Embodied Neuroplasticity: Exploring Biological and Molecular Pathways of Inner Development for Planetary Health
Abstract
1. Introduction—Toward Sustainability
- Molecular Mechanisms: Focusing on Ca2+-CaMKII-HA signaling cascades and epigenetic modifications that modulate cellular responsiveness and genetic expression.
- Tissue-Level Dynamics: Examining mechanotransduction processes within fascia, extracellular matrix (ECM), skin, and mesenchymal HA-rich tissues that translate mechanical signals into biochemical responses.
- Neural Systems: Analyzing synaptic plasticity, network reorganization, and structural brain changes that underpin neurological adaptation and learning.
- Psychological Functions: Investigating interoceptive awareness, emotional regulation, memory consolidation, and stress response modulation.
- Social Capacities: Exploring the Inner Development Goals dimensions of Relating, Collaborating, and Caring as emergent social behavioral patterns.
2. The IDG Framework and Embodied Neuroplasticity
3. Molecular Mechanisms: Calcium Signaling and CaMKII
3.1. The Universal Signal That Translates Experience into Lasting Change
3.2. From Momentary Burst to Lasting Memory and Plasticity
3.3. CaMKII as a Weighted Flywheel
3.4. When Calcium Goes Wrong
3.5. Evidence from Contemplative Practices
4. Beyond Neurons: A Conserved Mechanism Across Tissues
| Cell Type | CaMKII’s Role in Learning/Adaptation | Citations |
|---|---|---|
| Muscle cells | Adapts to load, tone, and coordination; regulates gene expression and muscle memory | [69,70] |
| Heart cells | Regulates heart rhythm, contractility, and adapts to physiological stress | [71,72,73,74,75,76,77,78] |
| Brain cells | Central to memory, learning, synaptic plasticity, and skill formation | [52,69,79,80,81] |
| Fascial/connective tissue cells | Responds to mechanical cues, mediates mechanotransduction, and tissue adaptation | [69,82] |
4.1. Tissue-Specific Tuning of the Calcium–Hyaluronan Axis
| Cell Context | Dominant HA Direction | Key HA Regulators | Functional Emphasis | Citations |
|---|---|---|---|---|
| Keratinocytes | Net ↑ HMW-HA, then pH-guided trimming | HAS2/3, HYAL1, CD44 | Barrier repair, hydration, controlled inflammation | [86,87,88,89] |
| Mesenchymal (fascia, fibroblasts) | Intermediate: robust synthesis + active remodeling | HAS2, HYALs, ROS, CD44/RHAMM | Tensile integrity vs. fibrotic remodeling, immune cell retention | [83,84,85,90] |
| Astrocytes/CNS | Net ECM loosening, LMW-HA increase | Astrocyte/microglial hyaluronidases, MMPs | Synaptic plasticity, with risk of hyperexcitability | [91,92,93,94] |
4.2. Astrocytic CHA: Degradation-Dominant Promotion of Plasticity
4.3. From Spinning Signal to Lasting Pattern: Calcium, Epigenetics, and Memory
5. Epigenetic Encoding and Tissue-Specific CHA Patterns
Calcium Signaling as the Entry Point to Epigenetic Pattern-Setting
6. Clinical Translation: Molecular Mechanisms Underlying the Embodied Neuroplastic Resilience Model
6.1. Three ENRM Pathways
- Embodiment-Interoception. Embodied practices modulate tissue mechanics—fascial tension, HA density, ECM stiffness—altering mechanoreceptor sensitivity and Ca2+ influx patterns in interoceptive circuits (insula, somatosensory cortex). These altered Ca2+ patterns could drive synaptic plasticity in interoceptive hubs, potentially explaining enhanced bodily awareness and emotional literacy reported by practitioners.
- Neuroplastic-Autonomic Regulation. Repeated breath-focused practices may produce sustained, rhythmic Ca2+ oscillations in autonomic circuits, triggering epigenetic changes at genes controlling autonomic function and stress response. Early-life stress shifts DNA methylation at glucocorticoid receptor and plasticity genes, altering HPA-axis function long-term [97]. If contemplative practices operate through similar Ca2+→CaMKII→epigenetic mechanisms in reverse, they may provide a means to modify maladaptive stress-response patterns. This could explain why regular practitioners show baseline differences in heart rate variability and autonomic flexibility that persist between practice sessions.
- Mindfulness-Resilience. Contemplative attention may modulate Ca2+ dynamics in cortical circuits—particularly PV interneurons maintaining gamma oscillations and prefrontal-amygdala pathways—driving epigenetic changes at stress-response genes (BDNF, Arc, Fos) and potentially reducing reactivity to previously threatening stimuli.
6.2. Integration and Intervention Design
7. Social Capacities and Transformative Applications
7.1. Linking Molecular Mechanisms to IDG Capacities
7.1.1. Provisional IDG Mappings
7.1.2. On the Relationship Between Biology and Normative Goals
7.2. Embodied Education: Teaching Interconnection
7.3. Movement and Manual Therapies: Mechanistic Foundations
7.4. Movement Therapies
7.5. Mind–Body Integration Therapies
8. Limitations and Responsibilities
8.1. Socioeconomic Barriers and the Social Determination of Capacity
8.2. Limitations of CHA as a Neurobiological Rationale for Embodied Neuroplasticity
9. Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Prescott, S.L.; Logan, A.C.; Bristow, J.; Rozzi, R.; Moodie, R.; Redvers, N.; Haahtela, T.; Warber, S.; Poland, B.; Hancock, T.; et al. Exiting the Anthropocene: Achieving Personal and Planetary Health in the 21st Century. Allergy 2022, 77, 3498–3512. [Google Scholar] [CrossRef]
- Logan, A.C.; Berryessa, C.M.; Callender, J.S.; Caruso, G.D.; Hagenbeek, F.A.; Mishra, P.; Prescott, S.L. The Land That Time Forgot? Planetary Health and the Criminal Justice System. Challenges 2025, 16, 29. [Google Scholar] [CrossRef]
- ScopeAboutAdmin. UN Sustainable Development Goals on ScienceOpen; ScienceOPEN: Berlin, Germany, 2021. [Google Scholar]
- Khalid, H. UN Sustainable Development Goals; Department of Economic and Social Affairs Sustainable Development: New York, NY, USA, 2024. [Google Scholar]
- Chen, C.; Nakagawa, S. Planetary Health and the Future of Human Capacity: The Increasing Impact of Planetary Distress on the Human Brain. Challenges 2018, 9, 41. [Google Scholar] [CrossRef]
- Siegel, D.J.; Drulis, C. An Interpersonal Neurobiology Perspective on the Mind and Mental Health: Personal, Public, and Planetary Well-Being. Ann. Gen. Psychiatry 2023, 22, 5. [Google Scholar] [CrossRef] [PubMed]
- Prescott, S.L.; Wegienka, G.; Logan, A.C.; Katz, D.L. Dysbiotic Drift and Biopsychosocial Medicine: How the Microbiome Links Personal, Public and Planetary Health. Biopsychosoc. Med. 2018, 12, 7. [Google Scholar] [CrossRef]
- Ismail, F.Y.; Fatemi, A.; Johnston, M.V. Cerebral Plasticity: Windows of Opportunity in the Developing Brain. Eur. J. Paediatr. Neurol. 2017, 21, 23–48. [Google Scholar] [CrossRef] [PubMed]
- Gazerani, P. The Neuroplastic Brain: Current Breakthroughs and Emerging Frontiers. Brain Res. 2025, 1858, 149643. [Google Scholar] [CrossRef]
- Mateos-Aparicio, P.; Rodríguez-Moreno, A. The Impact of Studying Brain Plasticity. Front. Cell. Neurosci. 2019, 13, 66. [Google Scholar] [CrossRef]
- Baroncelli, L.; Lunghi, C. Neuroplasticity of the Visual Cortex: In Sickness and in Health. Exp. Neurol. 2021, 335, 113515. [Google Scholar] [CrossRef]
- Wamsler, C.; Osberg, G.; Janss, J.; Stephan, L. Revolutionising Sustainability Leadership and Education: Addressing the Human Dimension to Support Flourishing, Culture and System Transformation. Clim. Change 2023, 177, 4. [Google Scholar] [CrossRef]
- Blanc, J.; Meißner, A. Towards a Holistic Approach to Sustainable Development: Inner Development as a Missing Link for Sustainability Transformation. Religions 2025, 16, 76. [Google Scholar] [CrossRef]
- Wamsler, C.; Bristow, J. At the Intersection of Mind and Climate Change: Integrating Inner Dimensions of Climate Change into Policymaking and Practice. Clim. Change 2022, 173, 7. [Google Scholar] [CrossRef]
- Costanza, R.; Fioramonti, L.; Kubiszewski, I. The UN Sustainable Development Goals and the Dynamics of Well-Being. Front. Ecol. Environ. 2016, 14, 59. [Google Scholar] [CrossRef]
- Biermann, F.; Kanie, N.; Kim, R.E. Global Governance by Goal-Setting: The Novel Approach of the UN Sustainable Development Goals. Curr. Opin. Environ. Sustain. 2017, 26–27, 26–31. [Google Scholar] [CrossRef]
- Framework—Inner Development Goals. Available online: https://innerdevelopmentgoals.org/ (accessed on 25 November 2025).
- Shtaltovna, Y.; Carreon, V.R.; Lindencrona, F.; Donald, W.E. Cognitive Skills within the Inner Development Goals (IDG) Framework: Empowering Sustainable Careers and Sustainable Development. GILE J. Ski. Dev. 2024, 4, 74–94. [Google Scholar] [CrossRef]
- Woiwode, C.; Schäpke, N.; Bina, O.; Veciana, S.; Kunze, I.; Parodi, O.; Schweizer-Ries, P.; Wamsler, C. Inner Transformation to Sustainability as a Deep Leverage Point: Fostering New Avenues for Change through Dialogue and Reflection. Sustain. Sci. 2021, 16, 841–858. [Google Scholar] [CrossRef]
- Brevers, D.; Baeken, C.; Maurage, P.; Sescousse, G.; Vögele, C.; Billieux, J. Brain Mechanisms Underlying Prospective Thinking of Sustainable Behaviours. Nat. Sustain. 2021, 4, 433–439. [Google Scholar] [CrossRef]
- Lockwood, P.L.; Apps, M.A.J.; Valton, V.; Viding, E.; Roiser, J.P. Neurocomputational Mechanisms of Prosocial Learning and Links to Empathy. Proc. Natl. Acad. Sci. USA 2016, 113, 9763–9768. [Google Scholar] [CrossRef]
- Yasuda, R.; Hayashi, Y.; Hell, J.W. CaMKII: A Central Molecular Organizer of Synaptic Plasticity, Learning and Memory. Nat. Rev. Neurosci. 2022, 23, 666–682. [Google Scholar] [CrossRef]
- Hassan, A.; Rao, M.; Yogesh, R.; Sateesh, A.; Fateh, R.; Acharya, Y. Calcium Calmodulin-Dependent Protein Kinase II (CaMKII) Versatile Player for Synaptic Plasticity. Int. Educ. Res. J. 2017, 3, 189–191. [Google Scholar]
- Bayer, K.U.; Giese, K.P. A Revised View of the Role of CaMKII in Learning and Memory. Nat. Neurosci. 2025, 28, 24–34. [Google Scholar] [CrossRef]
- Bristow, J.; Bell, R.; Wamsler, C.; Björkman, T.; Tickell, P.; Kim, J.; Scharmer, O. The System Within: Addressing the Inner Dimensions of Sustainability and Systems Change. The Club of Rome. Earth4All: Deep-Dive Paper 17. 2024. Available online: https://www.clubofrome.org/publication/earth4all-bristow-bell/ (accessed on 8 December 2025).
- Wamsler, C. Education for Sustainability: Fostering a More Conscious Society and Transformation towards Sustainability. Int. J. Sustain. High. Educ. 2020, 21, 112–130. [Google Scholar] [CrossRef]
- Kumar, M.V.V.; Kapil, D.K. Yoga for Mental Health: A Theoretical Synthesis of Embodiment, Neuroplasticity, and Integrative Resilience in Contemporary Psychological Models. Int. J. Res. Innov. Appl. Sci. 2025, 10, 1435–1439. [Google Scholar] [CrossRef]
- Sweatt, J.D. Neural Plasticity and Behavior—Sixty Years of Conceptual Advances. J. Neurochem. 2016, 139, 179–199. [Google Scholar] [CrossRef]
- Nguyen, L.; Murphy, K.; Andrews, G. Cognitive and Neural Plasticity in Old Age: A Systematic Review of Evidence from Executive Functions Cognitive Training. Ageing Res. Rev. 2019, 53, 100912. [Google Scholar] [CrossRef]
- Laube, C.; van den Bos, W.; Fandakova, Y. The Relationship between Pubertal Hormones and Brain Plasticity: Implications for Cognitive Training in Adolescence. Dev. Cogn. Neurosci. 2020, 42, 100753. [Google Scholar] [CrossRef]
- Tregub, P.P.; Komleva, Y.K.; Kukla, M.V.; Averchuk, A.S.; Vetchinova, A.S.; Rozanova, N.A.; Illarioshkin, S.N.; Salmina, A.B. Brain Plasticity and Cell Competition: Immediate Early Genes Are the Focus. Cells 2025, 14, 143. [Google Scholar] [CrossRef]
- Bryck, R.L.; Fisher, P.A. Training the Brain: Practical Applications of Neural Plasticity from the Intersection of Cognitive Neuroscience, Developmental Psychology, and Prevention Science. Am. Psychol. 2012, 67, 87–100. [Google Scholar] [CrossRef]
- Chatterjee, D.; Hegde, S.; Thaut, M. Neural Plasticity: The Substratum of Music-Based Interventions in Neurorehabilitation. NeuroRehabilitation 2021, 48, 155–166. [Google Scholar] [CrossRef]
- Cicchetti, D. Neural Plasticity, Sensitive Periods, and Psychopathology. Dev. Psychopathol. 2015, 27, 319–320. [Google Scholar] [CrossRef]
- Maier, M.; Ballester, B.R.; Verschure, P.F.M.J. Principles of Neurorehabilitation After Stroke Based on Motor Learning and Brain Plasticity Mechanisms. Front. Syst. Neurosci. 2019, 13, 74. [Google Scholar] [CrossRef]
- Andrade-Talavera, Y.; Rodríguez-Moreno, A. Synaptic Plasticity and Oscillations in Alzheimer’s Disease: A Complex Picture of a Multifaceted Disease. Front. Mol. Neurosci. 2021, 14, 696476. [Google Scholar] [CrossRef]
- Chapman, S.B.; Aslan, S.; Spence, J.S.; Hart, J.J., Jr.; Bartz, E.K.; Didehbani, N.; Keebler, M.W.; Gardner, C.M.; Strain, J.F.; DeFina, L.F.; et al. Neural Mechanisms of Brain Plasticity with Complex Cognitive Training in Healthy Seniors. Cereb. Cortex 2015, 25, 396–405. [Google Scholar] [CrossRef]
- Harrison, D.; Rorot, W.; Laukaityte, U. Mind the Matter: Active Matter, Soft Robotics, and the Making of Bio-Inspired Artificial Intelligence. Front. Neurorobot. 2022, 16, 880724. [Google Scholar] [CrossRef]
- Li, S.-C.; Brehmer, Y.; Shing, Y.L.; Werkle-Bergner, M.; Lindenberger, U. Neuromodulation of Associative and Organizational Plasticity across the Life Span: Empirical Evidence and Neurocomputational Modeling. Neurosci. Biobehav. Rev. 2006, 30, 775–790. [Google Scholar] [CrossRef]
- Berridge, M.J.; Bootman, M.D.; Roderick, H.L. Calcium Signalling: Dynamics, Homeostasis and Remodelling. Nat. Rev. Mol. Cell Biol. 2003, 4, 517–529. [Google Scholar] [CrossRef]
- Li, B.; Tadross, M.R.; Tsien, R.W. Sequential Ionic and Conformational Signaling by Calcium Channels Drives Neuronal Gene Expression. Science 2016, 351, 863–867. [Google Scholar] [CrossRef]
- Kawamoto, E.M.; Vivar, C.; Camandola, S. Physiology and Pathology of Calcium Signaling in the Brain. Front. Pharmacol. 2012, 3, 22359. [Google Scholar] [CrossRef]
- Berridge, M.J. Calcium Signalling and Psychiatric Disease: Bipolar Disorder and Schizophrenia. Cell Tissue Res. 2014, 357, 477–492. [Google Scholar] [CrossRef]
- Bootman, M.D.; Collins, T.J.; Peppiatt, C.M.; Prothero, L.S.; MacKenzie, L.; De Smet, P.; Travers, M.; Tovey, S.C.; Seo, J.T.; Berridge, M.J.; et al. Calcium Signalling—An Overview. Semin. Cell Dev. Biol. 2001, 12, 3–10. [Google Scholar] [CrossRef]
- Miyata, M.; Finch, E.A.; Khiroug, L.; Hashimoto, K.; Hayasaka, S.; Oda, S.-I.; Inouye, M.; Takagishi, Y.; Augustine, G.J.; Kano, M. Local Calcium Release in Dendritic Spines Required for Long-Term Synaptic Depression. Neuron 2000, 28, 233–244. [Google Scholar] [CrossRef]
- Zalcman, G.; Federman, N.; Romano, A. CaMKII Isoforms in Learning and Memory: Localization and Function. Front. Mol. Neurosci. 2018, 11, 445. [Google Scholar] [CrossRef]
- Ataei, N.; Sabzghabaee, A.M.; Movahedian, A. Calcium/Calmodulin-Dependent Protein Kinase II Is a Ubiquitous Molecule in Human Long-Term Memory Synaptic Plasticity: A Systematic Review. Int. J. Prev. Med. 2015, 6, 88. [Google Scholar] [CrossRef]
- Junho, C.V.C.; Caio-Silva, W.; Trentin-Sonoda, M.; Carneiro-Ramos, M.S. An Overview of the Role of Calcium/Calmodulin-Dependent Protein Kinase in Cardiorenal Syndrome. Front. Physiol. 2020, 11, 735. [Google Scholar] [CrossRef]
- Sałaciak, K.; Koszałka, A.; Żmudzka, E.; Pytka, K. The Calcium/Calmodulin-Dependent Kinases II and IV as Therapeutic Targets in Neurodegenerative and Neuropsychiatric Disorders. Int. J. Mol. Sci. 2021, 22, 4307. [Google Scholar] [CrossRef]
- Baracaldo-Santamaría, D.; Avendaño-Lopez, S.S.; Ariza-Salamanca, D.F.; Rodriguez-Giraldo, M.; Calderon-Ospina, C.A.; González-Reyes, R.E.; Nava-Mesa, M.O. Role of Calcium Modulation in the Pathophysiology and Treatment of Alzheimer’s Disease. Int. J. Mol. Sci. 2023, 24, 9067. [Google Scholar] [CrossRef]
- Muehsam, D.; Ventura, C. Life Rhythm as a Symphony of Oscillatory Patterns: Electromagnetic Energy and Sound Vibration Modulates Gene Expression for Biological Signaling and Healing. Glob. Adv. Health Med. 2014, 3, 40–55. [Google Scholar] [CrossRef]
- Nicole, O.; Pacary, E. CaMKIIβ in Neuronal Development and Plasticity: An Emerging Candidate in Brain Diseases. Int. J. Mol. Sci. 2020, 21, 7272. [Google Scholar] [CrossRef]
- Griffioen, G. Calcium Dyshomeostasis Drives Pathophysiology and Neuronal Demise in Age-Related Neurodegenerative Diseases. Int. J. Mol. Sci. 2023, 24, 13243. [Google Scholar] [CrossRef]
- Zhu, W.-L.; Xiao, S.-W. Neuronal Calcium Signaling: Mechanisms, Function and Clinical Implications in Neurological Diseases. New Cell 2025, 1–16. [Google Scholar] [CrossRef]
- Marín, O. Parvalbumin Interneuron Deficits in Schizophrenia. Eur. Neuropsychopharmacol. 2024, 82, 44–52. [Google Scholar] [CrossRef]
- Carceller, H.; Guirado, R.; Ripolles-Campos, E.; Teruel-Marti, V.; Nacher, J. Perineuronal Nets Regulate the Inhibitory Perisomatic Input onto Parvalbumin Interneurons and γ Activity in the Prefrontal Cortex. J. Neurosci. 2020, 40, 5008–5018. [Google Scholar] [CrossRef]
- El Rawas, R.; Amaral, I.M.; Hofer, A. The Anti-Social Brain in Schizophrenia: A Role of CaMKII? Front. Psychiatry 2022, 13, 868244. [Google Scholar] [CrossRef]
- Ruden, J.B.; Dugan, L.L.; Konradi, C. Parvalbumin Interneuron Vulnerability and Brain Disorders. Neuropsychopharmacology 2021, 46, 279–287. [Google Scholar] [CrossRef]
- Ferguson, B.R.; Gao, W.-J. PV Interneurons: Critical Regulators of E/I Balance for Prefrontal Cortex-Dependent Behavior and Psychiatric Disorders. Front. Neural Circuits 2018, 12, 37. [Google Scholar] [CrossRef]
- Pavlova, M.B.; Smagin, D.A.; Kudryavtseva, N.N.; Dyuzhikova, N.A. Changes in the Expression of Genes, Associated with Calcium Processes, in the Hippocampus of Mice under the Influence of Chronic Social Defeat Stress. Mol. Biol. 2023, 57, 373–383. [Google Scholar] [CrossRef]
- Mannekote Thippaiah, S.; Pradhan, B.; Voyiaziakis, E.; Shetty, R.; Iyengar, S.; Olson, C.; Tang, Y.-Y. Possible Role of Parvalbumin Interneurons in Meditation and Psychiatric Illness. J. Neuropsychiatry Clin. Neurosci. 2022, 34, 113–123. [Google Scholar] [CrossRef]
- Jinich-Diamant, A.; Simpson, S.; Zuniga-Hertz, J.P.; Chitteti, R.; Schilling, J.M.; Bonds, J.A.; Case, L.; Chernov, A.V.; Dispenza, J.; Maree, J.; et al. Neural and Molecular Changes during a Mind-Body Reconceptualization, Meditation, and Open Label Placebo Healing Intervention. Commun. Biol. 2025, 8, 1525. [Google Scholar] [CrossRef]
- Crosswell, A.D.; Mayer, S.E.; Whitehurst, L.N.; Picard, M.; Zebarjadian, S.; Epel, E.S. Deep Rest: An Integrative Model of How Contemplative Practices Combat Stress and Enhance the Body’s Restorative Capacity. Psychol. Rev. 2024, 131, 247–270. [Google Scholar] [CrossRef]
- Kadupitiya, N.; Dissanayake, D. Molecular Basis of Mind Training: A Review of Cellular Signaling, Neurochemical and Epigenetic Modifications Associated with Meditation. Ceylon J. Med. Sci. 2024, 61, 10–28. [Google Scholar] [CrossRef]
- Kirkness, K.B.; Scarlata, S. Understanding Fascial Tissue on the Molecular Level—How Its Unique Properties Enable Adaptation or Dysfunction. Int. J. Mol. Sci. 2025, 27, 160. [Google Scholar] [CrossRef]
- Galgoczi, E.; Katko, M.; Borbely, S.; Orsos, I.; Molnar, Z.; Ujhelyi, B.; Steiber, Z.; Nagy, E.V. Agarose Gel Electrophoresis Reveals the Molecular Weight Distribution of Hyaluronan Produced by Orbital Fibroblasts. Gels 2025, 11, 406. [Google Scholar] [CrossRef]
- Carvalho, E.M.; Ding, E.A.; Saha, A.; Weldy, A.; Zushin, P.-J.H.; Stahl, A.; Aghi, M.K.; Kumar, S. Viscoelastic High-Molecular-Weight Hyaluronic Acid Hydrogels Support Rapid Glioblastoma Cell Invasion with Leader-Follower Dynamics. BioRxiv Prepr. Serv. Biol. 2024, 36, e2404885. [Google Scholar] [CrossRef]
- Kawano, Y.; Patrulea, V.; Sublet, E.; Borchard, G.; Iyoda, T.; Kageyama, R.; Morita, A.; Seino, S.; Yoshida, H.; Jordan, O.; et al. Wound Healing Promotion by Hyaluronic Acid: Effect of Molecular Weight on Gene Expression and In Vivo Wound Closure. Pharmaceuticals 2021, 14, 301. [Google Scholar] [CrossRef]
- Gaido, O.E.R.; Nkashama, L.J.; Schole, K.L.; Wang, Q.; Umapathi, P.; Mesubi, O.O.; Konstantinidis, K.; Luczak, E.D.; Anderson, M.E. CaMKII as a Therapeutic Target in Cardiovascular Disease. Annu. Rev. Pharmacol. Toxicol. 2023, 63, 249–272. [Google Scholar] [CrossRef]
- Chin, E.R. Role of Ca2+/Calmodulin-Dependent Kinases in Skeletal Muscle Plasticity. J. Appl. Physiol. 2005, 99, 414–423. [Google Scholar] [CrossRef]
- Beckendorf, J.; van den Hoogenhof, M.M.G.; Backs, J. Physiological and Unappreciated Roles of CaMKII in the Heart. Basic Res. Cardiol. 2018, 113, 29. [Google Scholar] [CrossRef]
- Swaminathan, P.D.; Purohit, A.; Hund, T.J.; Anderson, M.E. Calmodulin-Dependent Protein Kinase II: Linking Heart Failure and Arrhythmias. Circ. Res. 2012, 110, 1661–1677. [Google Scholar] [CrossRef]
- Vinogradova, T.M.; Lakatta, E.G. Ca2+/Calmodulin-Dependent Protein Kinase II (CaMKII) Regulates Basal Cardiac Pacemaker Function: Pros and Cons. Cells 2025, 14, 3. [Google Scholar] [CrossRef]
- Bers, D.M. Ca2+-Calmodulin-Dependent Protein Kinase II Regulation of Cardiac Excitation-Transcription Coupling. Heart Rhythm 2011, 8, 1101–1104. [Google Scholar] [CrossRef]
- Hund, T.J.; Mohler, P.J. Role of CaMKII in Cardiac Arrhythmias. Trends Cardiovasc. Med. 2015, 25, 392–397. [Google Scholar] [CrossRef]
- Feng, N.; Anderson, M.E. CaMKII Is a Nodal Signal for Multiple Programmed Cell Death Pathways in Heart. J. Mol. Cell. Cardiol. 2017, 103, 102–109. [Google Scholar] [CrossRef]
- Onal, B.; Unudurthi, S.D.; Hund, T.J. Modeling CaMKII in Cardiac Physiology: From Molecule to Tissue. Front. Pharmacol. 2014, 5, 9. [Google Scholar] [CrossRef]
- Said, M.; Becerra, R.; Valverde, C.A.; Kaetzel, M.A.; Dedman, J.R.; Mundiña-Weilenmann, C.; Wehrens, X.H.; Vittone, L.; Mattiazzi, A. Calcium-Calmodulin Dependent Protein Kinase II (CaMKII): A Main Signal Responsible for Early Reperfusion Arrhythmias. J. Mol. Cell. Cardiol. 2011, 51, 936–944. [Google Scholar] [CrossRef]
- Hudmon, A.; Schulman, H. Neuronal Ca2+/Calmodulin-Dependent Protein Kinase II: The Role of Structure and Autoregulation in Cellular Function. Annu. Rev. Biochem. 2002, 71, 473–510. [Google Scholar]
- Rostas, J.A.P.; Skelding, K.A. Calcium/Calmodulin-Stimulated Protein Kinase II (CaMKII): Different Functional Outcomes from Activation, Depending on the Cellular Microenvironment. Cells 2023, 12, 401. [Google Scholar] [CrossRef]
- Chu, B.; Qiao, X.; Ye, H.; Cui, X.; Zhang, S.; Su, W.; Zhang, Y.; Sun, C.; Wu, X.; Wang, T.; et al. S-Nitros(Yl)Ation of CaMKIIα and Its Precision Redox Regulation by SNOTAC Plays a Critical Role in Learning and Memory. Redox Biol. 2025, 86, 103784. [Google Scholar] [CrossRef]
- Shimazaki, A.; Wright, M.O.; Elliot, K.; Salter, D.M.; Millward-Sadler, S.J. Calcium/Calmodulin-Dependent Protein Kinase II in Human Articular Chondrocytes. Biorheology 2006, 43, 223–233. [Google Scholar] [CrossRef]
- Garantziotis, S.; Savani, R.C. Hyaluronan Biology: A Complex Balancing Act of Structure, Function, Location and Context. Matrix Biol. 2019, 78–79, 1–10. [Google Scholar] [CrossRef]
- Berdiaki, A.; Neagu, M.; Spyridaki, I.; Kuskov, A.; Perez, S.; Nikitovic, D. Hyaluronan and Reactive Oxygen Species Signaling—Novel Cues from the Matrix? Antioxidants 2023, 12, 824. [Google Scholar] [CrossRef]
- Monslow, J.; Govindaraju, P.; Puré, E. Hyaluronan—A Functional and Structural Sweet Spot in the Tissue Microenvironment. Front. Immunol. 2015, 6, 231. [Google Scholar] [CrossRef]
- Rauhala, L.; Hämäläinen, L.; Salonen, P.; Bart, G.; Tammi, M.; Pasonen-Seppänen, S.; Tammi, R. Low Dose Ultraviolet B Irradiation Increases Hyaluronan Synthesis in Epidermal Keratinocytes via Sequential Induction of Hyaluronan Synthases Has1–3 Mediated by P38 and Ca2+/Calmodulin-Dependent Protein Kinase II (CaMKII) Signaling. J. Biol. Chem. 2013, 288, 17999–18012. [Google Scholar] [CrossRef]
- Rauhala, L.; Jokela, T.; Kärnä, R.; Bart, G.; Takabe, P.; Oikari, S.; Tammi, M.I.; Pasonen-Seppänen, S.; Tammi, R.H. Extracellular ATP Activates Hyaluronan Synthase 2 (HAS2) in Epidermal Keratinocytes via P2Y2, Ca2+ Signaling, and MAPK Pathways. Biochem. J. 2018, 475, 1755–1772. [Google Scholar] [CrossRef]
- Marunaka, K.; Shu, S.; Kobayashi, M.; Goto, M.; Katsuta, Y.; Yoshino, Y.; Ikari, A. Elevation of Hyaluronan Synthase by Magnesium Supplementation Mediated through the Activation of GSK3 and CREB in Human Keratinocyte-Derived HaCaT Cells. Int. J. Mol. Sci. 2022, 23, 71. [Google Scholar] [CrossRef]
- Abe, M.; Masuda, M.; Mizukami, Y.; Inoue, S.; Mizutani, Y. Epidermal Keratinocytes Regulate Hyaluronan Metabolism via Extracellularly Secreted Hyaluronidase 1 and Hyaluronan Synthase 3. J. Biol. Chem. 2024, 300, 107449. [Google Scholar] [CrossRef]
- Kobayashi, T.; Chanmee, T.; Itano, N. Hyaluronan: Metabolism and Function. Biomolecules 2020, 10, 1525. [Google Scholar] [CrossRef]
- Sokolov, R.; Krut’, V.; Belousov, V.; Rozov, A.; Mukhina, I.V. Hyaluronidase-Induced Matrix Remodeling Contributes to Long-Term Synaptic Changes. Front. Neural Circuits 2025, 18, 1441280. [Google Scholar] [CrossRef]
- Jimenez-Vergara, A.C.; Van Drunen, R.; Cagle, T.; Munoz-Pinto, D.J. Modeling the Effects of Hyaluronic Acid Degradation on the Regulation of Human Astrocyte Phenotype Using Multicomponent Interpenetrating Polymer Networks (mIPNs). Sci. Rep. 2020, 10, 20734. [Google Scholar] [CrossRef]
- Peters, A.; Sherman, L.S. Diverse Roles for Hyaluronan and Hyaluronan Receptors in the Developing and Adult Nervous System. Int. J. Mol. Sci. 2020, 21, 5988. [Google Scholar] [CrossRef]
- Vedunova, M.; Sakharnova, T.; Mitroshina, E.; Perminova, M.; Zakharov, Y.; Pimashkin, A.; Dityatev, A.; Mukhina, I. Seizure-like Activity in Hyaluronidase-Treated Dissociated Hippocampal Cultures. Front. Cell. Neurosci. 2013, 7, 58373. [Google Scholar] [CrossRef]
- Woo, A.M.; Sontheimer, H. Interactions between Astrocytes and Extracellular Matrix Structures Contribute to Neuroinflammation-Associated Epilepsy Pathology. Front. Mol. Med. 2023, 3, 1198021. [Google Scholar] [CrossRef]
- Nayak, M.; Das, D.; Pradhan, J.; Ahmed, R.G.; Laureano-Melo, R.; Dandapat, J. Epigenetic Signature in Neural Plasticity: The Journey so Far and Journey Ahead. Heliyon 2022, 8, e12292. [Google Scholar] [CrossRef]
- Fass, D.M.; Schroeder, F.A.; Perlis, R.H.; Haggarty, S.J. Epigenetic Mechanisms in Mood Disorders: Targeting Neuroplasticity. Neuroscience 2014, 264, 112–130. [Google Scholar] [CrossRef]
- Ricq, E.L.; Hooker, J.M.; Haggarty, S.J. Toward Development of Epigenetic Drugs for Central Nervous System Disorders: Modulating Neuroplasticity via H3K4 Methylation. Psychiatry Clin. Neurosci. 2016, 70, 536–550. [Google Scholar] [CrossRef]
- Venditti, S. Remodeling the Epigenome Through Meditation: Effects on Brain, Body, and Well-Being. In Neuroepigenetics Mechanisms in Health and Disease; van Zundert, B., Montecino, M., Eds.; Springer Nature: Cham, Switzerland, 2025; pp. 231–260. ISBN 978-3-031-75980-2. [Google Scholar]
- Arjun McKinney, A.; Petrova, R.; Panagiotakos, G. Calcium and Activity-Dependent Signaling in the Developing Cerebral Cortex. Development 2022, 149, dev198853. [Google Scholar] [CrossRef]
- Dewenter, M.; von der Lieth, A.; Katus, H.A.; Backs, J. Calcium Signaling and Transcriptional Regulation in Cardiomyocytes. Circ. Res. 2017, 121, 1000–1020. [Google Scholar] [CrossRef]
- Prakriya, M. Calcium and Cell Function. J. Physiol. 2020, 598, 1647–1648. [Google Scholar] [CrossRef]
- Thiel, G.; Schmidt, T.; Rössler, O.G. Ca2+ Microdomains, Calcineurin and the Regulation of Gene Transcription. Cells 2021, 10, 875. [Google Scholar] [CrossRef]
- Clarke, D.; Beros, J.; Bates, K.A.; Harvey, A.R.; Tang, A.D.; Rodger, J. Low Intensity Repetitive Magnetic Stimulation Reduces Expression of Genes Related to Inflammation and Calcium Signalling in Cultured Mouse Cortical Astrocytes. Brain Stimul. Basic Transl. Clin. Res. Neuromodul. 2021, 14, 183–191. [Google Scholar] [CrossRef]
- Venditti, S.; Verdone, L.; Reale, A.; Vetriani, V.; Caserta, M.; Zampieri, M. Molecules of Silence: Effects of Meditation on Gene Expression and Epigenetics. Front. Psychol. 2020, 11, 1767. [Google Scholar] [CrossRef]
- Klimecki, O.M.; Leiberg, S.; Lamm, C.; Singer, T. Functional Neural Plasticity and Associated Changes in Positive Affect After Compassion Training. Cereb. Cortex 2013, 23, 1552–1561. [Google Scholar] [CrossRef]
- Klimecki, O.M.; Leiberg, S.; Ricard, M.; Singer, T. Differential Pattern of Functional Brain Plasticity after Compassion and Empathy Training. Soc. Cogn. Affect. Neurosci. 2014, 9, 873–879. [Google Scholar] [CrossRef]
- Appelbaum, L.G.; Shenasa, M.A.; Stolz, L.; Daskalakis, Z. Synaptic Plasticity and Mental Health: Methods, Challenges and Opportunities. Neuropsychopharmacology 2023, 48, 113–120. [Google Scholar] [CrossRef]
- Arioli, M.; Cattaneo, Z.; Ricciardi, E.; Canessa, N. Overlapping and Specific Neural Correlates for Empathizing, Affective Mentalizing, and Cognitive Mentalizing: A Coordinate-Based Meta-Analytic Study. Hum. Brain Mapp. 2021, 42, 4777–4804. [Google Scholar] [CrossRef] [PubMed]
- Santello, M.; Toni, N.; Volterra, A. Astrocyte Function from Information Processing to Cognition and Cognitive Impairment. Nat. Neurosci. 2019, 22, 154–166. [Google Scholar] [CrossRef]
- Lyon, K.A.; Allen, N.J. From Synapses to Circuits, Astrocytes Regulate Behavior. Front. Neural Circuits 2022, 15, 786293. [Google Scholar] [CrossRef] [PubMed]
- Holopainen, G.; Nyström, L.; Kasén, A. The Caring Encounter in Nursing. Nurs. Ethics 2019, 26, 7–16. [Google Scholar] [CrossRef]
- Karlsson, M.; Pennbrant, S. Ideas of Caring in Nursing Practice. Nurs. Philos. 2020, 21, e12325. [Google Scholar] [CrossRef] [PubMed]
- Power, E.R. Assembling the Capacity to Care: Caring-with Precarious Housing. Trans. Inst. Br. Geogr. 2019, 44, 763–777. [Google Scholar] [CrossRef]
- Britton, W.B.; Lindahl, J.R.; Cooper, D.J.; Canby, N.K.; Palitsky, R. Defining and Measuring Meditation-Related Adverse Effects in Mindfulness-Based Programs. Clin. Psychol. Sci. J. Assoc. Psychol. Sci. 2021, 9, 1185–1204. [Google Scholar] [CrossRef]
- Canby, N.K.; Cosby, E.A.; Palitsky, R.; Kaplan, D.M.; Lee, J.; Mahdavi, G.; Lopez, A.A.; Goldman, R.E.; Eichel, K.; Lindahl, J.R.; et al. Childhood Trauma and Subclinical PTSD Symptoms Predict Adverse Effects and Worse Outcomes across Two Mindfulness-Based Programs for Active Depression. PLoS ONE 2025, 20, e0318499. [Google Scholar] [CrossRef] [PubMed]
- Pirri, C.; Fede, C.; Petrelli, L.; De Rose, E.; Biz, C.; Guidolin, D.; De Caro, R.; Stecco, C. Immediate Effects of Extracorporeal Shock Wave Therapy in Fascial Fibroblasts: An In Vitro Study. Biomedicines 2022, 10, 1732. [Google Scholar] [CrossRef] [PubMed]
- Pirri, C.; Pirri, N.; Petrelli, L.; Fede, C.; De Caro, R.; Stecco, C. An Emerging Perspective on the Role of Fascia in Complex Regional Pain Syndrome: A Narrative Review. Int. J. Mol. Sci. 2025, 26, 2826. [Google Scholar] [CrossRef]
- Zhao, Y.; Ou, M.; Liu, J.; Jiang, J.; Zhang, D.; Ke, B.; Wu, Y.; Chen, Y.; Jiang, R.; Hemmings, H.C.; et al. Astrocytes Modulate a Specific Paraventricular Thalamus→Prefrontal Cortex Projection to Enhance Consciousness Recovery from Anesthesia. J. Neurosci. 2024, 44, e1808232024. [Google Scholar] [CrossRef]
- Chighizola, M.; Dini, T.; Lenardi, C.; Milani, P.; Podestà, A.; Schulte, C. Mechanotransduction in Neuronal Cell Development and Functioning. Biophys. Rev. 2019, 11, 701–720. [Google Scholar] [CrossRef]
- Wachtler, N.; O’Brien, R.; Ehrlich, B.E.; McGuone, D. Exploring Calcium Channels as Potential Therapeutic Targets in Blast Traumatic Brain Injury. Pharmaceuticals 2025, 18, 223. [Google Scholar] [CrossRef]
- Esch, T.; Stefano, G.B. The BERN Framework of Mind-Body Medicine: Integrating Self-Care, Health Promotion, Resilience, and Applied Neuroscience. Front. Integr. Neurosci. 2022, 16, 913573. [Google Scholar] [CrossRef] [PubMed]
- Muehsam, D.; Lutgendorf, S.; Mills, P.J.; Rickhi, B.; Chevalier, G.; Bat, N.; Chopra, D.; Gurfein, B. The Embodied Mind: A Review on Functional Genomic and Neurological Correlates of Mind-Body Therapies. Neurosci. Biobehav. Rev. 2017, 73, 165–181. [Google Scholar] [CrossRef]
- Tarsha, M.S.; Park, S.; Tortora, S. Body-Centered Interventions for Psychopathological Conditions: A Review. Front. Psychol. 2020, 10, 2907. [Google Scholar] [CrossRef]
- Suk, J.-W.; Kim, K.; Kim, J.U. A Meta-Analysis of Studies of the Effect of Mind Body Exercise on Various Domains of Cognitive Function in Older People with or Without Mild Cognitive Impairment. J. Evid.-Based Integr. Med. 2025, 30, 2515690X251363709. [Google Scholar] [CrossRef]
- Fugate, J.M.B.; Macrine, S.L.; Hernandez-Cuevas, E.M. Therapeutic Potential of Embodied Cognition for Clinical Psychotherapies: From Theory to Practice. Cogn. Ther. Res. 2024, 48, 574–598. [Google Scholar] [CrossRef]
- Cook-Cottone, C.P. Brain Integration, Embodied Mindfulness, and Movement-Based Approaches to Facilitate Positive Body Image and Embodiment. In Handbook of Positive Body Image and Embodiment: Constructs, Protective Factors, and Interventions; Piran, N., Tylka, T.L., Piran, N., Tylka, T.L., Eds.; Oxford University Press: Oxford, UK, 2019; ISBN 978-0-19-084187-4. [Google Scholar]
- Bringmann, H.C.; Bringmann, N.; Jeitler, M.; Brunnhuber, S.; Michalsen, A.; Sedlmeier, P. Meditation-Based Lifestyle Modification: Development of an Integrative Mind-Body Program for Mental Health and Human Flourishing. Complement. Med. Res. 2020, 28, 252–262. [Google Scholar] [CrossRef] [PubMed]
- Gautam, N.; Dessie, G.; Rahman, M.M.; Khanam, R. Socioeconomic Status and Health Behavior in Children and Adolescents: A Systematic Literature Review. Front. Public Health 2023, 11, 1228632. [Google Scholar] [CrossRef]
- Steptoe, A.; Zaninotto, P. Lower Socioeconomic Status and the Acceleration of Aging: An Outcome-Wide Analysis. Proc. Natl. Acad. Sci. USA 2020, 117, 14911–14917. [Google Scholar] [CrossRef] [PubMed]
- Meyer, O.L.; Castro-Schilo, L.; Aguilar-Gaxiola, S. Determinants of Mental Health and Self-Rated Health: A Model of Socioeconomic Status, Neighborhood Safety, and Physical Activity. Am. J. Public Health 2014, 104, 1734–1741. [Google Scholar] [CrossRef] [PubMed]
- Kivimäki, M.; Batty, G.D.; Pentti, J.; Shipley, M.J.; Sipilä, P.N.; Nyberg, S.T.; Suominen, S.B.; Oksanen, T.; Stenholm, S.; Virtanen, M.; et al. Association between Socioeconomic Status and the Development of Mental and Physical Health Conditions in Adulthood: A Multi-Cohort Study. Lancet Public Health 2020, 5, e140–e149. [Google Scholar] [CrossRef] [PubMed]
- Wang, J.; Geng, L. Effects of Socioeconomic Status on Physical and Psychological Health: Lifestyle as a Mediator. Int. J. Environ. Res. Public Health 2019, 16, 281. [Google Scholar] [CrossRef]
- Wise, P.H. Child Poverty and the Promise of Human Capacity: Childhood as a Foundation for Healthy Aging. Acad. Pediatr. 2016, 16, S37–S45. [Google Scholar] [CrossRef] [PubMed]
- Bratanova, B.; Loughnan, S.; Klein, O.; Claassen, A.; Wood, R. Poverty, Inequality, and Increased Consumption of High Calorie Food: Experimental Evidence for a Causal Link. Appetite 2016, 100, 162–171. [Google Scholar] [CrossRef]
- Huang, Y.; Sparks, P.J. Longitudinal Exposure to Neighborhood Poverty and Obesity Risk in Emerging Adulthood. Soc. Sci. Res. 2023, 111, 102796. [Google Scholar] [CrossRef]
- Sapolsky, R. Life without Free Will: Does It Preclude Possibilities? Possibility Stud. Soc. 2024, 2, 272–281. [Google Scholar] [CrossRef]
- Sapolsky, R.M. Determined: A Science of Life Without Free Will. Perspect. Sci. Christ. Faith 2025, 77, 76–78. [Google Scholar] [CrossRef]
- Murakoshi, H.; Shin, M.E.; Parra-Bueno, P.; Szatmari, E.M.; Shibata, A.C.E.; Yasuda, R. Kinetics of Endogenous CaMKII Required for Synaptic Plasticity Revealed by Optogenetic Kinase Inhibitor. Neuron 2017, 94, 37–47.e5. [Google Scholar] [CrossRef] [PubMed]
- Pinho, J.; Marcut, C.; Fonseca, R. Actin Remodeling, the Synaptic Tag and the Maintenance of Synaptic Plasticity. IUBMB Life 2020, 72, 577–589. [Google Scholar] [CrossRef] [PubMed]
- Redondo, R.L.; Morris, R.G.M. Making Memories Last: The Synaptic Tagging and Capture Hypothesis. Nat. Rev. Neurosci. 2011, 12, 17–30. [Google Scholar] [CrossRef]
- Lazarevich, I.; Stasenko, S.; Rozhnova, M.; Pankratova, E.; Dityatev, A.; Kazantsev, V. Activity-Dependent Switches between Dynamic Regimes of Extracellular Matrix Expression. PLoS ONE 2020, 15, e0227917. [Google Scholar] [CrossRef]
- De Luca, C.; Colangelo, A.M.; Virtuoso, A.; Alberghina, L.; Papa, M. Neurons, Glia, Extracellular Matrix and Neurovascular Unit: A Systems Biology Approach to the Complexity of Synaptic Plasticity in Health and Disease. Int. J. Mol. Sci. 2020, 21, 1539. [Google Scholar] [CrossRef] [PubMed]
- Chelini, G.; Mirzapourdelavar, H.; Durning, P.; Baidoe-Ansah, D.; Sethi, M.K.; O’Donovan, S.M.; Klengel, T.; Balasco, L.; Berciu, C.; Boyer-Boiteau, A.; et al. Focal Clusters of Peri-Synaptic Matrix Contribute to Activity-Dependent Plasticity and Memory in Mice. Cell Rep. 2024, 43, 114112. [Google Scholar] [CrossRef]



| Organizational Level | Key Mechanisms/Processes | Representative Evidence | Connection to Sustainability/IDG |
|---|---|---|---|
| Molecular Mechanisms | Ca2+-CaMKII signaling cascades, HA synthesis, protein phosphorylation | Section 2: Detailed discussion of cellular signal transduction mechanisms involving calcium-mediated protein kinase activation and molecular pathway modulation | Supports cellular resilience and adaptive capacity; enables fundamental biological plasticity required for systemic transformation |
| Tissue-Level Dynamics | Mechanotransduction, ECM remodeling | Section 4: Examination of mechanical signal translation into biochemical adaptations across interconnected biological systems | Demonstrates biomechanical foundations of adaptive response; illustrates embodied mechanisms of systemic change |
| Neural Systems | Synaptic plasticity, network reorganization, neuroplastic reconfiguration | Section 5 and Section 6: Explanation of neural network connectivity and adaptive reconfiguration patterns | Provides neurological substrate for learning, behavioral modification, and collective cognitive transformation |
| Psychological Functions | Somatic integration, emotional regulation, memory reconsolidation | Section 7: Exploration of psychological transformation mechanisms | Supports individual psychological resilience and adaptive capacity; enables personal development trajectories |
| Social Capacities | Relational dynamics, collective behavioral patterns, intersubjective resonance | Section 7: Mapping social capacities through interdisciplinary neurobiological lens | Directly connects individual neurobiological shifts to collective behavioral transformation; supports collaborative social innovation |
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© 2026 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
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Kirkness, K.B. Embodied Neuroplasticity: Exploring Biological and Molecular Pathways of Inner Development for Planetary Health. Challenges 2026, 17, 6. https://doi.org/10.3390/challe17010006
Kirkness KB. Embodied Neuroplasticity: Exploring Biological and Molecular Pathways of Inner Development for Planetary Health. Challenges. 2026; 17(1):6. https://doi.org/10.3390/challe17010006
Chicago/Turabian StyleKirkness, Karen B. 2026. "Embodied Neuroplasticity: Exploring Biological and Molecular Pathways of Inner Development for Planetary Health" Challenges 17, no. 1: 6. https://doi.org/10.3390/challe17010006
APA StyleKirkness, K. B. (2026). Embodied Neuroplasticity: Exploring Biological and Molecular Pathways of Inner Development for Planetary Health. Challenges, 17(1), 6. https://doi.org/10.3390/challe17010006

