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00:02 This is lecture 23 of neuroscience. you will not be responsible for the

00:08 coverage in this lecture for your But you will be responsible for all

00:13 the materials that led up to this 2, 22. And in lecture

00:20 dr Ramachandran describes several syndromes. And I asked you to actively take notes

00:26 track information on those three syndromes, parts of the brain that are

00:32 Perhaps something about the prevalence sea of syndromes and certain individuals increased rates of

00:41 among artists. And also this article example, shows that there is increased

00:48 of synesthesia and autistic individuals with adults autism three times greater than in control

01:02 presence of ministerial In each one of conditions. The three conditions top graph

01:10 , phantom lemons anesthesia dr Ramachandran described brain circuits involved, how the problem

01:17 arise with its traumatic brain injury or trimming. Also discussed simple ways,

01:27 techniques for diagnosing um the organic skin was mentioned and simple ways for treating

01:37 . A mirror box was a device he built to treat one of these

01:43 . So please review this. This be on influence now. Everything else

01:48 we're covering today will not be on . But if you recall, I

01:54 you this slide at the very beginning and I said I'm gonna show the

02:01 over again throughout the course and tore down to the course and now I

02:06 you to take a pause for a look at what you're seeing on the

02:13 and think about work. understanding how from an understanding the knowledge you have

02:24 and just mm hmm Since january, March april just three months time.

02:37 we only have a few lectures We can understand a lot about individual

02:45 , the structure and function of different of neurons, dendrites and that X

02:50 so much axons. So long You understand a lot about synaptic

02:58 There are chemical interactions, electrical gap junctions understand the varieties of self

03:08 are present varieties of neurochemicals and neurotransmitters these cells use to communicate with each

03:18 . We also understand that there are circuits that are built and that these

03:25 become parts of the system such as visual system, the auditory system.

03:32 a lot of sense, sewage system so on. And we've learned that

03:39 circle anatomy and the representations of the world such as a homunculus, it's

03:45 matter of sensory cortex or retinal topic and the primary visual cortex and the

03:53 columns. And there are still a columns in the primary visual cortex.

03:59 the tone, a topic map in temporal lobe of the auditor cortex.

04:03 have learned that there are structures in areas and that there are maps,

04:12 maps that are created by the circuit systems and the structures that are involved

04:19 processing sensory information and producing a motor to these brain waves and brain maps

04:35 are created even by smelling something when is a map of smell in the

04:43 , that brain activity is going to , going to travel and spread into

04:51 adjacent interconnected level. And this brain is going to produce oscillations activity up

05:03 and downstate upstate and downstate. There networks that are more engaged at certain

05:10 in producing these oscillate story modes or . And they're different facilitation modes,

05:19 and frequencies and communication between individual south circuits, some larger parts of the

05:28 . And so these brain maps that created brain waves that travel through the

05:37 through the interconnected brain network. They produced because they're synchronized activity in the

05:47 . And that synchronized activity would call rhythms because there's brain rhythms come at

05:56 frequencies and produce certain activity of certain . The way we know that the

06:05 produces these rhythms is we can measure . And unlike the imaging techniques that

06:12 discussed, clinical imaging techniques such as scans and FmRI, those imaging techniques

06:21 up metabolic activity, oxygen, blood , glucose. When we talked about

06:31 neuroscience, we talked about voltage sensitive images that was in the last lecture

06:38 voted sensitive damaging was a direct correlation electrical activity of essentially measuring electrical activity

06:47 measuring changes in the dies as they with voltage crossing through plasma membrane in

06:57 clinical setting. You also want to what is happening with electrical activity inside

07:01 brain. The only way that you record a non invasively is using

07:06 G. Which stands for electrons to . Gram. And when electrodes and

07:13 are placed it's usually an array like cap that contains many electrodes. And

07:18 electrodes are picking up activity underneath that electrodes in that particular part of the

07:24 . Some frontal lobe, temporal occipital lobe, parietal lobe. And

07:32 E. G. S. Are over time when electrical activity is picked

07:37 through these recording electrodes on the the AGI cap there are dominant

07:45 There are certain rhythms. There are oscillations that dominated certain frequency to

07:54 G. Patterns are characterized by amplitude frequencies of synchronized network alpha rhythm

08:04 delta zeta gamma. All of these rhythms. They come in different

08:09 So alpha is 8 to 10 And this alpha rhythm this 8-10 alpha

08:18 represents a relaxed state and relaxed Beta Rhythm which is a different

08:27 13 - 30. Mhm. This beta rhythm 13 to thirties intense mental

08:36 or excitation, excited state. Delta which is slow waves. It represents

08:47 drowsy state fade activity shown here represents state pathology during wakefulness but also it's

08:57 important in learning and memory. Gam of 40 hurt. Also it's very

09:05 for learning and memory within the So the brain and different brain areas

09:14 dominated by rhythms that fall within certain of dominant frequency. And each one

09:26 these rhythms, son oscillations of the frequency represents different behavior and mental state

09:38 versus relaxation. So of course these come about because of the complex interactions

09:46 synchronization of excited or in an inventory as well as the contributions from the

09:54 authority substances such as the means that studied in this class. The other

10:03 shown here below show a grid of that are placed on the actual surface

10:11 the brain. So this is an technique. This is essentially intra operative

10:22 . Why would you make a big in the scala and expose this large

10:28 of the brain? Because you're probably neurosurgery and likely there is a resection

10:35 removal of a small part of the . So after you have identified with

10:41 . G. Recordings the bad part the brain, whatever it's the bad

10:46 , it's causing seizures. For it's called the focus of seizures and

10:52 know where seizures are beginning. Now have identified that they're beginning and let's

10:57 temporal lobe, you're gonna want to another grid of electrodes. It's a

11:02 more sensitive directly on the brain tissue pick up electrical activity, intra cortical

11:09 activity and that will help you refine precise location of the bad area of

11:16 brain, like the focus that's generating , it will allow you to minimize

11:23 amount of the brain you may need surgically remove and it will allow neurosurgeons

11:30 identify parts of the brain that are necessarily responsible for important functions. These

11:38 of recordings intra operatively in the operating . A quite often performed by an

11:49 in the presence of Mds. In presence of neurosurgeons. Ph D.

11:54 are the ones that helped place these of electrodes and interpret the data that

12:02 coming out of the grid of the together with neurosurgeon honing in on the

12:07 part of the brain that needs to surgically removed. So you wouldn't have

12:13 for any diagnostic, noninvasive. This a very harsh, very severe surgery

12:21 the brain. Um And you'd want minimize the damage, pardon me,

12:32 of the brain is one of my books but dr euribor jockey and he

12:39 about different rhythms and the system of rhythms and this what he describes the

12:45 relationship between space and time. So keep talking about spatial temporal. It

12:49 this concept of spatial temporal specificity of resolution, of temporal resolution. So

12:58 that's happening is happening with space and and the rhythms and these brain waves

13:03 spatial temporal representations. Space and time packaged into the concept of spacetime

13:11 Y. Z. In time. the 4th I mentioned, oscillations can

13:17 conceived off and displayed in terms of space or time, The face plane

13:23 assigning. Soit harmonic oscillator is a . We're gonna walk the perimeter of

13:28 circle, once, twice a billion . And yet we always get back

13:32 our starting point, what has been what will be and what has been

13:36 is what will be done. And nothing new under the sun. This

13:40 the circle of life. And now its perimeter is measured as dislocation.

13:45 we walk the circle of life and find ourselves in the same position?

13:50 alternative to the period is city view the universe. And the circle is

13:54 display periodicity is a series of sine . Now we can walk along the

14:01 and peaks, peaks and troughs off line without ever returning to the same

14:08 point. We find ourselves in a position, for example, at the

14:13 here and the trough here, whatever similar position is, for example,

14:18 of the electrical amplitude, chemical function the brain at the time. So

14:22 a stimulus state of being, but not the same in time. Time

14:29 is a continuum with a cycle as broom as it's symmetric. The cycle

14:35 identical in shape and the start and points of the cycles form an infinite

14:40 into the seemingly endless universe. This line illustrates the basis of our time

14:50 . So this is this is how sort of a meander. And so

14:54 is almost like things you can think , you do every day, you

14:58 up, you find yourself in the bad most of the time you go

15:05 the same routine, brushing teeth showering whatever the routine is working out

15:16 Find yourself in the classroom at 8:30 on Zoom on Tuesday and thursday,

15:23 are you in the same location and now? Time has changed. Time

15:28 passed. And this period is The internal area of this city that

15:35 talking about, the circadian rhythm was up and doing similar things day in

15:41 day out day after day for every day for every other week. And

15:48 course now you can see that there periodicity in the brain activity as

15:55 That's a much, much much faster . So why are there so many

16:03 regimes and how can these many different regimes be creative? And is there

16:09 system, the mathematical system to these river? So first of all we

16:15 that different cell subtypes are very important what we talked about from the very

16:21 is the different cell subtypes produce different in the action potential firing. They

16:29 different frequencies of action potentials. They different patterns of action potential backfiring some

16:36 them continuously firing. Some of them starting, some of them are burst

16:40 , some of them are very fast , some of them are slow

16:45 So out of all of this cellular that diversity came comes the ability to

16:52 multiple dominant rhythmic regimes, Of course have Uh huh neuro modulators. So

17:05 you think about excitation and inhibition this neural transmission. And then when you

17:11 about your model a torrey substance as , does that mean that epinephrine will

17:17 a certain rhythm in the brain Like up kind of rhythm? Because it's

17:21 stimulant for the brain. Does that that serotonin will produce a different rhythm

17:28 the brain? And that is true that is true for different parts of

17:32 of the brain? External entrainment, environment. We are surrounded by

17:40 You will hear a frequency of 100 and you'll hear a frequency of two

17:48 very fast. And so your brain going to recreate that rhythm your hair

17:55 remember. It's going to turn the molecule oscillations and the oscillations of the

18:02 into an electrical activity. So if a slow rhythm that you're listening to

18:08 it's gonna be slow rhythm in the faster than it's going to be faster

18:12 the right visual stimulate, they're going come in at different frequencies different wavelengths

18:19 this case. And so it's external . Whatever repetition you're doing motor

18:30 wrong style or just driving it three , notes your rhythms in the brain

18:37 going to adjust the motor output, going to adjust. Why do we

18:43 so many hostility torrey regimes. Why we have these very slow regimes that

18:48 can see on this table here, have some of the rhythms that I

18:53 it very slow. Like super charismatic will dictate the diet and over by

18:58 changes in the transcription factors in the asthmatic nucleus telling the rest of the

19:05 , Wake up this morning time or to sleep it's night time. Then

19:11 are slow rhythms that are on the of seconds. Then there are rhythms

19:16 are one or two oscillations. View like delta a second, four Hz

19:23 it's four oscillations that happened per second . 4 to 10 data. 10

19:30 30 and say look wait a This is a big split that 10

19:33 30. Yes, there is no clear defined. Well I am the

19:36 now but you can see that there dominant rhythms that get picked up.

19:41 you have some very fast rhythms, and neuronal networks can oscillate at speeds

19:50 up to 600 hertz per Wow 600 per second Neurons. That means have

20:01 produce 600 action potentials per second. have to synchronize and the whole network

20:10 to produce this very fast and ultrafast . So from really, really slow

20:21 ultra fast. You need to perform tasks. You need to be precise

20:29 fast and sometimes you need to be and this is going to be reflected

20:34 dictated by some of these facilitate the in the brain, you would also

20:42 that you need complex levels of computation the brain. And if the brain

20:47 only capable of producing two or 3 rhythms well then you can say that

20:55 computation of the brain that the rhythm computation of the brain. That the

21:03 is not only the sensory map that maps of activity as I told you

21:10 represent thinking thought processing and they can represent bad neuro degenerative activity such as

21:20 pill, epic seizure. So if have these distinct facilitate the regimes that

21:30 that your brain is capable of processing complex information and be dominated by multiple

21:41 dynamic regimes which essentially means different behavioral and behavioral output or lack thereof.

21:56 you're sake and kenton and his post try to see is there a mathematical

22:03 and reason? This is the frequency hertz. This is natural log of

22:10 . The land hurts here and when align these dominant rhythms within the frequencies

22:18 seem to have been separated by one in future. On alan bird scale

22:24 . So they were trying to see a mathematical explanation. Can we derive

22:30 ? And this is one of the that take him up on. So

22:35 again this is an E. Cap on the person. Each one

22:38 these selectors will be picking up activity the skull. Different behavioral states will

22:46 dominated by either 8 to 10 alpha ways that are much faster that will

22:54 for example sleepy or eyes closed, open or engaged electrical activity of the

23:01 cortex can be monitored by multiple extras on the scalp. This is on

23:08 scalp. So when you do the . G. Recordings, a lot

23:12 that electrical activity will get filtered through scalp. But it's non invasive.

23:18 is facial resolution can be achieved by grid electorates. So this is what

23:24 intra operative placement of the subdural grid craniotomy craniotomy is opening the window in

23:31 cranium, removing part of the skull the estimated electric positions of reporting sites

23:37 on the patient's structural M. I. Residents imaging scam acquired after

23:43 were implanted. Okay so you implant your wire M. R.

23:48 Image now you have the three dimensional of the brain. You identify this

23:54 of the brain as a problematic area the brain. Now you're going to

23:57 a recording with overlaid M. I. Image, you can identify

24:01 really small part, a small part the brain that is a neurosurgeon.

24:07 you have to do removal, that's you're going to do hippocampus.

24:14 Hippocampus is a part of the brain that's involved in memory formation. Memory

24:21 memories are not stored in hippocampus but an area of the brain that's very

24:27 involved and many different kinds of And one thing that when we talk

24:37 these brain rhythms and they represent drowsiness wakeful state intense mental activity. That's

24:44 thing however, in many cases and in epilepsy, abnormal brain rhythms indicates

24:54 indicate abnormal electrical activity that is neurodegenerative as a consequence of this abnormal electrical

25:05 that you would see here, for , a person that has an

25:08 G. Cap and an A. person is having an aura, the

25:13 proceeds an epileptic seizure that he or knows that something is about to happen

25:20 b. Each one of these traces is the difference of electrical potential reporting

25:29 the electorates on this cap. And can see that in B some of

25:34 electrodes like especially 14 through 16 become active. That means that E.

25:41 . Starts picking up synchronized activity and there is abnormal synchronized activity in

25:48 the person starts having an epileptic What happens a few seconds later or

25:56 seconds later, while you can see only one half of the brain was

26:03 during the state of seizure and be the time see period comes around and

26:11 person was experiencing a full blown generalized . That means that the seizure has

26:20 over and generalized over the entire And you can see that each one

26:26 these 16 electrodes is now showing this synchronized rhythm. So to diagnose epilepsy

26:35 most of, you know, epilepsy the person who's having seizures, a

26:40 who's having convulsions. But in fact are many different types of epilepsy

26:45 And one of the definitive the diagnosis epilepsy ease is by using E.

26:53 . And recording these rhythms and studying analyzing the rhythms because they can indicate

27:02 part of the brain Where normal activity . It starts somewhere here between the

27:08 15 and 16 or 14 and It can tell you something about the

27:15 of this rhythm and the pattern of rhythm will help diagnose a particular type

27:21 apple of seeds that the person is . So abnormal rhythms and abnormal E

27:28 . G. Recordings is the diagnosis epileptic form, activity of seizure activity

27:35 the brain. These arrows born to your called the hippocampus that I already

27:42 at the very beginning of the slide hippocampus is very susceptible to damage by

27:51 so it does not necessarily start seizures the brain. The most common epilepsy

27:57 humans is temporal lobe epilepsy. Hippocampus involved in this temporal lobe signaling intricately

28:06 the circuitry with the limbic system which also buried close within the temporal

28:14 Do these interactions are very important. it's not the side of generating seizures

28:19 it's a side of susceptibility to seizures susceptibility to neuro degeneration and hippocampus can

28:28 degenerate and neurons can die in hippocampus epilepsy and seizures but also the other

28:36 conditions such as schizophrenia for example can to their degeneration samples. Also.

28:45 these rhythms as I mentioned come about you have this incredible diversity of specific

28:52 within the circuits. Chemical communication within circuits and electrical communication. Electrical

29:00 Journalists will be very important for the to synchronize large networks of south to

29:07 you recall him the campus. It's three layer structure. But when we

29:12 about neocortex and these E. Recordings are taken from the surface of

29:17 skull. So when you're recording something the surface of the skull you're not

29:22 recording from these deep brain tissues such the campus. Rather your recording from

29:26 superficial layers of the new york And in fact you're picking up activity

29:32 the optical dendrites. If you're a that The cell layer five cells will

29:38 these large parameter cells going into their done dries layers 23 parameter cells with

29:45 capital done dries. These are most the inputs coming in from june equivalent

29:51 for example the lateral ventricular nucleus and primary visual cortex. But the take

29:57 message here is that E. We'll be picking up activity from the

30:03 from the surface of the skull and activity is a representation of what is

30:08 at the optical dendrites. The electromagnetic of the optical done rides in the

30:16 and um that activity gets filtered so don't have a direct contact between the

30:25 and the neuronal tissue. The electrode sitting on top of the skin just

30:31 on top of the skull. Which then you have three men in jeez

30:37 then you have the brain tissue and inside there you have the optical criminal

30:42 right? So in order for the . G. Signal to be picked

30:47 you actually have to have large numbers cells synchronized together in order to produce

30:54 rhythms. One cell activity will not picked up by an E.

30:59 Electorate. So the E. Electorate represents hundreds or thousands of cells

31:05 one electrode and electrical activity that has filtered through the tissue and energies and

31:11 skull before it gets picked up by E. G. Electrodes. And

31:16 signal is going to be very small weak. So you don't need lot

31:20 amplification and longer to detect to filter the E. G. Signals.

31:32 While we're recording Eg recordings we also to know individual contributions of the

31:38 And then the modern experimental neuroscience you these electors that are super thin.

31:44 these are individual cells that have been and you can see that you have

31:48 super thin electorates and on top of one of the electorate's this is

31:58 Okay so they have each recording sites they are very thin. So experimentally

32:05 can use techniques that you can implant lectures deepened their into the tissue to

32:11 picking up activity from the tissue. because you have multiple recording sites and

32:16 can implant these te treze these four 1234 together each having eight recording

32:23 Four times eight is 32. And of the location the location of those

32:34 and the time delay takes for the to travel. You can use the

32:40 and the triangulation and the calculations and and time to start picking up what

32:47 of cells individual neurons are contributing to . And so you need to reserve

32:53 again to experimental neuroscience techniques and implants electrodes that you would do in order

33:00 understand what cells are responsible for contributing action potential patterns in order to create

33:07 overall network. Credit some of the of epilepsy is that in epilepsy you

33:17 these synchronized and this is the cellular of epilepsy that we're looking at.

33:23 looking at this intracellular recording and extra recording. This is not an

33:28 G. Recording. It's an extra recording in the tissue. But typically

33:33 you would see you would see these bursts of activity. These deep polarization

33:40 numbers of action for cultural a normal doesn't produce these directional spikes. But

33:47 brain and epileptic tissues will produce these rhythmic repetitive activity that would be detected

33:54 the normal networks. So this has referred to as paroxysmal de polarizing shift

34:01 deep polarization of about 200 milliseconds with burst or certain frequency number of action

34:11 writing on top of that deep So this repetitive synchronized activity is formed

34:17 intrinsic neuronal number and properties and synoptic repetitive synchronized activity. It's formed by

34:28 neuronal number of properties because different neurons different rhythms and firing because they have

34:35 neuronal number of properties. Length, time, constant ionic channels that they

34:43 and also synaptic signaling which means that are certain rules of connectivity and feedback

34:50 and and so on. Mhm. you have in epilepsy the south and

34:58 cellular mechanisms that we're talking this courses typically have enhanced excitability or hyper

35:08 That hyper excitability is because there's typically excitation of AMP A. And

35:15 D. A. And glutamate So if you have a network that

35:23 excited and the balance has shifted towards and there isn't enough inhibition then you

35:30 want to boost the inhibitory now. most of the treatments for epilepsy and

35:38 would be boosting gaba signaling Gabba Gabba . And also opening up potassium channels

35:45 that will promote hyper polarization. So excitability or hyper excitability promotes abnormal synchrony

35:57 glutamate and gabba. And other channels as calcium dependent potassium channels promote hyper

36:07 and reduction in that synchronous. What the role of leah. So these

36:16 come about. And then we talked networks and these neuronal networks are surrounded

36:22 glia by different types of glee. We already know that ostracized for example

36:29 the amount of glutamate and cycle glutamate these circles. So is there glial

36:36 in neurological disorders? Says the glial for formation of seizures and narcolepsy?

36:42 answer's yes. Remember the glia take ions and they siphon off and then

36:51 and redistribute specially local increases in We re update and metabolize and release

37:02 . They produce slow calcium waves and are influencing licensing production which is an

37:12 . D. A receptor code factor activation of an M. D.

37:15 receptor Real South also control inflammation in brain. So apart from the active

37:24 of neural transmission and neurotransmitter cycling, are cells are also involved in slower

37:33 such as control of inflammation, an response in the brain. This is

37:47 picture of Children that having untreatable Form epilepsy in more than 30% of the

37:59 that have this form of epilepsy called Syndrome or severe my chronic epilepsy of

38:07 . These actual pictures of the Children the driving syndrome foundation and this is

38:13 disease that I studied for a decade this case the cause of driveway syndrome

38:22 childhood up or Pepsi is a mutation a mutation genetic mutation involved educated sodium

38:32 and this is a developmental form of epilepsy is typically most prevalent in early

38:42 and then they also then again become into late adulthood an aging years.

38:51 for Children and for the families that dried a syndrome, this is called

38:56 catastrophic form of epilepsy. These Children 30% of them were not responsive to

39:04 standard pharmaceutical treatments for epilepsy, either excitation or manipulating ion channels or increasing

39:17 . Benzodiazepines, about which you already boosting gaba. It doesn't work for

39:27 of these Children. That means that receive cocktails or pharmaceutical drugs, they're

39:32 intoxicated they are high and drunk. Benzodiazepines and other drugs experience a lot

39:43 side effects as dizziness, somnolence. and unfortunately the pharmaceutical drugs or cocktails

39:54 30-plus% of these Children don't work. , I was very interested in my

40:01 career here at u of age to the cellular mechanisms behind seizures, Annapolis

40:07 also try to find novel therapeutic treatments at least study and research what is

40:15 there that is novel that could be these Children. It's catastrophic because it's

40:22 for families. These Children can have to hundreds of seizures per day,

40:30 seizures a day, 400 seizures a . These Children are very susceptible to

40:39 changes. And so when their body goes up because of the infection or

40:46 , they're more likely to experience seizures it's hot outside, they're more likely

40:51 experience seizures too. Over 20% of Children and some of the Children that

40:59 pictured here have passed Over 20% of syndrome. Children die in their sleep

41:10 sudden unexpected death in epilepsy. So can imagine this is catastrophic for families

41:18 live with Children that have uncontrollable It starts impeding their progress because debilitating

41:27 Children can cause mental developmental reputation and of all, after all of the

41:38 , um, puzzle solving and trying control seizures for these Children. You

41:43 find them dad and and bad. spoken to my no parents that have

41:54 from this unbelievable tragedy truly catastrophic. lot of times when you have a

42:03 that has a severe neurological disorder, a child that may not be able

42:08 express themselves fully. It becomes an burden on families. Families have a

42:16 time staying together to to maintain to maintain the challenges that this,

42:24 disease and many other treatable forms of present. So it's difficulty, genetic

42:32 , It's a lot of seizures, form of epilepsy reputation and wealth educated

42:39 channel. Um, and uh DR became very publicized and it was actually

42:52 I started studying it. Not but As I was studying driving syndrome

42:58 the lab and I was doing the on the cellular level in 2013 and

43:07 . some interesting news started coming out this country. So there's this little

43:11 , charlotte Figi and her parents were parents and charlotte had driving syndrome and

43:19 seizures were not being controlled by available drugs. So her parents who were

43:27 cannabis which is marijuana or hemp, all cannabis plants and their parents were

43:33 it. And our military parents, moved to colorado but cannabis was legal

43:38 started treating this little girl with help the treating physician Edward Maher with an

43:46 from cannabis plant and that extract and contain two phyto economic roids can either

43:56 all and delta nine tetrahydrocannabinol CBD and . These are the two dominant phyto

44:07 that are produced by cannibals plants. talked about endocrine ah minerals that are

44:12 with our bodies and interact with cannabinoid . CB one CB. Two.

44:17 are phyto economic bonds that are produced cannabis plants. They also interact with

44:22 endocannabinoid system. They also interact with €1. Chemical systems in the brain

44:30 chemical systems in the body. So it. Biggie was the case of

44:39 From nearly 50 convulsive seizures per day now, two or 3 in the

44:45 convulsions per month. So Marijuana and were placed on Schedule one by

44:59 A. And F. D. . Food and Drug Administration and the

45:04 enforcement agency D. A. That the law Schedule 1 to Schedule one

45:10 in 1970s. For thousands of Medical Cannabis, marijuana, medical marijuana

45:19 used for treatment of many different films the 1930s. The regulators and the

45:26 interests of chemical lumber industry, big in the United States, they decided

45:31 no, marijuana's too it needs to eradicated because it's too much competition.

45:39 too many things that can be produced him in the industrial world and textiles

45:45 papers and plastics. And so the that are running the mills, paper

45:52 and lumber and chemical industry, they want to jump around. And in

45:57 1930s, if you recall this country alcohol prohibition. So it was illegal

46:04 drink beer goes to jail for drinking in the late 1920s, early

46:11 But when alcohol became legal in the and the regulators said, Okay,

46:15 need to make another enemy. And enemy became cannabis or marijuana. And

46:20 campaign of reefer madness was started where was told that if you smoke

46:27 you're gonna have interracial sex. It told that you will become lewd and

46:36 will go into psychosis from consuming marijuana wild crazy orgies. Which was all

46:43 up propaganda by media special interest and at the time, but it still

46:51 very lasting consequences on the mentality and stigma everybody is special in the older

46:58 , not everybody with a lot of people still carry around themselves with

47:02 but that is very rapidly changing. what happened with charlotte figi, is

47:07 the only case? No, it's of years, thousands of medical

47:12 it's not an adding that and thousands parents that came in front of the

47:18 . So despite the fact that marijuana in schedule wanna is the most dangerous

47:24 the same as heroin that has absolutely medicinal use. So that is highly

47:30 according to the federal government. you have medical cannabis programs all over

47:36 country. And the way it started in the 70s, just when marijuana

47:43 being placed on schedule one by the agencies, the hippies in California on

47:50 West Coast and the draft Dodgers in seventies that ran into british Columbia in

48:00 . They started growing cannabis receive bliss since amelia which came from Mexico,

48:08 up into California. And people started into genetics and people started getting into

48:16 and AIDS. Problem emerged in the on the West Coast and a lot

48:22 people that developed HIV and autoimmune disease . Aids, we're wasting away.

48:33 so were the people that were having cancers and we're undergoing chemotherapy and radiation

48:39 treatments. They were undergoing what is the wasting syndrome where the person loses

48:48 and they cannot eat anything and they're nauseous losses. The hippies that were

48:55 these different marijuana cannabis strains of starting make extracts and concoct things that were

49:01 not new. It's been around for of years, but maybe with more

49:05 a genetic implant care and selection, noticed, hey, that if people

49:11 these extracts and in fact if people cannabis, if people smoke marijuana,

49:16 alleviates the nozzle and it makes them and it makes them eat. And

49:23 all of these people that were suffering wasting syndrome that had AIDS or were

49:30 from cancer saw a little bit of and how relaxation and ability to

49:40 and so in 19 the eighties than United States government came out with a

49:46 delta nine THC to treat nausea for . Guess where they got that

49:54 Okay. The pharmaceutical agencies in the government which has the patent on cannabis

50:01 neuro protective and under inflammatory but also cannabis. And schedule one. So

50:06 did they get that idea? Making drug for nausea treatment of of of

50:15 and wasting syndrome. Let me guess We come forward some 2030 years and

50:23 notice that these extracts, it's not good for wasting syndrome. The modern

50:29 growers realizes specific strains which means that selected for specific plants that have a

50:36 chemical output that are known as different that come from. See genetically and

50:42 they've grown very carefully. They can similar chemical output. And so Forward

50:48 years from 19 seventies into early two 1996. Medical cannabis, medical marijuana

50:58 legal in California early two thousand's is Washington D. C. Early two

51:05 is legal in Colorado State. There's brewing, there's something going on these

51:11 started moving to colorado. Other families watching their kids take these cocktails of

51:18 medications with pictures of their Children approaching regulators and the lawmakers saying,

51:25 give us an alternative form of treatment these untreatable diseases such as epilepsy.

51:32 Children, we cannot wait for them have another 500 seizures, we cannot

51:39 for them to die in their The pharmaceutical drugs are not working,

51:43 system is not ideal. We need else. And people start advocating.

51:49 of these Children with epilepsy, especially Dravet syndrome, start advocating for legalization

51:55 medical cannabis federally. And that legalization about in many, many states,

52:01 38 states have uh some sort of marijuana, medical cannabis program, charlotte

52:11 becomes like a poster child for CBD THC treatment. There's a strain that

52:17 named after her called charlotte's web. unfortunately charlotte figi passed last year um

52:27 seven unexpected death in Epilepsy I So, these parents that push the

52:34 and help a lot of other people helped a lot of states have their

52:39 cabinets programs really helped not only people epilepsy but people with other conditions because

52:47 states, including state of texas as medical candidate of medical marijuana program That

52:54 approved for over 120 different conditions or . So you may have seen the

53:00 medical correspondent Sanjay Gupta. He did whole story on charlotte Figi and the

53:06 said good Canada strain that contained these of THC and CBD. And so

53:14 done a week two weeks, 3 four weeks 5. And that's the

53:18 evolution the changes in the laws, changes in the stigma that was associated

53:26 marijuana and changes in the regulatory environments the country. So some things to

53:36 when we talk about medical cannabis and , What is cannabis? What are

53:41 economics? What is cannabis is a where our endocrine ominous molecules that are

53:48 endogenous li by our own bodies What a fight, broke anonymous fight

53:54 anything that comes from a plant. plant based phenomenal. What is

54:00 What is hell? Campus pd federally marijuana is legal state by state

54:08 Home and marijuana. Why is hemp ? Why is marijuana illegal? Why

54:15 it becoming increasingly more legal? That last year 23 us states now it's

54:20 us states. Why is Canada's client the medical marijuana. All of these

54:26 great questions to consider as we're learning some of the things new phenomenon especially

54:34 your book can be released from past neurons and act on pasta. Matic

54:38 pre synaptic terminals. So it's retrograde , retrograde messengers. Okay. And

54:45 regulated voltage gated calcium channel. They're packaged investable. They're small and number

54:54 . They bind selectively to CB one CB two receptors. And we discussed

55:00 . And then we can have a to A. G. And and

55:05 these are And O. Canal. . All right. Spider oak

55:14 And there is a whole discovery of Fido Kananga. So Delta nine THC

55:22 from the plant cannot die. All from the plant. Uh huh.

55:31 there are other molecules also that are coming from the plant. There are

55:39 synthetic or that if you ingest off nine th C. There's a metabolism

55:45 these phyto cannabinoids into 11 0. . Delta nine THC and delta nine

55:50 . 11 Oleic acid to the two phenomenon is that we see in Canada's

55:58 is Delta nine THC and cannabidiol. eight THC Delta eight THC does not

56:12 from that plan. Delta nine This is carbon eight and 9.

56:21 , Delta nine has the double bond of the ninth. Carbon Delta eight

56:28 is semi synthetic process. Mm This is incorrect. It says some

56:34 the plant produced Delta 10 has a here on the town. Carbon double

56:41 has been moved around. These are are synthetic moments inside. So this

56:50 your brain. And under cannabinoids. neurotransmitters were discovered long before their

56:57 But modern techniques have we tended to the tradition and the story of the

57:03 were discovered before their transmitters. And we get in now into discussing the

57:11 and some of the cellular mechanisms and of the endocannabinoid system. And what

57:18 in general from cannabis and the fact the United States Government has a pattern

57:24 Canada's and there's a lot of information cannabis. And so what I'm going

57:30 do is there's a lot of updates happened in this area, Including from

57:37 states. When I prepared this lecture this course a year ago 2 38

57:44 having medical Canada. And so I'm continue on this theme on thursday.

57:53 . And there is a reason why segue from epilepsy into talking about medical

57:59 because in the state of texas, first approved condition for treatment by medical

58:07 was intractable upwards because the first pharmaceutical that is plant Canada's plan dr drag

58:17 non synthetic drug that is approved by is cannabidiol to treat Drive a

58:25 the severe mark Watney, couple ups infancy and other severe developmental epilepsy.

58:32 a reason why we segregated but I to update these slides because there's a

58:38 of more and interesting information that came so that we can shape a really

58:43 understanding of what is medical pharmaceutical phenomenal . What is medical state regulated cannabis

58:54 Canada's products and how to navigate this and what might the future opportunities in

59:02 emergent market and emergent industry. So will end here today. So please

59:08 that you are taking a quiz That will cover chapters 19 through 22

59:13 not cover today's

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