alzheimers Flashcards
histological signs alzheimers
plaques and neurofibrillar tangles
which neurones are lost in alzheimers
cholinergic
what is in alzheimers plaques and where are they
insoluble extracellular deposits of ß-amyloid peptide (Aß) in brain and brain blood vessel walls
what are neurofibrillary tangles made of
tau protein
what pathology comes first and second in Alzheimers
β‑amyloid (Aβ) deposition precedes
neurofibrillary and neuritic changes
which mutations in early onset dementia, whcih chromosomes
Amyloid precursor protein (APP) 21
Presenilin 1 (PSEN1) 14
Presenilin 2 (PSEN2 chr 1
which gene codes for Tau, which chromosome
MAPT 17
does MAPT mutation cause early onset dementia
no
what can result of MAPT mutation be
frontotemporal dementia and other tauopathies
Amyloid precursor protein is cleaved in different ways, one fo which is pathogenic. Which enzymes are involved in this cleavage, and what is the toxic product
gamma-secretase and beta-secretase
Amyloid Beta (40 and 42, with 42 being the worst)
which Apolipoprotein is bad news re Alzheimers - why
ApoE4, reduced clearance of extracellular Amyloid Beta
what is the cause of neurofibrillary tangles
hyperphosphorylation of Tau
what is ACh made of and what enzyme makes it. what relevance to alzherimers dementia
Acetyl CoA, choline
Choline Acetyltransferase (CHAT)
CHAT transcription severely diminished in Alzheimers
Acetyl cholinesterase inhibitors drugs and what pathology
donepezil, rivastigmine, galantamine
Alzheimers
what tx mild to moderate alzheimers
Acetyl cholinesterase inhibitors
donepezil, rivastigmine, galantamine