Neurodegenerative & Prion Diseases Overview
42 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In Amyotrophic Lateral Sclerosis (ALS), which cellular process is implicated in neuronal death due to mutated SOD1 protein?

  • Misfolding of the mutated SOD1 protein triggering disease mechanisms. (correct)
  • Enhanced protein synthesis leading to cellular hypertrophy.
  • Reduced apoptosis due to increased expression of anti-apoptotic factors.
  • Increased detoxification of free radicals, preventing oxidative stress.
  • What pathological feature observed in skeletal muscles is directly linked to the loss of lower motor neurons in Amyotrophic Lateral Sclerosis (ALS)?

  • Muscular hypertrophy due to increased muscle fiber size.
  • Neurogenic atrophy resulting from denervation. (correct)
  • Mitochondrial proliferation enhancing muscle endurance.
  • Increased glycogen storage leading to muscle stiffness.
  • What microscopic finding in the spinal cord is characteristic of Amyotrophic Lateral Sclerosis (ALS)?

  • Increased number of anterior horn neurons.
  • Decreased glial fibrillary acidic protein (GFAP) expression.
  • Absence of Bunina bodies.
  • Reactive gliosis. (correct)
  • Which specific region of the spinal cord is primarily affected by the degeneration of motor neurons in Amyotrophic Lateral Sclerosis (ALS)?

    <p>Anterior horn of the spinal cord. (D)</p> Signup and view all the answers

    What is the primary consequence of the degeneration of upper motor neurons in the cortex and lower motor neurons in the spinal cord and brainstem in Amyotrophic Lateral Sclerosis (ALS)?

    <p>Progressive muscle weakness, atrophy, and paralysis. (D)</p> Signup and view all the answers

    Which cellular mechanism is most directly implicated in the neurotoxicity associated with aggregated Aβ peptides in Alzheimer's disease?

    <p>Induction of a chronic inflammatory response mediated by microglia and astrocytes. (C)</p> Signup and view all the answers

    What is the primary consequence of tau hyperphosphorylation in the context of Alzheimer's disease pathogenesis?

    <p>Disruption of microtubule assembly and stability due to reduced tau binding affinity. (D)</p> Signup and view all the answers

    In Alzheimer's disease, how does the transition of neurofibrillary tangles from an intracellular to an extracellular state potentially exacerbate the disease pathology?

    <p>Extracellular tangles serve as a reservoir of misfolded tau, which can seed the formation of new tangles in neighboring cells. (C)</p> Signup and view all the answers

    Considering the roles of both Aβ plaques and neurofibrillary tangles in Alzheimer's disease, which statement best describes their synergistic contribution to neuronal dysfunction?

    <p>Aβ plaques induce oxidative stress and inflammation, which exacerbate tau hyperphosphorylation and tangle formation. (A)</p> Signup and view all the answers

    What distinguishes the Aβ peptides found in amyloid plaques from normal APP fragments, contributing to their neurotoxic aggregation in Alzheimer's disease?

    <p>Aβ peptides exhibit abnormal folding propensity due to aberrant cleavage of APP, promoting self-assembly into oligomers and fibrils. (A)</p> Signup and view all the answers

    Which of the following characteristics is most indicative of Creutzfeldt-Jakob Disease (CJD) morphology, differentiating it from other neurodegenerative disorders?

    <p>Presence of extracellular deposits of aggregated abnormal PrP, often Congo red- and PAS-positive, particularly in the cerebellum forming Kuru plaques. (D)</p> Signup and view all the answers

    In prion diseases, including Creutzfeldt-Jakob Disease (CJD), immunohistochemical staining is utilized to detect which specific pathological marker?

    <p>Proteinase K-resistant PrPsc in tissue. (A)</p> Signup and view all the answers

    Considering the pathogenesis of Alzheimer's Disease (AD), what is the primary mechanism that leads to the accumulation of amyloid plaques and neurofibrillary tangles?

    <p>Overproduction and reduced clearance of Aβ and tau proteins. (A)</p> Signup and view all the answers

    Which of the following is the LEAST likely etiological factor associated with the development of Alzheimer's Disease (AD)?

    <p>Infection by a slow or latent virus directly causing the disease. (C)</p> Signup and view all the answers

    In Huntington's disease, the dysfunction of the basal ganglia leads to a reduction in which neurotransmitter due to neuronal loss in the striatum?

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

    Which area of the brain is typically first affected by atrophy in Alzheimer's Disease (AD), contributing to early symptoms like memory loss?

    <p>The medial temporal lobe, including the hippocampus and amygdala. (D)</p> Signup and view all the answers

    What is the primary genetic characteristic of Huntington's disease?

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

    Which of the following is a key microscopic finding in the brains of individuals with Huntington's disease?

    <p>Fibrillary gliosis and huntingtin protein aggregation in neurons (A)</p> Signup and view all the answers

    What pathological change primarily distinguishes variant Creutzfeldt-Jakob disease from classic Creutzfeldt-Jakob disease in brain tissue morphology?

    <p>Cortical Kuru plaques surrounded by spongiform change. (A)</p> Signup and view all the answers

    The choreaform movements associated with Huntington's disease are most directly linked to:

    <p>Dysregulation of the basal ganglia leading to excessive thalamocortical pathway excitation (C)</p> Signup and view all the answers

    What is the most common initial clinical manifestation observed in individuals developing Alzheimer Disease?

    <p>Insidious impairment of intellectual function. (B)</p> Signup and view all the answers

    Which of the following best characterizes the genetic defect in Ataxia-Telangiectasia?

    <p>Mutation in a DNA repair gene (C)</p> Signup and view all the answers

    Which of the following proteinopathies involves a conformational change leading to the formation of protease-resistant aggregates, contributing to neurodegeneration DISTINCT from that seen in Alzheimer's Disease?

    <p>Aggregation of misfolded prion protein (PrPsc). (C)</p> Signup and view all the answers

    What pathological change is most characteristic of Friedreich Ataxia?

    <p>Loss of axons and gliosis in the posterior columns of the spinal cord (D)</p> Signup and view all the answers

    Which of the following is commonly observed in the morphology of Ataxia-Telangiectasia?

    <p>Hypoplasia of lymph nodes, gonads, and thymus (C)</p> Signup and view all the answers

    A patient presents with gait ataxia, impaired joint position sense, loss of vibratory sensation, and hypertrophic cardiomyopathy. These findings are most consistent with which of the following conditions?

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

    Which of the following best describes the role of the nigrostriatal pathway in the context of movement disorders?

    <p>It serves as a (+) (-) regulatory pathway, critical for modulating voluntary movement. (A)</p> Signup and view all the answers

    What is the primary pathological event that leads to the hypokinetic movement disorder observed in Parkinson's Disease (PD)?

    <p>Loss of dopaminergic neurons from the substantia nigra. (A)</p> Signup and view all the answers

    Which of the following motor symptoms is NOT typically associated with parkinsonism?

    <p>Rapid, uncontrolled movements. (D)</p> Signup and view all the answers

    What is the role of the striatum in the context of Parkinson's Disease?

    <p>It receives dopaminergic projections from the substantia nigra and is affected by dopamine reduction in PD. (B)</p> Signup and view all the answers

    What is the significance of pallor in the substantia nigra in the context of Parkinson's Disease?

    <p>It reflects the loss of pigmented, dopamine-producing neurons. (C)</p> Signup and view all the answers

    What is the primary mechanism by which PrPsc (prion protein scrapie) leads to pathogenesis in prion diseases?

    <p>Catalyzing the conversion of normal α-helical PrPc into the misfolded β-sheet PrPsc form, leading to aggregation. (B)</p> Signup and view all the answers

    What is the primary role of α-synuclein in the pathogenesis of Parkinson's Disease (PD)?

    <p>It accumulates and aggregates, leading to mitochondrial abnormalities and neuronal loss. (C)</p> Signup and view all the answers

    Which of the following is the most accurate description of sporadic Creutzfeldt-Jakob Disease (CJD)?

    <p>It makes up the majority (~90%) of CJD cases and arises without a clear identifiable cause. (D)</p> Signup and view all the answers

    Which cellular structure is a diagnostic hallmark of Parkinson's Disease (PD) when observed under microscopy?

    <p>Lewy bodies. (D)</p> Signup and view all the answers

    What distinguishes PrPsc from PrPc in terms of structural and biochemical properties?

    <p>PrPsc exhibits a higher content of β-sheet structures, which confers resistance to protease digestion. (D)</p> Signup and view all the answers

    In the context of iatrogenic Creutzfeldt-Jakob disease (CJD), which of the following scenarios poses the highest risk of transmitting prions?

    <p>Deep implantation of electrodes in the brain that were previously used on a patient with CJD. (D)</p> Signup and view all the answers

    What are the key microscopic characteristics of Lewy bodies found in the neurons of individuals with Parkinson's Disease?

    <p>Cytoplasmic, eosinophilic, round to elongated inclusions that often have a dense core surrounded by a pale halo. (A)</p> Signup and view all the answers

    What is the significance of 'spongiform transformation' in the context of Creutzfeldt-Jakob Disease (CJD) morphology?

    <p>It involves the development of numerous small, empty vacuoles in the cerebral cortex and deep gray matter. (A)</p> Signup and view all the answers

    Which of the following clinical features is most characteristic of the progression of Creutzfeldt-Jakob Disease (CJD)?

    <p>Rapidly progressive dementia accompanied by myoclonus and a uniformly fatal outcome. (C)</p> Signup and view all the answers

    What pathological feature is notably absent in the brains of individuals affected by Creutzfeldt-Jakob Disease

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

    What is the typical average survival time after the onset of symptoms in patients with Creutzfeldt-Jakob Disease (CJD)?

    <p>7 months (D)</p> Signup and view all the answers

    Flashcards

    Amyotrophic Lateral Sclerosis (ALS)

    A degenerative disease affecting motor neurons in the spinal cord and brainstem, leading to muscle atrophy.

    Motor Neurons

    Nerve cells that transmit signals from the brain and spinal cord to muscles, controlling movement.

    Lower Motor Neurons

    Neurons located in the anterior horn of the spinal cord that directly innervate muscles.

    SOD1 Mutations

    Genetic mutations in superoxide dismutase 1, linked to reduced detoxification of free radicals, causing neuronal death in ALS.

    Signup and view all the flashcards

    Neurogenic Atrophy

    Muscle wasting caused by loss of motor neuron input, commonly seen in ALS patients.

    Signup and view all the flashcards

    Amyloid Plaques

    Deposits of aggregated Aβ peptides in the neuropil from abnormal APP cleavage.

    Signup and view all the flashcards

    Aβ Peptides

    Fragments derived from the abnormal cleavage of the APP protein that can aggregate and are neurotoxic.

    Signup and view all the flashcards

    Neurofibrillary Tangles

    Intracellular aggregates of hyperphosphorylated tau protein that disrupt neuronal function.

    Signup and view all the flashcards

    Tau Protein

    A microtubule-associated protein that stabilizes microtubules in axons; becomes hyperphosphorylated in AD.

    Signup and view all the flashcards

    Microglia Response

    Inflammatory reaction from microglia and astrocytes due to toxicity from aggregated Aβ peptides.

    Signup and view all the flashcards

    α-helical PrPc

    A normal cellular prion protein that can convert into a pathogenic form.

    Signup and view all the flashcards

    β-sheet PrPsc

    The abnormal prion protein that leads to disease by aggregating and inducing damage.

    Signup and view all the flashcards

    Pathogenesis of PrPsc

    The process by which PrPsc causes disease through interaction with PrPc and resistance to digestion.

    Signup and view all the flashcards

    Creutzfeldt-Jakob Disease (CJD)

    The most common prion disease characterized by rapid dementia and neurological decline.

    Signup and view all the flashcards

    Sporadic CJD

    A form of CJD occurring with no known genetic link, making up 90% of cases.

    Signup and view all the flashcards

    Familial CJD

    CJD caused by genetic mutations in the PRNP gene encoding prion protein.

    Signup and view all the flashcards

    Symptoms of CJD

    Rapidly progressive dementia, behavioral changes, and muscle contractions are key symptoms.

    Signup and view all the flashcards

    Morphology of CJD

    Characterized by spongiform transformation in the brain, forming vacuoles due to neuron loss.

    Signup and view all the flashcards

    Creutzfeldt-Jakob Disease

    A prion disease causing rapid neurodegeneration and dementia, marked by spongiform changes in the brain.

    Signup and view all the flashcards

    Kuru plaques

    Extracellular deposits of aggregated abnormal PrP found typically in the cerebellum of CJD patients.

    Signup and view all the flashcards

    PrPsc

    Proteinase K–resistant form of prion protein, indicative of prion diseases.

    Signup and view all the flashcards

    Alzheimer Disease

    The most common cause of dementia in the elderly, leading to intellectual decline and memory loss.

    Signup and view all the flashcards

    Cortical atrophy

    Degeneration leading to widening of cerebral sulcus, commonly found in Alzheimer’s patients.

    Signup and view all the flashcards

    Pathogenesis of Alzheimer’s

    Progressive accumulation of Aβ and tau proteins, leading to neurodegeneration and cognitive decline.

    Signup and view all the flashcards

    Rigidity

    Stiffness of muscles and reduced mobility, often seen in Parkinson's disease.

    Signup and view all the flashcards

    Parkinson Disease

    Neurodegenerative disease leading to hypokinetic movement due to loss of dopaminergic neurons.

    Signup and view all the flashcards

    Hypokinetic Movement Disorder

    Condition characterized by reduced voluntary movement.

    Signup and view all the flashcards

    Nigrostriatal Pathway

    Neural pathway connecting the substantia nigra to the striatum, important for movement control.

    Signup and view all the flashcards

    Pill-rolling Tremor

    A rhythmic movement of the fingers resembling rolling a pill, common in Parkinson's disease.

    Signup and view all the flashcards

    Lewy Bodies

    Eosinophilic inclusions in neurons, associated with Parkinson's disease pathology.

    Signup and view all the flashcards

    α-synuclein

    Protein that accumulates in Parkinson’s disease, forming Lewy bodies.

    Signup and view all the flashcards

    Substantia Nigra

    Brain region critical for movement, where dopaminergic neurons are lost in Parkinson’s disease.

    Signup and view all the flashcards

    Huntington Disease

    An autosomal dominant disorder characterized by progressive movement disorders and dementia, due to degeneration of striatal neurons.

    Signup and view all the flashcards

    Caudate Nucleus Atrophy

    Degeneration of the caudate nucleus in Huntington disease leads to motor dysfunction and cognitive decline.

    Signup and view all the flashcards

    Choreaform Movements

    Involuntary, jerky movements associated with increased motor output in Huntington disease.

    Signup and view all the flashcards

    Spinocerebellar Degeneration

    Group of disorders causing neuronal loss affecting the cerebellum, spinal cord, and peripheral nerves, leading to ataxia.

    Signup and view all the flashcards

    Friedreich Ataxia

    A specific type of spinocerebellar degeneration, characterized by gait ataxia and loss of sensory functions in early life.

    Signup and view all the flashcards

    Ataxia-Telangiectasia

    A syndrome that includes ataxic dyskinetic movements and immune deficiency, caused by a mutation in the ATM gene.

    Signup and view all the flashcards

    GABAergic Neuronal Loss

    Loss of GABA-producing neurons, particularly in the context of Huntington disease, leading to an imbalance in neurotransmitters.

    Signup and view all the flashcards

    Gliosis

    The proliferation of glial cells in response to neuronal injury, often seen in degeneration conditions like Huntington disease.

    Signup and view all the flashcards

    Study Notes

    Neurodegenerative Diseases

    • Characterized by progressive loss of specific neuron groups with shared functions.
    • Accumulation of protein aggregates resistant to degradation (proteinopathy).
    • Aggregates appear as inclusions, a diagnostic hallmark for different diseases.

    Prion Diseases

    • Rapidly progressive neurodegenerative disorders.
    • Caused by aggregation and intercellular spread of a misfolded prion protein (PrP).
    • Can be sporadic, familial, or transmitted.
    • "Spongiform change" caused by intracellular vacuoles in neurons and glia, clinically evident as rapidly progressive dementia.
    • PrPsc, the misfolded prion protein, is resistant to proteases like proteinase K.
    • Prion diseases can be caused by contaminated food, medical instruments, or medicines.
    • Creutzfeldt-Jakob Disease (CJD) is the most common prion disease, marked by rapidly progressive dementia and spongiform changes.

    Alzheimer's Disease

    • Most common cause of dementia in the elderly.
    • Characterized by insidious impairment of intellectual function, mood-behavior alterations, progressive disorientation, and memory loss.
    • Etiology is a combination of genetic defects, systemic metabolic defects, slow or latent viruses, and toxins.
    • Morphology includes cortical atrophy with widening of sulci, and compensatory ventricular enlargement.
    • Medial temporal lobe structures like the hippocampus and amygdala are involved.
    • Pathogenesis includes the accumulation of two proteins: Aβ and tau.
    • Amyloid plaques and neurofibrillary tangles are two pathologic hallmarks.

    Parkinson's Disease

    • Characterized by Parkinsonism (diminished facial expression, slow movement, short-stepped gait, rigidity, and pill-rolling tremor).
    • Degeneration of dopaminergic neurons in the substantia nigra and other areas cause reduced dopamine levels.
    • Loss of neurons lead to movement disorders.
    • Morphology includes pallor in the substantia nigra.
    • Pathogenesis relates to protein accumulation (alpha-synuclein) and aggregation, along with mitochondrial abnormalities and neuronal loss.
    • Lewy bodies are eosinophilic cytoplasmic inclusions of alpha-synuclein.

    Huntington's Disease

    • Autosomal dominant progressive movement disorder and dementia.
    • Caused by degeneration of striatal neurons and dysregulation of the basal ganglia.
    • Characterized by abnormal basal ganglia function, reduced neurotransmitter GABA and met-enkephalin, increased dopamine, and choreaform (jerky, hyperkinetic) movements.
    • Morphological features include atrophy of the caudate nucleus, putamen, and striatum (loss of neurons), and enlarged ventricles.
    • Microscopically, loss of striatal neurons (especially in the caudate nucleus and putamen) and protein aggregation (huntingtin protein) is present.

    Spinocerebellar Degenerations

    • Group of diseases affecting the cerebellum, spinal cord, and peripheral nerves.
    • Clinically manifest as cerebellar and sensory ataxia and spasticity.
    • Friedreich ataxia is a distinct type, presenting with progressive spinocerebellar degeneration in the first decade of life, along with ataxic gait, impaired joint position and vibration sense, and hypertrophic cardiomyopathy.
    • Ataxia-Telangiectasia is another type; characterized by the involvement in DNA replication, the ATM gene, early childhood telangiectasia, immunodeficiency, cerebellum, and loss of Purkinje cells.

    Degenerative Diseases Affecting Motor Neurons (e.g., Amyotrophic Lateral Sclerosis (ALS))

    • Characterized by progressive loss of lower motor neurons in the spinal cord, brainstem, and upper motor neurons in the cortex.
    • Leads to muscular atrophy and paralysis.
    • Microscopic features include bunina bodies as microscopic inclusions, reactive gliosis, and loss of anterior horn neurons.
    • ALS has both sporadic and familial connections attributed to toxic protein accumulation.
    • Etiology includes SOD (Superoxide dismutase) mutations, contributing to reduced free radical detoxification.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Overview of neurodegenerative diseases characterized by neuron loss and protein aggregates like prion diseases and Alzheimer's. Discussion includes causes, diagnostic hallmarks, prion protein (PrP), Creutzfeldt-Jakob Disease (CJD), and spongiform changes.

    More Like This

    Prion Diseases
    22 questions

    Prion Diseases

    GiftedRadiance avatar
    GiftedRadiance
    Prion Diseases Overview
    10 questions

    Prion Diseases Overview

    SpectacularForest6557 avatar
    SpectacularForest6557
    Use Quizgecko on...
    Browser
    Browser