Research on substance use disorders has largely focused on understanding the key neural circuits and neurotransmitter systems that are altered, and on behavioral and pharmacological interventions. However, emerging research findings suggest that alcohol use disorder (AUD) is associated with alterations in energy metabolism and can accelerate brain aging. In this episode I talk with Dr. Corinde Wiers about substance use disorders with a focus on her recent clinical trials which show that ketone (b-hydroxybutyrate) supplementation can reduce craving for alcohol in people with AUD and can reduce alcohol withdrawal symptoms. We discuss the potential mechanisms that may explain the efficacy of ketone supplementation – and interventions that elevate endogenous ketone production (fasting, exercise, and ketogenic diets) – in AUD. Whether or not ketogenic interventions are beneficial for individuals with other addictions (opioids, cocaine, nicotine, gambling..) remains to be determined.

LINKS:

Dr. Wiers webpage at the University of Pennsylvania: https://www.med.upenn.edu/apps/faculty/index.php/g332/p9389303

Dr. Wiers’ publications discussed in this podcast:

https://pmc.ncbi.nlm.nih.gov/articles/PMC8034849/pdf/abf6780.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC8670944/pdf/fpsyt-12-781668.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC10901540/pdf/pyae009.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC10895037/pdf/fnut-11-1254341.pdf

Appetite (hunger and satiety) is controlled by neural circuits in the brain – particularly in the hypothalamus – and their reciprocal connections to peripheral organs involved in energy metabolism (gut and liver). Understanding the structural organization of these circuits (their synaptic connections) and their neurochemistry (particularly which neurotransmitters are used at which synapses) is of fundamental importance for human health and developing new treatments for metabolic disorders such as obesity and diabetes. Neuroscientist Henning Fenselau at the Max Planck Institute and University of Cologne Germany has made several major discoveries about how food intake and energy metabolism are regulated and the consequences of abnormalities in the underlying neural circuits. Among his recent findings concern how GLP-1 in the gut communicates with the brain via the vagus nerve, and the roles of specific synaptic signals (NPY, opioids, TRH, and GABA).

LINKS

Fenselau laboratory page: https://www.sf.mpg.de/research/fenselau

GLP-1, the vagus nerve, hunger, and sugar metabolism:

https://www.cell.com/action/showPdf?pii=S1550-4131%2821%2900219-9

Synaptic amplifier of hunger:

https://pmc.ncbi.nlm.nih.gov/articles/PMC10160008/pdf/nihms-1882224.pdf

Opioids and sugar appetite

https://www-science-org.proxy1.library.jhu.edu/doi/epdf/10.1126/science.adp1510

Brainstem – amygdala circuit during fasting

https://pmc.ncbi.nlm.nih.gov/articles/PMC11211344/pdf/41467_2024_Article_49766.pdf

One of the most remarkable feats of biological ‘wizardry’ in the animal kingdom is the ability of some cephalopods (octopuses, squids, and cuttlefish) to rapidly change the color, patterning, and texture of their skin so as to blend in with their background. They accomplish these feats through the linking of neural circuits in the visual system and brain to muscle cells that control the dispersion of pigment in specialized skin cells called chromatophores. But the details of the neural circuitry and the computational processes that control the camouflaging process remain largely unknown. In this episode Columbia University neuroscientist Tessa Montague talks about her research on the neurobiology of camouflage and the many challenges that must be overcome to better understand this remarkable phenomenon.

LINKS

Dr. Montague’s cuttlefish lab webpage: Tessamontague.com

Links to camouflaging cephalopods

https://www.youtube.com/watch?v=XocHDvHlcJM

https://www.youtube.com/watch?v=Ojb1pxcSr5E

Articles on the neurobiology of camouflage

https://www.cell.com/action/showPdf?pii=S0960-9822%2823%2901182-X

https://www.sciencedirect.com/science/article/pii/S0959438824000382?via%3Dihub

https://www.cell.com/action/showPdf?pii=S0960-9822%2823%2900757-1

During vigorous exercise lactic acid (lactate) levels increase in the blood and during fasting and extended exercise the levels of the ketone BHB (b-hydroxybutyrate) increase. In this episode I talk with Stanford University professor Jonathan Long about his recent discovery that lactate and BHB in the blood are bound to the amino acid phenylalanine and that they (Lac-Phe and BHB-Phe) have beneficial effects on metabolic and brain health. Lac-Phe levels increase markedly in response to exercise in mice, humans, and race horses. Peripheral administration of Lac-Phe in suppresses food intake and reverses diet-induced obesity and insulin resistance in mice. Genetic ablation of Lac-Phe biosynthesis causes hyperphagy and obesity even in exercising mice showing a critical role for Lac-Phe in the beneficial effects of exercise. BHB-Phe has similar effects on food intake and metabolic health. We talk about the potential benefits of Lac-Phe and BHB-Phe for brain health and resilience.

LINKS

The Long laboratory webpage: https://longlabstanford.org/

Lac-Phe articles:

https://pmc.ncbi.nlm.nih.gov/articles/PMC9767481/pdf/nihms-1852727.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC10635077/pdf/nihpp-2023.11.02.565321v1.pdf

BHB-Phe article: https://www.cell.com/action/showPdf?pii=S0092-8674%2824%2901214-5

White matter consists of bundles of long axons that convey information between neural circuits between different brain regions within and between brain hemispheres. These long axons are wrapped with many layers of lipid-rich membranes of oligodendrocytes (a type of glial cell) and it is this ‘insulation’ that enables rapid propagation of signals over long distances. The axons in white matter consume high amounts of energy and their energy demand increases during extended physical exercise. In this episode Professor Carlos Matute talks about his interesting journey to become a neuroscientist and his fascinating discoveries concerning the function and dysfunction of oligodendrocyte neurobiology. He and his team recently provided evidence that the lipids in myelin are consumed by neurons in marathon runners during the event and then are replenished during their recovery. We also talk about how oligodendrocytes and axons in white matter are damaged by traumatic brain injuries, stroke, multiple sclerosis, and neurodegenerative disorders.

LINKS

About Carlos Matute

https://www.achucarro.org/director/carlos-matute/

White matter and marathon running

https://pmc.ncbi.nlm.nih.gov/articles/PMC12021653/pdf/42255_2025_Article_1244.pdf

Review articles

https://pmc.ncbi.nlm.nih.gov/articles/PMC10454078/pdf/ijms-24-12912.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC4493393/pdf/fnana-09-00092.pdf

Michael Kreutz is Head of the Neuroplasticity Research Group at the Leibniz Institute for Neurobiology in Magdeburg Germany. Using powerful high resolution microscopy and molecular biology tools his laboratory has shown that autophagy occurs within synapses. Synaptic autophagy is stimulated by neural network activity and is critical for their maintenance and for learning and memory. Moreover, evidence suggests that conventional autophagy and exocytic autophagy prevent the abnormal accumulation of pathogenic proteins (Tau, TDP43, etc.) in neurodegenerative disorders. Pharmacological and lifestyle interventions that bolster synaptic autophagy may promote brain health and disease resistance.

LINKS

Kreutz Laboratory: https://www.kreutzlab.com/

Review article on autophagy and synaptic plasticity

https://www.cell.com/action/showPdf?pii=S0896-6273%2825%2900045-5

Activity-dependent protein expulsion in dendrites

https://www.cell.com/action/showPdf?pii=S2211-1247%2823%2901009-4

Golgi satellites in dendrites, NCAM, and LTP

https://www.cell.com/action/showPdf?pii=S2211-1247%2823%2900703-9

Belief in supernatural agents and other religious myths arose as a means of ‘explaining’ the unknown and as a tool for social cohesion and hierarchical control of civilizations. Their religiosity is major feature of a ‘believers’ self identity as well as their group identity. Compelling evidence from multiple types of studies have revealed the neurobiological foundations of beliefs in imaginary deities, an afterlife, and other religious myths. In this episode neuropsychologist Jordan Grafman talks about his research and related research showing that neural circuits in the prefrontal cortex convey religious beliefs much as they convey other beliefs (political, economic, etc.). Particularly fascinating are the results of brain imaging studies of mental imagery (e.g., ‘communicating’ with God), religious fundamentalism, and studies of Vietnam veterans who suffered penetrating brain injuries that dramatically affected their religiosity. These studies confirm and extend previous brain imaging studies by showing that spirituality maps to a brain circuit in the periaqueductal grey similar to lesions that cause delusions.

LINKS

Review articles

https://pmc.ncbi.nlm.nih.gov/articles/PMC9583670/pdf/fnbeh-16-977600.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC11638176/pdf/fnhum-18-1495565.pdf

Functional brain imaging and religious experiences

https://pmc.ncbi.nlm.nih.gov/articles/PMC2660736/pdf/zpq4876.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC3929007/pdf/brain.2013.0172.pdf

Brain lesions and religiosity

https://pmc.ncbi.nlm.nih.gov/articles/PMC6197485/pdf/nihms958660.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC8714871/pdf/nihms-1735983.pdf

https://pmc.ncbi.nlm.nih.gov/articles/PMC11388357/pdf/pnas.202322399.pdf

Neurological disorders involve aberrant neural network activity. New technologies are needed for establishing at a fine spatial and temporal resolution the nature of the altered network activity – and for restoring activity to or towards a healthy state. Professor Sri Sarma is an electrical engineer and neuroscientist who is at the forefront of this research field. Her research combines learning theory and control systems with neuroscience to develop novel approaches for understanding normal brain function and then developing brain – computer – electrophysiology feedback control systems to improve performance in health and disease. Her research and technology development is advancing personalized treatments for epilepsy, Parkinson’s disease, chronic pain, and depression.

LINKS

Seizure onset zone neural fragility in epilepsy

https://pmc.ncbi.nlm.nih.gov/articles/PMC8547387/pdf/nihms-1743906.pdf

Combining interictal intracranial EEG and fMRI to compute a dynamic resting-state index for surgical outcome validation

https://pmc.ncbi.nlm.nih.gov/articles/PMC11811083/pdf/fnetp-04-1491967.pdf]

Steering Toward Normative Wide-Dynamic-Range Neuron Activity in Nerve-Injured Rats With Closed-Loop Peripheral Nerve Stimulation.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10081946/pdf/nihms-1855381.pdf

Internal states during movements

https://pmc.ncbi.nlm.nih.gov/articles/PMC10687170/pdf/41467_2023_Article_43257.pdf

Sensory – motor feedback control (athletic performance)

https://pmc.ncbi.nlm.nih.gov/articles/PMC10998569/pdf/pnas.202319313.pdf

Gambling and decision making

https://pmc.ncbi.nlm.nih.gov/articles/PMC11352602/pdf/brainsci-14-00773.pdf