Parks: Degenerative Diseases Flashcards

(39 cards)

1
Q

What proteins are deposited in Alzheimer disease to form inclusions?

A

Abeta

Tau

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens to proteins when they get old or become misfolded?

A

they become ubiquinated in the proteasome or they are killed by lysosomes (autophagy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How do inclusions bodies form?

A

they form when proteins become unfolded but are resistant to degradation –> they form oligomers and begin to aggregate to form large inclusion bodies

**not getting properly degraded by the proteasome or lysosomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the cellular consequences of protein aggregation and inclusions?

A
  1. they elicit a stress reaction from the cell
  2. directly toxic to the neurons
  3. some aggregates behave like prions and spread from neuron to neuron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When cells are under stress, what happens?

A

neurodegeneration –> neuron death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When amyloid proteins become misfolded, they form (blank)

A

Beta-sheet structures called fibrils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F: Amyloidosis can occur in the brain and the heart

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Two characteristic features of Alzheimer disease

A

neurofibrillary tangles w/i neuron (leads to plump unhealthy neurons)
amyloid plaques in the interstitial space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where does Alzheimer’s disease usu begin?

A

hippocampus (around the temporal lobe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where does A-Beta come from?

A

it is cleaved by secretases from amyloid precursor protein to form a bunch of different forms of Abeta monomers; the monomers form oligomers which aggregate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Amyloid precursor protein is cleaved by secretases to form (blank), which form (blank) that aggregate into plaques and tangles and lead to neuronal damage

A

Abeta monomers; oligomers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is tau? How is it involved in Alzheimer’s disease?

A

a microtubular protein which gets hyper-phosphorylated by a kinase that is turned on by Abeta; this causes it to fall off the microtubules, so they are no longer stable

**microtubules are involved in intracellular trafficking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tau is a microtubular protein. It gets (blank) by amyloid-Beta, and falls off of the microtubule. It forms (blank) and leads to (blank) microtubules

A

phosphorylated; neurofibrillary tangles; destabilized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the amyloid cascade hypothesis

A

increased production or decreased degradation of A-beta

plaque formation

hyperphosphorylation of tau

neurofibrillary tangle formation

synaptic dysfuntion and neuron loss

memory loss and cognitive deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What can be used to detect beta-amyloid in the brain nowadays?

A

PET scan with a radioactive tracer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What biomarkers in the CSF can you use to diagnose Alzheimer’s?

A

low beta-amyloid 1-42 (being used up in the formation of plaques)
high total tau protein (neurons are lysing and releasing tau)
elevated phosphorylated tau

17
Q

T/F: The amyloid beta and tau CSF tests are not fully conclusive, because normal elderly individuals have amyloid plaques and tau neurofibrillary tangles, too

18
Q

Signs and symptoms of Parkinson’s disease?

A
tremor
rigidity
masked facies
stooped posture
arms, elbows, wrists, hips, knees slightly flexed
shuffling steps
19
Q

How does Parkinson’s differ from Alzheimer’s?

A

Parkinson’s is a motor disease, which involves the basal ganglia!

**AD no motor symptoms really

20
Q

What is happening neurologically in Parkinson’s disease?

A

cell death of dopaminergic neurons in the SUBSTANTIA NIGRA, which control movement

21
Q

What is Parkinson’s treated with?

22
Q

What comprises the Lewy body like inclusion bodies found in Parkinson’s disease?

A

alpha-Synuclein

23
Q

These patients present with dementia (like Alzheimer’s) then they develop Parkinsons

A

dementia with lewy bodies

24
Q

What is ALS?

A

upper and lower motor neuron disease

25
What does amyotrophic refer to in ALS?
muscle atrophy, weakness, and fasciculations that signify lower motor neuron problems
26
What does lateral sclerosis refer to in ALS?
hardness to palpation of the lateral columns of the spinal cord, bc gliosis follows degeneration of the corticospinal tracts
27
Symptoms of ALS are primarily those of (blank)
weakness
28
What happens in ALS?
wallerian degeneration and gliosis leads to lateral sclerosis
29
Loss of lower motor neurons results in (blank)
denervation muscle atrophy **these patients waste away, they can't eat or talk, etc
30
How do patients with ALS die?
their intercostal muscles atrophy and they die of respiratory distress or pneumonia
31
What is causing ALS?
mutated superoxide dismutase; this aggregates and causes too much glutamate release and excitotoxicity
32
What drug is used to treat ALS? What does it do?
riluzole; inhibits glutamate release and blocks post-synaptic actions of NMDA receptors **decreases excitotoxicity
33
What is Syndenham's chorea?
involuntary movement in children; associated with post-streptococcal disease
34
What is Huntington's chorea?
hyperkinetic movement disorder
35
Huntington's disease affects the (blank)
striatum (basal ganglia)
36
What happens to the ventricles in Huntingtons disease?
enlarged ventricles because caudate and putamen are atrophied
37
What is wrong genetically in Huntington's disease?
the Huntington's disease gene has too many CAG trinucleotide repeats which codes for glutamine; leads to long protein aggregates **if it's longer, it will occur at a younger age
38
What happens when the long CAG repeat proteins aggregate?
they form inclusions in the nuclei
39
T/F: Huntington's disease is passed from generation to generation.
True