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Global Translational Medicine                                               Traumatic memories in PTSD










































            Figure 1. MLR supplies natural glycerophospholipids to replace the oxidized phospholipids, cholesterol, and ceramide. Under normal circumstances, lipids from
            the membrane bilayer activate Akt, inhibiting GSK-3β by phosphorylation at serine 9. Without lipidomic input, GSK-3β suppresses p53, disrupting genomic
            repair. Kaempferol prevents GSK-3β activation, whereas berberine inhibits ceramide, preventing serine 9 phosphorylation.  Image created by the authors
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            Abbreviations: MLR: Membrane lipid replacement; SCZ: Schizophrenia; SLD : Schizophrenia-like disorders.
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            related to altering the cell cycle dynamics, autophagy,   also regulate life and health span.  Studies of people in the
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            and cellular senescence.  In fact, berberine ameliorates   Blue Zones, areas with the highest number of centenarians,
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            cellular senescence by inhibiting cyclins and p16.  It   have identified socialization and interconnectedness as the
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            also inhibits oxidized ceramide and, indirectly, GSK-3β   primary keys to longevity.  As mitochondria power the
            through serine 9. Moreover, berberine alleviates anxiety,   social brain, they probably increase the lifespan. 124
            suggesting its beneficial effects in patients with PTSD.    Mitochondria are now known to leave the cell and
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            In ECs, berberine inhibits proliferation, suggesting its   function in the extracellular compartment, playing
            antimetastatic effects. 112                        a role in regulating metabolism and immunity. Cell-
              More studies are required on the potential use of these   free  mitochondrial  DNA  (cf-mtDNA)  is  a  marker  of
            natural compounds as antipsychotic drugs because current   inflammatory disease whose levels increase due to
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            clinical data are sporadic.                        psychological stress and social isolation.  Cf-mtDNA is a
                                                               measure of psychological stress that can be used as a PTSD
            6. Mitochondrial transfer and                      biomarker.  For instance, loneliness and socialization
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            transplantation                                    deficits are associated with increased cf-mtDNA-toll-
                                                               like  receptor  9 (TLR9)  signaling. Reducing  cf-mtDNA
            Mitochondria are intracellular organelles that were   signaling with deoxyribonuclease I (DNase I) attenuates
            previously bacteria, became “domesticated,” and currently   stress associated with impaired social behavior.
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            function in symbiosis with human cells. Mitochondria   Furthermore, isolation-upregulated cf-mtDNA acts as a
            generate energy in the form of ATP and play a significant   damage-associated molecular pattern (DAMP), activating
            role in preventing neuropathology, including depression,   inflammation. Inflammation without  pathogens,  known
            marked by several symptoms, including low power.    as “sterile,” is  implicated in psychological  stress. 128,129
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            Nevertheless, their role does not end here; these organelles   Therefore, measuring cf-mtDNA levels may explain why

            Volume 3 Issue 4 (2024)                         7                               doi: 10.36922/gtm.3974
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