Alzheimer's Disease: Unraveling the Mystery - 7 Conclusions, Glossary, Links for more information

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CONCLUSION

The future builds upon the events and experiences of the past. That's certainly true of AD research. Our knowledge of AD is advancing rapidly, and we have much to celebrate in our scientific successes.

At the same time, we cannot forget that AD remains an urgent problem for our Nation. The challenge is to continue building on these discoveries so that we can create a brighter future in which the potential of successfully managing AD or even preventing this terrible disease can become a reality.



GLOSSARY

Acetylcholine—a neurotransmitter that plays an important role in many neurological functions, including learning and memory.

Amygdala—an almond-shaped structure involved in processing and remembering strong emotions such as fear. It is part of the limbic system and located deep inside the brain.

Amyloid plaque—a largely insoluble deposit found in the space between nerve cells in the brain. Plaques are made of beta-amyloid, other molecules, and different kinds of nerve and non-nerve cells.

Amyloid precursor protein (APP)—the larger protein from which beta-amyloid is formed.

Apolipoprotein E—a protein that carries cholesterol in blood and that appears to play some role in brain function. The gene that produces this protein comes in several forms, or alleles: ε2, ε3, and ε4. The APOE ε2 allele is relatively rare and may provide some protection against AD (but it may increase risk of early heart disease). APOE ε3 is the most common allele and appears to play a neutral role in AD. APOE ε4 occurs in about 40 percent of all people with AD who develop the disease in later life; it increases the risk of developing AD.

Axon—the long extension from a neuron that transmits outgoing signals to other cells.

Beta-amyloid—a part of the amyloid precursor protein found in plaques, the insoluble deposits outside neurons.

Brain-derived neurotrophic factor (BDNF)—a growth factor that stimulates survival, growth, and adaptability of some neurons.

Brain stem—the portion of the brain that connects to the spinal cord and controls automatic body functions, such as breathing, heart rate, and blood pressure.

Capillary—a tiny blood vessel. The brain has billions of capillaries that carry oxygen, glucose (the brain’s principal source of energy), nutrients, and hormones to brain cells so they can do their work. Capillaries also carry away carbon dioxide and cell waste products.

Cerebellum—the part of the brain responsible for maintaining the body’s balance and coordination.

Cerebral cortex—the outer layer of nerve cells surrounding the cerebral hemispheres.

Cerebral hemispheres—the largest portion of the brain, composed of billions of nerve cells in two structures connected by the corpus callosum. The cerebral hemispheres control conscious thought, language, decision making, emotions, movement, and sensory functions.

Cerebrospinal fluid—the fluid found in and around the brain and spinal cord. It protects these organs by acting like a liquid cushion and by providing nutrients.

Chromosome—a threadlike structure in the nucleus of a cell that contains DNA. DNA sequences make up genes. Most human cells have 23 pairs of chromosomes containing approximately 30,000 genes.

Clinical trial—a research study involving humans that rigorously tests safety, side effects, and how well a medication or behavioral treatment works.

Cognitive functions—all aspects of conscious thought and mental activity, including learning, perceiving, making decisions, and remembering.

Computed tomography (CT) scan—a diagnostic procedure that uses special x-ray equipment and computers to create cross-sectional pictures of the body.

Corpus callosum—thick bundles of nerve cell fibers that connect the two cerebral hemispheres.

Dementia—a broad term referring to a decline in cognitive function to the extent that it interferes with daily life and activities.

Dendrite—a branch-like extension of a neuron that receives messages from other neurons.

DNA (deoxyribonucleic acid)—a long, double-stranded molecule within the nucleus of the cell that forms chromosomes and genes.

Early-onset Alzheimer’s disease—a rare form of AD that usually affects people between ages 30 and 60. It is called familial AD (FAD) if it runs in the family.

Entorhinal cortex—an area deep within the brain where damage from AD often begins.

Enzyme—a protein that causes or speeds up a biochemical reaction.

Free radical—a highly reactive molecule (typically oxygen or nitrogen) that combines easily with other molecules because it contains an unpaired electron. The combination with other molecules sometimes damages cells.

Gene—the biologic unit of heredity passed from parent to child. Genes are segments of DNA and contain instructions that tell a cell how to make specific proteins.

Genetic risk factor—a variant in a cell’s DNA that does not cause a disease by itself but may increase the chance that a person will develop a disease.

Glial cell—a specialized cell that supports, protects, or nourishes nerve cells.

Hippocampus—a structure in the brain that plays a major role in learning and memory and is involved in converting short-term to long-term memory.

Hypothalamus—a structure in the brain under the thalamus that monitors activities such as body temperature and food intake.

Late-onset Alzheimer’s disease—the most common form of AD. It occurs in people aged 60 and older.

Limbic system—a brain region that links the brain stem with the higher reasoning elements of the cerebral cortex. It controls emotions, instinctive behavior, and the sense of smell.

Magnetic resonance imaging (MRI)—a diagnostic and research technique that uses magnetic fields to generate a computer image of internal structures in the body. MRIs are very clear and are particularly good for imaging the brain and soft tissues.

Metabolism—all of the chemical processes that take place inside the body. In some metabolic reactions, complex molecules are broken down to release energy. In others, the cells use energy to make complex compounds out of simpler ones (like making proteins from amino acids).

Microtubule—an internal support structure for a neuron that guides nutrients and molecules from the body of the cell to the end of the axon.

Mild cognitive impairment (MCI)—a condition in which a person has memory problems greater than those expected for his or her age, but not the personality or cognitive problems that characterize AD.

Mutation—a permanent change in a cell’s DNA that can cause a disease.

Myelin—a whitish, fatty layer surrounding an axon that helps the axon rapidly transmit electrical messages from the cell body to the synapse.

Nerve growth factor (NGF)—a substance that maintains the health of nerve cells. NGF also promotes the growth of axons and dendrites, the parts of the nerve cell that are essential to its ability to communicate with other nerve cells.

Neurodegenerative disease—a disease characterized by a progressive decline in the structure, activity, and function of brain tissue. These diseases include AD, Parkinson’s disease, frontotemporal lobar degeneration, and dementia with Lewy bodies. They are usually more common in older people.

Neurofibrillary tangle—a filamentous collection of twisted and hyperphosphorylated tau found in the cell body of a neuron in AD.

Neuron—a nerve cell.

Neurotransmitter—a chemical messenger between neurons. These substances are released by the axon on one neuron and excite or inhibit activity in a neighboring neuron.

Nucleus—the structure within a cell that contains the chromosomes and controls many of its activities.

Oxidative damage—damage that can occur to cells when they are exposed to too many free radicals.

Positron emission tomography (PET)—an imaging technique using radioisotopes that allows researchers to observe and measure activity in different parts of the brain by monitoring blood flow and concentrations of substances such as oxygen and glucose, as well as other specific constituents of brain tissues.

Single photon emission computed tomography (SPECT)—an imaging technique that allows researchers to monitor blood flow to different parts of the brain.

Synapse—the tiny gap between nerve cells across which neurotransmitters pass.

Tau—a protein that helps to maintain the structure of microtubules in normal nerve cells. Abnormal tau is a principal component of the paired helical filaments in neurofibrillary tangles.

Thalamus—a small structure in the front of the cerebral hemispheres that serves as a way station that receives sensory information of all kinds and relays it to the cortex; it also receives information from the cortex.

Transgenic—an animal that has had a gene (like human APP) inserted into its chromosomes. Mice carrying the mutated human APP gene often develop plaques in their brains as they age.

Ventricle—a cavity within the brain that is filled with cerebrospinal fluid.

Vesicle—a small container for transporting neurotransmitters and other molecules from one part of the neuron to another.



FOR MORE INFORMATION

Information and Support Resources

Alzheimer’s Disease Education and Referral (ADEAR) Center
P.O. Box 8250
Silver Spring, MD 20907-8250
800-438-4380 (toll-free)
www.nia.nih.gov/Alzheimers
This service of the National Institute on Aging (NIA) offers information and publications on diagnosis, treatment, patient care, caregiver needs, long-term care, education and training, and research related to Alzheimer’s disease. Staff members answer telephone, email, and written requests and make referrals to local and national resources. The ADEAR website offers free, online publications in English and Spanish; email alerts and online Connections newsletter registration; an AD clinical trials database; the AD Library database; and more.

Alzheimer’s Association
225 North Michigan Avenue, Suite 1700
Chicago, IL 60601-7633
800-272-3900 (toll-free)
www.alz.org
The Alzheimer’s Association is a national, non-profit organization with a network of local chapters that provide education and support for people diagnosed with AD, their families, and caregivers. Chapters offer referrals to local resources and services and spon-sor support groups and educational programs. Online and print publications are also available. The Association also funds AD research.

Alzheimer’s Foundation of America
322 Eighth Avenue, 7th Floor
New York, NY 10001
866-232-8484 (toll-free)
www.alzfdn.org
The Alzheimer’s Foundation of America provides care and services to individuals confronting dementia and to their caregivers and families, through member organizations dedicated to improving quality of life. Services include a toll-free hotline, consumer publications and other educational materials, and conferences and workshops.

Dana Alliance for Brain Initiatives
745 Fifth Avenue, Suite 900
New York, NY 10151
212-223-4040
www.dana.org/danaalliances
The Dana Alliance for Brain Initiatives, a non-profit organization of more than 265 leading neuroscientists, helps advance public awareness about the progress and promise of brain research and disseminates information about the brain.
CAREGIVER SUPPORT AND SERVICES

Children of Aging Parents
P.O. Box 167
Richboro, PA 18954-0167
800-227-7294 (toll-free)
www.caps4caregivers.org
This nonprofit organization provides information and referrals for nursing homes, retirement communities, elder-law attorneys, adult day-care centers, insurance providers, respite care, assisted living centers, support groups, and State and county agencies. It also offers fact sheets, a newsletter, and conferences and workshops.

Eldercare Locator
800-677-1116 (toll-free)
www.eldercare.gov
Eldercare Locator is a nationwide, directory-assistance service helping older people and their caregivers locate local support and resources. It is funded by the U.S. Administration on Aging, whose website at www.aoa.gov also features AD information for families, caregivers, and health professionals.

Family Caregiver Alliance
180 Montgomery Street, Suite 1100
San Francisco, CA 94104
800-445-8106 (toll-free)
www.caregiver.org
The Family Caregiver Alliance is a nonprofit organization that offers support services and information for people caring for adults with AD, stroke, traumatic brain injuries, and other cognitive disorders.

National Family Caregivers Association
10400 Connecticut Avenue, Suite 500
Kensington, MD 20895-3944
800-896-3650 (toll-free)
301-942-6430
www.thefamilycaregiver.org
The National Family Caregivers Association helps educate and support people who care for loved ones with chronic illness, disability, or the frailties of old age. The Association offers an online library of information and educational materials, workshops, and other resources.

National Hospice and Palliative Care Organization
1700 Diagonal Road, Suite 625
Alexandria, VA 22314
800-658-8898 (toll-free)
www.nhpco.org
This nonprofit organization works to enhance the quality of life for people who are terminally ill. It provides information, resources, and referrals to local hospice services, and offers publications and online resources.

Well Spouse Association
63 West Main Street, Suite H
Freehold, NJ 07728
800-838-0879 (toll-free)
www.wellspouse.org
The nonprofit Well Spouse Association gives support to spouses and partners of people who are chronically ill and/or disabled. It offers support groups and a newsletter.
RESEARCH AND CLINICAL TRIALS

Alzheimer’s Disease Cooperative Study
University of California, San Diego
9500 Gilman Drive
La Jolla, CA 92093-0949
858-622-5880
http://adcs.ucsd.edu
The Alzheimer’s Disease Cooperative Study (ADCS) is a cooperative agreement between NIA and the University of California, San Diego, to advance research in the development of drugs to treat AD. The ADCS is a consortium of medical research centers and clinics working to develop clinical trials of medicines to treat behavioral symptoms of AD, improve cognition, slow the rate of decline caused by AD, delay the onset of AD, or prevent the disease altogether. The ADCS also develops new and more reliable ways to evaluate patients enrolled in clinical trials.

Alzheimer Research Forum
www.alzforum.org
The Alzheimer Research Forum, an online community and resource center, offers professionals and the general public access to an annotated index of scientific papers, research news, moderated discussions on scientific topics, libraries of animal models and antibodies, and directories of clinical trials, conferences, jobs, and research-funding sources.

ClinicalTrials.gov
www.ClinicalTrials.gov
ClinicalTrials.gov is a registry of federally and privately supported clinical trials conducted in the United States and around the world. Users can search for clinical trials and find information about each trial’s purpose, who may participate, locations, and phone numbers for more details.