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Explore the functions of the hypothalamus, components of the limbic system, and neuroendocrine influences on behavior. Learn about reward and reinforcement systems, neuroendocrine tests, and more.
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Biologic substrate part 2 Jeff Clothier, M.D.
Objectives • describe the three functions of the hypothalamus • describe major components of the limbic system • describe the role of peptide neurotransmitters on behavior • describe the neuroendocrine influences on behavior • describe the common neuroendocrine tests used in studying abnormal behavior • compare and contrast the effects of irritative and destructive lesions on the ventromedial, lateral, anterior and posterior hypothalumas. • to describe the major components of the reward and reinforcement system as described in the syllabus.
Three functions of the hypothalamus • Control of autonomic funtions • Control of neuroendocrine systems • integration of drives and emotions with homeostatic needs
Corpus callosum thalamus Anterior cingulate hypothalamus Pituitary location
Mamillothalamic tract Fornix Mamillary region supraoptic region Infundibulum Tuberal region Pituitary Closer look
Hypothalamus-regional considerations Supraoptic region • preoptic, paraventricular anterior, suprachiasmatic, and supraoptic nuclie • Circumventricular organs- no BBB • monitors and is influenced by internal milieu • adjusts vegative functions to meet homeostatic needs
Hypothalamic-regional considerations Tuberal region • Just above infundibulum • dorsomedial, ventromedial, lateral, rostral posterior, acruate, and median eminence • Median Forebrain bundle comes through this region • important for reward and reinforcement (hedonic drives) • “stim the lat get fat, stim the ven get thin” • destructive has opposite effect of irritative
Control of the adenohypophysis mamillothalamic tract- important in memory Releasing and inhibiting factors TRF/TRH GRF/GRH GHRF/somatotropin CRF/CRH Hypothalamic regional considerations- Mamillary region • somatostatin • PIF (dopamine) • Vasopressin • Oxytocin
Autonomic nervous system functions of the hypothalamus • Anterior/posterior gradient Anterior-Parasympathetic activation Medial/posterior- Sympathetic activation
Biology of monogamy as a complex behavior • Neuropeptides influence the pituitary but also have more distant effects within the CNS • Prairie vole • Male bonding-vasopressin (peaks during sexual arousal) • Female bonding- oxcytocin (peaks during orgasm and child birth and lactation)
Limbic system • Functions at the boundary of cognition and motor activity • Individualized to a degree by experience by memory
relation of reward and reinforcement and motor systems • Nigrostriatal- • SN to caudate and putamen. • Uses dopamine • Mesolimbic • VTA to n. accumbens and aygdala • SN----------VTA • Caudate---n accumbens • Caudate---amygdala
fornix Cingulate gyrus Septal area thalamus Mamillary bodies Orbitofrontal cortex n. accumbens Parahippocampal gyrus hippocampus Amygdala Cortical influences Anatomic sketch
Limbic system • Role in memory • Role in reward and reinforcement • Role in emotion and motivation especially in the orbitomedial frontal region. • Bilateral relationship with the hypothalamus. Recall the prairie vole
Neuroendocrine testing in psychiatry • Window in the brain • HPA axis • with stress • increased cortisol secretion at baseline
Dexamethasone suppression test • Pathologic response is nonsuppression. nonspecific
TRH stimulation test • Give TRH and follow TSH production • Norepinephrine usually causes release of TRH • depression is associated with a blunted response to TRH. Normalizes with remission of illness • Also not highly sensitive or specific
Growth hormone • GH is released at peaks through day and during first slow wave sleep period • Hypoglycemia stimulates GH release • influenced by central NE • insulin and clonidine normally stimulate GH release • Depression the response is blunted • ? Subsensitivity of alpha 2 receptors in depression?
Summary of neuroendocrine testing in depressive illness • DST- nonsuppression • Blunted TSH release with TRH stimulation • Blunted GH release with clonidine or insulin • All are not very specific and sensitive • not useful clinically
Prolactin • Release is normally inhibited by Dopamine • Antipsychotic drugs block dopamine • causes increased prolactin • galactorrhea
Reward and reinforcement • Heart of system is the median forebrain bundle • catecholamine fibers from midbrain to anterior septal area • important role for dopamine and norepinephrine • Intracranial self stimulation model • importance of MFB, Septal area, N accumbens, ventral tegmental area, lateral HT • libido and substance addictions • Depression and Parkinson’s