Lecture 7 Flashcards

(34 cards)

1
Q

What is important during a reflex?

A

Only contracting one of the muscles and not the other

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2
Q

What is feedback control?

A

Controlling muscle due to input about task currently being carried out

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3
Q

What is feedforward control?

A

Controlling muscle due to input about task about the be carried out

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4
Q

What is the somatotopic map?

A

Neurons project to groups of muscles from a specific region of the primary motor cortex for coordinated action

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5
Q

What affect does stimulation of the PMC have?

A

Signal sent down the spinal cord to the alpha-motor neurons which send signal out to the periphery

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6
Q

What is the major pathway in voluntary movements?

A

Starts in association starts the action potential, travels through the caudate and patamen (which has inputs from the substantia nigra), then the globus pallidus, then the thalamus and finally the motor cortex

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7
Q

What is common between the PMC and other parts of this pathway?

A

They are all spatially mapped

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8
Q

Outline the signalling pathway from the assoication cortex

A

Stimulates the caudate/putamen which inhibits the globus pallidus, causing signalling from the thalamus to the motor cortex. Caudate/putamen also receives dopaminergic signals from the subsatntia nigeria which can be both inhibiting and excitative
Also an indirect pathway which involves the subthalamic nuclei

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9
Q

What are the symptoms of Huntington’s disease?

What is the cause?

A

Fast jerky movements
Due to gaining CAG (glutamine) repeats on chromosome 4, affecting synaptic transmission, by reducing transport of vesicles. Less inhibition of the thalamus and increased excitation of the cortex.

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10
Q

What are the symptoms of Parkinson’s disease?

A

Hard to initiate and maintain movements (Bradykinesia)

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11
Q

What is Parkinson’s disease associated with?

A

Death of dopaminergic substantia nigra neurons, and these dying cells have Lewy bodies

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12
Q

What are Lewy bodies?

What do they do over time?

A

Accumulation of α-synuclein and ubiquitin; trying the degrade by ubuitination but the bundle of α-synuclein too large, firstly in axons but then in cell bodies
Start in the substantia nigra but then spread to other regions; including the cortex (prion like)

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13
Q

What was shown using fetal grafts?

A

Fetal grafts cured Parkinson’s disease, however, postmortem they were also shown to have Lewy bodies; so they are spreading

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14
Q

Why is the substantia nigra black?

A

They express melanin

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15
Q

Why is the bradykinesia occurring?

A

Degeneration of substantis nigra leads to tonic inhibition of thalamus and decreased excitation of the cortex

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16
Q

What therapies exist?

A
  • L-DOPA; dopamine precursor which is able to cross the BBB (only works for 5-7 years)
  • Dopamine agonists
  • MAO-B inhibitors; stop dopamine degradation
  • Cell replacement; fetal midbrain, pigs, carotid body, stem cells
  • Deep brain stimulation
17
Q

What role does the carotid body play?

A

Oxygen sensor; but due to degeneracy of sensors it can be removed and not have a large effect

18
Q

What occurs due to over use of L-DOPA?

How can it be treated?

A

Dyskinesia develops; impairment of voluntary movement
Possibly due to the dopamine being used by serotonin neurons
Give 5-H agonists to stop serotonin

19
Q

How does Deep brain stimulation work?

A

Not known; proven not to be inacitvation of STN neutrons, affects on STN axons or acitvation of the STN output.
Possibly due to reduction in burstiness; reducing β-rhythmical between STN and cortex

20
Q

What pharmacological mimics can cause PD?

A

6-OH dopamine and MPTP (metabolised to MPP+) both cause destruction of dopaminergic neurons

21
Q

How does MPTP(MPP+) cause damage in animal models?

A

Damages the neurons; (1)activating microglia, which produce nitric oxide and (2)causes wnt signalling which further damages the neuron. Creating positive feedback loop.

22
Q

What environment factors can cause PD?

A
Paraquat
Rotenone (fish poison); blocks mitochondrial function and upregulates α-synuclein
23
Q

What symptom order supports the Braak hypothesis?

A

Gastric start, then movement disorders and then psychiatric symptoms
As the Lewy bodies spread

24
Q

What are the genetic causes?

A

Very rare inherited forms by mutations in

  • α-synuclein (folds SNAREs)
  • Parkin (E3 ubiqutin ligase)
  • DJ-1 (Stress response chaperone)
  • PINK-1 (Mitochondiral protien kinase)
  • LRRK2 (Mitochondiral protien kinase)
25
Which STN neurons die?
The ventral neurons but rarely the dorsal ones
26
Which animal model | What have they shown?
Fly model | Common genetic pathway, potential tool compounds and show what might be going wrong
27
What are the phenotypes of the PINK1 and Parkin mutants?
- Abnormally positioned wings - Crushed thoraces - Disorganised muscle fibres with enlarged mitochondria - Muscle cell apoptosis - Impaired flight ability
28
Why do both mutants have the same phenotype?
One effects the other or both work on common target?
29
Which mutations is upstream?
PINK1; PINK1 mutants can be rescued by parkin but not vice versa
30
Which other genes have been found in the PINK1-parkin pathway?
- PARIS - clueless - Rhomboid-7 - HtrA2/Omi
31
What is the role of PINK1?
Binds to damaged mitochondria and recruits parkin to ubiquitinate the mitochondria for destruction. The other genes in the pathway are also involved
32
What drug can rescue PINK1/parkin flies? | Why isn't it given to humans?
Vitamin K2 | Would cause sever blood clots
33
What have fly models shown to be useful in treating α-synuclein mutants? Why isn't it given to humans?
Heat shock protein (HSP) | Can't be used in humans because causes cancer
34
What gene therapies might be the future?
- GDNF; supports dopaminergic neurons - GAD; mimic GABA in STN - AADC-2; enzyme that synthesises DA