Neurobiological aspects of stress Flashcards

1
Q

Who is attributed as the father of stress?

A

Hans Selye, 17 time nominee of Nobel prize

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2
Q

How did Hans Selye discover the stress response?

A

After injecting a rat with a ovarian extract noted distinct changes

Changes were the same when other things were injected or control groups were put in uncomfortable circumstances.

He called it: General Adaptive Syndrome

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3
Q

Briefly describe the stress response and how glucocorticoids effect our physiology?

A

Stress illicit brain areas:
PVN of Hypothalamus and stimulate piturity gland via CRH/CRF

This releases ACTH to the adrenals, which release cortisol.

Cortisol is a Glucocorticoid:

It metabolises glucose
Synthesised by adrenal gland
Classified as a steroid

Once released by adrenals, every cell in the body has a cortisol receptor and it is picked up by either:

Mineralocotticoid receptors in Low levels
Gluccocortcoid Receptors in High Levels

It binds to ligand gates in the cytoplasm, translocates into the nucleus and binds with Response Factor:

Results in:
Energy metabolism
Electrolyte and blood pressure change
Immune response

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4
Q

How does the endocrine system differ from the nervous system?

A

Endocrine system releases hormones via glands which travel in bloodstream via chemical reactions, often transcripted, slow reaction, long lasting. Involuntary

Nervous system using electrcical impulses via neurons, fast and short lived. Involuntary and voluntary

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5
Q

How does the Recent Life Changes Questionnaire work?

A
Using 5 categories;
Work
Financial
Personal and Social
Exercise
Health 

; you mark how severe your change has been giving you a Life Change Units score.

300 or 500 plus for 6 month or 1 year as bench mark

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6
Q

What did the Twin study of Kendler et al show us regarding stress and depression?

A

That trait neuroticism was the major factor in the effect of stressful life events.

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7
Q

What is the effect of high GC levels in animals and humans?

A

Animals:

Depressive like symptoms
Decreased neurogenesis 
Decreased synaptic Plasticity 
Monoamine dysfunction
Reduced volume of hippocampus

All symptoms also found in depressed patients

Humans:
Mania to start then depression after a few weeks

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8
Q

Why is the negative feedback loop so important in the HPA axis?

A

Without it we develop a GC resistance which continues the release of cortisol without limit.

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9
Q

What is the difference between Hyper and Hypo HPA axis activity?

A

In Hyper there is an excess of cortisol: MDD with melancholic features (Non reactive)

HPA Hypoactivity : Atypical depression (reactive mood)

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10
Q

What is the relationship of corticosterone and neurogenesis?

A

Increase will disrupt neurogenesis

Adrenalectomy will increase it

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11
Q

What did the millennium article put forward as a theory of depression?

A

Since fox odour and other stressors reduced neurogenesis in animals and exercise and antidepressants did the opposite it was proposed that high cortisol could be the a risk factor in depression.

Jacobs

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12
Q

What did Wohleb and colleagues find out regarding microglia and depression and anxiety?

A

When exposed to CUS:

Rats showed CSF 1 increase and microglia changes. Depressive symptoms were observed.

When CSF 1 was blocked depressive symptoms were alleviated.

Therefore: Connectivity of Neurons and microglia responsible in depression and anxiety.

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13
Q

What was found when Human hippocampal progenitor cells were treated with high levels of cortisol?

A

Neurogenesis was reduced

Reduction in DCX-postive and MAP2-Positive cells

Further:
When treated with a GR receptor blocker, both DCX and MAP2 were reduced significantly and this was reduced by Sertraline.

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14
Q

What is useful about the CAR?

A

It shows unique associations with lifestyle factors and psychological factors. Often different from the rest of the day.

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15
Q

What are preferred methods to measure cortisol levels?

A

Salvia: multiple times during day, particallry at waking. Good to show short term response

Hair: Good to show long term response and easy to collect.

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16
Q

What did the Netherlands Study of depression and anxiety show?

A

That both current MDD and Remitted MDD showed a higher CAR suggesting it may be a vulnerability factor.

17
Q

What did Taylors study of postnatal CAR levels?

A

That depressed women showed a higher starting CAR point and no change after 30minutes. Similar to PTSD.