The Synthesis of Wellness

136. Borrelia (Lyme) & The Brain - Neurological Manifestations of Chronic Lyme Disease, Blood-Brain Barrier Permeability, Symptoms, & Nervous System Support


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In this episode, we delve into the complexities of how Borrelia burgdorferi, the bacterium responsible for Lyme disease, impacts the brain, leading to neuroinflammation and a spectrum of neurological symptoms. We'll explore the pathophysiology of Borrelia's interaction with the brain's blood-brain barrier, its evasion of the immune system, and the direct effects on neural cells. Additionally, we'll discuss specific neurological symptoms and manifestations.

Topics:

1. Introduction

- Overview of Lyme disease and its causative agent, Borrelia burgdorferi.

- Explanation of Borrelia's invasive nature and its ability to cross biological barriers like the blood-brain barrier (BBB).


2. Understanding the Blood-Brain Barrier (BBB)

- Endothelial Cells: Primary cellular component of the BBB, unique to the brain for their tightly joined structure.

- Astrocytes:

- Role in regulating blood flow through neurovascular coupling.

- Interaction with neurons and release of vasoactive substances.

- Contribution to BBB integrity by influencing tight junction formation.

- Pericytes:

- Contribution to BBB permeability and regulation through contractile capabilities.


3. Sponsor Break: Daily Nouri


4. Pathophysiology of Borrelia in the Brain

- Invasion Mechanisms:

- Borrelia’s ability to adhere to and invade endothelial cells.

- Role of surface proteins and induction of matrix metalloproteinases (MMPs).

- Immune Evasion and CNS Invasion:

- Antigenic variation to avoid immune detection.

- Triggering of immune responses within the CNS, involving microglia and peripheral immune cells.

- Cytokine production and its consequences on neuronal health.


5. Direct Impact on Brain Cells

- Neurons: Effects of Borrelia invasion on cellular functions, mitochondrial dysfunction, and apoptosis.

- Astrocytes: Transition to reactive astrocytes in the presence of Borrelia and their role in neuroinflammation.

- Oligodendrocytes: Impact on myelin production and implications for cognitive and motor functions.


6. Sponsor Break: AX3 Life


7. Neurological Symptoms and Manifestations

- Symptoms Overview: Headaches, facial palsy, cognitive impairments, nerve root inflammation, POTS.

- Psychiatric Manifestations: Potential psychological symptoms like depression and anxiety due to neuroinflammation.


8. Conclusion

- Importance of addressing neurological symptoms of Lyme through a bioindividual and root-cause approach.

- Recap of key points and reference to previous relevant episodes for further listening.


Thank you to our episode sponsors:

Check out Daily Nouri and use code CHLOE20 for 20% off your order.

Check out ⁠AX3 Astaxanthin⁠ and use discount code ⁠CHLOE20⁠ for 20% off your first order.





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The Synthesis of WellnessBy Chloe Porter

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