Alzheimer is the most neurodegenerative disorder in the aged people. It is characterized by senile, accumulation of amyloid plaque, neurofibrillary tangle and progressive decline in brain memory cells.
Alzheimer disease is associated with inflammatory response, synaptic damage and mitochondrial dysfunctions which are a prominent and early feature of Alzheimer disease.
A reading report for <A Secreted Slit2 Fragment Regulates Adipose Tissue Ther...星云 王
A reading report for <A Secreted Slit2 Fragment Regulates Adipose Tissue Thermogenesis and Metabolic Function
>, only for private study use, please do not use it for profit or public.
The complement system, also known as complement cascade, is a part of the immune system that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism, promote inflammation, and attack the pathogen's cell membrane.
A review article I created for a class in 2012. The paper attempts to overview the roles of GABA(A) receptors [Including pharmacology, mutations, and developmental disorders] in causing or alleviating Temporal Lobe Epilepsy (TLE).
A reading report for <A Secreted Slit2 Fragment Regulates Adipose Tissue Ther...星云 王
A reading report for <A Secreted Slit2 Fragment Regulates Adipose Tissue Thermogenesis and Metabolic Function
>, only for private study use, please do not use it for profit or public.
The complement system, also known as complement cascade, is a part of the immune system that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism, promote inflammation, and attack the pathogen's cell membrane.
A review article I created for a class in 2012. The paper attempts to overview the roles of GABA(A) receptors [Including pharmacology, mutations, and developmental disorders] in causing or alleviating Temporal Lobe Epilepsy (TLE).
Lung cancer is an epidemical disease, annually there are 1.4 million deaths and about 1.6 million new cases.
More people die of lung cancer than of colon, breast, and prostate cancers combined.
Lung cancer mainly occurs in older people. About 2 out of 3 people diagnosed with lung cancer are older than 65.
Fewer than 3% of all cases are found in people under the age of 45. The average age at the time of diagnosis is about 71.
The chance that a man will develop lung cancer is about 1 in 13, for a woman, the risk is about 1 in 16, These numbers include both smokers and non-smokers. For smokers the risk is much higher, while for non-smokers the risk is lower.
Lung cancer incidence rates were around twice as high in more developed countries compared with less developed countries
El lunes y martes 20 y 21 de noviembre coordinamos un simposio internacional en la Fundación Ramón Areces, sobre los defectos del transporte de aminoácidos.
El lunes y martes 20 y 21 de noviembre coordinamos un simposio internacional en la Fundación Ramón Areces, sobre los defectos del transporte de aminoácidos.
La figura de Alberto Sols fue durante décadas una referencia para los bioquímicos españoles. Los días 20 y 21 de febrero de 2017, la Fundación Ramón Areces dedicó un simposio internacional a su memoria, rindiendo homenaje a sus principales logros: las levaduras como modelo experimental, la enzimología y regulación metabólica y la patología molecular. El encuentro científico, que estuvo coordinado por Carlos Gancedo y Joan Guinovart, reunió a expertos internacionales para debatir sobre el legado de este científico español.
Alzheimer's disease is a neurodegenerative disorder that affects the brain and results in losing the brain memory. The causative agents of this disease are different, it could be genetics, epigenetics, environmental, or change in the physiological function of the brain barrier. One of this causes is the mutation in the precursor of the protein beta-amyloid, that leads to accumulation of this protein in the brain and forms plaque. Thus, other protein is affected by this accumulation like Tau protein, increase the phosphorylation of this protein leads to losing the movement of protein like kinesin through the microtubules and then forms tangles. There are some advanced treatments like antibodies against this protein or deliver drugs-loaded nanoparticles to solve the aggregation and refold the proteins
فيتامين ب 12 او المسمى بالكوبالامين: هو عبارة عن فيتامين معقد التركيب مقارنة بغيره من الفيتامينات قابل للإنحلال بالماء.
لا يتم تصنيعه من قبل الحيوانات او النباتات أو الفطريات.
فقط البكتيريا وخاصة اللاهوائية منها والعتائق في حالة وجود الكوبلت لها القدرة على تصنيعه.
البكتيريا النافعة في أمعاء الإنسان أيضا لها القدرة على صنع فيتامين ب12 ولكن جسم الإنسان لا يستطيع إمتصاصه لإن التصنيع يتم في القولون وليس في اللفائف مكان الإمتصاص.
يمكن الحصول عليه من الأغذية الحيوانية كاللحوم الحمراء والبيض والسمك والكيد ومنتجات الألبان.
في معدة الحيوانات الإجترارية توجد بكتريا تقوم بتصنيعه ومن ثم يتم تخزينه في العضلات والكبد وإفرازه في الحليب.
ينصع بأخذ الأغذية الغنية بفيتامين ب12 وذلك للحصول على كمية كافية منه والتي تقدر 3 ميكروجرام لليوم الواحد.
Almost 98 of the human genome does not encode proteins
o The non coding transcripts less than 200 bases are called small non
coding RNA and comprise of tRNA, rRNA, miRNA, snoRNA, piwi
interacting RNA (pi RNA)
o RNA molecules that are of more than 200 bases in length are known
as long non coding RNA (
o lncRNAs are more than 200 nucleotides in length and also can be
more than 2 Kb
o Such long noncoding RNAs usually have limited coding potential due
to the absence of open reading frames, 3 UTR and termination
region while their coding potential is less than 100 amino acids
XCI is a dosage-compensation mechanism that evolved to equalize expression levels of x-linked genes in female (2x) and male (1x) by transcriptional silencing of one x-chromosome in female mammalian cells.
XIC
It is responsible for initiating X inactivation in cis: an X-chromosome fragment that carries a Xic can become
inactivated, whereas one in which the Xic is missing cannot.
The Xic is also involved in ‘counting’, whereby only a single X is kept active per two sets of autosomes in a cell, and all other Xic-carrying chromosomes are inactivated.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Decreases Expression of PGC-1α in the Alzheimer Disease Brain Impaire Mitochondrial Function and Distribution
1. Done by: Rana Abdulnaser Alhakim
الحكيمي عبدالناصر رنا
Decreases Expression of PGC-1α
in the Alzheimer Disease Brain
Impaire Mitochondrial Function
and Distribution
5. Peroxisome proliferator-activated
receptor c coactivator 1 α (PGC1(
PGC1 α is a positive regulator of mitochondrial
biogenesis and respiration, adaptive thermogenesis,
gluconeogenesis as well as many other metabolic
The expression of PGC1α is highly inducible by
physiological cues, including exercise, cold and fasting.
A central function of PGC1 α that is intimately linked to
mitochondrial biogenesis is the detoxification of reactive
oxygen species (ROS) by regulating the expression of
numerous ROS-detoxifying enzymes.
7. Some previous studies studied the affect
of Alzheimer disease on mitochondrial
function
Mitochondrial dysfunction in AD may involve the action
of APP and Aβ, as they were reported to target the
mitochondria and cause mitochondrial dysfunction
(Caspersen et al., 2005; Devi et al., 2006; Manczak et al.,
2006).
AD pathology is associated with decreased expression
and activity of proteins involved in mitochondrial
bioenergetics and mitochondrial dysfunction (Yao et al.,
2009).
9. A human neuroblastoma
M17 cell line ( this cell
lines expresses human
Swedish mutation APP695
or control).
To study affect of Aβ
on PGC-1α expression
Human neuroblastoma cell
line SH-SY5Y control (SH-
SY5YCon) and SH-SY5Y cells
in which Fe65 was knocked
down (SH-SY5Y-Fe65KD).
To study affect of AICD
on PGC-1α expression
(AβPP) transgenic mice
(Tag2576 line) and the non-
transgenic wild-type (WT) .
To study affect of Aβ ON
mitochondrial
distribution & The affect
of glucose on
amyloidogenesis
DKO MEFs reconstituted with
empty expression vector
pcDNA3.1 (PS1/2) or with
pcDNA3.1 vectors directing
the expression of WT human
PS1 or one of the following
PS1- FAD mutations: P267S,
A285V, T354I, or L392V.
To study affect of γ-
secretase on PGC-1α
expression
Fetal bovine serum.
Penicillin streptomycin.
Humid incubator with
CO2 at suitable T
SH-SY5Y cells, mice (Tag2576
line), & DKO MEFs cell were
incubated with the γ-secretase
inhibitor and AICD peptide, BrDU,
Heavy & light amino acids
respectively.
CULTURE MEDUIM
10. Immunoblot analysis: Used
to detect expression level of
proteins (PGC-1α, BACE-1, γ-
secretase, α- secretase, Aβ,
presenilin(1,2), AICD and NRF.
Real time PCR & microarray:
Used to sequence RNA and detect
expression level of mRNA .
Statical
Analysis
12. Why PGC-1α expression was decreased in
AD?
mutation in γ-
secretase
AICD
Mutation in
APP gene or
regulatory
genes
AβGlucose FOXO3a
dementia
13. PS1-FAD mutations decreased PS1’s ability
to enhance PGC-1a mRNA expression & AICD
increase PGC-1α expression
Figure(3): The effect of PS1 and AICD on the expression of PGC-1a and PGC-1a
target genes.
15. Mitochondrial biogenesis protein are
reduced in hippocampal tissues from AD
patient
Figure(5): (PGC-1α
) expression in the Alzheimer disease (AD) brain are determined in
presence of both AD β-amyloid (Aβ) neuropathology (a) and dementia(b).
)a( )b(
AβControl
CDR
16. Reduced mitochondrial biogenesis causes
mitochondrial dysfunction in PGC-1a
knockdown cells
Figure (6): Down-regulation of PGC-1a affect on expression of mitochondrial
biogenesis proteins and mitochondrial content in M17 cells.
17. Mitochondria with new DNA synthesis
exist largely in cell bodies of AβPP
neurons.
Figure(7): # of mDNA synthesis in cell body and neurite in both wild type neuron
cells and AβPP neuron cells, BrdU staining are used to follow the mDNA.
(
18. How can Aβ decreases PGC-1α
expression?
Poly(ADP-ribose)
polymerase-1
(PARP
SIRT
PGC
-1α
Aβ ROS
ATP
PKA
CREP
AMPK
Figure (8(
19. How can dementia decreases PGC-1α
production?
FOXO3a ROS PGC-1α
IMPAIRED GLUCOSE
METABOLISM
Aβ Dementia
Figure (9(
20. Increased concentration of glucose
inhibits (PGC-1α) expression and promotes
β-amyloid (Aβ) generation in Tg2576
neurons
Figure(10): concentration of PGC-1α and Aβ in high concentration of glucose and the
affect of PGC-1α concentration on α secretase activity.
21. Conclusion
Decrease expression of PGC-1α contributes to
mitochondrial dysfunction and affect on mitochondrial
distribution.
PGC-1α activate α- secretase and suppress β- secretase
genes, so decreases in PGC-1α lead to reveres this
mechanisms and increase A β production
Increase PGC-1α production may represent a potential
pharmacologic approach for the treatment of AD.
22. REFRENCES
• Robinson A, Gr€osgen S, Mett J, Zimmer VC, and et al. Upregulation of
PGC-1a expression by Alzheimer’s disease-associated pathway: presenilin
1/amyloid precursor protein (APP)/intracellular domain of APP. Aging Cell
(2014) ;13:263–272.
• Qin W, Haroutunian V, Katsel P, and et al. PGC-1α Expression Decreases
in the Alzheimer Disease Brain as a Function of Dementia . Arch Neurol.
2009 ; 66(3): 352–361.
• Wang R, 1 Li JJ, Diao S, Kwak Y, and et al. Metabolic Stress Modulates
Alzheimer’s b-Secretase Gene Transcription via SIRT1-PPARg-PGC-1 in
Neurons. Cell Metabolism. 2013; 17: 685–694.
• Hines1 ZG, Rodgers JT, Bare O, Lerin C, and et al. Metabolic control of
muscle mitochondrial function and fatty acid oxidation through
SIRT1/PGC-1a. EMBO Journal. 2007; 26: 1913–1923.
• Calkins MJ, Reddy H. Assessment of newly synthesized mitochondrial DNA
using BrdU labeling in primary neurons from Alzheimer's disease mice:
Implications for impaired mitochondrial biogenesis and synaptic damage.
Biochimica et Biophysica Acta. 2011; 1812: 1182–1189.
23. REFRENCES
• Pierre JS, Drori S, Uldry M, Silvaggi JM, and et al. Suppression of Reactive
Oxygen Species and Neurodegeneration by the PGC-1 Transcriptional
Coactivators. Cell. 2006; 127: 397–408.
• Wenz T. PGC-1a Activation as a Therapeutic Approach in Mitochondrial
Disease. IUBMB Life. 2009; 61(11): 1051–1062.
• Austin Sand Pierre JS. PGC1a and mitochondrial metabolism – emerging
concepts and relevance in ageing and neurodegenerative disorders. Journal
of Cell Science. 2012; 125: 4963–4971.
• Sheng, B. Wang, X. Su, B. Gon-Lee, H. Casadesus, G. Perry, G. and Zhu, K.
Impaired mitochondrial biogenesis contributes to mitochondrial
dysfunction in Alzheimer disease. Journal pf neurochemistry. 2012; 120:
419-429.
• KN M, LO K, P K, SR B, A B. Linking Alzheimer's disease to insulin
resistance: the FoxO response to oxidative stress. Mol Psychiatry. 2010 ;
Nov;15(11):1046-52.
Plaques. These clumps of a protein called beta-amyloid may damage and destroy brain cells in several ways, including interfering with cell-to-cell communication. Although the ultimate cause of brain-cell death in Alzheimer&apos;s isn&apos;t known, the collection of beta-amyloid on the outside of brain cells is a prime suspect.
Tangles. Brain cells depend on an internal support and transport system to carry nutrients and other essential materials throughout their long extensions. This system requires the normal structure and functioning of a protein called tau. In Alzheimer&apos;s, threads of tau protein twist into abnormal tangles inside brain cells, leading to failure of the transport system. This failure is also strongly implicated in the decline and death of brain cells.
The removal of oxidative DNA damage through repair of
DNA single strand breaks by DNA base excision repair,