Pathogenesis of Dementia Flashcards

1
Q

What pathological process occurs in the substantia nigra in Parkinson’s?

A

Accumulation of lewy bodies

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2
Q

How much of Alzheimer’s is genetic?

A

90%

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2
Q

What are neurofibrillary tangles?

A

Accumulations of tau protein that are markers of the progression of AD

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2
Q

What cause synaptic chaos in AD?

A

Abeta peptide dispersing in the brain and planting in the membrane at synapses

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3
Q

How does neuronal tissue with BSE appear microscopically?

A

There are fluid filled vacuoles within the cytoplasm of cells

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4
Q

What is best target for a disease modifying drug in AD?

A

Abeta oligomer

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5
Q

Which part of the brain is most commonly effected in AD first?

A

The medial temporal lobe

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6
Q

Where is Kuru found predominantly?

A

Papua New Ginea

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7
Q

What is the causative agent in transmissible spongiform encephalopathies?

A

Aberrant protein

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7
Q

What is the proper name of mad cow’s disease?

A

Bovine spongiform encephalitis

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9
Q

What is the name of the peptide at the centre of AD?

A

Abeta

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11
Q

What are some risk modifying factors for ADs?

A

Education

Smoking

Vascular disease

Diabetes

Head trauma

Antioxidants

  • their relative effect is small though
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12
Q

Why can’t beta sheets be cleared in Alzheimer’s?

A

They are insoluble

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13
Q

What is a more important cause of deficit in ADs, amyloid plaques or Abeta peptide?

A

Abeta peptide

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15
Q

What drives that accumulation of neurofibrillary tangles?

A

Abeta peptide

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16
Q

In which disease is alpha-synuclein aggregation the pathological process occurring?

A

Parkinson’s

17
Q

What determines the clinical presentation of AD early on?

A

The part of the brain that is affected

18
Q

Why is there still concern about BSE?

A

The peak period of human to human transmission will be in 2020. This is due to it taking decades to develop

19
Q

Creutzfeldt-Jakob disease is an example of what type of disease?

A

Transmissible spongiform encephalopathies