The clinical state of accurate, efficient, and appropriately modulated communication within the central nervous system, characterized by the precise synthesis, release, receptor binding, and clearance of neurotransmitters and neuropeptides. High fidelity ensures clear and consistent transmission of information, supporting optimal mood, cognition, sleep architecture, and stress response. Diminished fidelity is a core feature of many neuroendocrine and mood disorders.
Origin
This term is derived from systems neuroscience and psychoneuroendocrinology, borrowing the concept of “fidelity” from communication engineering to describe the quality of biological information transfer. It emphasizes that not only the quantity but also the precision of neurochemical communication is vital for brain health. It links endocrine function directly to cognitive and emotional well-being.
Mechanism
Fidelity is maintained by the coordinated function of various enzymatic and transport systems that regulate neurotransmitter homeostasis, including monoamine oxidase (MAO) and reuptake transporters. Hormones, such as thyroid hormones and sex steroids, directly modulate the expression and activity of these regulatory proteins and their cognate receptors. The mechanism relies on the delicate balance of synthesis and degradation pathways, ensuring signals are strong and transient.
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