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Cognitive Training Helps Regain a Younger-Working Brain

Cognitive Training Helps Regain a Younger-Working Brain

Summary: Researchers report specialized cognitive training can help make the brain more energy efficient as we age.

Source: Center for BrainHealth.

Relentless cognitive decline as we age is worrisome, and it is widely thought to be an unavoidable negative aspect of normal aging. Researchers at the Center for BrainHealth at The University of Texas at Dallas, however, say their research could provide new hope for extending our brain function as we age.

In a randomized clinical study involving adults age 56 to 71 that recently published in Neurobiology of Aging, researchers found that after cognitive training, participants’ brains were more energy efficient, meaning their brain did not have to work as hard to perform a task.

Dr. Michael Motes, senior research scientist at the Center for BrainHealth and one of the lead authors of the study, said, “Finding a nonpharmacological intervention that can help the aging brain to perform like a younger brain is a welcome finding that potentially advances understanding of ways to enhance brain health and longevity. It is thrilling for me as a cognitive neuroscientist, who has previously studied age-related cognitive decline, to find that cognitive training has the potential to strengthen the aging brain to function more like a younger brain.”

To investigate changes in brain efficiency, the research team studied neural activity while the participant performed a task. For the study, 57 cognitively normal older adults were randomly assigned to a cognitive training group, a wait-listed control group, or physical exercise control group. The cognitive training utilized the Strategic Memory Advanced Reasoning Training (SMART) program developed at the Center for BrainHealth.

Cognitive training strategies included how to focus on the most relevant information and filter out the less relevant; ways to continually synthesize information encountered in daily life to encourage deeper thinking; and how to inspire innovative thinking through generating diverse interpretations, solutions and perspectives. Because aerobic exercise has been shown to lead to improvements in processing speed and functional changes within the frontal and other brain regions, it was included as one of the study groups.

The cognitive training was conducted over the course of 12 weeks. Participants in the active control physical exercise program exceeded physical activity guidelines of 150 minutes per week for the 12 weeks.

Using functional magnetic resonance imaging (fMRI), an imaging technique that measures brain activity, researchers examined all three groups at the beginning (baseline), middle, and end of the study while participants performed computer-based speed tasks in the scanner.

The fMRI results provided evidence that cognitive training improved speed-related neural activity. While all groups showed faster reaction times across sessions, the cognitive training group showed a significant increase in the association between reaction time and frontal lobe activity. After training, faster reaction times were associated with lower frontal lobe activity, which is consistent with the more energy-efficient neural activity found in younger adults.

brain scans

In contrast to the cognitive training group, the wait-listed and physical exercise groups showed significant decreases across sessions in the association between reaction time and frontal lobe activation.

“This discovery of neural efficiency profiles found in the SMART-trained older adults is promising,” said Dr. Sandra Bond Chapman, one of the lead authors, Center for BrainHealth founder and chief director. “If replicated, this work paves the way for larger clinical trials to test the ability to harness the potential of the aging mind and its ability to excel – by working like a younger brain with all the rich knowledge and expertise accrued over time. To counteract the pattern of age-related losses and even enhance the brain’s inner workings by ‘thinking’ in smarter ways is an achievable and highly desirable goal.”

ABOUT THIS NEUROSCIENCE RESEARCH ARTICLE

Funding: This work was supported by a grant from the National Institutes of Health (RC1-AG035954, 2009; R01-NS067015, 2010; R01- AG033106; 2009) and by grants from the Lyda Hill Foundation, T. Boone Pickens Foundation, and the Dee Wyly Distinguished University Endowment.

Source: Emily Bywaters – Center for BrainHealth
Publisher: Organized by NeuroscienceNews.com.
Image Source: NeuroscienceNews.com image is credited to Michael A. Motes, et. al., Neurobiology of Aging, 2018.
Original Research: Open access research in Neurobiology of Aging.
doi:10.1016/j.neurobiolaging.2017.10.003

CITE THIS NEUROSCIENCENEWS.COM ARTICLE
Center for BrainHealth “Cognitive Training Helps Regain a Younger-Working Brain.” NeuroscienceNews. NeuroscienceNews, 23 January 2018.
<http://neurosciencenews.com/cognitive-training-brain-aging-8350/&gt;.

Abstract

Higher-order cognitive training effects on processing speed–related neural activity: a randomized trial

Higher-order cognitive training has shown to enhance performance in older adults, but the neural mechanisms underlying performance enhancement have yet to be fully disambiguated. This randomized trial examined changes in processing speed and processing speed–related neural activity in older participants (57–71 years of age) who underwent cognitive training (CT, N = 12) compared with wait-listed (WLC, N = 15) or exercise-training active (AC, N = 14) controls. The cognitive training taught cognitive control functions of strategic attention, integrative reasoning, and innovation over 12 weeks. All 3 groups worked through a functional magnetic resonance imaging processing speed task during 3 sessions (baseline, mid-training, and post-training). Although all groups showed faster reaction times (RTs) across sessions, the CT group showed a significant increase, and the WLC and AC groups showed significant decreases across sessions in the association between RT and BOLD signal change within the left prefrontal cortex (PFC). Thus, cognitive training led to a change in processing speed–related neural activity where faster processing speed was associated with reduced PFC activation, fitting previously identified neural efficiency profiles.

Mike Pence laughably defends Trump against credible reports of an affair with a porn star 

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Your wishes for end-of-life care

Starter Kits

The Conversation Project is dedicated to helping people talk about their wishes for end-of-life care. We developed the original Conversation Starter Kit as a useful tool to help people have conversations with their family members or other loved ones about their wishes regarding end-of-life care. Since then, we have translated the Starter Kit into several languages, and developed additional Starter Kits listed below. All are available to download for free.

Check out our updated How to Talk To Your Doctor guide below.


Printing These Materials

  • You are welcome to download or print any of the Starter Kits below.
  • Note: Be sure to save the Starter Kit to your desktop before filling it in. Otherwise, anything you type in it will not be saved.
  • To print or view in larger font, click here.
  • To purchase printed copies of our materials, or add your logo and contact information, visit our Mimeo Marketplace. 

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Conversation Starter Kit

Talking with your loved ones openly and honestly, before a medical crisis happens, gives everyone a shared understanding about what matters most to you at the end of life. You can use this Starter Kit whether you are getting ready to tell someone else what you want, or you want to help someone else get ready to share their wishes.

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How to Choose a Health Care Proxy & How to Be a Health Care Proxy

In addition to having the conversation, it’s important to choose a health care proxy – the person who will make decisions about your medical care if you become unable to make them for yourself. This new user-friendly guide offers facts and tips necessary to make sound decisions about choosing, and being, a health care proxy.

 

 

  • Co-branded version: For organizations planning to distribute the Health Care Proxy Kit, we have a version to which you can add your logo and local contact information. Available for purchase here.

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Conversation Starter Kit for Families and Loved Ones of People with Alzheimer’s Disease or Other Forms of Dementia

This Starter Kit is specifically designed to help families and loved ones of people with Alzheimer’s disease or another form of dementia who want guidance about “having the conversation.” We appreciate the difficulty — and the importance — of having these conversations.

 

 

  • Co-branded version: For organizations planning to distribute the Starter Kit for Families and Loves Ones of People with Alzheimer’s, we have a version to which you can add your logo and local contact information. Available for purchase here.

 

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How To Talk To Your Doctor

After you’ve had the conversation with your loved ones, the next step is talking to your doctor or nurse about your wishes. Don’t wait for a medical crisis; talking with your doctor or nurse now makes it easier to make medical decisions when the time comes.

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Pediatric Starter Kit: Having the Conversation with Your Seriously Ill Child

This Starter Kit is specifically designed to help parents of seriously ill children who want guidance about “having the conversation” with their children.

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New Painkillers Reduce Overdose Risk

New Painkillers Reduce Overdose Risk

Summary: Researchers have developed a new pain killer that is on par with conventional opioids, but does not affect respiration, which is the main cause of opioid overdose.

Source: Scripps Research Institute.

Scientists on the Florida campus of The Scripps Research Institute (TSRI) have developed new opioid pain relievers that reduce pain on par with morphine but do not slow or stop breathing — the cause of opiate overdose.

The research, published today in the journal Cell, describes a method for making safer opioid painkillers. According to the U.S. Centers for Disease Control and Prevention, 91 Americans die every day from opioid overdoses — deaths caused when opiates like oxycontin, heroin and fentanyl slow and eventually stop a person’s breathing.

Study leader TSRI Professor Laura M. Bohn, Ph.D., said the research shows that a range of compounds can deliver pain-blocking potency without affecting respiration.

The study builds on two decades of research by Bohn and her colleagues, who long questioned whether the painkilling pathway, called the G protein pathway, could be unlinked from the breathing suppression pathway, called the beta-arrestin pathway.

“One of the questions we had was how good we can get at separating out the pathways, and how much separation do we need to see analgesia without respiratory suppression,” Bohn said.

For the study, the Bohn worked closely with TSRI chemist Thomas Bannister, PhD, to develope new potential drug molecules; they then tweaked their chemical structures to systematically vary the “bias” between the two pathways–G protein signaling and beta-arrestin recruitment. The group developed more than 500 compounds in the past six years, and they found more than 60 that showed bias between signaling assays. They then selected six compounds to represent a wide range in the degree of bias (from those that preferred barrestin2 recruitment to those that almost exclusively preferred G protein signaling) and determined their overall potency for inducing analgesia and respiratory suppression in mouse models.

The researchers found that the new compounds could indeed enter the brain–and all of the compounds were as potent, if not more so, than morphine. The compounds that were less able to promote barrestin2 associations in cells were also less likely to induce respiratory suppression in mice.

pills are shown

In contrast, the painkiller fentanyl was shown to prefer receptor-barrestin2 associations and also had a more narrow safety margin. In short, the fentanyl dose needed to alleviate the perception of pain was closer to the dose that suppressed breathing, which may be why fentanyl is more likely to trigger respiratory suppression at low doses. Fentanyl is a powerful pain killer, but one with a narrow therapeutic window and a history of overdoses. While this issue requires more research, “this at least brings into question whether this may be part of the reason,” Bohn said.

Bohn explained that separating the receptor’s ability to engage in the two pathways can provide a way to separate desired drug effects from side effects.

“I think what we have done here is shown that bias isn’t all or none–that there is a spectrum.” That suggests an opportunity to expand the “therapeutic window,” or the range of doses at which a drug may be administered safely, she said.

ABOUT THIS NEUROSCIENCE RESEARCH ARTICLE

Funding: The results announced today are the culmination of nearly six years of work by TSRI scientists including Cullen Schmid, Ph.D., Nicole Kennedy, Ph.D., and Michael Cameron, Ph.D.; as well as former members of the research lab: Jenny Morgenweck, Ph.D., Zhizhou Yue, Ph.D., Kim Lovell, Ph.D. and Nicolette Ross, Ph.D., The work was funded by the National Institute on Drug Abuse of the National Institutes of Health (grants R01 DA033073 and R01 DA038694).

Source: Stacey Singer DeLoye – Scripps Research Institute
Publisher: Organized by NeuroscienceNews.com.
Image Source: NeuroscienceNews.com image is in the public domain.
Original Research: Abstract for “Bias Factor and Therapeutic Window Correlate to Predict Safer Opioid Analgesics” by Cullen L. Schmid, Nicole M. Kennedy, Nicolette C. Ross, Kimberly M. Lovell, Zhizhou Yue, Jenny Morgenweck, Michael D. Cameron, Thomas D. Bannister,and Laura M. Bohn in Cell. Published online November 16 2017 doi:10.1016/j.cell.2017.10.035

CITE THIS NEUROSCIENCENEWS.COM ARTICLE
Scripps Research Institute “New Painkillers Reduce Overdose Risk.” NeuroscienceNews. NeuroscienceNews, 16 November 2017.
<http://neurosciencenews.com/opioid-painkiller-overdose-7962/&gt;.

Abstract

Bias Factor and Therapeutic Window Correlate to Predict Safer Opioid Analgesics

Highlights
•Mu opioid agonists were made to promote signaling through G proteins or βarrestin2
•Potency was determined for pain relief and respiratory depression in mice
•Fentanyl’s narrow safety window correlates with its preference for βarrestin2
•Increasing signaling through G proteins directly improves the therapeutic index

Summary
Biased agonism has been proposed as a means to separate desirable and adverse drug responses downstream of G protein-coupled receptor (GPCR) targets. Herein, we describe structural features of a series of mu-opioid-receptor (MOR)-selective agonists that preferentially activate receptors to couple to G proteins or to recruit βarrestin proteins. By comparing relative bias for MOR-mediated signaling in each pathway, we demonstrate a strong correlation between the respiratory suppression/antinociception therapeutic window in a series of compounds spanning a wide range of signaling bias. We find that βarrestin-biased compounds, such as fentanyl, are more likely to induce respiratory suppression at weak analgesic doses, while G protein signaling bias broadens the therapeutic window, allowing for antinociception in the absence of respiratory suppression.

“Bias Factor and Therapeutic Window Correlate to Predict Safer Opioid Analgesics” by Cullen L. Schmid, Nicole M. Kennedy, Nicolette C. Ross, Kimberly M. Lovell, Zhizhou Yue, Jenny Morgenweck, Michael D. Cameron, Thomas D. Bannister,and Laura M. Bohn in Cell. Published online November 16 2017 doi:10.1016/j.cell.2017.10.035

Healthy pancreas for supply of Amylin to control blood sugar

Amylin functions as part of the endocrine pancreas and contributes to glycemic control. The peptide is secreted from the pancreatic islets into the blood circulation and is cleared by peptidases in the kidney. It is not found in the urine.

Amylin’s metabolic function is well-characterized as an inhibitor of the appearance of nutrient [especially glucose] in the plasma.[14] It thus functions as a synergistic partner to insulin, with which it is cosecreted from pancreatic beta cells in response to meals. The overall effect is to slow the rate of appearance (Ra) of glucose in the blood after eating; this is accomplished via coordinate slowing down gastric emptying, inhibition of digestive secretion [gastric acid, pancreatic enzymes, and bile ejection], and a resulting reduction in food intake. Appearance of new glucose in the blood is reduced by inhibiting secretion of the gluconeogenic hormone glucagon. These actions, which are mostly carried out via a glucose-sensitive part of the brain stem, the area postrema, may be over-ridden during hypoglycemia. They collectively reduce the total insulin demand.[15]

Amylin also acts in bone metabolism, along with the related peptides calcitonin and calcitonin gene related peptide.[14]

Rodent amylin knockouts do not have a normal reduction of appetite following food consumption. mBecause it is an amidated peptide, like many neuropeptides, it is believed to be responsible for the effect on appetite.