Parkinson's Disease and MPTP

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Questions and Answers

Which of the following is a hallmark event in neurodegenerative diseases?

  • Misfolding, aggregation, and accumulation of proteins (correct)
  • Increased brain plasticity
  • Enhanced synaptic connections
  • Rapid regeneration of nerve cells

What did James Parkinson describe in 1817?

  • A condition causing characteristic paralysis, diminished muscle strength, abnormal postures, and resting tremors (correct)
  • A breakthrough in nerve cell regeneration
  • A discovery of a new protein aggregate in the brain
  • An innovative treatment for neurodegenerative diseases

What is a common characteristic of neurodegenerative diseases?

  • Rapid regeneration of nerve cells
  • Enhanced brain plasticity
  • Increased synaptic connections
  • Progressive degeneration/loss of nerve cells (correct)

How does brain ageing differ from neurodegenerative diseases?

<p>Neurodegenerative diseases result in progressive degeneration/loss of nerve cells, while brain ageing involves numerous changes impacting memory, motor, and sensory functions. (C)</p> Signup and view all the answers

Which is the primary hypothesized origin of Parkinson's disease (PD)?

<p>Enteric nervous system (ENS) (C)</p> Signup and view all the answers

What are Lewy bodies and Lewy neurites primarily composed of?

<p>Alpha-synuclein (C)</p> Signup and view all the answers

Where does Lewy pathology initially begin in the body?

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

Which area does PD pathology affect last as it progresses through the brain?

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

What are the primary pharmacological treatments for PD?

<p>Levodopa and dopamine agonists (A)</p> Signup and view all the answers

What is the first-line treatment for early PD?

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

Which mechanism has been implicated in the pathogenesis of Parkinson's disease?

<p>Abnormal protein clearance (A)</p> Signup and view all the answers

What is the consequence of MPTP's conversion to MPP+ in the brain?

<p>Production of reactive oxygen species (C)</p> Signup and view all the answers

What is the role of paraquat and rotenone in animal models of Parkinson's disease?

<p>Induce dopaminergic depletion (D)</p> Signup and view all the answers

What is the significance of mutations in the SNCA gene?

<p>Linked to familial Parkinson's disease (A)</p> Signup and view all the answers

Which process is impaired by mutations in UCH-L1?

<p>Ubiquitin-proteasome system activity (B)</p> Signup and view all the answers

What has been reported in postmortem studies of Parkinson's disease brains?

<p>Deficiency of complex-I (C)</p> Signup and view all the answers

What contributes to the selective damage of dopaminergic neurons by MPTP?

<p>Blocking complex I in mitochondria (A)</p> Signup and view all the answers

What is the consequence of MPTP's structural similarity to environmental toxins such as pesticides and herbicides?

<p>Inhibition of complex I (D)</p> Signup and view all the answers

Which process is implicated in the pathogenesis of Parkinson’s disease by contributing to the accumulation of defective proteins, particularly soluble misfolded α-synuclein?

<p>Autophagy-lysosome pathway (C)</p> Signup and view all the answers

What is the process responsible for breaking down abnormal proteins by 'tagging' them with ubiquitin and transporting them to the proteasome for degradation?

<p>Ubiquitin-proteasome system (D)</p> Signup and view all the answers

Which genes play a role in mitochondrial homeostasis and cause familial Parkinson’s disease when mutated?

<p>PINK1 and parkin (PARK2 and PARK6) (D)</p> Signup and view all the answers

What is known to interfere with mitochondrial function by interacting with the mitochondrial membrane and accumulating inside the organelles?

<p>$\beta$-synuclein (C)</p> Signup and view all the answers

What was found in skeletal muscle and platelets of Parkinson’s disease patients compared to healthy subjects?

<p>$\beta$-synuclein accumulation (C)</p> Signup and view all the answers

Which neurotransmitter is associated with the main affected structure in Parkinson's disease?

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

What is the central pathological failure in Parkinson's disease?

<p>Loss of neurons in the substantia nigra pars compacta (D)</p> Signup and view all the answers

Which rating scale is used to assess Parkinson's disease?

<p>Unified Parkinson's Disease Rating Scale (UPDRS) (D)</p> Signup and view all the answers

What environmental factor is believed to contribute to Parkinson's disease?

<p>Exposure to herbicides and pesticides (D)</p> Signup and view all the answers

Who discovered that the neurotoxin MPTP is an environmental cause of Parkinsonism?

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

What type of PD is characterized by an early onset and genetic factors?

<p>Juvenile-onset PD (A)</p> Signup and view all the answers

What part of the brain is the substantia nigra connected to?

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

What did researchers discover about Parkinson's disease in 1912, 1919, and 1957?

<p>Presence of intraneuronal inclusions and identification of dopamine as a neurotransmitter (C)</p> Signup and view all the answers

How is Parkinson's disease typically diagnosed?

<p>Based on a combination of symptoms including tremor, slowness, and stiffness (D)</p> Signup and view all the answers

What is the cause of PD believed to be?

<p>Multifactorial with both genetic and environmental factors contributing (A)</p> Signup and view all the answers

What imaging technique can support the diagnosis of Parkinson's disease?

<p>Dopamine transporter scan (DaTscan) (A)</p> Signup and view all the answers

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Study Notes

  • James Parkinson lived at 1 Hoxton Square in London and is significant in Parkinson's disease history.
  • In 1912, 1919, and 1957, various researchers reported findings related to Parkinson's disease, including the presence of intraneuronal inclusions, identification of the substantia nigra as the main affected structure, and the discovery of dopamine as a neurotransmitter.
  • Parkinson's disease is caused by the loss of dopamine-producing cells in the substantia nigra, leading to a dopamine deficiency and symptoms such as tremors, rigidity, slowness, and balance issues.
  • The substantia nigra is part of the midbrain and is connected to the basal ganglia in the forebrain, which is responsible for movement control.
  • Parkinson's disease is characterized by the progressive loss of dopaminergic neurons in the nigrostriatal pathway, and the central pathological failure is the loss of neurons in the substantia nigra pars compacta.
  • PD is typically diagnosed based on a combination of symptoms, including tremor, slowness, and stiffness. No specific tests exist for a definitive diagnosis, but the use of a dopamine transporter scan (DaTscan) can support the diagnosis.
  • Parkinson's disease is assessed using a rating scale called the Unified Parkinson's Disease Rating Scale (UPDRS).
  • The cause of PD is believed to be multifactorial, with both genetic and environmental factors contributing. Possible environmental factors include exposure to herbicides, pesticides, and certain toxins.
  • PD can be divided into different types based on age of onset and genetic factors, including idiopathic PD, familial PD, and juvenile-onset PD.
  • William Langston discovered that the neurotoxin MPTP is an environmental cause of Parkinsonism.

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