
| human raises. | |
| So you can see examples of this. | |
| That gene I just talked about earlier that one with | |
| the pups is been able to look at it and | |
| people who had suicide victims who are abused or not | |
| have used it. | |
| Charlotte, it's a really sad study. | |
| They can look at the brain pathology post-mortem and see | |
| changes in the regulation of these structures. | |
| Very difficult scientific work to acquire these brains and it's | |
| worth a put a highlight that this work is controversial. | |
| So there's still ongoing debate. | |
| The key thing is here is the extent to which | |
| that epigenetic thing really does go over. | |
| Many generations seem very strong in some animals, but it's | |
| still motivated in and in in mammals. | |
| So a lot of scientists will agree with what I've | |
| just described, that there's an epigenetic passed on through the | |
| histone regulation and others may take the view that the | |
| evidence still needs to be really confirmed in more detail. | |
| So finally, just looking at the early life stress, we | |
| can also see impacts not just on the response of | |
| the sister for in the previous slides have shown changes | |
| in the brain. | |
| Right. | |
| We looked at how these changes in the design, not | |
| the DNA changes in the histones. | |
| What we're looking at in these last slides is really | |
| the fact of of this. | |
| The again, we're going back to rats who were next | |
| to it, who had their nesting material taken away. | |
| So we talked about if I go back to that | |
| last example of that mother, really attentive mother looking after | |
| her pups, great passes on these great skills that you | |
| wouldn't agree with, like a pass it down. | |
| The world's great, right? | |
| But that's not the real world, is it? | |
| So you could have a nice little nice and they | |
| all go well and suddenly something comes in an invader | |
| and all the nest. | |
| And now there's no nesting material for these animals. | |
| It's a bit like an earthquake occurring for humans. | |
| Your house is destroyed. | |
| You have to go live in a tent for a | |
| while. | |
| These are really negative impacts. | |
| What this study in rats looked at was the impact | |
| of having nesting material removed so it's no longer warm. | |
| And so the rats and growing up, they're unable to | |
| be looked after in the same way. | |
| And that means to fragmented nursing and grooming. | |
| The grooming is not happening as effectively What's shown here | |
| is the cortisol equivalent in rats. | |
| Corticosteroids and army is much higher. | |
| There's a much higher stress response. | |
| And these these animals that experienced that nest removal, so | |
| they're not able to respond more to later life stress. | |
| So this isn't the effect of the nest material being | |
| taken away. | |
| It's when they're nine days later, they've left the home, | |
| these little pups walking around and you give a stress | |
| response and you get this much higher stress response, just | |
| like we saw earlier with the childhood abuse says women | |
| who've been suffered childhood abuse. | |
| Much higher response, of course, is a sixfold higher, really | |
| high. | |
| Here you can see this very little response. | |
| These control mice or rats that grew up with the | |
| rats grew up in a nice, messy environment. | |
| The ones that didn't like the nest material have an | |
| adverse impact later in life. | |
| What's shown here is a spatial memory test that's better | |
| shown, I think, with the diagram. | |
| You take a little rice and you put it in | |
| a nice warm pool of water, like a bath, a | |
| large bathtub, a circular one. | |
| And the not the rat learns to swim around is | |
| looking for a way out of the water. | |
| It's nice and warm, is filled with milk powder so | |
| it can't see anything. | |
| But hidden under the water is a platform. | |
| If the rat finds it, it can get out, It | |
| can give it a treat. | |
| And it's taken out of out of out of this | |
| water maze. | |
| And it's called a morris water maze after Richard Morris, | |
| who developed this task. | |
| Very simple one, but it's used to thousands of houses | |
| and studies. | |
| So here the rat can't see that little maze. | |
| The platform. | |
| And what we're showing over here is a top down | |
| view into a maze with the video cameras tracked. | |
| One of these are rats all over the place. | |
| You can see it's swimming past what they've done. | |
| They're a bit, a bit cheeky and taken away that | |
| platform. | |
| So the mouse is going, Oh, great, I'll go to | |
| the platform. | |
| And this is it heading off to that platform, but | |
| it's not there and elsewhere. | |
| And that's when and you can see it's like circling. | |
| Where is that hidden platform in a sort of. | |
| Estimate what the rats thinking. | |
| What happens if you get that early life stress? | |
| So those rats were raised in their bedding. | |
| All they have was just an estimate table taken away | |
| long back early on. | |
| Take those rats much later. | |
| Give them the same test. | |
| That's horrible. | |
| Screaming all around, unable to remember where that platform is. | |
| So you can see the difference between the ones that | |
| had the control. | |
| Rats were quite efficient at going in the right space, | |
| but the stressed rats were pretty much likely to search | |
| anyway. | |
| They had almost no memory of where the platform was. | |
| So these kind of experiments really have been driven clinical | |
| teams to think, Wow, we really need to intervene. | |
| So that's why we have a very large and we | |
| should have more work on social workers trying to help | |
| make sure small children are really well cared for and | |
| don't suffer these kind of adversities. | |
| Same goes for animals. | |
| There are lots of charities to help make sure we | |
| don't have this kind of negative impact because it's unfortunately | |
| quite, quite impactful. | |
| So this is the last slide. | |
| So summary you've heard about there are particular maternal care, | |
| so you could pass on information from caring mothers and | |
| interactions with peers, and that regulates this access. | |
| We've heard about effects, this epigenome, the histones. | |
| That's what these white things are. | |
| Regulate that. | |
| This is where advisor press and hair will come back | |
| on Friday to learn more about vs the presence of | |
| adrenaline and serotonin molecule that changes the way our brain | |
| operates. | |
| That's what this icon is here that regulates how aggressive | |
| animals in the car, how emotion reactive and how that | |
| cognition and memory operates. | |
| And you get this operative, the social functioning. | |
| So rats, humans, monkeys, whatever mammal you're looking at, will | |
| have to interact socially. | |
| And that's where the stress has one of its most | |
| powerful negative impacts. | |
| You have pathological effects. | |
| If this pathway is badly dealt with, you also have | |
| memory impacts be heard. | |
| But if it's well cared for, you have adaptive, good, | |
| social functioning and on. | |
| So this is the overall summary. | |
| At the end, I recommend you read some of the | |
| last pages of the pages in particular from Costa Rica, | |
| and you can find enough is the cortex book. | |
| You log into these the library, you'll find that and | |
| then to just nice reviews and look at this axis | |
| and explain it in a helpful way. | |
| I'll give you some example essay questions here of how | |
| we might have informed surveillance. | |
| And if you can do those readings, you'll be able | |
| to nail these questions very well. | |
| You can discuss how stress affects the hypothalamic pituitary axis, | |
| how the genes, the environment interact and regulating stress and | |
| questions you might get asked is what does it stand | |
| for? | |
| What does it stand for? | |
| Where is the hypothalamus? | |
| Hypothalamus in a given brain section. | |
| And you saw our point that it too is right | |
| next. | |
| It's just under the corpus callosum. | |
| So if you study all these slides and you look | |
| through and read the material, read the reading are provided, | |
| she'll do very well in exam. | |
| So I will see. | |
| You say you had some negative stories about stress and | |
| bonding and problems. | |
| Friday's lecture over in ICU will be about love and | |
| social bonding, so that will be a more positive experience. | |
| See you next Friday. | |
| Thank you very much. |