Page 359 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Causes of Alzheimer’s Disease

                Normal protein  Other genetic factors  Environmental
                                              factors
            Defective β-amyloid
            precursor                               Toxins
       Long arm of                  Amyloid
       chromosome 21      1                              Abnormal
                                                         neurofibrils
        NO, exitotoxins,
        TNFα, TGFβ,
        bFGF
                RA   RAGE                                 NMDA
                                                          receptor     Alzheimer’s Disease
                          4
                 –
               O 2                               RAGE   RA
                    Glial cell
              Inflammation                        3            2+
                                                        –    Ca
                                   Senile plaques      O 2
                                                         Neuron        Plate 10.26
                                              NGF deficiency

                          2

                                     Cell death
                                      Photos: Doerr W. et al.. Atlas der pathologischen Anatomie. Stuttgart: Thieme; 1975.
        B.  Effects of Alzheimer’s Disease
                      Neuronal death


         Acetylcholine  Neuropeptides  Norepinephrine
          Somatostatin  Substance P  Serotonin          Putamen
                     CRF
                                                   Globus
                                                   pallidus

                                 1          Basal nucleus of Meynert
                        Hippocampus
                     CA1                               Complete loss of
                                                         mental control
                                                        Motor seizures
                           Subiculum                        Lethargy
                                    Mental defects
                           Entorhinal                   Global amnesia
                           cortex                   Anterograde amnesia
                                                         Forgetfulness
                                                                2     349
                                      60       70  Years
       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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