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00:02 So this is lecture three of Cellular Neuroscience. But we're going to

00:09 talking about some of the neuronal classification some of the newer methods that are

00:15 introduced and how to classify neurons. as you may have looked at those

00:22 , uh or in general, if thought about this is that as I

00:29 , the the gold standard for how subclass neurons, is it moving

00:35 Because the technologies are improving, there's lot more sophisticated molecular techniques that get

00:43 and they become an important part of classification of subtyping of neurons. Uh

00:51 , what we had for quite a is we had the ability to visualize

00:57 morphology. We had the ability to action potentials and even cross stain the

01:07 that we report from or the cells are of interest for us with specific

01:13 markers. So in the nineties and to 2010, this is kind of

01:22 gold standard. And if during the , you can sample part of the

01:31 that you're recording from physically by essentially its cytoplasm into the pipette, then

01:39 were able to do a single cell . A sequencing works out. But

01:47 a single cell. And we talked the fact that these recordings, these

01:51 of recordings, electrophysiological recordings from one multiple cells are painstaking. They're

02:01 they're time consuming. And if you an ace, you could potentially draw

02:10 from maybe 20 cells a day. you would be just regarded like,

02:15 , it can work fast and do lot of very, be very

02:19 So now we've spent quite a bit time talking about this slide and this

02:26 the area in the hippocampus. And point of this slide was that we

02:32 a lot of diversity in the inhibitor neurons. And if you recall the

02:38 into neurons for the most part, release their inhibitor and their interneurons,

02:44 release neurotransmitter gamma. So we talked the types of cells that you can

02:51 projection cells and projection cells are thought being excitatory cells and they're typically the

03:01 shake cells that release glutamate. So if you have an excitatory synapse

03:10 you have a neuron that produces this glutamate is going to be located

03:21 the vesicles. Here is the soul the neuron and this is referred to

03:29 presynaptic. It's presynaptic because this is the circular fusion takes place. And

03:38 gets released into the synaptic cleft. can lower this, I think I

03:44 so that it's released into the synoptic . So this is an excitatory,

03:51 typically projection cell. Now it will contact like we saw, for

03:58 a synaptic dendrites. And so this another cell and contact postsynaptic gun drives

04:07 little spines here and release this neurotransmitter postsynaptic. So this is now called

04:15 synaptic this side side, it's it's posy neuron. Here, it

04:25 its own synapse, it has its axon and and it turns out that

04:34 is a different type of vesicles and neuron releases gaba. So typically these

04:43 inhibitory neurons, they come in many shapes and they are referred to as

04:56 because they stay within the local So we see that here we have

05:01 inhibitor into neurons at least 21 different subtypes is defined by their location.

05:07 within these three layers, the dendritic and projections and axonal projections and synopsis

05:17 they're being formed in these cells. in addition to specific cell markers,

05:22 these different subtypes of inhibitor interneurons stain express such as basket PV CCK.

05:31 are different reval and CCK. Polycystic and these are different molecules. So

05:36 different genetic expression that's how they're different . And so then molecular part of

05:44 story becomes quite important and this is molecular signature of these five cells,

05:55 and this is 123, 12345 is signature of five of these cells.

06:05 this is done with the single cell a sequence, sorry. And instead

06:12 just doing it on a single what can be done is these techniques

06:18 you will hear that are important, you may hear it within the context

06:25 drug discovery but anything that is high . But OK, so what does

06:42 mean? That means that you can a high volume or something of

06:47 you can study a lot of a high volume of cells.

06:53 you can study many brains in a period of time. And drug discovery

06:58 , a lot of molecules can be on the tissue and the higher

07:04 uh the models of the systems, easier those models are, the quicker

07:10 can get to the answer. So example, you suspect that 2000 compounds

07:16 a particular type may be useful in inflammation. So if you did one

07:23 for each student in each post doc , that would take you 100

07:28 And we still need just be a of the way done. Uh If

07:33 did it one by one cell and trying to look at each drug

07:38 some model that it takes a long . So instead you speed that process

07:43 . And here we have these sorts we talked about. So you can

07:48 the tissue that you can uh uh a particular uh side of the

07:53 Let's say you want to isolate the and then you're gonna homogenize the

07:58 You're gonna put it through these microfluidics have barcoded beads that will tag on

08:05 the cells here with the beads and droplets or are pooled for synthetic DNA

08:11 C DNA synthesis, amplification and So instead of just this one RN

08:19 extraction draw from a single cell. you're talking about pumping hundreds of

08:25 thousands of cells today, potentially through system. And what it allows you

08:30 do, it allows you to determine molecular profile just like we saw previously

08:37 the molecular profile of different subtypes of . Now, this is where it

08:46 kind of a tricky. OK. this is where if it is difficult

08:56 follow, as I would say that can together look at that figure legend

09:03 we call a lot of my alternative descriptions will contain full figure legends for

09:11 figure shown at will be abbreviations. that's because I either didn't finish or

09:16 want you to go into the supplemental material to actually drag out that figure

09:23 . This is interesting, this is multiplex fluorescence in situ Hah fish for

09:32 China. And what it is is it has a single and double label

09:43 to allow tens to hundreds of Mrnas be co acid in individual cells within

09:50 sections. It's so the figure legend pretty long and there's a lot of

09:56 uh details in that description, I you to read it on your

10:01 but essentially it allows to tag like talked about many uh messengers and creates

10:12 of this 0101, almost a binary of fluorescence then can be that can

10:19 read. Yeah, what else do have? So those that have taken

10:28 neuroscience course are familiar with this retinal . If you have taken anatomy or

10:34 or neurobiology, you probably also covered retinal circuit, the retinal circuit is

10:40 of. And when we talk about retinal circuit, we're talking about where

10:45 processing of white face fled. So the light comes in and travels through

10:53 eyeball, it actually activates photo receptors the very back of the record.

10:59 we have rod photoreceptors that are elongated and we have cone like cone shaped

11:08 receptors. So, raw photoreceptors are vision or gray scale co for photoreceptors

11:16 color uh process. Now, these , they will convert the energy of

11:25 the photons into electrochemical signal and they communicate this information from photoreceptors to the

11:34 cells. And this will occur in following figure where we talk about B

11:41 as they bipolar cells. And then have these bipolar cells that connect onto

11:50 ganglion cells and the axons of these ganglion cells, they form the optic

12:00 . So they're responsible for putting that from the retina into the higher order

12:08 information processing centers into the thalamus OK. So in addition to those

12:18 three cell types, we also have horizontal and amari cells. But for

12:25 purposes, uh we're gonna move on the next figure that describes class classification

12:36 retinal bipolar cells. In this retinal bipolar cells, B CS.

12:43 it looks sort of a like interesting of how can we distinguish between different

12:53 , other different subtypes of bipolar cells these B CS? Because uh when

13:01 took neurobiology or my neuroscience, which said bipolar cell, we didn't say

13:05 there's many different subtypes, how many subtypes? So there are multiple methods

13:14 you can use. And in this is you know sets of high

13:19 data, namely morphological electron microscopic reconstructions . So when you're talking about

13:30 we're talking about morphology when it says calcium imaging. Uh do you guys

13:41 what calcium imaging is or physiological calcium is? Ok. Let me review

13:49 . So you have cells and these are sitting in the tissue here and

13:59 these cells get active, the calcium inside these cells, they increase.

14:08 this indicates active cells. If the levels are going up, if the

14:16 levels are not changing or if they're , the cell is less active,

14:24 never say it's inactive because so less . So that's just the basic principle

14:35 , of physiology, the cells that essentially and in intracellular calcium concentrations is

14:44 good indicator of neuronal activity. It not the electrical activity, it is

14:54 concentration measurement of calcium, but it very well. And in many

15:02 almost identically correlated to changes in So calcium levels goes up. That

15:10 the cells are more active. So you can observe which cells are more

15:17 and which cells are less active. would you observe that? And how

15:25 you image calcium? So you have put something on this tissue and you

15:32 something in this tissue that binds calcium makes this calcium light up so many

15:40 dyes that you can visualize calcium, sensitive dyes calcium, there's several different

15:50 . So when this lights up, you can do is you have the

15:59 objectives and I could see the bigger that you can shine the light on

16:07 tissue and you can measure the amount calcium. Ok. So you're imaging

16:14 amount of calcium light that is coming from different regions of this tissue.

16:21 collecting this into a microscope and you're it on some digital screen that shows

16:29 the calcium active cells like this or example, traces. So this is

16:35 lot of calcium, it just transforms into a trace. It's not an

16:39 trace, it's a digital trace or this cell, maybe it's a little

16:44 in this. So now we we track acidity of of calcium. And

16:52 of reporting action p which we talked in the previous lecture today.

16:59 this is an alternative way and there's other ways in which we can track

17:04 of neurons. But calcium imaging or sensitive dyes is one way in which

17:10 can track neuronal activity. And we'll back and talk about that briefly when

17:14 have lecture of neuronal imaging. But least that places in you within what

17:21 meant by physiological calcium imaging, it's because it's activity, it's changing and

17:27 correlated concentrations are correlated to the actual . And uh neuronal potentials and molecular

17:38 are basically drops and into the following types, one type of rod BC

17:45 bipolar cell and 14 types of cone cells. So that's a lot

17:53 We're talking about 15 different sub vibes the bipolar cells and it's further subdivided

18:03 eight on and six off types of cells. So how do you,

18:10 do you analyze something like this? difficult if you don't know the matter

18:17 while the statistical models don't have access math works or math lab, you

18:23 need to go to department of mathematics get some help from your peers

18:28 or some mentors. But there are ways. In this case, it's

18:32 T distributors stochastic neighbor embedding plot showing clustering of 20,000 bipolar cells that were

18:43 by fluorescence activated cell sorting from visual . But they are expressing this fluorescent

18:52 , green fluorescent protein GFP. It a transgenic mouse line. Wow,

18:59 a, that's a mouthful, But the transgenic, it means it

19:04 some gene altered, maybe it's a mouse because it actually has calcium indicators

19:11 already within the mouse. You don't to apply a dye on the

19:15 right. So, and we have uh mule cells as mg profiled by

19:23 sequencer. And this uh TSNE which the stochastic neighbor embedding plot provides a

19:30 way to display cell clusters is defined high dimensional analysis of correlations in the

19:36 expression in two dimensions. So you essentially RN ac, you drag out

19:43 of the information about these cells. cell, let's say this cell right

19:50 has this molecular profile. This cell here has this molecular program you wanna

19:57 now somehow compare the molecular profiles, ones are most similar, right?

20:05 is five shown. But we're working with 15 and visually you'll say

20:08 of course, this right here is but then this is nothing here.

20:14 right here is overlapping here, but missing all of these. But you

20:18 get a little bit more mathematical with , more quantitative. So you would

20:22 uh a model like a stochastic analysis and what it does, it produces

20:27 clouds. And you have essentially the neighbor embedding in two dimensions and you're

20:38 how similar are the genetic uh are uh profiles, molecular profiles. So

20:47 more similar they are they get clustered the same cloud. So these are

20:54 DC 7th 7th subs, this is new and Leal CBC 38. Then

21:03 other thing that this plot shows is proximity. So the closer the two

21:10 are to each other, that means more molecular overlap exists between them.

21:17 further apart they are, that means less of that molecular similarity or overlap

21:25 the expression. So then you create a Denro graph just like the dendrites

21:35 and spreads. These are referred to Denro grams. So you have relationship

21:41 BC cell types are shown in the of Denro gram that was created based

21:45 their transcript to similarity. So this the tend ground that gets created from

21:52 analysis. And then c the sketches the 15 BC types whose terminal branches

21:58 axons are located in different subliminal sublimate the inter flexor layer of the retina

22:05 the retina. So you still need but it's interesting that these clouds that

22:12 the cells based on their molecular those subtypes of molecularly profiled cells,

22:20 can be described as having unique and somewhat similar morphology. And then in

22:30 cases, morphologically what is really different this and this BC seven BC

22:37 So if you use just the even if you used calcium imaging on

22:43 of that physiology, even if you action potentials and they fired the same

22:50 the molecular analysis may in fact show VC six and BC seven belong to

22:57 different molecular clouds. So, but , it complicates things a little

23:05 but it also helps us a lot , with subtyping and thinking about neuronal

23:11 from molecular transcriptome perspective. Um And cool. Yes. Are there

23:23 Yeah. Good question. The last on the exam, let's think about

23:34 . I, I don't know, missed something. Did you find a

23:39 in the paper? They're not all here, for example, BC

23:55 Yeah, I know. I was say if it's not explained in the

24:01 , it could be a typo and may be the first person that caught

24:06 and I went through like five reviewers like two months. Nobody saw

24:09 I don't know, I don't That's, that might not be

24:12 So yeah, it's this, it's measure basically it's a, a stochastic

24:23 is described here that it's a distributed T distribution of stochastic neighbor embedding them

24:31 . So it, it's compares, guess using statisticss, how similar are

24:37 uh molecular expressions and then assigns them these, the stochastic model assigns them

24:43 these plots. It's not to say that's the best model. Somebody may

24:49 a different model and you know, of H University versus Rice University and

24:55 they may get uh instead of 15 they may find 20 clouds.

25:01 So it's, it's a little, a little bit of a always a

25:05 bit of built in bias and in model and analysis because any model and

25:11 relies on certain variables. So, in this case, the variables are

25:18 analysis. So you probably trust it well. But if you change

25:22 so you reanalyze all of these there might be slight differences. So

25:26 all about the size of the If it's statistically significant, then you're

25:35 . All right. So example of we are talking about is synoptic

25:43 So we've talked about OK, what different about different sometimes. No,

25:51 understand this neocortical neurons. This self classification that we talked about glutamic glutamate

26:01 gaba morphological distinction of cells like a and molecular problem. Um It's also

26:12 important to have the full morphology of cells. And you can describe this

26:19 morphology using labeling techniques, using viral , um using some transgenic animals.

26:28 you can light up the cells so can see their branches in vivo and

26:33 they uh uh and the full morphology it both in vitro and vivo.

26:39 you have different cells, sometimes what really interested in is how these cells

26:45 connected to each other. So the of how the cell communicates to another

26:51 is electrophysiological reporting. You can kind uh rely on calcium a little bit

26:57 it's not that great of an imaging for cell to cell connectivity because if

27:05 L lights up and another one lights calcium and imaging may have some temporal

27:12 and analysis that are built in, you don't have an electrophysiology. So

27:17 best way to see connectivity between cells still using electrophysiological recordings or transsynaptic viral

27:28 . What does that mean? That that you again expose the tissue or

27:35 somehow virus in the tissue. And virus is capable of jumping from one

27:42 from one cell through the synapse into interconnected cell. And because it has

27:50 visual tag, you can trace which or which processes are connected to to

27:58 other processes, then you have some synoptic configuration. So if you worked

28:05 sort of about the rock connectivity, cell is connected to these three

28:10 This one is connected just to these two are just talking back and

28:14 to each other. You want to where the somatic contacts are formed.

28:19 that still is relevant. So when talking about the hippocampus, where the

28:23 are coming in, that is still to understand the whole configuration of the

28:29 . So now from the cells, building a network where they formed on

28:33 Somas and the dendrites and the Ridic , which projections are long range

28:40 That's when we talk about projection cells which projections and which synapses are localized

28:47 the network. And then finally, have this synaptic reconfiguration. And what

28:55 means is that this connectivity is It can be changed and it changes

29:02 lot, especially during early development and can change a lot through a process

29:09 learning. So the cellular mechanisms that , for example, learning and

29:15 Some of the cellular mechanisms are that Synopsis, OK. The synopsis that

29:22 active and the synapses that are active cell one, these are newly formed

29:29 . This is active synapse here and synapse here is maintained. But the

29:36 in dash lines here, this neuron not very active talking to this

29:42 And what happens is this synapse because two neurons don't communicate with each other

29:48 well. And therefore this doesn't communicate the third one. Both of these

29:53 can get eliminated. And this happens lot during the early development where we

30:00 have more connections at the beginning in brains than we end up as

30:07 A lot of things are non specifically in these neuronal networks. And these

30:15 that are not active, they get or all pruned, they get

30:20 essentially the connections that are active, strengthened, the same applies during the

30:28 of learning and memory. So we'll two lectures on plasticity and learning and

30:34 and the rules by which neurons strengthen synopsis or eliminate the synopsis. And

30:43 this is really the connectivity configuration of connectivity. And the fact that is

30:49 plastic process. So you can have . And even in adult brains,

30:55 have plasticity, we can still we can still forget things.

30:59 we still have a significant amount of going on, but not as much

31:05 during early development and childhood into early . So eventually and for some people

31:17 these cells and these networks and connectivity how cells communicate to each other might

31:24 very useful for engineering tissue. And what is tissue engineering? It's literally

31:32 tissue having the south. This is little like c rainmaker and you essentially

31:43 this with cells. OK. You some coating on top, maybe you

31:49 to have double layers of two types cells. And an example of that

31:56 be a severed nerve in the periphery nerves in the periphery can regrow,

32:04 cannot regrow in the cns uh following , but nerves in the periphery can

32:11 . But you can also facilitate that process. You can facilitate that regrowth

32:16 . For example, creating a little that has similar cells or the same

32:26 of cells that create insulation around the . And you can insert it in

32:34 area where the axon or where the was broken, surrounding that area to

32:42 and promote the regrowth. And of , uh in this uh case,

32:49 would be one set of cells and that you're gonna be interested in

32:55 And if you are potentially trying to something in the SOMA, it might

33:00 another different set of molecules or tissue something like that, either artificial or

33:10 tissue that you can apply. So is all at experimental level. Uh

33:18 you know, grafting existence surgery, ? You graft things, people take

33:25 from different parts of the body and over other parts of the body that's

33:30 so that skin from will grow. . But this is a little bit

33:36 complex than that. And it's really to look at different self subtypes and

33:40 you would tissue engineer, different self , how you would have them interact

33:45 each other without and, and have in some way in such a way

33:49 it, it, it, it actually promote the formation of that

33:55 If you engineer something in the wrong , it could kill those neurons and

34:01 , those axons too. So there's lot of work that goes into this

34:06 it's an interesting field for me. a very interesting field. All

34:12 OK. So are there any questions ? So now we're going to venture

34:23 the third uh lecture presentation that you in your modules and now your pages

34:34 think are also activated. So we be able to see both as

34:40 So let's see. I don't know happened, but I may have not

34:46 it correctly. Yeah. Now I'm on the screen and we're going to

35:02 about glia and there are many different of gua but not as many as

35:09 . Sometimes the major types of radial glia ligo denroy microglia,

35:18 those are the four major subtypes and talk about all of them today and

35:27 also we'll end up talking about them little bit on Mon Tuesday.

35:35 the development of neuronal processes is very . Neurons are born and then they

35:43 to their final destinations and they develop of these processes. The dendrites,

35:48 dendritic spines, the axons and they that specific connectivity that we were looking

35:54 . Some of them become projection cells stay within the locus local circuits.

36:00 radio glial cells are very important for migration and guidance. Radial wheel cells

36:09 uh are thought as progenitor cells that become other types of real cells or

36:19 neurons, oligodendrocytes and shown here, in the CNS are responsible for forming

36:31 myelin segments. So one oligodendrocyte will multiple processes or arms extending out and

36:41 around and each one of the processes a single myelin segment. So this

36:49 again can have 10 can have 100 segments. It depends how long the

36:55 is, for example. But each is going to be formed by one

37:02 of a ligo underside. The one liga underside can interact with multiple

37:07 multiple neurons and multiple axons in the , microglial cells, which are shown

37:17 are the smallest and the most mobile , glial cells and the most mobile

37:25 in the brain period. They are with injury, clean up and

37:33 They're involved in immune response of the and they release cytokines and cytokines

37:43 And in general, normal release of means normal care and homeostasis, kind

37:50 taking care of things that is things are breaking a little bit all

37:54 time, things need to be cleaned just like it every day. Uh

38:01 when there is an injury, they activated microglial cells, they rush into

38:07 side of injuries, start cleaning up injury, they start releasing cyber con

38:12 signals and immun faults. And that important because the injury could be due

38:19 an infection break. You have to fight that infection. So, microglia

38:28 the cytokine signaling is very much involved control of homeostasis and inflammation, inflammatory

38:37 in the brain astrocytes that are shown . You can see that ostracizes have

38:46 extensive processes and cover quite a large just for a single cell. And

38:54 of these processes wrap around the synopsis . So astrocytes intricately control synapse

39:03 which we call synaptogenesis, synaptic which we call communication between the two

39:12 when one releases neurotransmitter. And another reacts to it. The one that

39:17 the receptor on the boss cell. intricately involved in synaptic transmission snap the

39:25 and homeostasis around synopsis of neurotransmitters and and ions that it monitors around neuronal

39:34 . But the on the other it, its end speed processes extend

39:40 wrap around the micro capillaries in the vessels of the brain. In conjunction

39:48 endothelial cells, suicides form what is the blood brain barrier. So they

39:54 , there's a lot of things in blood that do not cross into the

39:58 . And likewise, there's a lot things in our blood that cross into

40:01 brain. And even if they do into the brain, they have to

40:08 in a controlled fashion, a certain of things crossing into the brain and

40:17 by controlling this. This basically is of the police posts that controls what

40:23 from the blood vessels and en cross the brain tissue. So it comprises

40:29 blood brain barrier collectively glia control and influenced by growth factors. They control

40:37 genesis, they control synaptic transmission, also synaptic plasticity. So configuration and

40:43 of the con connect connectivity between the also homeostasis. So homeostasis is just

40:51 to a balanced a a and if may a normal, balanced state of

40:59 and activity. So these are a glial cells illustrated here and this is

41:06 a drawing by Ramonica Hall of different glial C. And what this shows

41:13 you click on these videos and we watch them together. But what this

41:19 here, this is this this long , this is great we have,

41:26 is in no. And when we the uh early formation of the nervous

41:32 , the birth of neurons and migration their final destinations. What do they

41:38 on? So these ropes serve as highway as a migration highway or as

41:45 lattice as the ladder to climb And neurons become cytoplasm or at this

41:52 , our cytoplasm continues with rare. so they, they share the same

42:00 and they move along this road to their final destination. So that's cell

42:07 that it's very important um in guiding neurons into certain areas. As I

42:14 , their progenitor cells, some are found in adult brains, although they

42:20 very predominantly expressed during early brain formation migration of neurons. Uh and some

42:30 migration from one of the zones where form called the sub ventricular zone uh

42:37 without radial wheel guide. So there other um cues, chemical cues,

42:46 cues, cell and cell recognition The neurons can help guide themselves without

42:54 this rope or lattice to a particular in the brain. So if you

43:01 on these, this should uh lead to this video. You can see

43:14 movement of the neuron along the radial cell here. Yeah. So let's

43:27 back into this and you can watch second video on your own too.

43:34 , oligodendrocytes are myelination in the This myelination is bi lids. And

43:42 talked about one process, the one of the myelin in the PNS,

43:46 peripheral nervous system. This myelination is swan cells. So, peripheral nerves

43:53 myelinated by Schwann cells. Um And yeah, this is pretty much everything

44:02 already talked about except the lid. are responsible for myelination. This myelination

44:09 is not easy because what has to is this process by Ligo Denver side

44:16 to find the axon and then it to wrap around. So you can

44:23 that there's multiple layers of this process wraps around the axon to to to

44:30 this installation. And there is at seven if not more myelin basic proteins

44:38 are involved in this process of myelin . So there is a number of

44:43 that influence this process of myelination. of them, some of these proteins

44:49 responsible for initiation of myelination. So cell recognition, initiation of myelination,

44:55 proteins of these myelin basic proteins. may be responsible for compaction of how

45:04 the wrapping around this and all of have to work in unison in order

45:09 form axonal myelination, which is basically of axons and it's very much

45:17 So if you have the proper insulation the axon, you can generate an

45:22 potential here. This is where they at the SOMA and axon initial

45:28 And if it's properly myelinated that action is going to reach the external terminal

45:34 it is going to result in the of the neurotransmitter. So proper myelination

45:40 the action and also provides for reliable transmission from when the cell generates action

45:48 to the synaptic terminal here. And what happens if you start losing some

45:55 this insulation. If you lose some these mi sheets around, that means

46:01 start impairing the action potential. And that action potential that gets generated here

46:10 reaches the synoptic terminal, but maybe much smaller. It started being this

46:19 here. And now because of the in myelination, that's much smaller.

46:23 now it's actually not enough to be neurotransmitters. So if you don't have

46:32 myelination, you compromise the synaptic transmission you compromise the communication between neurons.

46:42 we are going to discuss two demyelinating . It's familiar to uh uh some

46:49 you and some of you have learned it in other courses. So,

46:54 sclerosis is demyelinating disease. What is underneath this picture here, it's a

47:01 uh disorder in the CNS. It's called multiple because sclerosis which are lesions

47:13 found in multiple areas in the So it's typically not just 10 it's

47:18 in the left hemisphere in this area the brain. It's multiple locations.

47:24 have uh impairment of oligodendrocytes. The denroy are being attacked and eaten

47:32 Multiple sclerosis is an autoimmune disorder. myelin is targeted by immune system and

47:40 basic proteins are targeted by the immune . You have CNS inflammation and essentially

47:49 disorder causes demyelination and loss of So let's talk about the autoimmune.

48:03 why, why is it attacking Who is attacking what it's the immune

48:12 ? You have a certain amount of four T cells that are expressed in

48:18 cerebrospinal fluid. But if you have , there is a breach of the

48:26 brain barrier. So if you have , you have holes that open up

48:36 the blood brain barrier, leaky blood barrier becomes leaky if you have

48:49 And that's a common theme. If have inflammation and you have a leaky

48:53 brain barrier, that means things from blood can easily cross into the

48:59 And that number of immune cells T four T cells increases tremendously. And

49:11 in a normal state, your microglia releasing cytokines and taking care of normal

49:18 of the brain. Once there is and invasion of these immune cells that

49:26 start attacking myelin. And once there an infiltration of these cells, uh

49:37 start over releasing cytokines. Therefore, is a normal homeostasis. There's a

49:46 operating within some normal dynamic range. right. And temperature, what is

49:54 dynamic range for your body temperature? don't know, maybe 36 and Celsius

50:00 the morning, 38 39 40 when in the sauna back to 30

50:07 that won't happen, will only happen you have fever. If you go

50:10 sauna and it's hot outside, you're start sweating. So your body temperature

50:15 a homeostasis. It's gonna be about same. If you are in a

50:22 and shivering, there might be a in one degree or half a

50:28 But you will, your body temperature go from physiological 37 °C to 40

50:33 you have an infection, if you inflammation, especially bacterial infection.

50:41 So what is the dynamic range of body temperature? Not much? Just

50:48 couple of degrees Celsius fluctuations between 36 say in 38 on, on a

50:55 a daily basis, if it goes of this range to 100 it goes

51:01 100 and four and it stays at one can die quite easily actually because

51:09 will have a hypothermia induced seizures at and four °C. So this is

51:16 this is just an example of what the dynamic range in the system.

51:21 will talk about action potentials in the and address that dynamic range as well

51:28 between minus 45 let's say and minus . And during action potential, that

51:35 range is between minus 45 and positive that's an average. So this is

51:43 dynamic ranges and when, when something outside of that dynamic range and that

51:48 can be cytokines. So when it's normal dynamic range and normal solitary on

51:55 stasis cleanup is going on. You a spike in the cytokines.

51:59 it can actually contribute to pathology. There are different causes of multiple

52:07 Genetic predisposition doesn't mean that it's genetically cause disease. Multiple genes are involved

52:15 multiple chromosomes, infectious factors such as . So, one of the theories

52:21 the, is the first brain infection infection on these axons and then the

52:28 cells start attacking it and they become and they just keep killing instead of

52:34 infection, just keep killing the axon infection was originally environmental factors. Vitamin

52:41 is being addressed um in relation to sclerosis, genetic predisposition can be

52:48 of course, onset age is typically to 30 years old. Females are

52:54 affected uh symptoms is it just really what part of the brain is affected

53:02 it could be globally sclerotic or it be, although multiple locations could still

53:07 more, let's say to the frontal rather than the occipital lobe. And

53:13 could have double vision, muscle painful muscle spasms. So what happens

53:19 you lose this myelin, your axons function normally your communication through action

53:27 So, neurotransmitter release is abnormal. so now when you're talking about muscle

53:34 , that's periphery. Right. It is not the muscle. So

53:39 causes tremors and it also causes very , kind of a clenching of spasms

53:48 And that's because I, for I have normal control. So I

53:52 tell my my fingers in my I'm fun. Straight out to

53:57 Move around. If my myelin has compromised, this is at the level

54:03 the CNS. So your peripheral nervous has not been compromised. It's only

54:09 oligodendrocytes that affect you. But the that is coming from CNS is called

54:16 that's and, and, and the is unreliable. So I have a

54:24 and my motor cortex, my conscious cortex, my conscious thinking says motor

54:30 , tell this spinal nerve to relax because it's becoming painful. And the

54:38 neurons and motor commands and other networks . They're failing, they're failing,

54:46 failing. So they may have initiated contraction but they're failing, they're failing

54:50 relax the muscles. So the fact on the periphery but it is ac

54:57 disorder that we're talking about. And the same would be, for

55:02 , for Parkinson's disease. When we about the tremors, again, the

55:06 is in the CNS. It's not dysfunction and the atrophy of the

55:11 And that's why you're having tremors or, or spasms. It's because

55:16 the faulty commands, faulty motor faulty muscle relaxation commands and then other

55:24 as had a cognitive dysfunction, mental fatigue. Uh There's treatments that are

55:32 pharmaceutical treatments, but there's also other that are potentially physical physiotherapy, nutraceutical

55:41 diet related therapies activities and so on so forth. And this is a

55:47 Institute for Neurological Disorders of stroke, DS. The link to multiple

55:55 And uh if you have demyelination of cells in the periphery, it's associated

56:04 Charcot mary tooth disorder. And because the improper myelination in the periphery

56:12 and it's typically during the development onset adolescent, early adulthood where your muscles

56:19 still shaping in your skeletal bones and skeleton is still shaping around the

56:26 If you have this demyelination in the , again, you don't.

56:30 it's because in the periphery, you have proper control of muscles.

56:34 you don't have proper control of You have deformative in your deformities in

56:42 arms or in your feet. You weakness quite often. You have curvature

56:47 scoliosis of the spine. Uh You have short, shortening of certain um

56:57 , uh tendons, muscle cramping, pain, and the treatment for this

57:03 really braces, physical therapy and So the earlier you identify sha N

57:09 , you can place people in the so they can have the muscles more

57:14 , therefore, their gate, more and hopefully motor commands more uh symmetrical

57:19 execute executable again. And it's a demyelination, one of the most common

57:26 neurological disorders. So this is this is a genetic disorder, PNS

57:34 due to PNS demyelination. Um And other types of treatment, obviously,

57:42 you have a lot of pain, it, it's painkillers. Yeah.

57:54 , actually it's a, it's it's another kind of a peripheral myelin

58:00 called P MP 22. And there an over expression of that P MP

58:08 . And, uh, what you to keep in mind is when I

58:12 over expression and they'll say, if it's over expression, that music

58:15 be more myelin. But remember it's interplay of these myelin basic proteins.

58:21 if one is outside the dynamic range the balance, it can throw off

58:26 balance for others too cause improper myelination demyelination. So, um it's similar

58:36 would also be correlated with uh inflammation well in the peripheral nerves that you

58:43 see in the, in the, the CNS. But CNS is autoimmune

58:49 this is uh in inherited genetic OK. We still have quite a

58:56 left and I'm not gonna rush but we're gonna talk about microglia.

59:01 gonna talk about astrocytes. We're gonna about morphology of astrocytes. We're gonna

59:09 about blood brain barrier again. And happens with the compromise of blood brain

59:15 ? We will talk about how microglia interact with each other and how these

59:22 between microglia and astrocytes are very important a part of normal synapse formation

59:30 But also what happens if you have release of these inflammatory molecules such as

59:38 in the tissue, what happens to tissue glial tissue or vascular tissue.

59:47 uh we basically mostly focus on the between microglia and Astros. And some

59:55 these themes about microglia and cytokines and will come back too when we

60:00 for example, Alzheimer's disease. if you look up microglia and Alzheimer's

60:05 , this huge correlation there with with leaky blood brain barrier, with

60:10 of homeostasis or proper homeostasis that all to plaque formations in Alzheimer's disease.

60:17 there's a strong correlation there. And general inflammation uh is sort of a

60:24 a common theme in many neurological And now a lot of times when

60:29 have one neurological disorder, you may another condition that we call comorbidity

60:37 And we always wondered, well, causes the coma, if, let's

60:42 you have a genetic mutation that causes disorder like uh MS and now you

60:50 epilepsy. So, is that due the same uh change that happened?

60:57 , is it the same autoimmune destruction causing epilepsy is something different? And

61:03 think that may be inflammation could be linkage that inflammation on its own generated

61:11 one disease can call upon and so to speak a, a comorbidity

61:18 when and how it sequester it, don't know there's probably other factors involved

61:23 well. So, all right. you very much. Enjoy the rest

61:27 this beautiful afternoon and I will see all on

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