| 2025 |
Fitzpatrick S, Mitchell C, Bell L, Cuenca J, Ditton-Phare P, Vallender K, Fitzgeraldson E, 'Mixed-Methods Consultation Study of Family and Friends Supporting a Paramedic Experiencing Mental Ill-Health or Suicidal Distress', Illness Crisis and Loss, 33, 636-657 (2025) [C1]
Supporting paramedics experiencing mental ill-health or suicidal distress is rewarding yet challenging for family, friends, and colleagues, but little is known about th... [more]
Supporting paramedics experiencing mental ill-health or suicidal distress is rewarding yet challenging for family, friends, and colleagues, but little is known about these carers' specific experiences and needs. This study explores carers' experiences of providing support and their requirements for online support programs. Seventy-two carers completed an online survey, with 14 participating in interviews. Survey data is presented using descriptive statistics and content analysis was applied to open-ended survey responses, while thematic analysis was conducted on interview transcripts. Carers provide significant emotional and practical support to paramedics facing mental health concerns or suicidal distress, emphasizing the importance of self-care despite accompanying guilt. Positive views were expressed regarding online programs offering confidentiality, accessibility, and information on paramedics' challenges. The study highlights the necessity for accessible online interventions, ensuring confidentiality and equipping carers with tools to address paramedics' mental health needs while prioritizing self-care.
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| 2024 |
Mitchell C, Campbell E, Fisher S, Stanton L, Burton N, Pearl A, Mcnally G, Bains J, Fuezesi T, Graham B, Manning E, Dayas C, 'Optogenetic recruitment of hypothalamic corticotrophin-releasing-hormone (CRH) neurons reduces motivational drive', TRANSLATIONAL PSYCHIATRY, 14 (2024) [C1]
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Open Research Newcastle |
| 2024 |
Mohammadkhani A, Mitchell C, James MH, Borgland SL, Dayas CV, 'Contribution of hypothalamic orexin (hypocretin) circuits to pathologies of motivation', BRITISH JOURNAL OF PHARMACOLOGY, 181, 4430-4449 (2024) [C1]
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Open Research Newcastle |
| 2024 |
Rafiei N, Mitchell CS, Tedesco CR, Chen J, Choi EA, Roughley S, Jean-Richard-dit-Bressel P, Kumar NN, McNally GP, Herzog H, Begg DP, 'Chemogenetic activation ofarcuate nucleus NPY and NPY/AgRP neurons increases feeding behaviour in mice', NEUROPEPTIDES, 107 (2024) [C1]
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Open Research Newcastle |
| 2024 |
Gladding JM, Rafiei N, Mitchell CS, Begg DP, 'Excision of the endothelial blood-brain barrier insulin receptor does not alter spatial cognition in mice fed either a chow or high-fat diet', NEUROBIOLOGY OF LEARNING AND MEMORY, 212 (2024) [C1]
Insulin is transported across the blood¿brain barrier (BBB) endothelium to regulate aspects of metabolism and cognition. Brain insulin resistance often results from hig... [more]
Insulin is transported across the blood¿brain barrier (BBB) endothelium to regulate aspects of metabolism and cognition. Brain insulin resistance often results from high-fat diet (HFD) consumption and is thought to contribute to spatial cognition deficits. To target BBB insulin function, we used Cre-LoxP genetic excision of the insulin receptor (InsR) from endothelial cells in adult male mice. We hypothesized that this excision would impair spatial cognition, and that high-fat diet consumption would exacerbate these effects. Excision of the endothelial InsR did not impair performance in two spatial cognition tasks, the Y-Maze and Morris Water Maze, in tests held both before and after 14 weeks of access to high-fat (or chow control) diet. The HFD increased body weight gain and induced glucose intolerance but did not impair spatial cognition. Endothelial InsR excision tended to increase body weight and reduce sensitivity to peripheral insulin, but these metabolic effects were not associated with impairments to spatial cognition and did not interact with HFD exposure. Instead, all mice showed intact spatial cognitive performance regardless of whether they had been fed chow or a HFD, and whether the InsR had been excised or not. Overall, the results indicate that loss of the endothelial InsR does not impact spatial cognition, which is in line with pharmacological evidence that other mechanisms at the BBB facilitate insulin transport and allow it to exert its pro-cognitive effects.
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| 2022 |
Goodman EK, Mitchell CS, Teo JD, Gladding JM, Abbott KN, Rafiei N, Zhang L, Herzog H, Begg DP, 'The effect of insulin receptor deletion in neuropeptide Y neurons on hippocampal dependent cognitive function in aging mice', JOURNAL OF INTEGRATIVE NEUROSCIENCE, 21 (2022) [C1]
Insulin is known to act in the central nervous system to regulate several physiological and behavioural outcomes, including energy balance, glucose homeostasis and cogn... [more]
Insulin is known to act in the central nervous system to regulate several physiological and behavioural outcomes, including energy balance, glucose homeostasis and cognitive functioning. However, the neuronal populations through which insulin enhances cognitive performance remain unidentified. Insulin receptors are found in neuropeptide-Y (NPY) expressing neurons, which are abundant in the hypothalamus and hippocampus; regions involved in feeding behaviour and spatial memory, respectively. Here we show that mice with a tissue specific knockout of insulin receptors in NPY expressing neurons (IRlox/lox; NPYCre/+) display an impaired performance in the probe trial of the Morris Water Maze compared with control mice at both the 6 and the 12, but not at the 24 months time point, consistent with a crucial role of insulin and NPY in cognitive functioning. By 24 months of age all groups demonstrated similar reductions in spatial memory performance. Together, these data suggest that the mechanisms through which insulin influences cognitive functioning are, at least in part, via insulin receptor signaling in NPY expressing neurons. These results also highlight that cognitive impairments observed in aging may be due to impaired insulin signaling.
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| 2022 |
Mitchell CS, Goodman EK, Tedesco CR, Nguyen K, Zhang L, Herzog H, Begg DP, 'The Effect of Dietary Fat and Sucrose on Cognitive Functioning in Mice Lacking Insulin Signaling in Neuropeptide Y Neurons', FRONTIERS IN PHYSIOLOGY, 13 (2022) [C1]
Obesogenic diets can produce hippocampal insulin resistance and impairments to hippocampal-dependent cognition. This study investigated the effect of disrupted insulin ... [more]
Obesogenic diets can produce hippocampal insulin resistance and impairments to hippocampal-dependent cognition. This study investigated the effect of disrupted insulin signaling in Neuropeptide Y (NPY) neurons on diet-induced deficits in hippocampal-dependent memory. Wild-type mice and mice that had a targeted knockout of insulin receptors on NPY cells (IRlox/lox;NPYCre/+) were given ad libitum access to a high-fat diet (high fat; HF), 10% sucrose solution (high sugar; HS), both high-fat diet and sucrose solution (high fat, high sugar; HFHS), or a normal fat control chow for 12 weeks. Mice were tested in the Morris Water Maze (MWM), a hippocampal-dependent spatial memory task. Glucose homeostasis was assessed via a glucose tolerance test. Independent of genotype, consumption of HF, but not HS, diet increased energy intake, body weight, and plasma leptin, and impaired glucose tolerance. Disrupted insulin signaling in NPY cells and dietary interventions did not significantly affect the ability of mice to learn the location of the platform in the MWM. However, for IRlox/lox control mice, consumption of HF, but not HS, diet resulted in reduced time spent in the target quadrant during the probe trial, suggesting a hippocampal-dependent memory deficit. IRlox/lox;NPYCre/+ mice had poor performance in the probe trial regardless of diet, suggesting a floor effect. This study did not find adverse effects of chronic sucrose intake on metabolic outcomes or hippocampal-dependent memory. These data also suggest that the effects of HF diet on hippocampal-dependent memory may be dependent on insulin signaling in hippocampal NPY cells.
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| 2021 |
Mitchell CS, Premaratna SD, Bennett G, Lambrou M, Stahl LA, Jois M, Barber E, Antoniadis CP, Woods SC, Cameron-Smith D, Weisinger RS, Begg DP, 'Inhibition of the Renin-Angiotensin System Reduces Gene Expression of Inflammatory Mediators in Adipose Tissue Independent of Energy Balance', FRONTIERS IN ENDOCRINOLOGY, 12 (2021) [C1]
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| 2021 |
Mitchell CS, Begg DP, 'The regulation of food intake by insulin in the central nervous system', JOURNAL OF NEUROENDOCRINOLOGY, 33 (2021) [C1]
Food intake and energy expenditure are regulated by peripheral signals providing feedback on nutrient status and adiposity to the central nervous system. One of these s... [more]
Food intake and energy expenditure are regulated by peripheral signals providing feedback on nutrient status and adiposity to the central nervous system. One of these signals is the pancreatic hormone, insulin. Unlike peripheral administration of insulin, which often causes weight gain, central administration of insulin leads to a reduction in food intake and body weight when administered long-term. This is a result of feedback processes in regions of the brain that regulate food intake. Within the hypothalamus, the arcuate nucleus (ARC) contains subpopulations of neurones that produce orexinergic neuropeptides agouti-related peptide (AgRP)/neuropeptide Y (NPY) and anorexigenic neuropeptides, pro-opiomelanocortin (POMC)/cocaine- and amphetamine-regulated transcript (CART). Intracerebroventricular infusion of insulin down-regulates the expression of AgRP/NPY at the same time as up-regulating expression of POMC/CART. Recent evidence suggests that insulin activity within the amygdala may play an important role in regulating energy balance. Insulin infusion into the central nucleus of the amygdala (CeA) can decrease food intake, possibly by modulating activity of NPY and other neurone subpopulations. Insulin signalling within the CeA can also influence stress-induced obesity. Overall, it is evident that the CeA is a critical target for insulin signalling and the regulation of energy balance.
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| 2017 |
Campbell EJ, Mitchell CS, Adams CD, Yeoh JW, Hodgson DM, Graham BA, Dayas CV, 'Chemogenetic activation of the lateral hypothalamus reverses early life stress-induced deficits in motivational drive', EUROPEAN JOURNAL OF NEUROSCIENCE, 46, 2285-2296 (2017) [C1]
Altered motivated behaviour is a cardinal feature of several neuropsychiatric conditions including mood disorders. One well-characterized antecedent to the development ... [more]
Altered motivated behaviour is a cardinal feature of several neuropsychiatric conditions including mood disorders. One well-characterized antecedent to the development of mood disorders is exposure to early life stress (ELS). A key brain substrate controlling motivated behaviour is the lateral hypothalamus (LH). Here, we examined the effect of ELS on LH activation and the motivation to self-administer sucrose. We tested whether chemogenetic activation of LH circuits could modify sucrose responding in ELS rats and examined the impact on LH cell populations. Male rat pups were maternally separated for 0 or 3¿h on postnatal days 2¿14. During adolescence, rats received bilateral injections of hM3D(Gq), the excitatory designer receptor exclusively activated by designer drugs, into LH. In adulthood, rats were trained to self-administer sucrose and tested under a progressive ratio schedule to determine their motivation for reward following injection with either vehicle or 5¿mg/kg clozapine-N-oxide. Brains were processed for Fos-protein immunohistochemistry. ELS significantly suppressed lever responding for sucrose, indicating a long-lasting impact of ELS on motivation circuits. hM3D(Gq) activation of LH increased responding, normalizing deficits in ELS rats, and increased Fos-positive orexin and MCH cell numbers within LH. Our findings indicate that despite being susceptible to environmental stressors, LH circuits retain the capacity to overcome ELS-induced deficits in motivated behaviour.
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Open Research Newcastle |