Acetylcholinesterase Inhibitors in Alzheimer’s Disease

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Questions and Answers

What is the role of acetylcholine (ACh) in Alzheimer's Disease progression?

  • It catalyzes the hydrolysis of choline to acetic acid
  • It is closely associated with early cognitive decline (correct)
  • It leads to beta-amyloid protein aggregation
  • It is responsible for mitochondrial damage in neurons

Which process results in the hydrolysis of acetylcholine to choline and acetic acid?

  • Acetylcholinesterase catalysis (correct)
  • Neuroinflammation
  • Beta-amyloid protein aggregation
  • Cation binding to tryptophan residue

Why is acetylcholine (ACh) highly prone to hydrolysis?

  • It has an electron-deficient carbon (correct)
  • It has a positively charged nitrogen
  • It forms cation-pi interactions
  • It interacts with serine amino acid residues

Which neurotransmitter is depleted in Alzheimer's Disease?

<p>Acetylcholine (A)</p> Signup and view all the answers

What is the primary function of acetylcholinesterase (AChE) in the context of Alzheimer's Disease?

<p>To hydrolyze acetylcholine into choline and acetic acid (A)</p> Signup and view all the answers

Which amino acid residue acts as a base and removes a proton during the hydrolysis process of acetylcholine by acetylcholinesterase?

<p>Histidine (B)</p> Signup and view all the answers

Which medication acts on the glutamatergic system by blocking NMDA receptors?

<p>Memantine (D)</p> Signup and view all the answers

Which medication is a potent allosteric potentiating ligand of human nicotinic acetylcholine receptors?

<p>Galantamine (D)</p> Signup and view all the answers

Which medication is a centrally acting reversible acetylcholinesterase inhibitor with CNS selectivity?

<p>Donepezil (B)</p> Signup and view all the answers

Which medication is obtained synthetically or from the bulbs and flowers of Galanthus caucasicus?

<p>Galantamine (A)</p> Signup and view all the answers

Which medication shows weak competitive and reversible cholinesterase inhibition in all areas of the body?

<p>Galantamine (D)</p> Signup and view all the answers

Which medication is used for the treatment of mild to moderate Alzheimer's disease and memory impairments of vascular origin?

<p>Galantamine (C)</p> Signup and view all the answers

Which class of drugs is commonly used to treat Alzheimer's Disease (AD)?

<p>Anticholinesterase drugs (B)</p> Signup and view all the answers

What is the primary cognitive function affected by Alzheimer's Disease (AD)?

<p>Short-term memory (B)</p> Signup and view all the answers

Which of the following is NOT a non-cognitive function often affected by Alzheimer's Disease (AD)?

<p>Headaches (C)</p> Signup and view all the answers

What type of drugs are carbamate cholinesterase inhibitors?

<p>Anticholinesterase drugs (B)</p> Signup and view all the answers

What is the most common single cause of dementia in the ageing society?

<p>Alzheimer's Disease (AD) (A)</p> Signup and view all the answers

What is the main function of anticholinesterases in alleviating symptoms of Alzheimer's Disease?

<p>Extending the action of acetylcholine (C)</p> Signup and view all the answers

What is the significance of the carbamate group in AChE inhibitors like Rivastigmine?

<p>It is essential for inhibitory properties (A)</p> Signup and view all the answers

Why is Rivastigmine considered a 'pseudo-irreversible' AChE inhibitor?

<p>It mimics ACh and forms a carbamylated complex with AChE (B)</p> Signup and view all the answers

Why is Neostigmine preferred over Miotine despite both drugs being developed to address 'miotine problems'?

<p>Neostigmine's permanent quaternary nitrogen prevents the formation of free base (D)</p> Signup and view all the answers

How do nerve agents cause death?

<p>By permanently deactivating AChE through phosphorylated adduct formation (C)</p> Signup and view all the answers

What is one reason for the limited medicinal use of physostigmine?

<p>It has serious side effects limiting its use (D)</p> Signup and view all the answers

Why are benzene rings considered important in AChE inhibitors like Carbamates?

<p>For hydrophobic interactions with the active site (C)</p> Signup and view all the answers

'Smart drugs' are often associated with which class of compounds despite lacking evidence of general memory improvement?

<p>'Cognitive enhancers' like Rivastigmine (A)</p> Signup and view all the answers

What is the role of tertiary nitrogen in AChE inhibitors such as Rivastigmine?

<p>To bind to anionic regions of the enzyme at blood pH (A)</p> Signup and view all the answers

What effect does Rivastigmine have on plasma proteins?

<p>It has no appreciable binding to plasma proteins (B)</p> Signup and view all the answers

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