Lecture 21 - Neurodegenerative Diseases Flashcards

1
Q

What are neurodegenerative diseases?

A

Neurodegenerative diseases, like Alzheimer’s, Parkinson’s, Huntington’s, FTD-ALS, and prion diseases, involve the degeneration of neurons, leading to progressive loss of brain function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What causes neuronal degeneration in neurodegenerative diseases?

A

Neuronal degeneration is driven by cellular apoptosis, triggered by the accumulation of misfolded proteins that disrupt normal cellular function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why do proteins have a risk of clumping together in neurodegenerative diseases?

A

Proteins can clump together in neurodegenerative diseases because, at high concentrations, their structure can change (misfold). When proteins misfold, they lose their proper shape and are more likely to stick together, forming clumps. These clumps can be harmful to cells and are linked to diseases like Alzheimer’s or Parkinson’s. Misfolding and aggregation prevent the proteins from doing their jobs properly, leading to cell damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How does the body prevent proteins from clumping together?

A

Cells have mechanisms to ensure proteins fold correctly into their 3D shapes and systems for destroying misfolded proteins. However, they struggle with removing aggregated proteins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Parkinson’s disease, and what causes it?

A

Parkinson’s disease is a degenerative movement disorder caused by the degeneration of dopamine neurons in the substantia nigra, leading to motor problems like rigidity and shaking.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the role of alpha-synuclein in Parkinson’s disease?

A

Alpha-synuclein is a protein expressed in dopamine neurons. Misfolded alpha-synuclein forms aggregates called Lewy bodies, which are associated with neuron degeneration in Parkinson’s disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are Lewy bodies?

A

Lewy bodies are aggregates of misfolded alpha-synuclein protein found in the cytoplasm of midbrain dopamine neurons in people with Parkinson’s disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What role does ubiquitin play in protein regulation?

A

Ubiquitin tags misfolded or faulty proteins for degradation by proteasomes, which break them down into amino acids for recycling.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What happens when parkin function is lost in Parkinson’s disease?

A

Loss of parkin function leads to the accumulation of misfolded proteins, like alpha-synuclein, which eventually causes cell death, particularly in dopaminergic neurons.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the difference between toxic gain of function and loss of function mutations?

A

Toxic gain of function mutations produce proteins with harmful effects (e.g., alpha-synuclein mutations in Parkinson’s). Loss of function mutations lead to a lack of essential proteins (e.g., parkin mutations).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the treatment for Parkinson’s disease?

A

Treatments for Parkinson’s disease focus on increasing dopamine signaling, which helps improve motor function. Medications like L-dopa are converted into dopamine in the brain, while dopamine receptor agonists directly activate dopamine receptors to mimic dopamine’s effects. Surgical treatments, such as deep brain stimulation (DBS) and brain lesions, help reduce symptoms by regulating brain activity. These treatments alleviate motor symptoms but don’t cure the disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the motor symptoms of Parkinson’s disease?

A

Symptoms include muscle rigidity, slow movement, shaking, difficulty walking, and eventual dementia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is dementia?

A

Dementia is a progressive impairment in memory, thinking, and behavior, often due to neurodegenerative diseases, multiple strokes, or brain trauma.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is Alzheimer’s disease?

A

Alzheimer’s disease is a neurodegenerative disorder causing memory loss, motor deficits, and eventual death, typically affecting those over 65 years old.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is β-amyloid, and how is it related to Alzheimer’s disease?

A

β-amyloid is a misfolded protein that aggregates in Alzheimer’s disease, forming amyloid plaques in the brain, especially around the hippocampus and neocortex.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are amyloid plaques?

A

Amyloid plaques are extracellular aggregates of β-amyloid protein surrounded by glial cells and degenerating neurons in Alzheimer’s disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is tau protein, and how is it involved in Alzheimer’s disease?

A

Tau is a microtubule protein that becomes hyper-phosphorylated in Alzheimer’s disease, leading to intracellular accumulation called neurofibrillary tangles, which disrupt cell function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are neurofibrillary tangles?

A

Neurofibrillary tangles are intracellular accumulations of twisted tau protein in dying neurons, characteristic of Alzheimer’s disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is β-amyloid precursor protein (APP)?

A

APP is a protein that is the precursor for β-amyloid protein, and its gene is located on chromosome 21, which is triplicated in Down syndrome.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the function of secretase?

A

Secretase is a class of enzymes that cut the β-amyloid precursor protein (APP) into smaller fragments, including β-amyloid.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is presenilin, and how does it relate to Alzheimer’s disease?

A

Presenilin is a protein that forms part of the secretases that cut APP. Mutations in presenilin can cause the abnormal long form of β-amyloid, leading to early-onset Alzheimer’s disease.

22
Q

What is the role of apolipoprotein E (ApoE) in Alzheimer’s disease?

A

ApoE is a glycoprotein that transports cholesterol and plays a role in cellular repair. The E4 allele of ApoE increases the risk of late-onset Alzheimer’s disease.

23
Q

What is the strongest risk factor for Alzheimer’s disease besides age?

A

Traumatic brain injury is the second strongest risk factor for Alzheimer’s disease.

24
Q

What other factors increase the risk of Alzheimer’s disease?

A

Obesity, hypertension, diabetes, and high cholesterol levels are additional risk factors for Alzheimer’s disease.

25
Q

How does education and mental activity impact the prevalence of Alzheimer’s disease?

A

Alzheimer’s disease is less prevalent in well-educated individuals who keep their minds and bodies highly active.Is there a cure for Alzheimer’s disease?

26
Q

Is there a cure for Alzheimer’s disease?

A

No, there is no cure. Some medications reduce symptoms but do not significantly stop neurodegeneration.

26
Q

What are the symptoms of ALS?

A

Symptoms include spasticity, exaggerated reflexes, progressive weakness, muscular atrophy, paralysis, and eventual death.

26
Q

What is the most promising treatment approach being tested for Alzheimer’s disease?

A

Immunotherapy, which involves injecting antibodies that target β-amyloid or Tau proteins for destruction by the immune system, is the most promising treatment.

26
Q

What is amyotrophic lateral sclerosis (ALS)?

A

ALS, also known as Lou Gehrig’s Disease, is a neurodegenerative disorder that attacks motor neurons in the spinal cord and cranial nerves.

27
Q

What percentage of ALS cases are inherited, and how long do individuals typically live after diagnosis?

A

10% of ALS cases are inherited, and individuals typically live 2-4 years after diagnosis, though some live much longer.

28
Q

How is ALS related to frontotemporal dementia (FTD)?

A

ALS and FTD are now considered part of a common disease spectrum (FTD–ALS) due to shared genetic, clinical, and pathological similarities.

29
Q

What is the incidence of ALS?

A

The incidence of ALS is approximately 3 in 100,000, with the disease typically starting after age 50.

30
Q

Why have harmful gene variants not been eliminated through evolution?

A

Harmful gene variants remain because they may not be uniformly detrimental or beneficial to reproductive success, allowing them to persist in the gene pool.

31
Q

What is reproductive success?

A

Reproductive success refers to the ability to have biological children, and factors like physical and mental health can impact this likelihood.

32
Q

How does severe mental illness affect reproductive success?

A

Severe mental illness significantly reduces reproductive success, with an estimated fertility rate for this group about half the national average.

33
Q

How do gene mutations arise, and how do they affect human populations?

A

Gene mutations arise with each generation, resulting in different versions of a gene or its promoter region. Common alleles are present in more than 1% of the population and are unlikely to be uniformly harmful or beneficial.

34
Q

What happens to harmful gene mutations over time?

A

Very harmful gene mutations are quickly eliminated because they greatly reduce reproductive success, while slightly harmful mutations persist for many generations but are eventually selected out.

35
Q

How do gene mutations with slight detrimental effects persist in the gene pool?

A

Slightly harmful gene mutations can persist for hundreds of generations, as their effect on reproductive success is minimal (e.g., reducing success by only 1%).

36
Q

What does it mean for a gene to go to fixation?

A

A gene is said to have gone to fixation when the same version of the gene is found in nearly 100% of the population.

37
Q

How quickly can a gene that increases reproductive success spread through a population?

A

A gene that slightly increases reproductive success (e.g., by 1%) can spread to the entire population within about 100 generations, or a few thousand years for humans.

38
Q

What kind of genetic changes have occurred in humans over the past 50,000 years?

A

Humans have experienced rapid changes in skin color, facial features, body shapes, and hair types, with gene mutations associated with these changes spreading and going to fixation within isolated populations in about 5,000 years.

39
Q

Why have most genes in the human genome gone to fixation?

A

Most genes in the human genome have gone to fixation because they promoted survival and reproduction better than other gene variants in ancestral conditions.

40
Q

Why are harmful genetic variants still common today despite natural selection?

A

Harmful gene variants persist because human environments and lifestyles have changed dramatically in recent history, outpacing the ability of natural selection to eliminate these genes.

41
Q

What were the key stages in human history that dramatically altered our environment and lifestyles?

A

Key stages include the Stone Age (2.5 million years ago), the rise of agriculture (12,000 years ago), and industrialization (300 years ago).

42
Q

What happens to neutral alleles when the environment is stable for many generations?

A

Neutral alleles drift randomly across generations because they neither benefit nor harm reproductive success.

43
Q

What is a gene-environment interaction?

A

A gene-environment interaction occurs when an allele that is neutral in one environment becomes harmful in another due to environmental changes.

44
Q

What are some diseases that show the classic hallmarks of gene-environment interactions?

A

Diseases that show gene-environment interactions include obesity, diabetes, asthma, drug addiction, heart disease, strokes, cancer, late-onset neurodegenerative disorders, depression, and anxiety.

45
Q

Why do the prevalence rates of some diseases vary across cultures and history?

A

Prevalence rates vary because environmental risk factors associated with these diseases (such as diet, air quality, and lifestyle) were not present in ancestral environments.

46
Q

What makes schizophrenia and autism different from other mental disorders in terms of gene-environment interactions?

A

Schizophrenia and autism are clearly heritable, but their prevalence rates do not vary widely across cultures or history, unlike other conditions that show gene-environment interactions.

47
Q

What are the key features of “severe” mental illnesses?

A

Severe mental illnesses are genetic disorders that reduce reproductive success (with individuals having fewer children), are clearly heritable, and are very common (affecting about 4% of the population).

48
Q

Why do harmful, heritable mental disorders persist despite reducing reproductive success?

A

These mental disorders persist because the associated alleles are widespread in the population, and their effects on reproductive success may not be enough to eliminate them through natural selection.