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Global Translational Medicine                                               Traumatic memories in PTSD



            cognitive functions may be distributed throughout the   Anecdotally, we recall a patient with cysticercosis
            body to reduce the risk of memory loss due to brain injuries   who was treated years earlier. He behaved, walked,
            or pathology. They are probably encoded in the molecular   and generally talked. The only complaints were mild
            networks of all cells. For instance, the cellular cytoskeleton   forgetfulness and word-finding difficulties. The resident
            communicates with the proteins of the extracellular matrix   physician performed a dementia work-up, including an
            through integrins and lipid rafts (membrane windows that   MRI of the brain. We observed surprising results and
            unite intracellular and extracellular molecular networks),   wondered how this patient could be alive. He had very
            generating global assemblies. 36                   little  brain  parenchyma  left. Although numerous cysts
              The  proteins  in  molecular  networks  are  believed  to   were  detected throughout  his CNS,  he  appeared  to  be
            encode memory in a quantum manner by altering the   minimally impaired. This individual and others like him
            conformational dynamics of various molecules. Proteins   are proof that information and memories are stored not
                                                               only in the brain but also in cells throughout the body. This
            have unique properties that facilitate information   may explain the patient’s normal functioning despite the
            processing and storage. Proteins fold along specific lines   loss of cerebral volume. In fact, the amount of information
            such as in origami, connect instantly with each other in
            a Lego-like manner, and, such as transformers, build new   in the DNA, which is present in every single cell of the
            structures from the old components. Proteins can also exist   body, ensures that the genetic information is not lost or
                                                               altered. Moreover, our muscles and tendons “remember”
            as two-state systems, engendering logic gates, the building   the old postures we have long abandoned. Immune cells
            blocks of quantum circuits. 37
                                                               recall previous infections, as shown by studies that 36% of
              The molecular network-mediated memory allows storing   patients with heart transplants inherit bits and pieces of the
            information in neurons and most body cells, engendering   donor’s personality. 38,47
            a  decentralized  “blockchain”  cognition.  Conditions  such
            as phantom limb, pseudocyesis, psychogenic blindness,   2.2. Cellular senescence
            or  cardiac transplant  recipients  adopting the  donor’s   In  1961,  Leonard  Hayflick  found  that  human  somatic
            personality traits demonstrate that cells and molecules can   cells do not replicate indefinitely but exit the cell cycle
            harbor memories and behavioral patterns. 38,39     after 40 – 60 divisions, the so-called Hayflick’s limit.
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              In  severe mental illness  (SMI), including PTSD,   These cells enter a state of replicative senescence marked
            cells throughout the body undergo premature cellular   by proliferative arrest in which they remain alive, have an
            senescence, a phenotype triggered by dysfunctional tight   active metabolism, and release toxic molecules known as
            junctions. 40,41  At the level of the gut and blood–brain   the SASP.
            barrier (BBB), senescent cells increase permeability further,   A few decades later, it was discovered that in addition
            enabling microbial migration into the host circulation   to replicative senescence, human cells can activate the
            and  eventually  reaching  the  brain.  Senescent  glial  cells   senescence program in response to various insults,
            and  multipotent  stem  cells  stop  replicating  or  replicate   including damaged DNA or plasma membranes, suggesting
            sporadically. In contrast, the opposite phenomenon occurs   that senescence is a default state responsible for averting
            in cancer, with the occurrence of uncontrolled proliferation,   cell/neuronal loss.
            suggesting that senescence and tumorigenesis act like the   Over the past few years, it became clear that SMI also
            two faces of Janus.
                                                               triggers cellular, including neuronal and CEC, senescence,
              Ancient  viruses  inherited  from  our  predecessors,   thereby  disrupting  the  BBB,  a  characteristic  of  several
            namely, human endogenous retroviruses (HERVs), dwell   neuropsychiatric disorders.
            in our DNA, comprising approximately 8% of the genome. 42
                                                                 At present, the exact mechanism of how mental illness,
              HERVs are activated by different pathologies, including   including PTSD, triggers senescence remains unclear.
            cancer, SMI, and contemporary viruses, including SARS-  Nevertheless, it may involve viruses because virus-
                                                         43
            CoV-2, the etiologic agent of the COVID-19 pandemic.    mediated lipid peroxidation may activate senescence.
            Some HERVs have become “domesticated” and “work”   For instance, under normal circumstances, cholesterol
            for the human host. For instance, HERV-W ENV encodes   negatively regulates cellular senescence, whereas oxidized
            a placental protein that, under pathological conditions,   cholesterol triggers this phenotype.  Furthermore, in
                                                                                             49
            may cause infertility.  Another example is the activity-  neuropsychiatric illnesses, including PTSD, cells become
                             44
            regulated cytoskeleton-associated (Arc) protein derived   senescent before reaching Hayflick’s limit, whereas cancer
            from an ancestral virus, which is expressed primarily in the   cells never undergo senescence and continue to replicate
            brain, promoting synaptic plasticity, learning, and LTP. 45,46  indefinitely.  An anticancer therapeutic strategy involves
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            Volume 3 Issue 4 (2024)                         3                               doi: 10.36922/gtm.3974
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