Insulin and Alzheimer's Disease Overview
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Questions and Answers

What is the role of metal ions in relation to histidine residues in the context of Aβ?

  • They are irrelevant to Aβ.
  • They interact with Fenton reactions. (correct)
  • They inhibit Fenton reactions.
  • They bind only to histidine.
  • How does oxidative stress induced by Aβ affect neuronal function?

  • It enhances glucose transport.
  • It stabilizes synaptic function.
  • It improves the function of ion-motive ATPases.
  • It causes excitotoxicity and apoptosis. (correct)
  • What is a consequence of the dysfunction and degeneration of synapses in Alzheimer's disease?

  • Enhanced neuronal communication.
  • Increased synaptic plasticity.
  • Decreased oxidative stress.
  • Aβ-induced oxidative stress. (correct)
  • What fundamental role does Ca2+ play in the context of learning and memory?

    <p>It facilitates synaptic transmission.</p> Signup and view all the answers

    What ions are mentioned in conjunction with Aβ and oxidative stress?

    <p>Cu+ and Fe++.</p> Signup and view all the answers

    What effect does Aβ have on ion-motive ATPases and transporters?

    <p>It impairs their function.</p> Signup and view all the answers

    Which process is associated with the perturbation of calcium homeostasis?

    <p>Excitotoxicity.</p> Signup and view all the answers

    Which of the following roles does Aβ have in the context of Alzheimer's disease?

    <p>Contributing to synaptic degeneration.</p> Signup and view all the answers

    What is proposed as a term to describe Alzheimer’s disease in relation to insulin signaling?

    <p>Type III Diabetes</p> Signup and view all the answers

    What role does brain insulin play in neuronal function?

    <p>It supports neuronal survival and synaptic plasticity.</p> Signup and view all the answers

    Which protein is phosphorylated after the activation of the insulin receptor by insulin?

    <p>IRS-1</p> Signup and view all the answers

    What is the function of Akt in the insulin signaling pathway?

    <p>Inhibits pro-apoptotic proteins.</p> Signup and view all the answers

    Which of the following substances is involved in promoting neuronal survival?

    <p>PI3K</p> Signup and view all the answers

    How is brain insulin primarily sourced?

    <p>Transported from peripheral insulin.</p> Signup and view all the answers

    What happens to the insulin signaling pathway in Alzheimer's disease?

    <p>There are disturbances in insulin receptors.</p> Signup and view all the answers

    Which of the following proteins does Akt phosphorylate to inhibit cell death?

    <p>Bad</p> Signup and view all the answers

    What is the frequency of the ε3 allele of the Human APOE gene?

    <p>77.9%</p> Signup and view all the answers

    Which APOE isoform is associated with an increased risk of Alzheimer's disease?

    <p>ε4</p> Signup and view all the answers

    Which of the following is NOT a major clearance pathway for Aβ in the brain?

    <p>Lipidation by the ABCA1 transporter</p> Signup and view all the answers

    How does impaired Aβ clearance affect the brain?

    <p>Triggers formation of Aβ oligomers and plaques</p> Signup and view all the answers

    What role does ApoE serve in the nervous system?

    <p>Facilitates cholesterol transport to neurons</p> Signup and view all the answers

    Which receptor is NOT mentioned as involved in Aβ transport?

    <p>Insulin receptor</p> Signup and view all the answers

    Which amino acid difference affects the structure and functionality of ApoE isoforms?

    <p>Single amino acid difference</p> Signup and view all the answers

    What is the frequency of the ε4 allele in the population?

    <p>13.7%</p> Signup and view all the answers

    What is the primary genetic risk factor for Alzheimer's disease?

    <p>ApoE e4 allele</p> Signup and view all the answers

    How does the ApoE e4 allele influence cognitive decline in individuals?

    <p>It leads to accelerated cognitive decline.</p> Signup and view all the answers

    What effect does ApoE4 have on cholesterol synthesis in astrocytes?

    <p>Impares cholesterol synthesis.</p> Signup and view all the answers

    Which of the following is a consequence of decreased ABCA1 levels due to ApoE4?

    <p>Impaired ApoE lipidation</p> Signup and view all the answers

    What percentage of individuals homozygous for the ApoE e4 allele experience Alzheimer's disease?

    <p>91%</p> Signup and view all the answers

    What happens to the average age of clinical onset for Alzheimer's disease as ApoE4 alleles increase?

    <p>Decreases significantly</p> Signup and view all the answers

    ApoE4 contributes to Alzheimer's pathogenesis through which type of mechanisms?

    <p>Ab-independent mechanisms</p> Signup and view all the answers

    Which statement is true about the relationship between ApoE4 and cholesterol homeostasis?

    <p>ApoE4 disrupts cholesterol homeostasis.</p> Signup and view all the answers

    What role do reactive oxygen species (ROS) play in NLRP3 inflammasome activation?

    <p>They trigger the production of various inflammatory cytokines.</p> Signup and view all the answers

    Which of the following pathogens is noted for activating the NLRP3 inflammasome via ROS?

    <p>Candida albicans</p> Signup and view all the answers

    In the context of DAMPs, what additional mechanism is involved in NLRP3 inflammasome activation by extracellular ATP?

    <p>Channel formation alongside ROS</p> Signup and view all the answers

    What happens to amyloid-β in the Alzheimer’s disease context?

    <p>It leads to phagolysosome disruption and NLRP3 inflammasome activation.</p> Signup and view all the answers

    Which factor is linked with the internalization of soluble amyloid-β in Alzheimer's disease?

    <p>CD36</p> Signup and view all the answers

    What combination of mechanisms is involved in the activation of NLRP3 by silica exposure?

    <p>ROS plus lysosome rupture</p> Signup and view all the answers

    What process does amyloid-β undergo in relation to the phagolysosome in Alzheimer's disease?

    <p>Disruption leading to cathepsin B release</p> Signup and view all the answers

    Which of the following is NOT a proposed activator of NLRP3 inflammasome associated with ROS?

    <p>Adrenaline</p> Signup and view all the answers

    Study Notes

    Insulin and Alzheimer's Disease

    • Insulin signaling pathway impairments in the brain and periphery are implicated in Alzheimer's Disease.
    • Age-related reductions in cerebral insulin levels
    • Disturbances of the insulin receptor

    Insulin Signaling in the Brain

    • Brain insulin and its receptor are involved in neuronal survival and synaptic plasticity.
    • Brain insulin originates from peripheral insulin, transported by a transporter across the blood-brain barrier (BBB).
    • Insulin receptor activation leads to IRS-1 phosphorylation, PI3K recruitment, and Akt activation.
    • Akt phosphorylates several substrates, affecting cell survival and metabolism.
    • Akt inactivates the pro-apoptotic protein Bad, which inhibits cell death.
    • Akt activates GSK3β, involved in glucose metabolism.

    Amyloid Beta (Aβ) and Oxidative Stress

    • Aβ induces oxidative stress, impairing the function of ion-motive ATPases, glucose and glutamate transporters, and GTP-binding proteins.
    • Aβ-induced oxidative stress renders neurons vulnerable to excitotoxicity and apoptosis.
    • Aβ disrupts synapses, contributing to Alzheimer's disease pathology.

    Perturbed Calcium Homeostasis and Excitotoxicity

    • Calcium (Ca2+) plays crucial roles in learning and memory.
    • Dysregulation of Ca2+ homeostasis contributes to neuronal dysfunction and death in Alzheimer's disease.

    Inflammatory Cytokines and Inflammasome Activation

    • NLRP3 inflammasome activation is a key event in inflammatory responses in Alzheimer's disease.
    • Aβ activates the NLRP3 inflammasome through lysosome rupture, contributing to neuroinflammation.
    • NLRP3 inflammasome activation is triggered by various signals related to pathogens (PAMPs), damage-associated molecular patterns (DAMPs), and environmental irritants.
    • Most NLRP3 inflammasome activators trigger the production of reactive oxygen species (ROS).

    Inflammation in Alzheimer's

    • CD36 mediates the internalization of soluble Aβ and its conversion to fibrillary Aβ, disrupting the phagolysosome and activating the NLRP3 inflammasome.

    Risk Factors for Alzheimer's: Apolipoprotein E4 (ApoE4)

    • ApoE is mainly produced by astrocytes and transports cholesterol to neurons via Apo-E receptors.
    • ApoE binds to Aβ, facilitating its transport and recognition by receptors in neurons.
    • ApoE4 allele is a major genetic risk factor for Alzheimer's.
    • ApoE4 carriers exhibit accelerated Alzheimer's pathology, cognitive decline, and memory impairments.
    • ApoE4 contributes to Alzheimer's through Aβ-independent mechanisms involving synaptic plasticity, cholesterol homeostasis, neurovascular functions, and neuroinflammation.
    • ApoE4 carriers have higher rates of Alzheimer's and experience earlier disease onset.

    ApoE4 and Lipid Metabolism

    • ApoE4 impairs cholesterol synthesis and secretion in astrocytes, resulting in a cerebral cholesterol deficit.
    • ApoE4 delivers less cholesterol to neurons.
    • ApoE4 decreases ABCA1 levels, leading to impaired ApoE lipidation and lipid trafficking.

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    Alzheimer's Mechanisms PDF

    Description

    This quiz explores the connection between insulin signaling and Alzheimer's Disease. It covers the role of insulin in neuronal survival, the impact of amyloid beta on oxidative stress, and how impairments in insulin pathways contribute to the disease. Test your knowledge on the mechanisms involved and their implications for brain health.

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