Samuel Houle , Zoe Tapp , Shannon Dobres , Sakeef Ahsan , Yvanna Reyes , Christopher Cotter , Jessica Mitsch , Zachary Zimomra , Juan Peng , Rachel K. Rowe , Jonathan Lifshitz , John Sheridan , Jonathan Godbout , Olga N. Kokiko-Cochran
{"title":"Sleep fragmentation after traumatic brain injury impairs behavior and conveys long-lasting impacts on neuroinflammation","authors":"Samuel Houle , Zoe Tapp , Shannon Dobres , Sakeef Ahsan , Yvanna Reyes , Christopher Cotter , Jessica Mitsch , Zachary Zimomra , Juan Peng , Rachel K. Rowe , Jonathan Lifshitz , John Sheridan , Jonathan Godbout , Olga N. Kokiko-Cochran","doi":"10.1016/j.bbih.2024.100797","DOIUrl":"https://doi.org/10.1016/j.bbih.2024.100797","url":null,"abstract":"<div><p>Traumatic brain injury (TBI) causes a prolonged inflammatory response in the central nervous system (CNS) driven by microglia. Microglial reactivity is exacerbated by stress, which often provokes sleep disturbances. We have previously shown that sleep fragmentation (SF) stress after experimental TBI increases microglial reactivity and impairs hippocampal function 30 days post-injury (DPI). The neuroimmune response is highly dynamic the first few weeks after TBI, which is also when injury induced sleep-wake deficits are detected. Therefore, we hypothesized that even a few weeks of TBI SF stress would synergize with injury induced sleep-wake deficits to promote neuroinflammation and impair outcome. Here, we investigated the effects of environmental SF in a lateral fluid percussion model of mouse TBI. Half of the mice were undisturbed, and half were exposed to 5 h of SF around the onset of the light cycle, daily, for 14 days. All mice were then undisturbed 15–30 DPI, providing a period for SF stress recovery (SF-R). Mice exposed to SF stress slept more than those in control housing 7–14 DPI and engaged in more total daily sleep bouts during the dark period. However, SF stress did not exacerbate post-TBI sleep deficits. Testing in the Morris water maze revealed sex dependent differences in spatial reference memory 9–14 DPI with males performing worse than females. Post-TBI SF stress suppressed neurogenesis-related gene expression and increased inflammatory signaling in the cortex at 14 DPI. No differences in sleep behavior were detected between groups during the SF stress recovery period 15–30 DPI. Microscopy revealed cortical and hippocampal IBA1 and CD68 percent-area increased in TBI SF-R mice 30 DPI. Additionally, neuroinflammatory gene expression was increased, and synaptogenesis-related gene expression was suppressed in TBI-SF mice 30 DPI. Finally, IPA canonical pathway analysis showed post-TBI SF impaired and delayed activation of synapse-related pathways between 14 and 30 DPI. These data show that transient SF stress after TBI impairs recovery and conveys long-lasting impacts on neuroimmune function independent of continuous sleep deficits. Together, these finding support that even limited exposure to post-TBI SF stress can have lasting impacts on cognitive recovery and regulation of the immune response to trauma.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000759/pdfft?md5=6ebb683a4c8c8c43bd3ddd98240f5f67&pid=1-s2.0-S2666354624000759-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Timothy S. Sannes , Tamar Parmet , Miryam Yusufov , Jodi Sutherland , Jennifer Stefanik , Nicole Andrade , Tamryn F. Gray , Ilana M. Braun , William F. Pirl
{"title":"So what I'm stressed? A qualitative study examininga caregivers' reactions to emerging biomarkers of stress","authors":"Timothy S. Sannes , Tamar Parmet , Miryam Yusufov , Jodi Sutherland , Jennifer Stefanik , Nicole Andrade , Tamryn F. Gray , Ilana M. Braun , William F. Pirl","doi":"10.1016/j.bbih.2024.100783","DOIUrl":"10.1016/j.bbih.2024.100783","url":null,"abstract":"<div><h3>Background</h3><p>Caregivers of adults with cancer often report significant distress yet remain difficult to engage in supportive services. While the field of Psychosomatic Medicine has continued to identify important markers of physiologic stress, and demonstrated disruption in these markers in caregiver populations, no research has investigated whether biomarker information on caregivers’ reaction to stress could impact their willingness to address their ongoing distress.</p></div><div><h3>Methods</h3><p>Here, we report on a qualitative study (<em>N</em> = 17) in which we conducted individual interviews with cancer caregivers to explore their key attitudes towards, and subjective experience of, mock stress biomarker data. A total of 17 caregivers of patients (<em>M</em> age = 56.1 years; <em>SD</em> = 12.3) with primarily metastatic brain tumors (glioblastoma) were interviewed regarding four commercially available biomarkers (telomere length; hair cortisol, activity levels and heart rate variability). Once presented with information about stress biomarkers, caregivers were asked to discuss their subjective reaction <em>as if it was their own data</em> as well as their motivation and willingness to seek support after receiving such information. We identified and extracted relevant themes.</p></div><div><h3>Results</h3><p>Analysis utilizing the framework method revealed four emerging themes. The first theme described caregivers' ability to manage stress and willingness to engage with supportive services. Second, caregivers generally accepted the biomarker data but preferred it to be presented in a specific way. The third theme demonstrated that for some, biomarker data may actually increase their subjective distress (e.g., whether or not something could be done to improve their mental state). The last theme described how biomarkers were generally received as meaningful motivators that could increase caregivers’ willingness to engage with supportive services.</p></div><div><h3>Conclusions</h3><p>In addition to the more general identified theme of CG's willingness to engage with additional support, we gained insights into caregivers' reaction to the stress biomarkers presented. Findings will set the stage for the utility of stress biomarker information and whether it influences cancer caregivers' willingness to address their distress and motivation to engage in supportive services.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000619/pdfft?md5=3604eeaa16d83b4da018949c734e2995&pid=1-s2.0-S2666354624000619-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen Bisle, Suchithra Varadarajan, Iris-Tatjana Kolassa
{"title":"Vitamin-mediated interaction between the gut microbiome and mitochondria in depression: A systematic review-based integrated perspective","authors":"Ellen Bisle, Suchithra Varadarajan, Iris-Tatjana Kolassa","doi":"10.1016/j.bbih.2024.100790","DOIUrl":"10.1016/j.bbih.2024.100790","url":null,"abstract":"<div><p>Depression is one of the world’s most prevalent mental disorders and its treatment remains suboptimal. Depression is a systemic disease with highly complex biological mechanisms. Emerging evidence points towards the involvement of mitochondria, microbiome and vitamins in its pathophysiology. Mitochondrial energy production was shown to be lowered in patients with depression. Mitochondrial energy production depends on vitamins, which are available from food, but are also synthesized by the gut microbiota. Several studies reported altered vitamin levels as well as changes in the gut microbiome composition and its vitamin metabolism in patients with depression. Therefore, the question of a connection between mitochondria and gut microbiome and vitamins influencing the mental health arises. This review aims to systematically investigate a combination of the topics – depression, mitochondria, microbiome, and vitamins – to generate an overview of a novel yet extremely complex and interconnected research field. A systematic literature search yielded 34 articles, and the results were summarized and bundled to develop this new integrative perspective on mitochondrial function mediated by the microbiome and microbiome-derived vitamins in depression. Furthermore, by discussing the research gaps this review aims to encourage innovative research approaches to better understand the biology of depression, which could result in optimized therapeutic approaches.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000681/pdfft?md5=0f3680a31edfd98a2d2cd002476f2feb&pid=1-s2.0-S2666354624000681-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Elevated C-reactive protein and IL-6 signalling are not the only determinants of sleep quality and duration","authors":"","doi":"10.1016/j.bbih.2024.100784","DOIUrl":"10.1016/j.bbih.2024.100784","url":null,"abstract":"","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000620/pdfft?md5=37afdc1fe1ed3a684bf92ba93c3885e2&pid=1-s2.0-S2666354624000620-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Author reply – Letter to the Editor “elevated C-reactive protein and IL-6 signalling are not the only determinants of sleep quality and duration”","authors":"","doi":"10.1016/j.bbih.2024.100785","DOIUrl":"10.1016/j.bbih.2024.100785","url":null,"abstract":"","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000632/pdfft?md5=89a41d615c102e01ccb9bd298b692dd2&pid=1-s2.0-S2666354624000632-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141036791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multi-discrimination exposure and biological aging: Results from the midlife in the United States study","authors":"","doi":"10.1016/j.bbih.2024.100774","DOIUrl":"10.1016/j.bbih.2024.100774","url":null,"abstract":"<div><p>Discrimination is a social determinant of health and health disparities for which the biological mechanisms remain poorly understood. This study investigated the hypothesis that discrimination contributes to poor health outcomes by accelerating biological processes of aging. We analyzed survey and blood DNA methylation data from the Midlife in the United States (MIDUS) study (N = 1967). We used linear regression analysis to test associations of everyday, major, and workplace discrimination with biological aging measured by the DunedinPACE, PhenoAge, and GrimAge2 epigenetic clocks. MIDUS participants who reported more discrimination tended to exhibit a faster pace of aging and older biological age as compared to peers who reported less discrimination. Effect-sizes for associations tended to be larger for the DunedinPACE pace-of-aging clock (effect-size range r = 0.1–0.2) as compared with the PhenoAge and GrimAge2 biological-age clocks (effect-sizes r < 0.1) and for experiences of everyday and major discrimination as compared with workplace discrimination. Smoking status and body-mass index accounted for roughly half of observed association between discrimination and biological aging. Reports of discrimination were more strongly associated with accelerated biological aging among White as compared with Black participants, although Black participants reported more discrimination overall and tended to exhibit older biological age and faster biological aging. Findings support the hypothesis that experiences of interpersonal discrimination contribute to accelerated biological aging and suggest that structural and individual-level interventions to reduce discrimination and promote adaptive coping have potential to support healthy aging and build health equity.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000528/pdfft?md5=da1a29e30fc588514f8f1f2579cee519&pid=1-s2.0-S2666354624000528-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Koen Hogenelst , Serdar Özsezen , Robert Kleemann , Lars Verschuren , Ivo Stuldreher , Charelle Bottenheft , Jan van Erp , Anne-Marie Brouwer
{"title":"Seven robust and easy to obtain biomarkers to measure acute stress","authors":"Koen Hogenelst , Serdar Özsezen , Robert Kleemann , Lars Verschuren , Ivo Stuldreher , Charelle Bottenheft , Jan van Erp , Anne-Marie Brouwer","doi":"10.1016/j.bbih.2024.100789","DOIUrl":"https://doi.org/10.1016/j.bbih.2024.100789","url":null,"abstract":"<div><p>With the purpose of identifying a sensitive, robust, and easy-to-measure set of biomarkers to assess stress reactivity, we here study a large set of relatively easy to obtain markers reflecting subjective, autonomic nervous system (ANS), endocrine, and inflammatory responses to acute social stress (n = 101). A subset of the participants was exposed to another social stressor the next day (n = 48) while being measured in the same way. Acute social stress was induced following standardized procedures. The markers investigated were self-reported positive and negative affect, heart rate, electrodermal activity, salivary cortisol, and ten inflammatory markers both in capillary plasma and salivary samples, including IL-22 which has not been studied in response to acute stress in humans before. Robust effects (significant effect in the same direction for both days) were found for self-reported negative affect, heart rate, electrodermal activity, plasma IL-5, plasma IL-22, salivary IL-8 and salivary IL-10. Of these seven markers, the participants’ IL-22 responses on the first day were positively correlated to those on the second day. We found no correlations between salivary and capillary plasma stress responses for any of the ten cytokines and somewhat unexpectedly, cytokine responses in saliva seemed more pronounced and more in line with previous literature than cytokines in capillary plasma. In sum, seven robust and easy to obtain biomarkers to measure acute stress response were identified and should be used in future stress research to detect and examine stress reactivity. This includes IL-22 in plasma as a promising novel marker.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266635462400067X/pdfft?md5=ae9b9158ca566adeffbf2b74cff91442&pid=1-s2.0-S266635462400067X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140948808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffrey Gassen, Summer Mengelkoch, George M. Slavich
{"title":"Human immune and metabolic biomarker levels, and stress-biomarker associations, differ by season: Implications for biomedical health research","authors":"Jeffrey Gassen, Summer Mengelkoch, George M. Slavich","doi":"10.1016/j.bbih.2024.100793","DOIUrl":"10.1016/j.bbih.2024.100793","url":null,"abstract":"<div><p>Although seasonal changes in physiology are well documented, little is known about how human immune and metabolic markers vary across seasons, and no studies have examined how stress → health biomarker associations differ across the year. To investigate these issues, we analyzed data from 2118 participants of the Midlife in the United States (MIDUS) study to determine whether there were differences in (a) levels of 19 immune and metabolic markers, and (b) the association between perceived stress and each biomarker across the year. Results of component-wide boosted generalized additive models revealed seasonal patterning for most biomarkers, with immune proteins generally peaking when days were shorter. Moreover, whereas levels of hemoglobin A1C rose from late fall to spring, triglycerides were elevated in the summer and fall, and high-density lipoprotein decreased steadily from January to December. Urinary cortisol and cortisone exhibited opposite patterns, peaking at the beginning and end of the year, respectively. Most critically, we found that the effects of perceived stress on 18 of the 19 health biomarkers assessed varied by month of measurement. In some cases, these differences involved the magnitude of the stress → biomarker association but, in other cases, it was the direction of the effect that changed. Studies that do not account for month of biomarker assessment may thus yield misleading or unreproducible results.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000711/pdfft?md5=75792aa600f03930e86d4210ca6a9b2f&pid=1-s2.0-S2666354624000711-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristina Struksnes Fjone , Jan Stubberud , Eirik Alnes Buanes , Milada Hagen , Jon Henrik Laake , Kristin Hofsø
{"title":"Objective and subjective cognitive status after intensive care unit treatment for COVID-19","authors":"Kristina Struksnes Fjone , Jan Stubberud , Eirik Alnes Buanes , Milada Hagen , Jon Henrik Laake , Kristin Hofsø","doi":"10.1016/j.bbih.2024.100786","DOIUrl":"https://doi.org/10.1016/j.bbih.2024.100786","url":null,"abstract":"<div><h3>Purpose</h3><p>Intensive care unit (ICU) survivors can experience wide-ranging and long-lasting symptoms after hospital discharge. Cognitive impairment has received increased attention in relation to the COVID-19 pandemic and can affect patients’ long-term quality of life. This study aimed to investigate the prevalence of cognitive impairment using an objective neurocognitive test 6 and 12 months following ICU admission and possible predictive factors for scoring below the defined cut-off. We also explored the prevalence of subjective cognitive complaints at 12 months, including the associated factors.</p></div><div><h3>Methods</h3><p>This was a prospective observational study of a national cohort of COVID-19 ICU survivors during the three first pandemic waves in Norway. Data was collected by the Norwegian Intensive Care and Pandemic Registry and the study group.</p></div><div><h3>Results</h3><p>At the six-month follow-up, 23.1% (95% CI [18.2─28.5]) of the 273 respondents scored below the cut-off on the Mini-MoCA, indicating mild cognitive impairment. At the 12-month follow-up, the prevalence declined to 11.1% (95% CI [7.5─15.6]) in 253 respondents. Older age (OR 1.06, 95% CI [1.02─1.12]) and depression (OR 1.25, 95% CI [1.07─1.55]) were associated with cognitive impairment at six months. At 12 months, almost half of the patients reported subjective cognitive complaints. Symptoms of mental health problems and fatigue were associated with subjective cognitive complaints in our exploratory analyses.</p></div><div><h3>Conclusion</h3><p>Cognitive impairment declined significantly from 6 to 12 months in this cohort of COVID-19 ICU patients, while subjective cognitive complaints remained high at 12 months, perhaps attributed to a high total symptom burden.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000644/pdfft?md5=0a9d72e51d3b322b908630a363ebcbd9&pid=1-s2.0-S2666354624000644-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140906864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The lung-brain axis in multiple sclerosis: Mechanistic insights and future directions","authors":"Lara Kular","doi":"10.1016/j.bbih.2024.100787","DOIUrl":"https://doi.org/10.1016/j.bbih.2024.100787","url":null,"abstract":"<div><p>Multiple sclerosis is a chronic inflammatory demyelinating disease of the central nervous system with progressive lifelong disability. Current treatments are particularly effective at the early inflammatory stage of the disease but associate with safety concerns such as increased risk of infection. While clinical and epidemiological evidence strongly support the role of a bidirectional communication between the lung and the brain in MS in influencing disease risk and severity, the exact processes underlying such relationship appear complex and not fully understood. This short review aims to summarize key findings and future perspectives that might provide new insights into the mechanisms underpinning the lung-brain axis in MS.</p></div>","PeriodicalId":72454,"journal":{"name":"Brain, behavior, & immunity - health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666354624000656/pdfft?md5=b2017dc49b0e63d75f20a08020cf8613&pid=1-s2.0-S2666354624000656-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140842796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}