Signalopathies Flashcards

1
Q

Alzheimer’s disease

A

Late onset occurs after 65 years. Most common
Early onset between 30 and 65 years. 5-10% of cases. Rapid progression
Early symptoms are mild memory loss, changes in behaviour
Progressive symptoms are loss of speech, movement and death

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2
Q

Neurofibrillary tangles

A

Inside neurons
Phosphorylation of tau protein by GSK-3
Aggregation of phosphorylated tau into tangles
Removal of tau protein interferes with neuronal transport

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3
Q

Amyloid plaques

A

Outside neurons
Cleavage of amyloid precursor protein (APP) to Beta-amyloid (A-beta) fibres
Polymerisation of Abeta fibres to beta-amyloid plaques
Abnormal amyloid levels result in neuronal cell death

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4
Q

Non-amyloidogenic pathway

A

APP synthesised in ER-golgi and transferred to plasma membrane
Cleaved by alpha-secretases to soluble APP-alpha and C-terminal fragment alpha (CTFa)
CTFa hydrolysed by Presenilin-1 (PS1), releasing APP intracellular domain AICD (TF)
APP recycled through endosomal pathway
No beta-amyloid released

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5
Q

Amyloidogenic pathway

A

Internalised APP cleaved by beta-secretases to C-terminal fragment Beta (CTFB)
CTFB hydrolysed by gamma-secretase complex (PS1/2), releasing B-amyloid and AICD
Aggregation of A-beta to form oligomers, fibrils and plaques
Interaction of oligomers with cellular prion protein resulting in apoptosis

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6
Q

AICD

A

TF AICD released by hydrolysis of CTFalpha and CTFbeta by PS1
Leads to remodelling of Ca2+ signalosome

N-terminal soluble APPB hydrolysed to N-terminal APP
N-APP activates caspase-3 (apoptosis) and caspase-6 (axon pruning)

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7
Q

Abeta oligomer-induced Ca2+ influx

A

Cellular prion protein acts as a receptor for Abeta (influx of calcium)
Abeta oligomer inserts into the membrane to form calcium permeable channels
Ca2+ entry enhanced through ROCs (NMDA receptor)

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8
Q

Remodelling of Ca2+ signalosome

A

AICD leads to increased SERCA pump expression (increased Ca2+ in ER/SR)
Increased RYR expression (increased release from ER/SR)
Decreased Calbindin Ca2+ buffer expression
Increased calcineurin expression

Affects signalling and homeostasis. Hypersensitive to stimuli

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9
Q

Ca2+ release from internal stores

A

B-amyloid oligomers increase IP3 production by interacting with GPCR calcium-sensitive receptor.
Presenilin 1 leak Ca2+ from ER, preventing build-up so normal release occurs following stimulus.
Mutations in PS1 (Alzheimer’s) prevent leakage so Ca2+ builds up and there is excessive release
Production of ROS also leads to activation of IP3R

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10
Q

Alzheimer’s Ca2+ dysregulation

A

Calcium-induced apoptosis
Calcium/ROS-induced astrocyte/neuronal cell death
Disruption of synaptic plasticity, learning and memory

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11
Q

Ca2+ and apoptosis

A

Increased cytosolic calcium causes release of mitochondrial cytochrome c (Cyt c)
Apoptosome formation, cleavage of proteins and DNA

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12
Q

Astrocyte-induced neuronal death

A

Astrocytes support neurons in the CNS
B-amyloid/Ca2+ induced activation of NADPH oxidase increases ROS
Depletion of glutathione (GSH) in astrocytes and neuronal cells
ROS-induced cell death

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13
Q

Disruption of synaptic plasticity, learning and memory

A

Synaptic efficiency modified due to changes in sensitivity of AMPAR glutamate receptor
Causes LTD or LTP

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14
Q

Ca2+ control of LTD/P

A

High cytosolic Ca2+ enhances sensitivity to glutamate leading to LTP and memory formation
Low Ca2+ reduces sensitivity leading to LTD and erasure of temporary memory

In AD, dysregulation means calcium is permanently elevated. LTP occurs but not consolidated (LTD immediately erases)

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