Ex3 L15 The Aging Brain Flashcards

1
Q

What becomes more difficult vs. stays easy with age?

A

become difficult:
- remembering names
- multi tasking
- focusing for long periods

retain ability to:
- learn new tasks
- create new memories
- improve vocabulary

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2
Q

What are the four big changes that happen to the brain with age?

A
  • reduced brain volume (especially around the lateral ventricles)
  • decreased neurons and speed of neurotransmission (result of ox stress, mito dysfunction, and altered metabolism)
  • reduced blood flow
  • increased inflammation
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3
Q

What are the phases of memory?

A

perceptual, short term/working, long term (which splits into semantic and remote)

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4
Q

Describe perceptual memory

A
  • very short lasting (seconds)
  • sensory memory, stored momentarily in sensory regions of the brain
  • relies on primary sensory regions
  • sensory areas that control perceptual memory have little change with age (however, senses can change due to changes in the receptors)
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5
Q

Describe short term/working memory

A
  • info that is moved from perceptual to working stores
  • slightly longer (15-45 seconds)
  • relies on prefrontal cortex (important for concentration)
  • aging leads to short term memory deficits as a result of cell loss and reduced speed of neurotransmission in the PFC
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6
Q

Older people are slower to —— but better able to ——

A
  • slower reasoning through decisions
  • better able to make gut decisions
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7
Q

Describe long term memory

A
  • requires learning of information using strategies
  • minutes to years
  • relies on hippocampus
  • requires storage AND retrieval
  • aging leads to long term memory deficits as a result of less activity/cells/shrinkage of the hippocampus
  • less cells = less area for storage = more overlap = interference and confusion
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8
Q

What are the main areas that shrink and lose activity with age?

A

hippocampus and prefrontal cortex

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9
Q

Describe semantic memory

A
  • vocabulary and facts
  • lose details regarding time and place of memory acquisition (lose context)
  • relies on temporal lobe
  • mostly preserved with age
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10
Q

Describe remote memory

A
  • memory from the distant past
  • important for story-telling, often includes the time and place that the event occurred
  • relies on the temporal lobe
  • typically preserved with age
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11
Q

Is semantic or remote memory better preserved with age?

A

remote - semantic loses some context, but both are generally retained pretty well

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12
Q

What changes do we see in aging neurons?

A
  • degenerating dendritic tree with less/shorter branches
  • more ROS, less calcium regulation, less activation
  • mitochondrial dysfunction leads to more ROS
  • ER makes misfolded proteins that lead to more ROS
  • axons have disorganized myelin sheaths that impede conduction
  • less NAD+ in the axons that cause dysfunctional nutrient sensing
  • bad neurons lead to bad neuroglia
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13
Q

What glial cell changes do we see in the aging brain?

A

microglia:
- inflammatory, more M1, but less phagocytic activity

astrocytes:
- inflammatory, decreases processing of “trash”, and more susceptible to ROS

oligodendrocytes:
- get worn out, broken and incomplete myelin sheaths, and move slower causing slower remyelination rates

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14
Q

What is normal cognitive aging?

A

graduate, age related decline in memory, conceptual reasoning, and cognitive processing speed

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15
Q

What is the difficulty with diagnosing age-related cognitive diseases?

A
  • they are difficult to distinguish from normal cognitive decline
  • BUT they are easiest to treat/manage if they are caught early on - so we want to catch them early (which is hard)
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16
Q

What is dementia?

A

a condition characterized by a decline in cognitive function that impairs an individual’s ability to perform everyday tasks
- Alzheimers
- Vascular dementia
- Lewy Body dementia

17
Q

What are the hallmarks of Alzheimers disease?

A
  • plaques of amyloid-B
  • neurofibrillary tangles of tau protein
  • enhanced neuroinflammation
18
Q

What have been complicating factors for diagnosing and treating Alzheimers?

A
  • activation of proinflammatory pathways occurs before appearance of plaques and tangles
  • all disease hallmarks are also observed in normal aging
  • AB deposition correlated poorly with cognitive decline in alzheimers patients
  • so, something else is involved