Lecture 6 Flashcards

(34 cards)

1
Q

What three diseases are glia diseases?

A

Multiple sclerosis
Ischemia
Epilepsy

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2
Q

What five approaches would you take when you encounter a disease?

A
  • Symptoms
  • Anatomy
  • Epidemiology
  • Genetics
  • Animal Models
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3
Q

What cell types make up the brain?

A
  • Neurons (only 10%)
  • Astrocytes
  • Oligodendrocytes
  • Microglia
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4
Q

Where do nuerons start and migrate from-to?

A

The base of the brain and migrate to the cortex

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5
Q

Where do glia start and migrate from-to?

A

The basement membrane and migrate to the cortex

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6
Q

What roles do astrocytes play?

A

Provide a bridge between the capillaries and the neurons - to transfer nutrients for neuron function
Also take up glutamate and Na+ down the Na gradient during transmission across to stop all acting on postsynaptic membrane. The glia then remove the sodium using Na+K+ ATPase, which requires glycolysis. Lactate product from glycolysis given to neuron for energy. Use energyto break down the glutamate to glutamine which is also given back to the neuron for the next signal

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7
Q

What type of activity do glia cells show?

A

Calcium waves to regulate feet on the capillary

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8
Q

How are astrocytes implicated in strokes?

A

Lack of oxygen to astrocytes means they cannot deal with glutamate and actually release all of their own glutamate causing a stroke

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9
Q

What role do schwann cells play?

A

They form the myelin sheath, mainly made up of P0- important for speeding up signal transduction in fast acting neurons

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10
Q

What cells sheath neurons in the CNS?

How?

A

Oligodendrocytes

Have proteolipid and myelin basic proteins making up the sheath

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11
Q

How is motility of oligodendrocytes promoted?

A

PDGF

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12
Q

How do astryocytes migrate to retina neurons?

A

Chemorepellant netrin causes them to move and they follow the axon which has already reached the retina

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13
Q

Which axonal signals are involved in myelination and ensheathment?

A

Neurotransmitters
NCAM
N-cadherin

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14
Q

When is Oligodendrogenesis occuring?

A

From develpoment and into adulthood when learning new complex tasks, e.g. piano

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15
Q

Where do microglia arise from?

What is there role?

A

Arise form macrophages outside the CNS

Following chemotactic signals and enter active phagocytic state

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16
Q

What is a consequence of microglia and astocyte action?

A

Gliosis - formation of scar tissue

Now seen in HIV which infects microglia

17
Q

What is MS characterised by?

A

Demyelination of the CNS causing weak movement, blurred vision to begin with and then later bladder dysfunction and fatigue. Relapses in 85% of cases. High levels of IgG

18
Q

How long can it take for a lesion to cause relapse?

A

Up to 10 years

19
Q

What is the epidemiology of MS?

A

1.2 : 1000 in UK
Some suggestion that it is latitude based. Common in UK, parts of europe, america and new zealand. In america more common in caucasians. Increasingly common in females. 20-30% occurrence between identical twins, only 2-5% between fraternal same-sex twins.

20
Q

What have GWAS studies shown about MS?

A

Many T-cell related genes and the HLA-DRB1 gene on chromosome 6p21

21
Q

What environmental factors have been implicated?

A
  • Antibody against myelin like protein due to infection
  • Chylmadia infection (not repeated)
  • Epstein-barr virus as a child (not repeated)
  • Sunlight (vitamin D), solvents, pollution, temperature, rainfall
22
Q

What work has been with animal models?

A
  • Inject with factors to create microglial infection to make experiemental allergic encephalomyelitis (EAE) mouse model
  • Metalloproteinases can destroy blood brain barrier allowing lymphocytes to enter. T cells are then activated against myelin
23
Q

What are the suggested models of MS?

A
  • T cell invasion and inflammation causing microglia action against myelin
  • Oxidative stress due to reduction in myelination causing excess axonal ionic flux and more superoxide formation
  • Reduction in blood flow causes lack of oxygen and intensifies superoxide production
24
Q

Why is cannabis useful in MS?

Why is it not the best treatment?

A

Relieves muscle stiffness, body pain and muscle spasms.

It only relieves the symptoms but is not disease modifying

25
Why has β-interferon be thought to be a possible therapy? | What effect does it have?
β-interferon inhibit γ-interferon and γ-interferon levels go up just before a relapse. Small decrease in relapse; 69% to 55% over 2 years
26
What other drug has been FDA approved?
Glatiramer acetate; polymer molecule that mimics a region of myelin basic protein. Mode of action is not actually known
27
Why has β-interferon been stopped by NICE?
Deptartment of health created trial that showed cost of £8000 per patient per annum and the effect of quality of life was not substantial
28
Which drug was stopped due negative side effects? | What was causing these effects?
Natalizumab; humanized monoclonal antibody against cellular adhesion molecule α4-integrin and prevented lymphocytes crossing the BBB. Was stopped because patients developed white matter inflammation. Then shown that only patients who had previously had John cunningham virus had this reaction and the drug is in use on patients who have never had JC virus.
29
What two oral drugs have been tried?
Fingolimid; blocks lymphocyte migration out of lymph nodes and weas approved Cladribine; cytotoxic to lymphocytes but not approved as no benefit over exisiting drugs
30
How does dimehtyl fumerate work?
Thought to counter oxidative stress
31
How does alemtuzumab work?
Monoclonal antibody against lymphocytes
32
How does stem cell transplantation work?
Chemotherapy to kill off T-cells and then transplant new stem cells which hopefully don't cause demyelination. But has 5% mortality
33
How can you cause demyelination in rat model? | What happens to the rats over time?
Ethidium bromide | Remyelination
34
What can stop remyelination?
Glial scarring | Problem in Wnt signalling