Lecture 14 Neuroimaging of Stress Flashcards

1
Q

Stress response to maintain homeostasis and how it can be bad for you

Baboon experiment

A

Quasi experimental

Had good ecological validity

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2
Q

Allostatic load and why it is bad for you

A

It is bad if too much

Repeated stressor activation leads to higher allostatic load

HPA and SNS work in concert

Early exposure to stress leads to decreased negative feedback and hence increased HPA activation

Abused kids show lower HPA (and compensatory high SNS)

Causal direction unknown

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3
Q

Adaptation to stress

A

Should adapt to long term stress, if you so not (individual variation) you will get increased allostatic load

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4
Q

Primary consequences of allostatic load

A

Are direct mechanisms of the stress response

Serum DHEA-S

Overnight urinary cortisol

Overnight noradrenaline and adrenaline excretion

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5
Q

Secondary consequences of allostatic load

A

Are measures of the response to stress responses

Systolic and systolic BP

Waist-hip ratio
And index of the increased glucocorticoid activity
-adipose here is what is linked with heart issues

Sedum HDL and LDL
Linked with cholesterol damage

Blood plasma levels of glycosylated hemoglobin

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6
Q

Why stress is bad for you, the allostatic load hypothesis

A

Changes in stress lead to changes in physiology which in turn, lead to changes in disease

Is caused by allostatic load just like glucocorticoid cascades are

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7
Q

Why stress is bad for you, the allostatic load hypothesis

Linked systems that contribute

A

The environment

Individual differences (genes, development, experiences)

Perceived threats (life events, helplessness, vigilance)

Behavioral responses

ALL THESE LEAD TO

Physiological responses

These cause either allostasis and adaptation OR allostatic load and damage

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8
Q

Tertiary consequences of allostatic load

A

Disease caused by allostatic load

Psychological - Major Depressive Disorder

Physiological - CV disease, abdominal adiposity, bone loss

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9
Q

Co morbidity between MDD and CVD

A

If allostatic load is causal, there should be a relationship between the two things. There is!

  • Onset of MDD predicts worse CVD
  • LDL linked to adiposity, linked to CVD (putting on fat in torso)
  • MI most common in the morning (at time of peak cortisol)
  • CVD linked to decreases in bone density

It is all correlation but looks convincing

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10
Q

Why stress is bad for you

What the HPA and SNS activity to to help/hinder

A

Stress hormones are initially beneficial but detrimental long term

Chronic activation is a problem

Glucocorticoids (bind at GR)

  • conversion of proteion and lipids to carbohydrates for energy
  • Increase food seeking and locomotor activity
  • gets you energy to cope with stress

SNS activation

  • increase HR and BP
  • Gets you up/gives you MI

Increased allostatic load = negative physiological effects

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11
Q

Why stress is bad for your brain

A

Stress can lead to vivid memory

  • flashbulbs
  • Good stressors make important memories stand out

Increased CRH in various brain regions following stress
Increases HPA

However
Prolonged activation downregulates receptors
Reduced negative feedback
Cell death in hippocampus
Is one of the first things seen in Alz for example
Also amygdala and frontal cortices

This effect can be seen in humans via imaging

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12
Q

In rats (management of proceptive HPA activation)

A

Inhibitory action on GABA neurons from Ventral Subiculum and PFC
Only inhibitory T2 neurons here
Gets shut off by circulating GC (so more HPA)

More activation of this = less inhibition of PVN = more HPA

Excitatory action on GABA from amygdala

More activation = more gaba

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13
Q

Why stress is bad for the brain (2)

A

Chronic stress increases the CRH in the amygdala

Contributes to HPA dysregulation and behavior

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14
Q

Experiment with CRH into rats

A

Inject via cannulation, CRH into amygdala 1x a day for 5 days

G1 injected
G2 not

G1 Trapped (restraint stressor)
G2 Not (control)

2x2 design

ACTH and corticosterone measured

Grooming behaviour measured as a surrogate for the rat being stressed

Higher grooming = higher stress

In the non- chronically stressed (no injection) mice, there was no significant difference in those who were restrained or not in time grooming

In the chronically stressed group (injection) the retrained mice are extremely stressed and do significantly more grooming compared to non restrained ones

A BIGGER STRESS RESPONSE
(Chronic stress might enhance the stress response)

Also this group showed less corticosterone at baseline, after 15 mins this was equal between chronically stressed and control then then at 60 mins they had higher levels again

So higher levels at baseline (released from restrain stress)
Same after 15 mins
Higher after 60 mins (after restraint stress)

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15
Q

What effects can we se in human brains (via imaging)

A

Yes, imaging stress is critical to extend animal findings
Resolution is poor though

These experiments are guided by rat research as this shows them what region to image

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16
Q

Imaging article review (set up and MIST definition)

A

Review on the connection between cortisol and brain activity

Anticipatory (processive) vs reactive (systemic) stressors were triggered by the

MIST (Montreal imagine stress test) - doing math backwards out loud in such a time limit that you could not get more than 40% right
Cold pressor - put hand in cold water

Assess response and subjective stress with MRI, PET and fMRI

Chose hippocampus, amygdala and PFC due to rat research

17
Q

Imaging article review (results)

A

Hippocampus
See inverse relation between hippocampus volume and cortisol response
Stress reduces hippocampus leading to increased HPA? (due to lack of excitation on GABA neurons)

\Amygdala
Blood flow to amygdala correlates with SCTH levels Having more psychological resources = lower cortisol and amygdala blood flow after stress
This finding is not always observed; this might be because there is no fear as we make animals scared in trials but not humans
This is overall, the least certain region

PFC
Cortisol increase = decreased orbitofrontal and increased medial PFC
mPFC is used to monitor the situation - useful in stress
OFC controls cognitive processes, less needed in stress

18
Q

Imaging article review (brainstem)

A

Cannot image it effectively due to nearby blood flow of the carotid artery which obscures the brainstem

19
Q

Imaging article review (responders/non)

A

Split into responders and non-responders

Early life might make these ppl more resilient

20
Q

Deactivation of the Limbic System During Acute Psychosocial Stress Study

Set up

A

Measure salivary cortisol before and after
for responders and non-responders

Brain activation during this stressor measured by
PET
fMRI
Control and experimental group

Experiment get the MIST

21
Q

Deactivation of the Limbic System During Acute Psychosocial Stress Study

Results - Salivary Cortisol Patterns

A

(a) Higher cortisol in experimental group
(b) Corticol in saliva spikes before in anticipation of the stressor, during and then declines after (for the whole group)
(c) When seperated by group, non-responders do not show a spike in salivary cortisol in response to the MIST
Responders do
(d) Cortisol response on awakening is lower for non-responders than responders (they have different cortisol responses on wakeing)

22
Q

Deactivation of the Limbic System During Acute Psychosocial Stress Study

Results - Brain region activation

A

Responders/non-responders in control had no change in brain activity

With stress there was less activation in hippocampus and OFC
-Sort of like before when the activity of the PVN was disinhibited
0Reduces inhibition

MAIN FINDING

STRESS = LESS ACTIVITY IN OFC AND HIPPOCAMPUS

Increase in cortisol was correlated with a decrease in hippocampal activation

Increase in HPA driving a decrease in Hipp

Imaging the Amygdala showed a decrease but this has to be images THROUGH the hippocampus so probably this was an artifact created by the hippocampus

There might not have been a change in the amygdala cos there was no fear

Hippocampus sensory processing and memory get decreased under stress so that the human may focus on the stressor

23
Q

Brain activation as a result of mental arithmetic

A

Subtracted the activity on the control group from that in the stressor group.