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      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
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    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
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    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
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    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System



Translational Medicine Friday

In Born errors in Metabolism

10/20/2024

 
Val's Take/Conjecture
  • We tend to have a view that traits are either the result of GENETICS or LIFESTYLE CHOICES.
  • That is a FALSE DICHOTOMY.
  • Many Neuro-Divergent People are evidence that PRE-NATAL INFLAMMATION as well as other factors can have dramatic influence over the life course.
  • Further, our researchers are doing the heavy lifting of understanding multiple systems of the body and the "CROSSTALK" between those systems of the body that are relevant to our most difficult chronic diseases.
    • This includes the Neurodevelopmental/Psychiatric Continuum, but it also includes:
    • Autoimmune Diseases
    • Cancer,
    • Neuro-Degenerative Diseases,
    • Etc.
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Dysregulation of immune and metabolism pathways in maternal immune activation induces an increased risk of autism spectrum disorders (2023)
Picture
An overview of inborn errors of metabolism affecting the brain: from neurodevelopment to neurodegenerative disorders (2018)
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Microglia and lipids: how metabolism controls brain innate immunity (2021)

In the last years, single-cell analyses have revealed that microglia exhibit diverse phenotypes during development, growth and disease. Emerging evidence suggests that such phenotype transitions are mediated by reprogramming of cell metabolism. Indeed, metabolic …

Pro-Inflammatory Cytokines

10/16/2024

 

and the Neuro-developmental/Psychiatric continuum and other chronic diseases

Val's Take/Conjecture
  • The Neuro-Developmental/Psychiatric Continuum is starting to look like other illnesses in which INFLAMMATION is a big key.
  • The effects of INFLAMMATION IN UTERO may be important for other illnesses, it is certainly important for the Neuro-Developmental/Psychiatric Continuum.
  • According to the University of Michigan Medical School, people with bipolar disorder have more reactive cells.
    • Does that mean, more reactive cells that are producing more pro-inflammatory cytokines?
      • I think it probably does mean that.
Picture
Cytokine Imbalance in Schizophrenia. From Research to Clinic: Potential Implications for Treatment (2021)

  • Gene polymorphisms of several cytokines are associated with the development of the schizophrenia syndrome. In patients with schizophrenia, presence of gene polymorphisms of proinflammatory cytokines, such as IL-1β and IL-6, have been linked to high serum levels of these cytokines. 
Picture
Inflammation in Bipolar Disorder (2018)

Elevated levels of pro-inflammatory cytokines
  • Bipolar disorder (BD) is a severe and persistent mental illness associated with increased rates of several inflammatory medical comorbidities. Replicated evidence has demonstrated a strong association between BD and elevated levels of pro-inflammatory cytokines.
Picture
Inflammatory Cytokine: An Attractive Target for Cancer Treatment (2022)

"The pro-inflammatory cytokines are associated with advanced cancer stages, resistance to immunotherapy, and poor prognoses, such as in objective response and disease control rates, and progression-free and overall survival.

"In this review, we selected colorectal, pancreatic, breast, gastric, lung, and prostate cancers, which are well-reported for an association between cancer and inflammatory cytokines."

"The related cytokines and their effects on each cancer’s development and prognosis were summarized.

In addition, the treatment strategies targeting inflammatory cytokines in each carcinoma were also described here. By understanding the biological roles of cancer-related inflammatory cytokines, we may modulate the inflammatory tumor microenvironment for potential cancer treatment.
Picture
The causal relationship between 41 inflammatory cytokines and hypothyroidism: bidirectional two-sample Mendelian randomization study (2023)

"The high rate of comorbidity between hypothyroidism and psychiatric disorders deserves special attention, indicating the importance of consistent monitoring and timely identification of psychiatric symptoms to prevent disease exacerbation and facilitate therapeutic management."
Picture
Role of pro-inflammatory cytokines released from microglia in neurodegenerative diseases  (2011)
  • Microglia are activated in response to a number of different pathological states within the CNS including injury, ischemia, and infection.
  • Microglial activation results in their production of pro-inflammatory cytokines such as IL-1, IL-6, and TNF-α
Picture
Maternal immune activation alters fetal and neonatal microglia phenotype and disrupts neurogenesis in mice

Maternal immune activation
(MIA) alters microglial phenotypes in the brain of fetal and neonatal mouse offspring. MIA leads to excessive proliferation and overproduction of neural progenitors in the subventricular zone (SVZ). MIA reduces parvalbumin+ while increases Reelin+ interneurons in the prefrontal cortex.
Picture
Maternal immune activation and neuroinflammation in human neurodevelopmental disorders (2021)

Abstract

"Maternal health during pregnancy plays a major role in shaping health and disease risks in the offspring.

"The maternal immune activation hypothesis proposes that inflammatory perturbations in utero can affect fetal neurodevelopment, and evidence from human epidemiological studies supports an association between maternal inflammation during pregnancy and offspring neurodevelopmental disorders (NDDs).

"Diverse maternal inflammatory factors, including obesity, asthma, autoimmune disease, infection and psychosocial stress, are associated with an increased risk of NDDs in the offspring.

"In addition to inflammation, epigenetic factors are increasingly recognized to operate at the gene-environment interface during NDD pathogenesis.

"For example, integrated brain transcriptome and epigenetic analyses of individuals with NDDs demonstrate convergent dysregulated immune pathways.

"In this Review, we focus on the emerging human evidence for an association between maternal immune activation and childhood NDDs, including autism spectrum disorder, attention-deficit/hyperactivity disorder and Tourette syndrome.

"We refer to established pathophysiological concepts in animal models, including immune signalling across the placenta, epigenetic 'priming' of offspring microglia and postnatal immune-brain crosstalk.

"The increasing incidence of NDDs has created an urgent need to mitigate the risk and severity of these conditions through both preventive strategies in pregnancy and novel postnatal therapies targeting disease mechanisms."

Microglia and aging:  Maternal Immune Activation & Premature aging

10/13/2024

 
Val's Take/Conjecture
  • Ignorance is one of the most anxiety producing states, especially when the stakes are high.
  • In 2013, the National Institute of Mental Health found that ADHD, Autism, Bipolar Disorder, Depression and Schizopheria were not distinct, and were blurred --- sharing common genes and mechanisms such as calcium channels.
National Institute of Mental Health
Five Mental Disorders Share Some of the Same Genes
See also:
Shared Genes & Psychiatric Disorders
Even back in 2013, the National Institute of Mental Health was recognizing the importance of the IMMUNE SYSTEM in Neuro-Developmental and Psychiatric Disorders --- it wasn't necessarily the dominant theme in the research.

Now over a decade later, the research is exploding all over the world, and we're talking about the importance of Maternal Immune Activation and the Microglia (immune cells in the Brain -- Central Nervous System) and the Mitochondria in those cells.

In 2024, we're seeing overlaps not only between Neuro-Developmental and Psychiatric Disorders, but also Endocrine Disorders, Autoimmune Disorders, Metabolic Dysregulation, Cancer, and Neuro-Degenerative Disorders.
Picture
Transcriptional and epigenetic decoding of the microglial aging process (2023)
Picture
The role of microglia in early neurodevelopment and the effects of maternal immune activation (2024)
Picture
Emerging epigenetic dynamics in gut-microglia brain axis: experimental and clinical implications for accelerated brain aging in schizophrenia (2023)
Picture
Microglia promote autoimmune inflammation via the noncanonical NF-κB pathway (2021)
Picture
Microglial Metabolic Reprogramming: Emerging Insights and Therapeutic Strategies in Neurodegenerative Diseases (2023)
Picture
Microglia, neurodegeneration and loss of neuroendocrine control (2020)
Picture
The Role of Microglia in Brain Metastases: Mechanisms and Strategies (2024)
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Ensheathing glia promote increased lifespan and healthy brain aging (2023)

Neuro-diversity and "Neuronal Hyper-excitability"

10/8/2024

 
Val's Take/Conjecture

One of the things that has happened in the last 15 years or so ---- we view these Neuro-Developmental and Psychiatrictric Disorders as much more blurred and having common mechanism.

We are also seeing the common mechanisms among:
  • Neuro-Developmental and Psychiatric Disorders
  • Autoimmune Disorders such as Multiple Sclerosis
    • "Genome-wide association studies reveal shared genetic haplotypes of autoimmune rheumatic and endocrine diseases with psychiatric disorders."
  • Endocrine Disorders
    • "Most endocrine disorders are associated with psychological disturbances, and, conversely, psychiatric entities induce changes in hormonal activity, as is the case for adrenal and thyroid hormones."
  • Metabolic Disorders such as Diabetes
    • "Dysregulation of immune and metabolism pathways in maternal immune activation induces an increased risk of autism spectrum disorders"
  • Neuro-Degenerative Disorders such as Parkinson's and Alzheimers
    • Pathophysiological Role of Neuroinflammation in Neurodegenerative Diseases and Psychiatric Disorders
  • Cancer
    • Mental Health America and Cancer
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Deletion of TRPC6, an Autism Risk Gene, Induces Hyperexcitability in Cortical Neurons Derived from Human Pluripotent Stem Cells. (2023)

"ASD often co-occurs with attention-deficit hyperactivity disorder and epilepsy, which are associated with hyperexcitability of neurons.

"...Our data provide evidence that reduction of SOCE by TRPC6 KO results in neuronal hyperexc …"
Picture
Bright, but allergic and neurotic? A critical investigation of the "overexcitable genius" hypothesis. (2022)

"Individuals at the upmost end of the intelligence distribution are reported to be disproportionately afflicted by a set of stress-related physical and mental health conditions: so-called overexcitabilities.

"Few accounts have investigated this issue and no studies are avail …"
Picture
Potential of GABA-ergic cell therapy for schizophrenia, neuropathic pain, and Alzheimer's and Parkinson's diseases. (2016)

"Several neurological and psychiatric disorders present hyperexcitability of neurons in specific regions of the brain or spinal cord, partly because of some loss and/or dysfunction of gamma-amino butyric acid positive (GABA-ergic) inhibitory interneurons."
Picture
Intergenerational Metabolic Syndrome and Neuronal Network Hyperexcitability in Autism.  (2019)

"Maternal insulin resistance, obesity, and diabetes may predispose offspring to ASD by mechanisms involving chronic activation of anabolic cellular pathways and a lack of metabolic switching to ketosis resulting in a deficit in GABAergic signaling and neuronal network hy …"
Picture
Disruption of the Na(+)/K(+)-ATPase-purinergic P2X7 receptor complex in microglia promotes stress-induced anxiety.  (2024)

"Accordingly, global deletion or conditional deletion of NKAalpha1 in microglia under chronic stress-induced aggravated anxiety-like behavior and neuronal hyperexcitability.

"DR5-12D, a monoclonal antibody that stabilizes membrane NKAalpha1, improved stress-ind …"
Picture
Rod-shaped microglia interact with neuronal dendrites to regulate cortical excitability in TDP-43 related neurodegeneration. (Preprint, July 2024)

"Notably, rod-shaped microglia predominantly interact with neuronal dendrites and excitatory synaptic inputs to attenuate motor cortical hyperactivity.

"The elimination of rod-shaped microglia through TREM2 deficiency increased neuronal hyperactivity, ex …"

    Translational Medicine Friday

    We're riffing off NPR's Science Friday to create Translational Medicine Friday.

    We'll be collecting Research Article recommendations for Clinicians with regard to Cognitive Disability.

    ​There is much in the RESEARCH JOURNALS and we'll just be SKIMMING THE SURFACE.

    The POINT is to INCREASE FUNDING for TRANSLATIONAL RESEARCH at the Federal Level for the National Institutes of Health, the Centers for Disease Control, the Nation's Research & Teaching Hospitals and possible collaborations with Medicare and Medicaid providers.

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  • Home
    • About Orchid >
      • Why Orchid?
      • ORCHID'S SYSTEMIC FOCUS & "ROOT CAUSE" ANALYSIS APPROACH TO PROBLEM SOLVING WITH A COMMITMENT TO CREATIVITY & INNOVATION
      • Disclaimers, Limitations and An Invitation
      • Orchid Board
      • Orchid Book Club
      • Conjecture, Science & Translational Research & Medicine
      • Orchid Themes & Symbols
      • The Tipping Point
      • Orchid's Website Advertising Policy
      • Statement for Potential Website Contributors
      • Contact
  • Blogs
    • Val's Blog
    • Val's Blog 2
    • ​TRANSLATIONAL/ ​TRANSITIONAL JUSTICE MONDAY
    • NEURO-DIVERSITY Wednesday
    • Olmstead Law & Order Thursday
    • Translational Medicine Friday
    • Translational Love, Relationships & Neuro-Diversity Saturday
  • Orchid's A-Z Index
    • Crisis Services in CO, the US & Around the World
    • Assertive Community Treatment & Flexible ACT Index
    • Housing & Homelessness Index
    • Criminal Justice
    • Innovation Index
    • For More: See the Main Orchid Index Page
  • US Federal
    • THE IMD RULE & ADMIN. ENFORCEMENT OF DISABILITY CIVIL RIGHTS LAWS
    • Medicaid & Supportive Housing & Housing-Related Services
    • CMS' FAILURE TO COVER HOUSING FOR LTC & THE IMD RULE: WHAT THEY HAVE IN COMMON IS DISCRIMINATION
    • National Take
  • Research & Translational Medicine
    • Immunology & Mental Health >
      • Alcoholism & the Immune System & Mental Health
      • Brain Injury, the Immune System & Mental Health
      • Celiac Disease & Sensitivities, the Immune System & Mental Illness
      • Mental Illness & The Immune System
      • Racial Discrimination & the Immune System & Mental Health
      • Trauma & the Immune System & Mental Health
      • ***Physical Health Issues, the Immune System & Mental Health Index
    • University of Chicago: Institute of Translational Medicine
  • Hot Topics
    • What We Want --- SAMHSA Grant Opportunities Due Jan. 22, 2019
    • Anti-Social Personality Disorder >
      • DECONSTRUCTING ANTISOCIAL PERSONALITY DISORDER AND PSYCHOPATHY: A GUIDELINES-BASED APPROACH TO PREJUDICIAL PSYCHIATRIC LABELS [Hofstra Law Review 2013]
      • Personality Disorders -- Unscientific & Vague -- Must Be Reformed
    • Executive Functioning & "Prison Brain" >
      • Job Accommodation Network on Executive Functioning Deficits
    • Medicaid & Medicare Network Adequacy >
      • OIG: STATE STANDARDS FOR ACCESS TO CARE IN MEDICAID MANAGED CARE (Sept. 2014)
      • OIG: ACCESS TO CARE: PROVIDER AVAILABILITY IN MEDICAID MANAGED CARE (Dec. 2014)
      • GAO 15-710: MEDICARE ADVANTAGE: Actions Needed to Enhance CMS Oversight of Provider Network Adequacy (Aug. 2015)
      • CMS: Promoting Access in Medicaid and CHIP Managed Care: A Toolkit for Ensuring Provider Network Adequacy and Service Availability (April 2017)
    • Medicaid Mental Health & Substance Use Disorder Parity >
      • CMS Parity Compliance Toolkit Applying Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs [Jan. 17, 2017]
      • Frequently Asked Questions: Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP [CMS October 11, 2017]
    • Olmstead Disability Rights >
      • Statement of the Department of Justice on Enforcement of the Integration Mandate of Title II of the Americans with Disabilities Act and Olmstead v. L.C. (2011)
      • Comprehensive Olmstead Planning
      • the Logical Long Term Consequences of our failure to provide Intensive Community MH Treatment
      • Olmstead Nation ---State Pages: How Far to Comply with Olmstead?
  • Take A Walk Around Orchid's Resource Block
  • Colorado Abuse & Neglect Scandals Involving People with Disabilities
  • Mental Health By The Numbers
  • New Science Is Amazing AND It Has HUGE Moral Implications for Our Society: NOW
  • Olmstead & Homelessness
  • Double V
  • " 'Defund the Police" Means 'Invest in the Resources Our Communities Need' " or Don't Cost Shift to the Police
  • VAGUE OLMSTEAD PLANS, EXPENSIVE LITIGATION
  • Updating & Reforming our Understanding & Treatment of "Anti-Social Personality Disorder" Blog
  • Reform of " Anti-Social Personality Disorder" in Criminal Justice
  • CO HB22-1278
  • New Understandings Matter
  • Mental Health, Ethics & Law
  • CO Olmstead Disability Homeless Law & Policy Project
  • Inflammation, the Immune System, Neuro-Developmental Disorders, Psychiatric Disorders, Substance Use Issues & Chronic Disease
  • Microglia and the Brain's Immune System
  • Substance Issues & the Immune System