cholinergics Flashcards

1
Q

Ach expression requires what 3 proteins?

A

ChAT (Cholinetgic Acetyl Transferase)
VChAT (Vesicular Acetylcholine Transporter);
Choline Transporter 1

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2
Q

what 3 structures and what interneurons contain cholinergic neurons?

A

Basal forebrain
Mesopontine tegmentum
Brainstem, Cranial nerves, and motor neurons

interneurons:
- striatum
~ rare in cortex

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3
Q

What are the main cholinergic neurons in the basal forebrain?

A
Ch1: Medial septum
Ch2: Vertical End
Ch3: Horizontal Diagonal Band of Broca's
Ch4a: Basal Nucleus of Meynert
Ch4p: Nucleus Inomminate

Outside basal forebrain…
Ch5/Ch6: Mesopontine nuclei

poorly defined structures and tangled in white matter tracts

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4
Q

What are the reciprocal input/outputs in the forebrain and what system do they project to?

A
INPUT
-vta
-thalamus
-hippocampus
-amygdala
~supra-mammillary nuclei --> only input (not reciprocal) 

OUTPUT

  • vta
  • thalamus
  • amygdala
  • hippocampus

ascending sensory and motor info to limbic system

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5
Q

describe the connectivity of cholinergic neurons

A

Ch1/2: hippocampus via the fornix

Ch3: entorhinal, piriform, olfactory bulb –> Medial Septum and Vertical End of Broca’s connect to orexin and hypocretin neurons in Lateral Hypothalamus
remember: (l)HOPE

Ch4: basolateral amygdala, neocortex

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6
Q

What is the relevance of the medial septum in basal forebrain?

A

MS is pivotal node within an ascending pathway from the brainstem and the hypothalamus that conveys sensory and motor information to the limbic system.

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7
Q

Characteristics of a cholinergic basal forebrain neuron:

A
  • single axon
  • synaptic (point to point) AND volumetric transmission
    • and - innervation
  • acts via nicotinic and muscarinic receptors
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8
Q

What is the effect of Ach in regulation of attention for goal associated information?

A

Ach is released after cue detection –> Disturbs normal function through Ach desynchronization –> Attention is orientated to cue as desynchronization provides opportunity for modulated input and neuronal response

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9
Q

What are the two types of navigation and how to they work?

A

Egocentric - location in relation to one’s self completely independent from environment
experiment = place avoidance (habituation -> training -> test)

Allocentric - location that is dependent and relative to environment; independent of self

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10
Q

What is the function of the Cholinergic Basal Forebrain?

A

Attention –> at cellular level

Responsible for mechanisms of synaptic plasticity, learning, memory, reinforcement and extinction

Allows executive functions: complex/associative memory, conscious planning, reasoning, experience-dependent decision making

^^ in relation to stimulus ie. shock

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11
Q

What impact does cholinergics and release of Ach have on memory formation and routine behaviour?

A

The process of learnt, routine, behaviour is a result of prior experience and exposure to a stimulus. The act of calling on an experience and bringing it to consciousness later in time requires, an association to such an experience, and a “retrieval cue” to elicit the memory. This “cue” is the result of Ach release and disturbance during the previous exposure to the stimulus.

eg. Routine behaviour like making the decision to cross the street.

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12
Q

Physiology of Ach: what are Ach firing patterns during different activity levels?

A

Cholinergic neurotransmission is inhibitory during quiescence (rest)

Cholinergic neurotransmission is excitatory during simultaneous post-synaptic activity (stimulus)

By reducing the excitability of less active neurons and enhancing that of the more
active ones –> cBF neurons increase the signal:noise ratio of incoming information.

Low GLU levels means suppression of transmission while greater input of GLU excites neuromodulation …

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13
Q

What is dementia? What constitutes as AD?

A

Dementia is the decline of intellectual function that is severe enough to impair daily activity.

AD is the present of both memory loss and another deficit ie. language impairement, attention (cholinergic neuron loss), executive function, or visuospatial ability.

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14
Q

Alzheimer’s disease atrophy to brain:

A
  • Atrophy to cortex (planning, thinking, imagination impairment)
  • Atrophy to hippocampus (short memory)
  • Atrophy to Basal Forebrain (memory and attention)
  • Ventricular Enlargement
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15
Q

Pathological features of AD:

A

Tau Protein tangle = neurofibrillary tangles

Amyloid-Beta deposition = amyloid plaques

Cholinergic neuron loss in basal forebrain = ~75% loss relative to healthy brain

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16
Q

BRAAK Staging of AD

A

Amyloid Plaque spread (A-C stages):

A - 1 or more sites on Basal Temporal and Orbitofrontal Neocortex
B - also, hipppocampal formation, amygdala, diencephalon, and basal ganglia
C - Lower Brainstem, Cerebellar cortex, and Mesencephalon

Tau Inculsions (Stages I-VI)

Stage I/II: Locus Coeruleus, Transentorhinal regions
Stage III/IV: hippocampal formation and some Neocortex
Stage V/VI: large parts of Neocortex

17
Q

Alzheimer’s Disease Cascade Hypothesis:

A

Amyloid Pathology –> Tau Pathology –> Cognitive Decline –> AD

18
Q

Basal Forebrain volume in AD

A

Decreases due to atrophy

19
Q

Egocentric and Allocentric navigation in AD

A

Navigation error is associated to Basal Forebrain volume

Both Ego- and Allo- are impaired

20
Q

Activity of Ach at the cortical dendrite.

A

GLU Neuron inputs are firing (increase GLU) on cell dendrites.

When a cue is recognised the Cholinergic neuron begins firing to direct attention (enhance signal relative to noise momentarily).

Only transient on dendrite as Acetylcholine Esterase breaks down the Ach shortly after it is released.

21
Q

Activity of Ach at cortical neurons in an AD paitent.

A

There is a decrease in Acetylcholine release on the cue of a stimulus. As GLU input is also reduced.

Acetylcholine Esterase is equally as present as breaks down the deficit-Ach release. Therefore there is a significant net decrease in Ach and overall Attention, memory, and planning etc.

22
Q

Why do drugs for AD not work effectively to relieve symptoms?

A
  1. The cells are dead therefore no Ach release
  2. Spatial-temporal enhancement Ach specificity is lost
  3. Amyloid-Beta binds to receptor therefore Ach, even though its present, cannot act
  4. Current medication are not relation to the disease (lack of disease understanding).