Alzheimer's Flashcards
definition
Complex brain disorder that affects thinking, behavior, memory
3 evolutionary hypothesis
i. Lifespan
- Effects elderly who have already past reproductive stage
ii. Brain evolution
- Rapid brain evolution in our ancestry since it has high rates in humans and very low in other mammals
iii. Mismatch with postindustrial exposures
- Post industrial society has different risk factors for AD than our past environment did
prevalence
- 6,700,000 Americans above 65 have AD
- 55 million people worldwide have AD
- 6% of people 65 and under have AD
current and future treatments
Current: sholinesterase inhibitors (break down acetylcholine which in turn helps in the firing of neurons) and NMDA receptor antagonist (inhibit the action of NMDAR which blocks uptake of glutamine and prevents calcium ions from flowing into neurons)
Future: Drugs that deposit extracellular amyloid β plaques onto myelin sheath of neurons.
risk factors
- APOE genes
- Older people
- Women
- Healthy levels of cognitive, social, physical activity
- Cardiovascular health
genetic underpinnings
APOE4 increases risk
Limitations
- Unclear causes but believed to be influenced by genetic, environmental, lifestyle
- Late diagnosis when patient has already undergone significant damage
resolutions
Invest more money and time into Alzheimer’s clinical trials to continue to test different compounds, analyze what factors contribute to Alzheimer’s and what preventative measures work
Best preventative measures are to encourage lifestyle changes like:
- Healthy diet
- Physical activity
- No smoking and drinking
- Detect early onset by brain scans and cerebrospinal fluid examinations