What is Alzheimer's Disease and Dementia and How to Prevent
1. Alzheimer's Disease
Alzheimer's disease
(AD) is a progressive neurodegenerative disorder that is characterized by
memory loss and cognitive decline. AD causes the death of nerve cells in the
brain and eventually leads to dementia. According to the Alzheimer’s
Association, nearly 5 million Americans have been diagnosed with Alzheimer’s
disease and approximately half a million people are currently diagnosed each
year. As population ages, the number of individuals affected by Alzheimer’s
disease is expected to grow exponentially over the coming decades. Currently,
there are no effective treatments for the disease once symptoms begin to
emerge.
2. Amyloid beta plaques
Amyloid beta plaques
are protein deposits that accumulate inside neurons in AD patients' brains.
These types of plaques are associated with senile plaque formation and are
considered a hallmark of Alzheimer’s disease. Many studies have shown that
amyloid beta plaques correlate with the degree of memory impairment, suggesting
they may play a role in causing memory loss and cognitive deterioration.
Research indicates that these plaques become more prevalent in older adults and
increase at a faster rate than normal aging.
3. ApoE-ε4 gene
The apolipoprotein
E-ε4 (ApoE-ε4) gene is located on chromosome 19 and contains two alleles:
APOE-ε4 and APOE-ε3. When present in combination with the APOE-ε4 allele,
individuals are classified as having ApoE-ε 4/4, while those who do not carry
the APOE-ε 4 allele are classified as APOE-ε4/3. In the United States,
Caucasians are more likely to present with ApoE-ε 2/2, whereas African
Americans are more likely to present as ApoE-ε 3/3 or ApoE-ε3/4. Individuals
who carry the APOE- epsilon 4 allele are three times more likely to develop
Alzheimer’s disease compared to those without this allele. Additionally, the
APOE- ε4 allele increases risk of late onset Alzheimer’s disease by 11% and
early onset Alzheimer’s by 42%.
4. Brain
The human brain is
composed of about 100 billion neurons, each with its own axon terminal. A
neuron terminates on either a pre-synaptic or post-synaptic membrane in order
to send signals to or receive messages from other neurons. Each neuron carries
its own electrical charge, resulting in a specific pattern of activity called
electrophysiology. Neurons communicate with each other through chemical
synapses. Synapses are specialized sites on a neuron where another neuron sends
a signal to the first neuron via a neurotransmitter. Once a signal is received,
the first neuron releases a neurotransmitter that travels across a synaptic gap
to activate receptors on the second neuron.
5. Dementia
Dementias are medical
disorders affecting the mind that cause intellectual impairments, personality
changes and behavioral problems including memory loss, confusion, irritability,
disorientation, impaired judgment, emotional liability and hallucinations.
There are five major dementias—dementia with Lewy bodies, vascular dementia,
frontotemporal dementia, dementia with Parkinson’s disease and Alzheimer’s
disease—that are caused by different factors. Alzheimer’s disease accounts for
60–70 percent of cases of severe dementia. Other dementias affect fewer people,
but their effects are just as devastating.
6. Neuropathology
Neuropathological
features include cortical atrophy, cerebral angiopathy, senile plaques,
neuritic plaques, cerebrovascular amyloidosis, fibrillary tangles and
argyrophilic grains. Senile plaques are extracellular aggregations of small
insoluble protein molecules called β-amyloids. Argyrophilic grain disease is a
type of tauopathy caused by abnormal accumulation of phosphorylated
microtubule-associated Tau protein. Cerebral angiopathy refers to degeneration
of blood vessels, particularly the capillaries. Fibrillary tangles consist of
aggregated forms of the microtubule-associated protein Tau. Cortical atrophy
(shrinkage) occurs due to neuronal loss or decreased use of the brain. Vascular
dementia is linked to cerebrovascular diseases like stroke or atherosclerosis.
Frontotemporal dementia is primarily characterized by atrophy of frontal and
temporal lobes.
7. Neurotransmitters
Neurotransmitters are chemicals released by nerves and endocrine glands that regulate mood, movement, behavior, gland function, and many other bodily processes. They are stored in presynaptic vesicles to be released into a narrow space between nerve endings and target cells, known as a synaptic cleft. Neurotransmitters are divided into excitatory (glutamate and acetylcholine) and inhibitory (gamma-aminobutyric acid, glycine, serotonin and noradrenalin). Excitatory neurotransmission stimulates nerve impulses in the receiving cell, while inhibition suppresses them.
How to Prevent Alzheimer's Disease and Dementia
1. Antioxidants
Antioxidants are
substances that protect cells from damage and free radicals. The cannabis plant
produces antioxidants in its leaves and buds, which contribute to their medical
effects. These antioxidant compounds are called cannabinoids and have been
shown to help fight Alzheimer’s Disease.
2. Essential fatty acids (EFAs)
Essential Fatty Acids
(EFAs) are lipids that our bodies cannot produce and need to get from food.
EFAs have many roles in the body, including immune system function and brain
functioning. EFAs are critical for proper nerve transmission and are necessary
for maintaining normal cognitive function.
3. Omega-3 & 6 fatty acids
Omega-3 and Omega-6
are two types of essential fatty acids. There are a wide variety of foods that
contain these two types of fatty acids, but they both act in different ways.
Omega-3 fats improve neurological functioning and provide anti inflammatory
benefits. On the other hand, omega-6 fats reduce inflammation and are involved
in the production of hormones. Many studies show that people who consume more
omega-3 fatty acids experience fewer mental problems than those who do not.
4. Choline
Choline is a vitamin
B complex that helps maintain cognitive function. Without choline, our brains
tend to lose memory over time. Choline performs several tasks in the central
nervous system such as helping our nerves transmit messages and regulating neurotransmitters.
A diet rich in choline may slow down age related decline in memory and thinking
skills.
5. Vitamin D
Vitamin D is a fat
soluble vitamin that affects bone health. In addition to supporting bone
health, Vitamin D also supports strong immunity and normal cellular activity.
6. Zinc
Zinc is vital for
maintaining optimal physical health. It is involved in over 300 enzymatic
reactions in the human body and is necessary for protein synthesis. Some
examples of zinc’s role in the human body include: DNA synthesis, immune system
function, wound healing, hormone regulation, muscle contraction, and blood
glucose levels.
7. Selenium
Selenium is a mineral
that is essential for humans due to its involvement in numerous physiological
processes. Dietary selenium supplements have been proven effective in treating
symptoms associated with certain neurodegenerative disorders including
Alzheimer’s disease, Parkinson’s disease, and muscular dystrophy.