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9 Cards in this Set

  • Front
  • Back
what is AD also known as?
tauopathy. (neurodegenerative disease associated with tau protein)
explain how the aggregation of tau protein happens in AD?
tau becomes abnormally phosphorylated in AD.
it forms intracellular deposits.
tangles are formed via the hyper-phosphorylation of tau, these aggregations are known as PHF (paired helical filaments).
after cell death PHFs aggregate into extracellular neurofibrillary tangles. NFTs.
what is AD characterised by?
loss of cholinergic neurones in the basal forebrain nuclei

ChAT, ACh, AChE & choline transport in the cortex and hippocampus all reduce.

nAChR reduced (in cortex esp.)

there's no evidence for how/why beta amyloid plaques form, but it could be due to a loss of cholinergic neurones.
what are the two main therapies for AD atm?
we currently use AChE inhibitors and memantine (NMDA receptor antagonist.)
what do AChE inhibitors do?
enhances cholinergic transmission, which may compensate for the cholinergic deficit
give an example of an AChE inhibitor?
TACRINE.
outline some details of AChE inhibitors? Why aren't they very good?
they were the first approved treatment. Had to be taken every 6h and could cause side-effects like nausea and hepatotoxicity.
Name other AChE inhibitors?
Donezepil, rivastigmine, galantamine.
name a future target for the treatment of AD?
beta and gamma secretase. Inhibition of these could stop neurodegeneration.