Neuroinflammation, Neurodegeneration, and Repair Flashcards

1
Q

•Inflammation in the brain is characterized by activation of __________ and ____________.

A

microglia and astrocytes.

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2
Q

What are the classical signs of inflammation?

A

Swlling, Redness, heat and pain

NOTE: This occurs in all tissues of the body, except the BRAIN

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3
Q

Why is there no pain in the brain?

A

No nociceptors

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4
Q

When does the response to inflammatory factors start?

A

When the toxic chemicals or large molecules pass through blood brain barrier and activate the immune system. Then that is beneficial because as soon as microglia travel to that area, they can release cytokines, that is good for us.

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5
Q

What problem does ischemia of tissues cause?

A

axons cannot fire at the same time, so your action potential is inhibited so the cell function is reduced.

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6
Q

What is the difference between acute and chronic neuroinflammation?

A

In chronic inflammation, the inflammation as lasted more than 1 week. There is also a sustained release of glial cells and recruitment of other cells.

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7
Q

Although the blood-brain-barrier serves as an effective barrier for the majority of the tissue, the __________ organs may present a vulnerable location for signaling from the systemic circulation

A

circumventricular

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8
Q

In the indirect pathway, cytokines circulating within the bloodstream can signal via binding to receptors on neurovascular ___________.

A

endothelial cells.

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9
Q

The ____________, together with the __________, form an inflammatory reflex that continually monitors and modulates the inflammatory status in the periphery

A

sensory vagal afferents;regulatory vagal efferents

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10
Q

In the elderly, inflammatory mechanisms have been associated with the pathogenesis of _________and functional impairment

A

dementia

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11
Q

From the blood in the periphery, we get T cells, b cells, and macrophages. Why do we need them in the brain?

A

Sometimes the immune system in the brain cannot handle the severity of insult in that area. The supplementary immune system gives us B cells and T cells.

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12
Q

Which two compounds increased the expression of microglia-associated factors?

A

METH and MPTP

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13
Q

What are the two types of astrocytes? What are some characteristics of each?

A
  • Protoplasmic astrocytes have short branches and are found in gray matter.
  • Fibrous astrocytes have many long unbranched processes and are located in manly in white matter.
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14
Q

The onset of inflammation is often characterized by the release of pro-inflammatory cytokines. What are they?

A

TNF

IL-1

*local synthesis of inflammatory-related cytokines such as IL-1 and TNFα elicits a wide range of effects including, cell adhesion, migration, survival, differentiation, replication, secretory function, and cell death.

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15
Q

In this picture you see both resting and activated microglia. When they are activated they lose their processes because they travel and release. What happened?

A

Initially they activate pro-inflammatory cytokines, but as they persist they will release more toxins and kill all cells. Pro-inflammatory is bad so anti-inflammatory is good. They can also release anti-inflammatory, which includes brain drive to neural factors (NGF)

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16
Q

When are glial beneficial and when are the disadvantageous?

A

M1= good

M2= bad

*•The beneficial microglia are anti-inflammatory phenotype, so it is involved with repair initially. Then they can change it to M2 which is protection from inflammatory cytokines and reactive oxygenated species, so the cells can survive

17
Q

What is akey feauture of all neurodegenerative diseases?

A

The presence of chromic oxidative stress

*causes genetic structural alteration, lipid and protein, resulting in neurodegeneration.

NOTE: Microglia are the main source of reactive oxidative species and other sources of neurotoxicity

18
Q

What are the three main causes of neuroinflammation?

A
  • Autoimmunity
  • Microorganisms (microbes & Viruses)
  • Aging
19
Q

is MS a disease of the CNS or the PNS?

A

CNS

20
Q

What are the symptoms of MS?

A

balance-loss, numbness, difficulty walking, weakness, bowel and bladder symptoms, eye symptoms (double vision, vision loss) and other symptoms, including pain, depression, memory loss and poor judgment.

21
Q

Autonomic neuropathy

A

caused by damage to the peripheral autonomic nerves supplying the internal organs, blood vessels, and the skin

22
Q

What are the symptoms of autonomic neuropathy?

A

Orthostatic hypotension

Nausea or vomiting

Diarrhea or constipation

Abdominal bloating

Urinary incontinence

Erectile dysfunction

23
Q

True or false. GBS does not affect level of consciousness, pupillary function, or cerebral function.

A

True

24
Q

In myasthenia gravis, antibodies block the acetylcholine receptors. What happens as a result of this?

A
  • This leads to a decrease in end plate depolarization, which may be insufficient to generate an action potential.
  • Results in a failure of the muscle to contract
25
Q

What is the first symptom of MS?

A

Changes in sensation

26
Q

Which disorder are lewy bodies associated with?

A

HIV

27
Q

The dura is affected the most with infection in which disorder?

A

Meningitis

28
Q

Brain abcesses can be the result of:

A

Stroke, Trauma, Tumor

29
Q

Toxoplasmosis is a symptom of what disease?

A

HIV

30
Q

Differentiate GBS and polio.

A

GBS- High protein in CSF

Polio- High leukocytes in CSF

31
Q

Neuron cell death can occur as a result of?

A
  • loss of proper growth factors (e.g. NGF)
  • damage (especially oxidative damage)
  • neuronal dysfunction or damage results in loss of synapses and loss of cell bodies
32
Q

What are some causes of cell injury?

A
  • Hypoxia
  • Chemical
  • Physical
  • Infection
  • Immune
  • Nutritional deficiency (or excess!)
33
Q

True or false. Parkinson’s is more common in men and Alzheimer’s is more common in women.

A

True

34
Q

The inability of microglia to clear __________ is a major contributor to Alzheimer’s disease

A

β-amyloid (Aβ)

35
Q

Parkinson’s is most common in which populations

A

African american woman and Hispanic population

36
Q

Dopamine is deficit in Parkinson’s. Which other neurotransmitter is deficit and what affect does this have?

A

Norepinephrine

*Patient not able to arouse and has a “masked face”

37
Q

Neuroplasticity has been demonstrated in what parts of the brain?

A

hippocampus, olfactory bulb, and association cortex

38
Q

How does neuroplasticity work?

A

2 neurons meet each other so pre and post synaptic present. There is a release of NT, and this NT has to be able to perform the lost function of the brain.

39
Q

Neuroplasticity can also have negative outcomes. What are some examples?

A
  • Decline in brain function
  • Altered motor control
  • Impaired performance of activities of daily living
  • Amplified perception of pain
  • Neuronal cell death