Alzheimers & Parkinsons Disease Flashcards

(34 cards)

1
Q

Who said that APOE-4 is involved in beta-amyloid plaque formation?

A

Evans, 1995

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2
Q

who found that ldopa can cross the blood brain barrier

A

Cotzias, 1967

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3
Q

Before entering the brain, levodopa gets broken down by dopa carboxylase which means less levodopa enters the brain so it is not as effective, how can this be prevented to make sure more levadopa passes into the brain

A

levodopa can be administered alongside dopa decarboxylase inhibitors like carbidopa

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4
Q

who found that REM sleep disorder can be a symptom of parkinsons

A

Gunn, 2010

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5
Q

in Parkinsons, where is the dopamine loss

A

striatum

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6
Q

what pathological feature is significant in people with parkinsons

A

the formation of lewy bodies which causes neural dysfunction

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7
Q

how does the dopamine loss in parkinsons cause reduced movement

A

the loss disrupts signalling in basal ganglia which leads to an impaired initiation and control of movement

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8
Q

who did the nun study for alzhemiers

A

Snowdon, 1996

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9
Q

what did Snowndon 1996 find the from autopsy in the nun study

A

some nuns had neurofibrillary tangles and amyloid plaques but showed no symptoms - high cog reserve

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10
Q

what does the amyloid cascade theory suggest

A

when beta amyloid is built up, it causes beta amyloid plaques due to the toxic pathway causing an abnormal clearance of beta amyloid (b secretes and y secretes)

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11
Q

what gene variant causes a high risk of Alzheimers

A

APOE-4

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12
Q

B-APP is sometimes cut down for removal, when being cut down it can either go down a healthy pathway or a toxic pathway. when it goes down the toxic pathway, what protein is formed that typically forms the beta-amyloid plaques?

A

AB42

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13
Q

apart from levodopa, what can another treatment for parkinsons be

A

fetal tissue transplantation

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14
Q

who did the study on fetal tissue transplantation

A

Sladek, 1987

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15
Q

what did Sladek find from the fetal tissue transplantation in monkeys

A

it formed connections with neighbouring tissues to release dopamine which reduced Parkinson symptoms

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16
Q

apart from fetal tissue transplantation and levodopa, what is another way of treating parkinsons

A

dopamine agonists - mimic dopamine

17
Q

who found that people with APOE-4 have reduced activity in the hippocampus and prefrontal cortex, hence why they struggle with memorising movement

18
Q

what are the neurofibrillary tangles caused from

A

the tau protein twisting

19
Q

what clears B-APP (beta amyloid precursor protein)

20
Q

what is the toxic pathway

A

B-secreatse and Y-secretase cut B-APP causing beta-amyloid peptides which clump together to form plaques

21
Q

when stuck for names, who can you include when talking about parkinsons

22
Q

who said that parkinsons is a deterioration in function due to dopamine loss

23
Q

what is dementia

A

set of symptoms that typically include memory loss, as well as problems with thinking, problem solving, and language. These symptoms are caused by different diseases that affect the brain, with Alzheimer’s being the most common disease

caused by Alzheimers

24
Q

what is parkinsons a form of

A

a type of dementia

25
is there a cure for dementia and Alzheimers
no they are terminal - there are ways of reducing symptoms but you cannot get rid of it
26
who prosed the amyloid cascade theory
Allsop 1991
27
what can we do to protect ourselves against Alzheimers
cognitive reserve Snowdon 1996
28
what is cognitive reserve
the more we use our brain in complex tasks like education, leisure etc can help strengthen connections in the brain protective against neurodegenerative diseases such as Alzheimers
29
what happens to the substantia nigra in parkinsons
deteriorates and shrinks - this causes the loss of dopamine producing neurons
30
where is the substantia nigra
striatum
31
what is a treatment for Alzheimers
anti-amyloid immunotherapy
32
what is anti-amyloid immunotherapy
applied in early cases of Alzheimers lab made antibodies bind to beta-amyloid to slow down plaque formation and eventually help clear plaques
33
what is a limitation of anti-amyloid immunotherapy
improvements are minuscule and may not be noticed by the patient
34
what is a limitation of neurotransplantation
long term survival of the implanted cells is the best