Psychopharmacology 3 Flashcards
Give some statistics for alzhiemers
Risk increases with age
4th leading cause of death
F = M
How does the brain age during AD
Brain ageing
Preclinical AD - similar to normal ageing
Mild cognitive impairment
Moderate AD
Severe AD
Where is the first signs of AD seen
Entorhinal cortex then hippocampus.
Affected areas begin to shrink then nerve cells die.
Next - enlarged ventricles
First clinical sign - memory loss
When are the first signs of AD seen
Can be 10-20 years before symptoms occur
How does death usually occur in AD
Aspiration pneumonia or other infections
How is AD diagnosed
Cognitive assessment - MMSE
Blood tests
MRI scan
Only definite way - postmortem
What is seen on postmortem for AD
- neurofibrillary tangles
- neuritic plaques
- Early cell death in hippocampus and medial temporal lobe
- Reduction in acetylcholine levels
What pathological models have been used for AD
Beta-amyloid injections
Ach antagonists
Lesions
Aluminium
Tau
Important to ensure constructive and predictive validity
What psychological models have been used for AD
DMTS - delayed match to place (water maze)
Spatial learning and memory
Object recognition
Important to ensure face validity
What is the function of acetylcholine
Attention
Arousal
Memory
What two receptors do Ach bind to
Muscarinic and nicotinic
What happens to Ach in AD
Decreased release of ACh in basal forebrain neurons
Give some AChase inhibitors
Donepezil
Rivastigmine
What is delayed match to place
Delay in matching the surroundings of a water maze to the platform.
Can change delays between practices to look at different memory types
What happens to rats in DMTP when given scopolamine (anticholinergic drug)
Impairs long term memory
What reverses these scopolamine effects
Rivastigmine
What effect does beta amyloid and scopolamine have on each other
Both increased latency of water task more than just one or the other therefore this suggests that they have an additive effect on one another.
Scopolamine more effective than beta amyloid
What is tau
a microtubule associated phospho-protein
Where is tau found
Normally in neurons but patholoigical in glial cells
Can also be found in kidney, pancreas, muscles
What is the function of tau normally
Promote tubulin assembly into microtubules
Bundling of microtubules
Tau stabilises the cytoskeleton
Neural morphology and axonal growth
What happens to tau in AD
Morphology change where it tangles and accumulates in the somatodendritic neuron compartment.
What causes tau to morphologically change
Tau phosphorylation is needed its development however abnormal phosphorylation of tau occurs in AD which destabilises the microtubule and causes aggregation.`
Unsure if posphorylated tau causes AD or if AD causes tau posphorylation
How is Tau posphorylation of tau carried out in the lab
With okadaic acid
How is AD and aging determined
AD has APP dysfunction
APP develops toxic function to produce amyloid plaques