PCIBC 2010 Brian Christie - Exercising Our Minds

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    Changes

    How we think about the brain

    Some of the people that have shaped ourview of the brain.

    How the effects of exercise on the brain is

    changing our view of it again.

    Time might change me, but I cant change time....

    Sir David Bowie

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    We were taught the brain is like a

    computer.

    =

    Were all obsolete models!

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    Our brains are dynamic.

    Like skin and muscle, brainschange in response to their

    environments

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    The Adult Brain Contains Neural Stem Cells

    New Cells

    expressing

    GFP

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    Granule Cell LayerMossy FiberProjection to CA3

    Dendrites inMolecular Layer

    Neural Stem CellsDaughter Cells

    Neurogenesis

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    Neurogenesis in the adult human brain!

    Rat Cells

    Eriksson et al. 1998 Nat. Med 4(11):1313

    Human Cells

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    The Brain is composed of billions of

    interconnected cells

    NeuronsGlia

    Endothelial/

    Vasculature

    Neural

    Stem Cells

    Networks;

    Cells that fire together,

    wire together

    Donald Hebb

    1904 - 1984

    CONNECTIONISM

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    The Hippocampus and Memory Severe Epilepsy, bilateral initiation

    1953 - Performed bilateral medial temporallobectomy. H.M. was 27 yrs old.

    William Scoville, MD

    Sept 1, 1953 performed

    bilateral temporal loberemoval

    Brenda Milner, Ph.D.

    -Showed working and procedural

    memory intact.-Couldnt form new explicit

    memories.

    Henry Gustav Molaison

    Died December 2, 2008

    Spent 55 yrs in a state ofpermanent amnesia

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    Donald Hebb showed enriched environments improved learning andmemory in rats.

    Kempermann and Gage showed enriched environments increased

    neurogenesis in the hippocampus.

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    Assessing the effects of exercise.

    1

    Normal Cage

    Running Wheel

    +

    +BRDU

    BRDU

    2Water maze

    3Electrophysiology

    Histology

    EXPER

    IMENTALDE

    SIGN

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    Exercise Makes Us Smarter

    van Praag et al., 1999

    R

    ESULT

    S

    Better Focus

    Faster Learning

    Improved Retention

    Improved memory

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    Exercise Also Enhances Neurogenesis

    Exercise increases hippocampal neurogenesis 2-3 times!

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    Exercise Helps New Neurons Grow

    New

    Cell

    Adolescent

    Cell

    Adult

    Cell

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    Exercise Can Also Help Old Neurons Grow!

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    Do New Neurons Do Anything?

    Van Praag et al., 2002

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    Hebbs Postulate: Synaptic Plasticity

    LTP

    LTD

    TIME

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    Exercise enhances LTP in the DG

    A RunnersControls

    STPS-50

    0

    50

    100

    -30 -15 0 15 30 45 60Time (minutes)

    EPSP(%Cha

    nge)

    B

    WTPS-25

    0

    25

    50

    -30 -15 0 15 30 45 60

    Time (minutes)

    EPSP(%Change)

    van Praag et al. 1999, PNAS. 96(23):13427-31.Farmer et al., 2004, Neuroscience.

    R

    ESULT

    S

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    Exercise increases the number of spines on neurons

    02970fa2

    Bri Chri ti DMS UVIC

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    Exercise increases BDNF and NR2B receptormRNA

    Farmer et al., 2004

    Brian Christie, DMS, UVIC

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    Summary so far:

    1. Exercise increases the production of newneurons in the brain.

    2.Exercise enhances the growth of existing

    dendrites on neurons.

    3.Exercise enhances the number of spines on

    neurons.

    4.Exercise enhances synaptic plasticity

    5.Exercise enhances learning and memoryprocesses.

    Brian Christie DMS UVIC

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    Can exercise be help people with

    brain injury?

    Brian Christie, DMS, UVIC

    YES

    Brian Christie DMS UVIC

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    Fetal Alcohol Syndrome

    Fetal Alcohol Syndrome (FAS) or Fetal Alcohol Spectrum Disorder (FASD) is caused by

    women drinking alcohol while pregnant.

    FAS generally refers to the spectrum of morphological and cognitive disorders that are

    apparent in the offspring of heavy drinkers.

    Many women dont even know they are pregnant for months after conception and

    continue to drink until they find out they are pregnant. Their children are probably more

    at risk for FASD than FAS.

    No amount of alcohol in pregnancy has been established as safe for the fetus.

    About 1% of North Americans suffer from FAS (Fetal Alcohol Syndrome) or FASD

    Brian Christie, DMS, UVIC

    Brian Christie DMS UVIC

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    Effects of Prenatal Ethanol Exposure are virtually thediametric opposite of those of exercise.

    1. There is cell loss in the Hippocampus of offspring

    following prenatal ethanol exposure.

    2. Hippocampal cells do not appear to be fully mature.

    3. Animals (including humans) exposed to ethanol prenatal

    exhibit impaired learning.

    4. Its harder to show electrophysiological indices of learning

    and memory (LTP) in animals following PNEE.

    Can exercise rescue animals from the deleterious effects of PNEE?

    Brian Christie, DMS, UVIC

    Dr. Joanne

    Weinberg

    Brian Christie DMS UVIC

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    These experiments require 3 groups of animals

    1. Ad Libitum Controls (AL) 2. PNEE (35.5% ethanol derived calories)

    3. Pair-fed (PF) get the same number of calories as

    PNEE animals but have maltose-dextrin substituted

    for ethanol.

    Ad Libitum (no diet, no alcohol)Pair-fed, No EthanolEthanol Diet

    Brian Christie, DMS, UVIC

    Brian Christie DMS UVIC

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    or

    Gestation Day 1Female rats becomepregnant and

    begin prenatal feeding(ethanol, pair-fed,or ad libitum diet).

    Postnatal Day 1Special diets end.Pups are born.Litters are culled to 10(5 m and 5 f).

    23 days

    22 days

    Female

    Offspring

    Male

    OffspringPostnatal Day 22

    Pups are weanedand housed individually in either normal cagesor cages containing an exercise wheelaccording to sex and prenatal diet.

    The offspring

    Never drink

    themselves

    Brian Christie, DMS, UVIC

    * Note this is the equivalent of drinking in G1 and G2 only.

    Brian Christie DMS UVIC

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    0

    50

    100

    150

    200

    250

    300

    1 2 3 4 5

    Trial 1 over 5 days

    Timeinseconds

    PNEE

    PF

    AL

    0

    20

    40

    60

    80

    100

    120

    140

    160

    1 2 3 4 5

    Trial 1 over 5 days

    Timeinseconds

    PNEE runner PF runner AL runner

    0

    20

    40

    60

    80

    100

    120

    140

    160

    180

    1 2 3 4 5

    Trial 2 over 5 days

    Timeinseconds

    PNEE (n=11) PF (n=13) AL (n=10)

    -20

    0

    20

    40

    60

    80

    100

    120

    140

    1 2 3 4 5

    Trial 2 over 5 days

    Timeinseconds PNEE

    PF

    AL

    PNEE runner

    AL runner

    Behavioural Testing in the offspring when they are adults (P50-60).

    Reference memory

    Working memory

    Brian Christie, DMS, UVIC

    Brian Christie DMS UVIC

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    Normal adult animals show more LTP when they areallowed to exercise.

    Ad Libitum

    -20

    0

    20

    40

    60

    80

    -20 -10 0 10 20 30 40 50 60

    Time (minutes)

    EPSPSlope(%

    baseline

    Ad Lib Runners (n=7)

    Ad Lib Non-runner (n=4)

    Brian Christie, DMS, UVIC

    Brian Christie DMS UVIC

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    Pair-Fed

    -20

    0

    20

    40

    60

    80

    -20 0 20 40 60

    Time (minutes)

    EPSPSlope(%baselin

    e)

    PF-R (n=8)

    Pair-Fed-NR (n=8)

    Pair-fed animals also show more LTP when they areallowed to exercise.

    Brian Christie, DMS, UVIC

    Brian Christie, DMS, UVIC

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    PNEE

    -20

    0

    20

    40

    60

    80

    -20 0 20 40 60

    Time (min)

    EPSPSlope(%Bas

    eline)

    PNEE-R (n=7)

    PNEE-NR (n=9)

    .

    PNEE animals also show more LTP when they areallowed to exercise!

    Brian Christie, DMS, UVIC

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    Brian Christie, DMS, UVIC

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    0

    200

    400

    600

    800

    1000

    1200

    PNEE Pair-fed Ad-lib

    Mea

    n#BrdUcells/hp

    c

    VE

    Con

    *

    *

    *

    DG Neurogenesis

    , ,

    Brian Christie, DMS, UVIC

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    Take Home Messages

    1. Exercise enhances neurogenesis in the DG.

    2. Exercise enhances synaptic plasticity in the DG.

    3. Exercise increases dendritic complexity in the DG.

    4. Exercise enhances learning in behaviors that seemto involve the DG.

    5. Early teratogen exposure can reduce neurogenesis,synaptic plasticity, and learning.

    6. Exercise may help to alleviate these deficits.

    , ,

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    Exercise and TBI

    Decrease health-risking behaviors such as

    smoking and depression Increase focus and ability to stay on task

    Improve mood and memory

    Increase blood flow to the brain Increase body awareness

    Positively effect balance

    Increase heart and lung efficiency.

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    PrecautionsExercise Precautions for Individuals with TBI

    See your doctor and discuss any exercise program with him/her.

    FatigueThere can be a number of reasons for fatigue: chronic pain,

    sleep disturbances, and depression. Appropriately timed activities can

    help tremendously (e.g., certain times of the day, carefully timed bursts

    of aerobic activity)

    Slowed thinkingIt can take longer to process the information, makesure to have a clear understanding of the exercise.

    Memory and initiationPoor planning and poor goal-oriented behavior

    can occur. Have a properly structured workout and review.

    MedicationsUnderstand the effects of the medication on your body.

    Talk with your physician before starting a fitness program to make

    sure that it is an appropriate plan of action for you at this time.

    Emotional BehaviorsImpulsivity, disinhibition, indecision, and

    irritability are all examples. Simply focus on the task or try redirecting

    the negative behavior.

    B i Ch i i DMS UVIC

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    Brian Christie, DMS, UVIC

    MD

    MD

    MD

    MD

    hon

    MD

    PhD

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    The Ups and Downs of Neurogenesis

    Physical Activity

    Enriched Environments

    Anti-depressants

    Anti-Oxidant Rich Foods?Omega-3 Fatty Acids?

    Mental Exercise?Social Interactions?

    Inactivity

    Isolation

    Depression

    Brain IrradiationAlcoholism

    Drug use

    StressPoor Sleep

    Working for the government