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22 Cards in this Set

  • Front
  • Back
6 diseases listed involving neuronal death
1) alzheimers
2) parkinsons
3) huntingtons
4) ALS
5) stroke
6) TBI and SCI
overstimulation of what receptor is leads to neuronal death
glutamate
how does a stroke lead to neuronal death
stroke
--> O2/glucose deprivation
--> decreased ATP
--> increased glutamate release or decreased glutamate uptake
--> overstimulation of NMDA receptor
--> calcium influx
--> free radicals
--> death
what three events must happen in order to activate an NMDA channel (thus allowing the calcium influx)
1) glutamate must bind
2) glycine must bind
3) Mg2+ must be removed from the channel

--> allows calcium to flow through
what are the anti-excitotoxicity drugs approved by the FDA
1) Memantine
2) Amantadine
3_ Rilusole
what does Memantine do
NMDA antagonist approved for tx of Alzheimers disease
what does Amantadine do
NMDA antagonist approved for tx of parkinson's disease
what does Rilusole do
glutamate antagonist approved for the tx of ALS
what is apoptosis
- naturally occuring programmed cell death (cell suicide)
- during pathological conditions
- active process
what is necrosis
- death from overwhelming insult
- inflammatory response (swell and explode)
what is the medically relevant differnce between apoptosis and necrosis
in necrosis theres no death program that we can try to block to prevent the cell death... whereas with apoptosis we have a targe (programmed cell death) to try to prevent cell death
what are growth factors
proteins that can regulate survival and differentiation of cells
what are neurotrophic factors
proteins that can regulate survival and differentiation of nerve cells. They may also regulate NS development as well as adult nervous system plasticity and maintenance of structural integrity
why have neurotrophic factors failed in clinical trials?
1) inability to cross BBB
2) side effects (stimulate pain pathways)
3) potentiation of necrotic neuronal death
what are Stem cells
unspecialized cells that renew themselves for long periods through cell division
what determines what type of cell a stem cell becomes
growth factors
what is the difference between an endogenous stem cell and an exogenous stem cell
- endogenous: in body
- exogenous: transplanting stem cells from 1 person to another
can we stimulate new neuron formation
yes, such as with exercise
are we making enough new neurons to make a difference
we dont know --- this question is left unanswered
3 differentiating factors between embryonic and adult stem cells
1) embrionic are pluripotent, adult are multipotent
2) embryonic are immortal, adult are not
3) embryonic are easy to isolate, adult are more difficult
what does pluripotent mean
can be made into any cell in the body
what are the methods to avoid ethical issues involved in human embryonic stem cell research
1) removal of one cell from embryo without destroying embryo
2) obtaining stem cells from amniotic fluid
3) reprogramming adult cells into pluripotent cells