Kategorier: Alle - genetics - memory - cognitive - behaviors

af Jennifer Maurer 6 år siden

192

Alzheimer's Disease

Alzheimer's disease, a leading neurodegenerative condition primarily affecting the aging population, impacts millions of Americans and stands as the sixth highest cause of death in the country.

Alzheimer's Disease

Sporadic Late-Onset Alzheimer's Disease does not have a specific gene association

Sporadic Late-Onset Alzheimer's disease (AD) does not have a specific gene association; however, the cellular pathology is the same as that for gene-associated early and late-onset AD (Boss & Huether, 2018).

References

Alzheimer's Association. (2018). Facts and Figures. Retrieved from Alzheimer's Association: https://alz.org/alzheimers-dementia/facts-figures


Boss, B. J., & Huether, S. E. (2018). Alterations in Cognitive Systems, Cerebral Dynamics, and Motor Function. In K. L. McCance, & S. E. Huether, Pathophysiology. The Biologic Basis for Disease in Adults and Children (pp. 504-549). St. Louis: Elsevier.


Cohen-Mansfield, J., Dakheel-Ali, M., Marx, M. S., Thein, K., & Regier, N. G. (2015). Which unmet needs contribute to behavior problems in persons with advanced dementia?. Psychiatry research228, 59-64.


Jutkowitz, E., Brasure, M., Fuchs, E., Shippee, T., Kane, R. A., Fink, H. A., ... & Kane, R. L. (2016). Care‐delivery interventions to manage agitation and aggression in dementia nursing home and assisted living residents: a systematic review and meta‐analysis. Journal of the American Geriatrics Society64, 477-488.


McCance, K. L., Grey, T. C., & Rodway, G. W. (2018). Altered Cellular and Tissue Biology. In K. L. McCance, & S. E. Huether, Pathophysiology. Biologic Basis for Disease in Adults and Children (pp. 46-104). St. Louis: Elsevier.


Murray, M. E., Lowe, V. J., Graff-Radford, N. R., Liesinger, A. M., Cannon, A., Przybelski, S. A., ... & Ross, O. A. (2015).


Clinicopathologic and 11C-Pittsburgh compound B implications of Thal amyloid phase across the Alzheimer’s disease spectrum. Brain138, 1370-1381.


Park, L., Uekawa, K., Garcia-Bonilla, L., Koizumi, K., Murphy, M., Pistik, R., ... & Anrather, J. (2017). Brain perivascular macrophages initiate the neurovascular dysfunction of Alzheimer Aβ peptides. Circulation research121(3), 258-269.

Neuro-Genetic Disorder

Alzheimer's Disease and Related Dementias

In 2017, it was estimated that 5.5 million Americans have been diagnosed with Alzheimer’s disease, noting that Alzheimer’s is the sixth highest cause of death in America (Alzheimer's Association, 2018).

Disease Manifestations

Prodromal
Abstract thinking Problem solving Judgement

Inclination for Mood swings r/t impaired cognition. Anxiety, Hosility, Emotional labile behaviors are common.

Memory loss (Increases as the disease progresses)
Pre-clinical
Emotional and/or Mood Changes
Forgetfullness

Pathophysiology

Unmet Needs
Need for Toileting Boredom Hunger
Cohen-Mansfield's Unmet Needs Model

Cohen-Mansfield’s Unmet Needs Model states that “problem behaviors of people with dementia result from unmet needs stemming from a decreased ability to communicate those needs and to provide for oneself” (Cohen-Mansfield, Dakheel-Ali, Marx, Thein, & Regier, 2015).  

Undesirable Behaviors

Undesirable behaviors are described as any verbal or motor activity that does not seem purposeful or appropriate to the situation, including increased motor activity and irritability (Jutkowitz, et al., 2016)

Aggression
Agitation
Progressive Cognitive Impairment

Genetics

Alzheimer’s disease (AD) is the most prevalent neurodegenerative disease that mostly affects the aging population (Park et al., 2017)


Differentially expressed Genes

DNA methylation affects the expression level of neuronal function-related genes in AD patients (Park et al., 2017)

Differentially methylated Genes

Cellular

ROS & Free Radicals

During normal metabolism, the mitochondria are the greatest source and the target of Reactive Oxygen Series, or ROS. Mitochondrial oxidative stress has been implicated in heart disease, Alzheimer's disease, and Parkinson's disease, as well as aging itself (McCance, Grey, Rodway, 2018).

Extracellular & Intracellular

Alzheimer’s disease is a multi-proteinopathy, involving both extracellular amyloid-β deposits (i.e. amyloid-β plaques) and intracellular accumulation of post-translationally modified tau proteins (Murray et al., 2015)