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Anorexia Nervosa
Anorexia is an eating disorder that usually strikes women between the ages of
fifteen and thirty-five. An estimated one thousand females will die each year
from anorexia. About eighty percent of females suffer from a sub clinical eating
disorder and twenty percent will turn into full-blown anorex
Anorexia Nervosa
In American society women are given the message starting from a very young age
that in order to be successful and happy, they must be thin. Eating disorders
are on the rise, it is not surprising given the value which society places on
being thin. Television and magazine advertising that show the
Alzheimer’s Disease is a progressive, degenerative disease that affects the
brain. Individuals with AD experience a progressive and specific loss of
cognitive function resulting from the differentiation of the limbic system,
association neocortex, and basal forebrain. It is also accompanied by the
deposition of amyloid in plaques and cerebrovasculature, and the formation of
neurofibrillary tangles in neurons. Alois Alzheimer, a German doctor, diagnosed
this disease for the first time in 1907. At that time it was considered a rare
disorder. Currently, this tragic brain disorder affects approximately four
million people; It is the most common type of dementia and the fourth leading
cause of death in the United States. Many studies have been done and are still
being conducted to determine the exact cause of AD. The molecular and biological
basis for the degeneration of neurons in AD is incompletely understood. However,
the APP(Amyloid Precursor Protein) and its proteolytic fragments have been
implicated more often than not and is the focus of most current studies. Several
lines of evidence have strengthened the amyloid hypothesis for Alzheimer’s
Disease. The first being the identification of point mutations with the APP gene
in groups of patients afflicted with the familial forms of AD. Second, amyloid
deposition temporally precedes the formation of neurofibrillary changes. In
addition, b-amyloid has been shown to be toxic to neurons. In Alzheimer’s
Disease, b-Amyloid proteins derived from APP are the main component of neuritic
plaques. It is believed that errantly processed APP derivatives may induce
physiological processes that lead to neurodegeneration and plague formation.
Many studies have successfully linked APP with AD. One study on transgenic mice
with human APP717(associated with familial AD) displayed subcellular
neurodegeneration similar to those observed in AD, including dystrophic neurites,
disruption of synaptic junction, and intracellular amyloid and reactive gliosis.
Amyloid deposits in the tg mice were very similar to those found in AD and was
readily recognized by anti-b-amyloid antibody. In other studies, Hippocampal
pyramidal neurons in AD display an intense immunostaining with 10 different
antibodies against subsequences of APP. The area containing the stained neurons
were consistent with those showing the most neuropathology in AD. Collectively,
these data show APP as being closely associated with neurodegeneration. However,
it is still unclear if APP is the cause of cell death in the AD brain. APP could
be one of many factors participating with differnent intracellular processes to
cause cell death. In hope of finding more information on Alzheimer’s disease,
researchers look for similarities and connections to other more understood
illnesses, one being the prion disease. This disorder is a neurodegenerative
disease characterized by prion protein deposits and is associated with reactive
astrocytes and microglial cells. Alzheimer’s disease is similarly
characterized by plagues and inflammatory astrocytes. Many earlier studies found
that prion peptides and b-amyloid proteins activate microglial cells by
secreting cytokines, reactive oxygen species, and other neurotoxins. Analogous
to typical inflammatory signaling response such as those mediated through
classical immune receptors, b-amyloid and prion proteins activate a common
tyosine kinase-dependent pathway. This was indicated by an elevated level of
phosphotyrosine in plaque associated microglials of AD. Microglial treated with
inhibitors of specific protein in the tyrosine kinase-based pathway successfully
blocked amyloid-stimulated secretion of neurotoxins and reduced the number of
cell death. Despite this documentation on amyloid-induced production of
neurotoxins, it does not resolve the issue of what causes AD. The species
responsible for neurodegeneration in AD still remain controversial. However, it
does implicate b-amyloid peptide along with numerous coordinated response
pathways and mediating species. Neurodegeneration in AD is suspected to be
caused by apoptosis or programmed cell death. Research with andenovirus-mediated
APP gene transfer, demonstrate that neurons in vivo are vulnerable to
intracellular accumulation of APP. Hippocampal pyramidal neurons show severe
atrophy and nuclear DNA fragmentation, a typical feature of apoptosis. Infection
of rat hippocampal cells with an adonovirus contain APP695 cDNA enhanced
glutamate induced rise of intracellular Ca2+ concentration. Elevation of Ca2+
level in the cellular compartment can cause activation of a numbers
Ca2+-dependent degradative processes, including apoptosis. Interestingly, one of
the newly discovered "apoptosis-linked genes" encodes a Ca2+ binding
site. The increase in intracellular level of Ca2+ could come from the impairment
of glucose transporters. Data from studies in AD shows that the transporters for
Glucose uptake, GLUT3, to be decreased. When glucose uptake is compromised, ATP
production diminishes, Na/K+ pumps stops and the neuron depolarizes releasing
glutamate. Large release of glutamate can cause a Ca2+ overload in the neuron.
Thus, neurons with a compromised Ca2+ buffering system such as those found in
the aging or AD will be most affected by changes to Ca2+...
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