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Who was the first alzheimers patient?
August D, 51 years old
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T/F alzheimers is considered a common form of dementia.
False, Rare (1890s-1980s)
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What is the most commmon neuro degenerative disease?
Alzheimers
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Who is more likely to get alzheimers (gender wise)
Women
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Florida has _#_ of dementia patients as of 2010
450,000
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Sporadic AD represents what percent of cases. When is its onset age normally?
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T/F familial AD is the most common case.
False, 10%, age of onset is before 65 and is caused by APP, PS1, and PS2 genes.
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Three clinical stages of AD
- Mild, moderate, and severe.
- Daily activities not interfered
- Daily activities significantly affected
- Require total care
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Early stage AD shows a degeneration of _____ neurons. This results in what?
- Hippocampal
- short term memory loss
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Mid stage AD shows degeneration of ____ lobe and affects what?
- Frontal lobe
- affects judgement, safety awareness, planning and other complex thinking
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late stage AD neurogeneration spreads ______.
EVERYWHERE
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Clinical tests to diagnose AD are
- Mini mental state exam
- CT, MRI, PET
- and tests that can affect memory/cognition
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New clinical diagnosis for AD
Imaging for amyloid plagques and tangles in brain
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T/F definitive diagnosis for AD can be done while someone is conscious.
False, POST MORTEM!
Cortical atrophy, ventricular dilation, amyloid plaques, tangles
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AD brains have _____ gyrus and a ____ sulcus. They also have a dilated _____.
- Narrowed, widened
- Ventricle
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Amyloid plaques are ___-cellular whereas neurofibrillary tangles are ____-cellular
Extra, intra
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The core of amyloid plaques is made up of
beta Amyloid peptides
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other components of amyloid plaques include
- B-amyloid proteins
- Apolipoprotein E
- protease inhibitors
- complement proteins
- Metal irons
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APP stands for __ ___ ___. What are its 3 major variants? Where is the gene located?
- Amyloid precurson protein
- APP695, 751, and 770
- Chromosome 21
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Functions of APP
- Cell-cell and cell-matrix interaction
- Cell growth
- synaptic plasticity
- cell surfact receptor
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T/F sAPP is soluble and does not form aggregates.
True
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alpha secretase cleavage causes formation of sAPP alpha into the ______ space
extracellular
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sAPPa regulates ____ levels and stimulates _____ _____.
- Calcium
- Signal transduction
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Intracellular domain of sAPPa acts as adaptor protein for _-protein.
G-protein
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gamma secretase occurs ____ the membrane
inside
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AB 1-40 and 1-42 form ____ ____.
insoluble fibrils
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T/F AB 1-42 is more soluble than AB 1-40
False, flipped
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T/F amyloid fibrils act as centers for deposition by other proteins.
True
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AB peptides activate protein phosphorylation through this protein
Tau
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T/F AB peptides are toxic to neurons
True, direct effect
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T/F release of A-beta peptides are abnormal physiological events
False, normal
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mutations cause an (increase/decrease) of AB (1-40/42)
Increase
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Less sufficient alpha secretase causes an (increase/decrease) of AB (1-40/42)
increase
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KNOW SLIDE 42!
slide 42, or what?
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Presenilins 1 and 2 are membane proteins with ____ trans-membrane domains
multiple
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Familial mutations is PS1 and PS2 increase gamme secretase activity leading to
increased AB generation
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PS1 mutations are responsible for _%_ of early onset AD
70%
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PS2 mutations make up for _%_ of early onset AD
5%
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APP with downs syndrome has an (increased/decreased) APP expression which creates (more/less) AB1-40/42 and responsible for ____ formation at age 12.
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Neurofibrillary tangles have microtubules with a diameter of __nm-______nm
200-25,000
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Microtubule associated proteins include
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Tau is found on chromosome __, it contains _ isoforms. It is important in proper neuronal axonal transport.
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Increased phosphorylation of Tau and ubiquitylation causes formation of
Neurofibrillary tangles
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PHF stands for ___ ___ ____ formed by detached ____ molecules.
- Paired helical filaments
- Tau
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GSK-3B and Cylin dependent kinase 5 are causes of _____ ____.
Hyperphosphorylating Tau
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T/F E4/E4 has the lowest risk for AD
False, highest
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Apolipoprotein E4 is located on what chromosome?
chromosome 19
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Most abundant apolipoprotein is
E3
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T/F ApoE4 does affect APP expression
False, it does NOT
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ApoE4 enhances _______ of AB and decreases _____ of AB.
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Drugs for AD are mainly
Acetylcholinesterase inhibitors
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