How Brain Inflammation (in MS) Affects Behavior in Men and Women Differently

An Australian-first study has lifted the lid on how couples living with rheumatoid arthritis cope with the debilitating disease finding that those who cope with problems together had less psychological distress and better relationships.

For people with multiple sclerosis (MS), understanding how brain inflammation impacts behavior can provide insight into some of the common symptoms they experience. New research from the University of Technology Sydney (UTS) sheds light on how inflammation in the hippocampus—a part of the brain critical for memory and emotions—affects motivation and behavior, with clear differences between males and females.

What’s the Connection Between Brain Inflammation and Behavior?

The hippocampus is central to memory, learning, and emotional regulation, but it’s also affected by inflammation in diseases like MS, Alzheimer’s, and depression. This inflammation, called neuroinflammation, often results in symptoms like:

  • Apathy
  • Struggles with daily activities
  • Changes in food preferences

Interestingly, these symptoms tend to be more severe in women than in men.

“While inflammation in the hippocampus isn’t the sole reason for behavior changes, it likely sets off a chain reaction in the brain that influences how we think and act,” explained Dr. Laura Bradfield, Director of the Brain and Behaviour Lab at UTS.

What Did the Study Find?

Using mice, researchers at UTS simulated neuroinflammation by introducing a bacterial toxin called lipopolysaccharide into the hippocampus. This toxin triggers an immune response in the brain, mimicking the inflammation seen in diseases like MS.

The findings were fascinating:

  • In both male and female mice, activity and movement levels increased.
  • Females showed more significant changes in food-seeking behaviour, suggesting inflammation affects their motivation differently.

The research also highlighted the role of microglia and astrocytes, two types of brain cells that interact with neurons during inflammation, showing how complex these changes are at a cellular level.

Why Do Women Experience Stronger Effects?

The study suggests that hormones like estrogen might play a role in how neuroinflammation affects the brain. These sex-specific differences could explain why women with MS often experience more severe cognitive and behavioural symptoms.

What Does This Mean for MS Patients?

For those living with MS, this research offers hope for more personalized treatments. By targeting hippocampal neuroinflammation, future therapies might alleviate symptoms like memory issues, apathy, and difficulty with daily tasks—potentially improving brain health, especially for women.

“These findings open the door to developing treatments that consider how men and women respond differently to brain inflammation,” said Dr. Kiruthika Ganesan, the study’s lead author.

What’s Next?

The researchers are calling for more studies to understand:

  • How hormones influence these sex-specific effects.
  • The long-term impact of neuroinflammation on brain health.

For now, the study serves as a reminder of how critical it is to consider sex-specific differences in developing therapies for MS and other neurological conditions.

By tailoring treatments to these differences, there’s potential to not only reduce symptoms but also improve overall quality of life for people with MS.

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Disney Princesses Face Hidden Health Risks, Experts Say

Fairy tale endings could use a dose of real-world wellness advice.
Fairy tale endings could use a dose of real-world wellness advice.

Disney princesses may enchant audiences with their happily-ever-afters. Still, health experts warn that these beloved characters face serious hidden dangers that could jeopardize their well-being in the real world. Writing in the Christmas issue of The BMJ, Sanne van Dijk and colleagues suggest strategies to help Disney’s heroines start living “healthily ever after.

Loneliness and Limited Social Interaction
Take Snow White, for example. Her time as a scullery maid under her wicked stepmother isolates her socially, putting her at risk for cardiovascular disease, depression, and anxiety. While the Seven Dwarfs provide some companionship, her infamous encounter with the poisoned apple proves that not all fairy-tale food choices are health-conscious.

Princess Jasmine faces similar risks growing up isolated within her palace walls. Experts note that her pet tiger, Rajah, adds a layer of danger, including potential zoonotic infections and the ever-present threat posed by living with a predator.

Environmental Hazards
Cinderella’s daily exposure to dust while cleaning leaves her vulnerable to occupational lung diseases. Matters worsen when her fairy godmother sprinkles “magical glitter,” essentially aluminium-coated microplastics, which can harm lung tissue. Instead of a prince, the authors wryly suggest, Cinderella might need respiratory therapy to breathe easily ever after.

Risky Adventures and Overexertion
Pocahontas’ daring cliff dive in pursuit of peace might look graceful on screen, but experts estimate the 252-meter leap would result in more fractures than harmony. Meanwhile, Sleeping Beauty’s long enchanted nap could lead to serious health issues like muscle atrophy, cardiovascular disease, and even pressure ulcers. Prince Philip’s kiss breaks the spell—but the authors note he overlooks the need for consent, raising eyebrows in a modern context.

Animal-Related and Occupational Risks
Belle, who cohabitates with the Beast, faces possible exposure to life-threatening diseases like brucellosis and rabies. Mulan, celebrated for saving China, endures immense family pressure to preserve their honor—a stressor linked to mental health challenges in real-life situations involving honor-based expectations.

And then there’s Rapunzel, whose endlessly long hair isn’t just a tool for escape but also a source of potential health issues. Repeated pulling on her braid could lead to traction alopecia, causing scalp pain, headaches, and even permanent hair loss.

A Call for Wellness Interventions
The authors argue that Disney princesses need more than just fairy-tale fixes. Interventions like mindfulness training, psychotherapy, and education about animal cohabitation could go a long way toward improving their health outcomes. Measures to combat exposure to toxic particles and prevent infectious diseases would also help these characters live more realistic, healthy lives.

“Disney must consider strategies to address these challenges,” the authors conclude. “Only then can its princesses truly enjoy their happily-ever-afters in good health.”

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Sculpting the brain (without chisel or scalpel). Can this help us understand autism better?

Scientists have developed a novel approach to human learning through noninvasive manipulation of brain activity patterns.
Scientists have developed a novel approach to human learning through noninvasive manipulation of brain activity patterns.

Imagine if we could create a new pattern of activity in a person’s brain that enables faster learning or improves the treatment of psychiatric and developmental disorders such as depression or autism. Now, a picture can achieve this without brain surgery or physical manipulation. Does that sound like science fiction?

It still holds. Coraline Iordan, an assistant professor of brain and cognitive sciences and neuroscience at the University of Rochester, has made significant strides in demonstrating that learning new visual categories of objects is possible. This marks the first time such an achievement has been shown.

Learning typically occurs when our brains change due to experience, study, or instruction. However, Iordan and his colleagues at Yale and Princeton have successfully tested a novel approach to teaching the brain to learn through external manipulation and neural feedback, which they call “sculpting” brain activity patterns.

“Our method allows us not only to influence complex patterns in the brain by guiding them toward known patterns but also—for the first time—to insert a new pattern into the brain directly. We can then measure the effects this has on a person’s behaviour,” says lead author Iordan.

Brain sculpting—a new approach to learning?

The scientists employed real-time neuroimaging and second-by-second neurofeedback to alter how the brain represents and processes information about visual objects. In a functional magnetic resonance imaging (fMRI) machine, study participants viewed objects projected onto a mirror above their heads resembling a small screen. The object—an abstract shape that some participants interpreted as a petal, plant bulb, or butterfly—pulsed gently on the mirror until participants learned to “move” it by using their thoughts. This movement was based on a specific pattern of brain activity, which the scientists had chosen in advance and was monitored via fMRI in real-time. The researchers instructed participants to “generate a mental state” that would reduce the shape’s oscillation, but they did not teach the participants how to achieve this mental state.

“One of the study’s notable findings is that neural responses and related behaviours to new categories happened without explicit awareness of those categories. This demonstrates that a long-standing tradition in psychology regarding implicit processing—defined as the capacity to respond meaningfully to information without conscious awareness—also applies to the learning and forming new neural representations,” says coauthor Jonathan Cohen, a cognitive neuroscientist at Princeton University.

The immediate feedback provided to the study participants allowed them to stop the wobbling image in the mirror once they successfully altered their representation of a visual object to align more closely with a brain activity pattern designated by the researchers. This approach did not involve directly teaching participants what the categories of visual objects were; instead, the scientists developed a method that changed how participants’ brains processed and represented the individual objects within those categories. Essentially, they facilitated the learning of new object categories by modifying the participants’ brain activity.

“Instead of teaching you something and measuring how your brain changes, we wrote a new category into your brain that would have appeared had you learned it yourself,” explains Iordan. “Then we tested whether you saw the new category that we had inserted. Turns out you did.”

To ensure study participants were highly motivated to succeed, they were rewarded monetarily if they managed to stop the image wobble, which over six daily sessions could amount to a sizeable bonus.

Future applications

Scientists are working to better understand what exactly happens to brain function in people with a variety of neuropsychiatric, developmental, or psychological disorders, such as major depression, visual agnosias (the inability to recognize everyday items), and autism. According to Iordan, a method like theirs may eventually play a role in clinical treatment by modifying the brain patterns of patients to make theirs look more similar to the brain patterns found in the neurotypical population, which down the road could lead to new approaches for treatment, either by itself or in conjunction with already existing therapies.

“This study is one of the most powerful demonstrations yet of brain training with real-time fMRI. Dr. Iordan used neurofeedback to help humans create a category in their mind that then influenced their behavior,” says coauthor Nicholas Turk-Browne, a psychologist at Yale University. “In the future, this discovery could inform the development of brain-computer interfaces and clinical interventions.”

At its core lies the scientists’ ability to access the brain in a way that hasn’t been done before.

“We essentially turned learning on its head and taught your brain something that caused you to vicariously gain information, even though you were never explicitly given that information,” says Iordan. “That tells us we have access to the building blocks of learning in the brain in a way that we haven’t had before—for learning things that are much more complicated, such as entire categories of items, complex visual things, or potentially even beyond that someday.

The Truth about Autism and Depression: What’s the Link?

Depression is often confused with autistic burnout, but they are quite different. Throughout the years, I’ve sought help for both, and it can be challenging to find adequate support. In this video, I’ll share what I’ve learned from my experience with depression—how emotions influence my feelings, the role of energy levels in my depression, how I cope with it, and how to differentiate between depression and autistic burnout.

Live well, think well: Research shows healthy habits tied to brain health

Type 2 diabetes and prediabetes are associated with accelerated brain ageing, according to a new study from Karolinska Institutet in Sweden published in the journal Diabetes Care. The good news is that this may be counteracted by a healthy lifestyle.

In middle-aged people, having risk factors like blood pressure, blood sugar and cholesterol that are not well-controlled, combined with not following certain healthy habits, including exercise, diet and sleep, are linked to a higher risk of stroke, dementia or depression later in life,. 

The eight cardiovascular and brain health factors, known as the American Heart Association’s Life’s Essential 8, are being active, eating better, maintaining a healthy weight, not smoking, maintaining healthy blood pressure, getting enough sleep, and controlling cholesterol and blood sugar levels.

“Brain health is paramount for the optimal well-being of every person, enabling us to function at our highest level and constantly adapt in the world,” said study author Santiago Clocchiatti-Tuozzo, MD, MHS, of Yale University in New Haven, Connecticut, and member of the American Academy of Neurology. “Our study found that making these healthy lifestyle choices in middle age can have meaningful impacts on brain health later in life.”

For the study, researchers evaluated data from 316,127 people, with an average age of 56, who were followed over five years.

Researchers analyzed participants’ scores across the eight essential cardiovascular health factors and organized them into three categories: optimal, intermediate, and poor.

Of the total group, 64,474 had optimal scores, 190,919 had intermediate scores, and 60,734 had poor scores.

Researchers then evaluated health records to identify who developed any of the following neurological conditions: stroke, dementia or late-life depression. Poor brain health was defined as developing these conditions during the follow-up years.

1.2% of participants met the definition for poor brain health, with 3,753 conditions. Of those with optimal Life’s Essential Eight scores, 0.7% met the definition of poor brain health, compared to 1.2% with intermediate scores and 1.8% with poor scores.

After adjusting for factors that could affect the risk of these three neurological conditions, such as age, sex, race and ethnicity, researchers found that people with poor scores on the healthy lifestyle factors were more than twice as likely to develop any of the three neurological conditions compared to those people with optimal scores. Researchers also found that people with an intermediate score had a 37% higher risk of having one of the three neurological conditions than those with an optimal score.

“Because the risk factors we looked at are all ones that people can work to improve, our findings highlight the potential benefits of using these eight cardiovascular and brain health factors to guide healthy lifestyle choices,” Clocchiatti-Tuozzo said. “More research is needed to understand this link between lifestyle habits and brain health, as well as how social factors like race and ethnicity can influence this connection.”