Nervous System Health Flashcards

1
Q

5 factors affecting nervous system health

A
  1. lifestyle
  2. Nerve cell structure and function
  3. Hormonal and immune health
  4. Energy delivery
  5. GIT health
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2
Q

Definition of the Gut-Brain axis

A

Bidirectional communication between the CNS and the enteric NS

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3
Q

% of sensory nerve fibres in the vagus nerve

% of motor nerves

A
  • afferent (sensory): 80%
  • efferent (motor): 20%
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4
Q

4 ways gut microbiota interact with the Gut-Brain axis

A
  1. Microbes modulate neurotransmitter production
  2. Production of bacterial metabolites: SCFAs that support mucosal serotonin release and influence memory/learning
  3. Modulate afferent sensory nerves
  4. BDNF function can be modulated by microbiota
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5
Q

Microbiome species that has been shown to enhance neuron excitability, modulate gut motility and pain perception

A

L. reuteri

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6
Q

how does gut barrier function affect mental health?

A
  • Gut dysbiosis can cause damage to the mucosal layer
  • This causesintestinal permeability (via local immune reactions)
  • This leads to metabolic endotoxemia
  • This can lead to neuroinflammation and depression
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7
Q

3 physiological stressors/drivers that affect NS function

A
  1. Inflammation
  2. Oxidative stress
  3. Toxic load
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8
Q

2 neurotrophic factors and 3 factors that decrease the expression of these

A
  1. BDNF
  2. NGF
  • Physical and psychological stress
  • Ageing
  • Lack of physical activity
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9
Q

Definition of a neurotransmitter

A

chemical messengers released from a pre-synaptic terminal, causing an excitatory or inhibitory effect on the post synaptic cell.

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10
Q

6 factors that contribute to NT imbalances

A
  1. Inadequate nutrition
  2. High stress
  3. Toxicity
  4. Genetic SNPs
  5. Poor digestive health
  6. Drug use
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11
Q

Methylation produced co-factor for serotonin and dopamine production

Methylation produced co-factor for melatonin and adrenaline production

A

Methyl folate for biopterin (serotonin and dopamine

SAMe (methyl folate and B12) - melatonin and adrenaline

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12
Q

NT breakdown - list 2 key enzymes and the NTs they help to break down

A
  1. MAO: serotonin, adrenaline, noradrenaline, dopamine
  2. COMT: adrenaline, noradrenaline, dopamine (uses a methyl group from SAMe)
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13
Q

Which NTs synthesised in the gut can pass the blood brain barrier

Which cannot

A

GABA can pass the BBB

Serotonin and Dopamine can’t

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14
Q

2 ways serotonin is produced in the GUT

% produced in the gut

A
  • produced by enterochromaffin cells
  • produced by bacteria

95%

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15
Q

Can serotonin cross the blood brain barrier? If not, how can serotonin be made in the brain

A

Serotonin can not cross the BBB

Tryptophan and 5HTP can

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16
Q

6 functions of serotonin

A
  1. Motility (GI signalling)
  2. Mucosal secretions
  3. Mood
  4. Appetite
  5. Sleep (melotonin)
  6. Blood clotting
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17
Q

Organic acid testing (OAT) for serotonin - what metabolite can you test for?

A

5-HIAA - a serotonin metabolite that can indicate serotonin levels

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18
Q

Serotonin co-factors

A
  • Zinc
  • Iron
  • Magnesium
  • Folate
  • B6
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19
Q

Low serotonin: causes/risk factors

A
  1. Nutritional insufficiencies
  2. Chronic stress
  3. GI dysbiosis
  4. Lack of sunshine
  5. Caffeine
  6. Alcohol use
  7. sedentary lifestyle
20
Q

How does statin use affect serotonin

A

cholesterol depletion impaires serotonin receptor function

21
Q

What is the enzyme that converts tryptophan to 5HTP?

What is the enzyme that converts 5HTP to 5HT?

A

TPH

Aromatic Acid Decarboxylase

22
Q

What are the co-factors for conversion of serotonin to melatonin (2 stages)

A
  1. 5HT to N-acetylserotonin: B5 (acetyl coA)
  2. N-acetylserotonin to melatonin: SAMe (MTHF and B12)
23
Q

Why does chronic stress reduce levels of serotonin?

A

High cortisol downregulates the uptake of serotonin via 5HT receptors

24
Q

How does caffeine affect serotonin levels?

How does alcohol affect serotonin levels?

A
  1. Caffeine inhibits the TPH enzyme (converion of tryptophan to 5HTP)
  2. Alcohol lowers serotonin
25
Describe the 'tryptophan steal'
- There are two pathways that tryptophan can go down - the kynurenine pathway and the 5HTP pathway. - Stress and inflammation upregulate the kynurenine pathway at the expense of serotonin
26
What by-product is produced when tryptophan is shunted down the kynurenine pathway and what action does this by product have on the nervous system?
Quinolinic acid an excitotoxin that increases glutamate, hinders neuronal function, causes cell death. Linked to mood disorders and neurodegenerative disease
27
7 ways to reduce quinolinic acid
- Green tea (catechins/ECCG - Curcumin - Pomegranate - Garlic - Saffron - Broccoli sprouts - exercise
28
What SNP affects gut serotonin levels and can cause constipation?
TPH 1
29
What SNP affects central nervous system serotonin synthesis
TPH 2
30
SNP that afftects serotonin transporters and reduces the effect of serotonin
5HTT
31
Which SNP upregulates the kynurenine pathway and why?
FKBP5 - via cortisol dysregulation
32
2 SNPs that affect serotonin receptors and reduce the effects of serotonins
5-HT1 5-HT2
33
2 SNPs that upregulate inflammation and have a similar effect to FKBP5
IFNG TNF
34
SNP that causes more enzyme breakdown of serotonin
MAO-A
35
How does oestrogen affect serotonin levels?
Oestrogen increases serotonin 2 ways: 1. Increases TPH enzyme 2. Inhibits MAO
36
4 health concerns associated with low serotonin
1. Mood disorders 2. IBS and functional constipation 3. insomnia 4. Eating disorders 5. Migraine
37
What dosage range of Zinc would be recommended for clients suffering from anxiety?
15–60 mg / day
38
Clients with bipolar disorder my exhibit the what mania symptoms
1. Poor impulse control 2. Extreme talkativeness and rapid thoughts 3. Excessive self-esteem
39
List 3 herbs useful in promoting sleep
40
What dosage range of 5HTP would be recommended for clients suffering from depression?
100-300mg daily
41
List 3 functions of dopamine
42
What is Acetylcholine formed from?
Mitochondrial acetyl-CoA and dietary choline
43
How do statins cause low serotonin levels?
By chronic cholesterol depletion
44
Photophobia and phonophobia are a symptom of what condition?
Migraines
45
What is the rationale for supplementing taurine, for alcohol addiction?
To support relaxation and improve liver function
46