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Inflammation Hypothesis
Depression = inflammatory illness
Immune activation → changes in brain chemistry
Affects:
Neurotransmitters
Brain structure (amygdala, hippocampus)
Pathogens Linked to Depression
Parasite: Toxoplasma gondii
Infects ~30% of world population
Forms cysts in:
Brain
Muscle
Effects on Brain:
Amygdala → fear
Hypothalamus → sexual behavior
↑ Dopamine
↓ Serotonin (via immune response)
👉 Linked to:
Schizophrenia
Personality changes
Suicide risk
Gut Microbiome
Brain ↔ gut communication (bidirectional)
Changes in microbiome → changes in:
Emotion
Behavior
Brain activity
Viruses
Example: Borna Disease Virus (BDV)
May influence brain and mood disorders
Human Endogenous Retroviruses (HERVs)
Key Concept:
Ancient viral DNA in human genome (~8%)
Balance Model
Trauma + infection → activates HERVs
Effects:
Pathogenic (inflammation, damage)
Protective (neurotrophic effects)
👉 Depression risk = balance between these effects
Key Takeaways
Depression is not just “chemical imbalance”
It may involve:
Immune system
Infection
Genetics + environment
Aggression & the Brain
Brain Regions:
Amygdala → emotion, fear, aggression
Prefrontal Cortex (PFC) → control, inhibition
👉 Aggression = imbalance:
Overactive amygdala
Underactive PFC
MAOA Gene (“Warrior Gene”)
MAOA-L variant:
↓ brain volume in:
Amygdala
Cingulate cortex
↑ emotional reactivity
Altered connectivity with PFC
👉 Associated with:
Aggression (especially in certain environments)
Criteria for Criminal Responsibility1. Act Requirement
Must be:
Intentional
Conscious behavior
Mens Rea (Mental State)
Intention
Recklessness
Negligence
What doesn’t excuse crime
Genetics (G×E) does NOT excuse crime automatically
👉 Stephen Morse:
“Causation is not an excuse”
What can effect sentencing
Genetics can:
Mitigate (reduce blame)
Aggravate (increase perceived risk)
👉 “Knife that cuts both ways”
Predicting Recidivism (Kent Kiehl)
Go/No-Go Task:
Measures impulse control
Finding:
Low ACC activity → higher chance of reoffending
Key Takeaways
Biology influences behavior—but law focuses on:
Rationality
Control
Courts evaluate individual cases, not genetic groups
What is Neuroethics?
Study of:
Ethical
Legal
Social implications of neuroscience
Why is the Brain Special?
Raises questions about:
Identity
Consciousness
Personhood
Morality
Neurogenethics
Combines:
Genetics
Brain science
Ethics
Technologies Driving the Field
fMRI (brain imaging)
TMS (brain stimulation)
Genomics
Gene Therapy in the Brain
Current Status:
Parkinson’s trials (Phase I/II)
No major safety issues yet
Ethical Issues:
Patient understanding vs. autonomy
Access to treatment
Risk vs. benefit
Brain Organoids (“Mini-Brains”)
What they are:
Lab-grown 3D brain models
Uses:
Study development
Study disease
Organoid Intelligence (OI)
Combining:
Brain cells
Artificial intelligence
Example:
“DishBrain” (neurons learning Pong)
Ethical Concerns on brain organoids
Consciousness?
Moral status?
Human–animal chimeras
Consent
Regulation
Neurogenethics Problem Space
Covers:
Molecules → behavior → society
Issues:
Personhood
Stigma
Safety
Regulation
Odds of a second depressive episode:
80%
% of positive studies published:
100%
Why inflammation alone is insufficient:
Inflammation doesn’t explain:
why specific brain regions are affected
why some people get depression and others don’t
Which does NOT belong?
Ghost glowworm
Bifidobacteria infantis
reduces stress reactivity in mice
It’s a gut microbiome bacterium
Linked to lower stress responses → supports gut–brain connection
Is HIV is associated with depression?
True
HIV is associated with:
immune activation
inflammation
BUT important nuance:
HERV model says HIV alone doesn’t explain depression fully
Best support for inflammatory hypothesis
Depressed patients show increased inflammatory markers, and anti-inflammatory add-on treatments improve symptoms in some studies.
Statistically significant but not clinically meaningful
Statistical significance = math says “real effect”
Clinical significance = actually meaningful improvement
👉 If patients are still depressed → not clinically meaningful
Recklessness vs Negligence
Recklessness vs Negligence
subjective; objective
Recklessness = subjective
person KNOWS the risk
Negligence = objective
person SHOULD have known