Pharmacological Modulation of Memory Flashcards

1
Q

What is memory?

A

the term given tot he process and structures involved in storage and subsequent retrieval of information

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2
Q

3 stages of memory

A
  1. Encoding: - sensory input is relayed into the brain (thalamus - processing centre) and is subsequently relayed into e.g., occipital lobe towards the visual cortex or amygdala for fear responses → determine how we will interpret that experience (i.e., if that information is attended to or not) SUBJECTIVE
  2. Storage: - associated with neural networks, in short term can be quite plastic → through rehearsal these memories are maintained - consolidates memory, which can lead to long term encoding which can be easily retrieved
  3. Retrieval
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3
Q

Explicit (Declarative) Memory

A

Facts, Events, People, Places and object
→ mainly mediated in the hippocampus
→ conscious attention is necessary for recall

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4
Q

Implicit (Procedural) Memory:

A

Unconsciously recalled
→ Skill & Habits: Striatum, affected in PD - affecting motor functions
→ Associative learning: Amygdala (Emotional response) & Cerebellum (Movement skills)
→ Non-associative learning: Habituation and sensitisation - reflex pathways which we can’t consciously control but can affect attention

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5
Q

What is meant by “Semantics”?

A

to make meaning of something - is it a good or bad memory - i.e., is it a good or bad experience, depending on the impact it made determines whether or not it gets processed into a longer term memory

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6
Q

Factors which can affect memory in a negative way

A
  • Old age
  • Stress
  • ADHD
  • Schizophrenia (Negative Symptoms)
  • Anxiety/Depression
  • Sleep Deprivation
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7
Q

How does electroshock therapy affect memory?

A

Has a serious negative impact on retrograde memory

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8
Q

ADHD is believed to be due to…

A

a lack of connection between neurons in the prefrontal cortex

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9
Q

Relay centre for memory storage

A

Hippocampus

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10
Q

How was learning and memory linked to the hippocampus?

A

Patient H.M.
→ intractable temporal lobe epilepsy. Bilateral removal of H.M.’s temporal lobe & hippocampus cured his epileptic seizures. Declarative memory was impaired. Procedural memory was intact.

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11
Q

Age-associated hippocampal atrophy corresponds to..

A

cognitive decline

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12
Q

Hebb’s Rule

A

Cells that fire together wire together (synaptic efficacy arises from presynaptic cell repeatedly stimulating postsynaptic cell)

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13
Q

A key aspect of memory depends on

A

Glutamate

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14
Q

NMDA glutamate receptor

A

-heteromeric ion channel
- 4 subunits (2x NR1, 2x NR2)
- glutmate binds NR2
- glycine (co-agonist) binds NR1

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15
Q

NMDA receptor antagonists

A

Memantine, Amantadine, Ketamine, PCP (angel dust)

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16
Q

Overactivation of glutamate receptors can induce

A

Excitotoxicity

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17
Q

What minerals can inhibit the NMDA receptor

A

Zinc and magnesium

18
Q

Resting membrane potential of a neuron

A

-40mV

19
Q

Competitive inhibitor of the active site of the NMDA receptor

A

APV

20
Q

Selective competitive AMPA receptor antagonist

A

CNQX

21
Q

What is the net result of administering APV and CNQX together?

A

No Glutamte Response

22
Q

Long term potentiation

A

A lasting, activity-dependent increase in synaptic efficacy (repeated firing of neurons strengthens synaptic connections)

23
Q

Molecular changes in LTP

A
  • Glutamate activation of NMDA receptors allow Ca influx which activated Ca/calmodulin-dependent protein kinase, causing phosphorylation of non-NMDA receptor channels to increase sensitivity to glutamate
  • Repeated AP trains activate NMDA receptors, activating AC and a sensitisation cascade
  • Late LTP is thought to give rise to growth of new synaptic connections
24
Q

What is a potential target for novel memory enhancers, and why?

A

CREB transcription factor - transcribes genes involved in forming new synaptic connections

25
Q

NMDA antagonists in the amygdala block acquisition, but not expression, of….

A

fear learning

26
Q

What is the name given to drugs that enhance cognition (in clinical development)?

A

Nootropics

27
Q

Examples of nootropics

A
  • AMPakines
  • MEM1414 prolongs CREB activity (PDE inhibitor)
  • GABAb receptor antagonists
  • Estrogen (anabolic steroid)
  • 5-HT6 receptor antagonists
28
Q

What can act as a partial agonist at the glycine site of NMDA receptors to facilitate extinction of fear memories?

A

D-cycloserine (combined with CBT)

29
Q

How does nicotine act as a cognitive enhancer

A
  • Stimulation of nAChRs leads to enhanced NT release in brain areas
  • Low conc of nicotine can enhance performance in individuals with compromised nicotinic function, however, when an individual’s performance is already at optimum levels, nicotine impairs performance
30
Q

Most robust effects of nicotine are seen in tasks that have…

A

a high attentional requirement

31
Q

Increased smoking in patients with…

A

ADHD and schizophrenia

32
Q

Sensorimotor gating inhibition deficit in schizophrenia has been linked to

A

nAChα7 subunit gene (reduced number in hippocampus of patients)

33
Q

What are in development for improving cognitive symptoms of schizophrenia

A

α7-nicotinic agonists

34
Q

Examples of pharmacological agents that can regulate PFC function

A
  • D1 receptor agonist (A77636) - improves (low dose) and impairs (high dose) working memory in monkey
  • Guanfacine (agonist at postsynaptic α2A-adrenoceptors) - improves working memory in WT mice, but no benefit in α2A-KO mice
35
Q

Most effective treatments for ADHD facilitate

A

catecholamine transmission

36
Q

Drug treatments for ADHD

A
  • Methylphenidate (Ritalin) - blocks DA & NA transporters (approved)
  • Amphetamines (e.g. Adderall) - block DA & NA transporters (approved)
  • Atomoxetine (inhibits NA transporters)
  • Guanfacine (NA mimetic)
37
Q

Methylphenidate improves performance of

A

Prefrontal cortex tasks

38
Q

Attention enhancer than inhibits dopamine transmission

A

Modafinil (approved drug treatment for individuals with attention deficit)

39
Q

What is Caffeine?

A

An adenosine receptor antagonist that interacts with GABAergic and dopaminergic neurotransmission

40
Q

Potential MCI therapeutics

A
  • AChE inhibitors
  • Anti-oxidants
  • Anti-inflammatories
  • Glu receptor modulators
  • Nootropics
  • Immunomodulators