neurodegenerative disorders Flashcards

1
Q

dementia description and examples of symptoms

note that dementia falls under the umbrella of alzheimer’s disease, but they are not the same thing

A

Dementia is a group of symptoms that affect a person’s ability to think, remember, and reason.

symptoms include;
Memory loss
Confusion
Difficulty with language and understanding
Changes in behavior
Mood changes
Emotional control issues
Visual hallucinations
Sleep disturbances
Repeated falls and fainting

one of the first symptoms is memory loss

more common nowadays due to aging population, alaongside other risk factors like the consumption of high glycaemic foods

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2
Q

the greatest risk factor for dementia

A

increased age

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3
Q

main types of dementia and their descriptions

A

alzheimer’s disease : main symptom is memory loss and is characterised by Amyloid plaques, neurofibrillary tangles…etc

vascular dementia: Caused by reduced blood supply to the brain, and leads to impaired judgement or ability to make decisions…etc

dementia with Lewy bodies: characterised by lewy bodies in the cerebral cortex. causes Memory loss, but also sleep disturbances, hallucinations, and parkinsonian symptoms

frontotemporal dementia: results to changes in personality /behaviour , language difficulties.

Lewy bodies are abnormal clumps of protein that accumulate in the brain, causing Lewy body dementia (LBD).

Alzheimer’s the main cause, followed by vascular dementia

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4
Q

describe mild cognitive impairment(MCI)

A

refers to the Slight but noticeable and measurable decline in cognitive abilities, including memory and thinking skills.

MCI symptoms do not significantly interfere with daily life
or independent function

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5
Q

the two main symtoms of MCI and their descriptions

A

amnestic MCI, the main symtpom, which causes memory impairment

nonamnestic MCI, in which thinking skills other than memory are affected, i.e memory is not affected.

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6
Q

which type of MCI is more likely to cause ALzheimer’s disease or other dementias

A

amnestic MCI

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7
Q

the phases of cognitive decline

A

normal aging, which is associated with slight changes in our cognitive

preclinical decline, where the brain changes without measurable symptoms, not detectable on tests

MCI

the dementia, which is severe enough to interfere with everyday activities

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8
Q

what happens to the brain during alzheimer’s

A

the brain shrinks, there is a buildup of abnormal proteins like amyloid plaques and tau tangles, loss of neurons and eventually brain death.

note that shrinking occurs normally with aging, but is substantially elevated in Alzheimer’s

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9
Q

the part of the brain where memory is stored

A

memory is stored is various parts of the brain but the main part is the hippocampus , it is where the overall experience of a memory is stored

other areas involved are, the neocortex, the amygdala, the cerebellum, stratium(long term memory) and the prefrontal cortex(short term memory)

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10
Q

the main neuropathological features of Alzheimer’s

A

Amyloid plaques

neurofibrillary tangles

Neurofibrillary tangles (NFTs) are abnormal clumps of the protein tau that form inside neurons

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11
Q

how are amyloid plaques formed

A

when enzymes cut into the Amyloid precursor protein(APP) fragments of protein , including beta-amyloid

beta-amyloid fragments come together in clumps to form amyloid plaques

APP is the precursor of the
beta-amyloid peptide, the
building component of plaques

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12
Q

how do we detect amyloid plaque presence in the brain

A

with brain imaging techniques, like;
PET scans
MRI
CT scans..etc

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13
Q

alzheimer’s is sometimes referred to as the diabetes of the brain, true or false

A

true .
there are similarities in both conditions, eg, insulin resistance being linked with (alzheimer’s disease)AD…

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14
Q

SYMPTOMS OF ALZHEIMER’S

A

Multiple cognitive deficits that include impairments of recent memory and at least one of the following cognitive disturbances:
aphasia, apraxia, agnosia, or a disturbance in
executive functioning

aphasia; also known as dysphasia, is an impairment in a person’s ability to comprehend or formulate language because of damage to specific brain regions

apraxia;a disorder of the brain and nervous system in which a person is unable to perform tasks or movements when asked, even though: The request or command is understood. They are willing to perform the task.

agnosia; a rare disorder whereby patients cannot recognize and identify objects, persons, or sounds using 1 or more of their senses despite otherwise normally functioning senses

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15
Q

one of the first brain structures affected in Alzheimer’s is??

A

the hippocampus

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16
Q

which of these is responsible for retrieving longterm and shorterm memory;
hippocampus
neocortex

A

hippocampus for the retrieval of short term memory

neocortex for the retrieval of longterm memory

17
Q

state some other ways that Alzheimer’s can be diagnosed

A

blood tests, and medication history to rule out other possible causes

memory tests like the mini mental state examination (MMSE) or the
General Practitioner Assessment of Cognition (GPCOG), to assess cognitive abilities

brain scans

18
Q

genetics account for a great percentage of alzheimer’s cases, true or false

A

false, The majority of Alzheimer’s disease cases are
sporadic (with no genetic inheritance)

19
Q

early onset alzheimer’s

A

alzheimer’s that occurs before the age of 65

20
Q

early onset alzheimer’s presents as a mutation in how many genes, name these genes

A

3

  • Amyloid precursor protein
  • Presenilin 1 (PS1)
  • Presenilin 2 (PS2)

note that it has full penetrance, meaning every person with a particular gene mutation will develop the disease

21
Q

presenilins control the cleavage of??

A

APP (Amyloid precursor protein)

22
Q

how to reduce risk of dementia

A

keeping physically active

dont smoke

eat a healthy balanced diet

keeping alcohol within recommended limits

keep to a healthy weight

giving the brain a healthy workout

23
Q

current treatments for AD

A

Acetylcholinesterase inhibitors

NMDA receptor antagonists( Aimed to reduce excitotoxicity caused by high glutamate release by damaged neurons)

Acetylcholinesterase inhibitors most commonly used

treatment aimed at symptoms and not causes

24
Q

name some acetylcholinesterase inhibitors used in AD treatment

A

Donepezil
Rivastigmine
Galantamine

25
Q

excitotoxicity is one of the main causes of cell death in AD. describe how it causes cell death in AD

A

it leads to increase cytosolic Calcium, which leads to free radicals being formed. this then causes mitochndrial damage

all of these can cause cell death

26
Q

name the only NMDA receptor antagonist currently used in the treatment of AD

A

Memantine

27
Q

what is parkinson’s disease

A

it is a movement disorder that progresses slowly, and affects mainly the elderly population

it is also a neurodegenerative disease

28
Q

main symptoms of parkinson’s disease

A

tremors
rigidity in movement
bradykinesia (slowness of movement )

29
Q

substantia nigra description
where is it located
which neurotransmitter does it produce

A

a small part of the brain that controls movement, mood, and other brain functions. It is part of the basal ganglia.

the midbrain

normally produces dopamine

30
Q

when normally do symptoms of parkinson’s occur

think about striatal dopamine levels

A

when striatal dopamine
levels have fallen to 20-40% of normal levels

31
Q

how does parkinson’s affect the dopamine pathway in the brain

A

In Parkinson’s, the key issue is the progressive degeneration of dopamine-producing neurons in an area of the brain called the substantia nigra. the neurons die off, and causes a dopamine deficit in the brain

32
Q

lewy bodies mainly composed of what protein

A

alpha-synuclein

33
Q

parkinson’s is mostly caused by genetics, true or false

A

false, causes are mostly idiopathic, meaning they are unknown

34
Q

risk factors of parkinson’s

A

certain pesticides

head injury

Drugs reducing
dopaminergic transmission

35
Q

what is the cure for parkinson’s disease?

A

there is no cure for it

36
Q

most commonly used drug in Parkinson’s treatment

A

levodopa (also known as L-DOPA), combined with peripheral DOPA-decarboxylase inhibitor

37
Q

name some other drugs used in Parkinson’s treatment

A

Dopamine D2 receptor agonists

Monoamine oxidase-B (MAO-B) inhibitors

Catechol-O-methyl transferase (COMT) inhibitors

38
Q
A