An overview of a rapidly growing
worldwide health concern.
2008 marks the 102nd anniversary of a small medical
meeting in Tübingen, Germany
Physician Alois Alzheimer presented the case of Auguste D.
Alzheimer first saw Auguste in 1901-- she was 51.
Auguste plagued by symptoms that did not fit any known
*rapidly failing memory
*trouble expressing thoughts
*unfounded suspicions about family & hospital staff
is a progressive and fatal brain disease.
is the most common form of dementia.
has no current cure.
Alzheimer's and the Brain
Just like the rest of our bodies, our brains change as
Most notice slowed thinking & occasional problems
However, serious memory loss, confusion and other
major changes in the way our minds work are not a
normal part of aging.
They may be a sign that brain cells are failing.
The brain has 100 billion nerve cells
Each nerve cell communicates with many
others to form networks.
Nerve cell networks have special jobs.
Some are involved in thinking, learning &
Others help us see, hear & smell.
Still others tell our muscles when to move.
Brain cells operate like tiny factories.
They take in supplies, generate energy,
construct equipment and get rid of waste.
Cells also process & store information.
Keeping everything running requires
coordination as well as large amounts of fuel
In Alzheimer’s disease, parts of the cell’s
factory stop running well.
Scientists are not sure exactly where the
But just like a real factory, backups and
breakdowns in one system cause
problems in other areas.
As damage spreads, cells lose their
ability to do their jobs well.
Eventually, they die.
Stage 1: No impairment
Stage 2: Very mild decline
Stage 3: Mild decline
Stage 4: Moderate decline
(mild or early stage)
Stage 5: Moderately severe decline
(moderate or mid-stage)
Stage 6: Severe decline
(moderately severe or mid-stage)
Stage 7: Very severe decline
(severe or late stage)
From 2000-2004, deaths from
Alzheimer’s disease increased 32.8%
~while it’s the number one cause of death--
heart disease--decreased by 8.0 %.
Average survival time: 4-6 years after
~but survival can be as long as 20 years
from first symptoms.
There are now more than 5 million
people in the United States living with
Every 72 seconds, someone develops
The direct and indirect costs of
Alzheimer’s and other dementias
amount to more than $148 billion
Average age of onset 65 -- some cases
as early as 30
10 Warning Signs
1. Memory loss. Forgetting recently learned information
is one of the most common early signs of dementia. A
person begins to forget more often and is unable to recall
the information later.
What's normal? Forgetting names or appointments
2. Difficulty performing familiar tasks. People with
dementia often find it hard to plan or complete everyday
tasks. Individuals may lose track of the steps involved in
preparing a meal, placing a telephone call or playing a
What's normal? Occasionally forgetting why you came
into a room or what you planned to say.
3. Problems with language. People with Alzheimer’s
disease often forget simple words or substitute unusual
words, making their speech or writing hard to
understand. They may be unable to find the toothbrush,
for example, and instead ask for "that thing for my
What's normal? Sometimes trouble finding the right word.
4. Disorientation to time and place. People with
Alzheimer’s disease can become lost in their own
neighborhood, forget where they are and how they got
there, and not know how to get back home.
What's normal? Forgetting the day of the week or where
you were going.
5. Poor or decreased judgment. Those with
Alzheimer’s may dress inappropriately, wearing several
layers on a warm day or little clothing in the cold. They
may show poor judgment, like giving away large sums of
money to telemarketers.
What's normal? Making a questionable or debatable
decision from time to time.
6. Problems with abstract thinking. Someone with
Alzheimer’s disease may have unusual difficulty
performing complex mental tasks, like forgetting what
numbers are for and how they should be used.
What's normal? Challenging to balance a checkbook.
7. Misplacing things. A person with Alzheimer’s
disease may put things in unusual places: an iron in the
freezer or a wristwatch in the sugar bowl.
What's normal? Misplacing keys or a wallet temporarily.
8. Changes in mood or behavior. Someone with
Alzheimer’s disease may show rapid mood swings – from
calm to tears to anger – for no apparent reason.
What's normal? Occasionally feeling sad or moody.
9. Changes in personality. The personalities of people
with dementia can change dramatically. They may
become extremely confused, suspicious, fearful or
dependent on a family member.
What's normal? Personalities do change some w) age.
10. Loss of initiative. A person with Alzheimer’s
disease may become very passive, sitting in front of the
TV for hours, sleeping more than usual or not wanting to
do usual activities.
What's normal? Sometimes feeling weary of work or
The difference between Alzheimer's and
normal age-related memory
Someone with Alzheimer's disease Someone with normal age-related
symptoms memory changes
Forgets entire experiences Forgets part of an experience
Rarely remembers later Often remembers later
Is gradually unable to follow Is usually able to follow
written/spoken directions written/spoken directions
Is gradually unable to use notes Is usually able to use notes as
as reminders reminders
Is gradually unable to care for
Is usually able to care for self
NORMAL BRAIN ADVANCED ALZHEIMER’S
CHECK RESOURCES FOR ENRICHMENT AND
EXTRA CREDIT OPPORTUNITIES
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Risk For Alzheimer's Disease
Insulin Is A Possible New Treatment For
Science Daily (Feb. 3, 2009)
A Northwestern University-led research team reports
that insulin, by shielding memory-forming synapses
from harm, may slow or prevent the damage and
memory loss caused by toxic proteins in Alzheimer's
The researchers discovered that damage to neurons
exposed to ADDLs (short for "amyloid beta-derived
diffusible ligands") was blocked by insulin, which kept
ADDLs from attaching to the cells.
<They also found that protection by low levels of insulin was
enhanced by rosiglitazone>
ADDLs are known to attack memory-forming
synapses. After ADDL binding, synapses lose their
capacity to respond to incoming information, resulting
in memory loss.
A composite image of two neurons.
Red (left) shows the
attachment of ADDLs to a
Green indicates synapses, parts
of nerve cells where memory
When ADDLs are attached,
synapses are eliminated.
A nerve cell (right) treated
with insulin before being
exposed to ADDLs.
The cell is normal, with high
levels of synapses (green) and
almost no ADDLs (red) bound