By Anil K. Nair, Marwan N. Sabbagh

ISBN-10: 1118730682

ISBN-13: 9781118730683

Aging impacts neurological functionality resulting in neurological disease

As society grows older, so do the neurological difficulties linked to getting older. those will be new neurological deficits because of the getting older technique itself, or the impression of getting older on already current neurological stipulations. Neurologists will spend expanding quantities of time dealing with sufferers with age-related neurological complications.

Geriatric Neurology brings jointly the knowledge of world-leading specialists. they've got crafted a brand new textbook to outline this rising subspecialty from uncomplicated technology via scientific evaluate and clinical administration to social features of sufferer care. Geriatric Neurology covers: * The getting older mind in neurology * review of the geriatric neurology sufferer * Neurological stipulations within the aged * Therapeutics for the geriatric neurology sufferer * administration matters past therapeutics

Comprehensive in scope yet with functional concentration for potent sufferer care, Geriatric Neurology presents top-of-class information for the administration of aged sufferers with neurological problems.

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4, by Simpson and Raubenheimer 2009) suggest that a complete or ideal CR mimetic might both activate AMP kinase and directly inhibit mTOR (not simply indirectly through increased AMPK activity), without toxicities or major side effects, a design target that no single known compound at this time yet achieves. , 2009). Perhaps a combination of low-dose rapamycin and resveratrol or pterostilbene might achieve the desirable targets of mTOR inhibition and AMPK activation, and thus function as a full CR/DR mimetic.

4 (from Simpson and Raubenheimer, 2009) schematically summarizes relationships between AMP kinase and mTOR. These two kinases are increasingly viewed as possibly integrating much of CR physiology, with an upregulation of AMP kinase and a downregulation of mTOR potentially orchestrating the entire range of CR effects through their conjoint activity. These two kinases are differentially involved in nutrient sensing, with TOR activated by high amino acid/glucose ratios (in other words, plenty of amino acids and proteins to build new tissue, thus releasing a “go” signal to anabolic processes and growth) and AMP kinase activated by low amino acid/glucose ratios.

As Blagosklonny states, “cellular functions are tissue-specific: contraction for smooth muscle cells, secretion of lipoproteins for hepatocytes, aggregation for platelets, oxidative burst for neutrophils, bone resorption for osteoclasts and so on. These hyperfunctions lead to age-related diseases, such as atherosclerosis, hypertension, macular degeneration, increasing the probability of organismal death” (Blagosklonny, 2011. p 95). Thus, as Blagosklonny notes, senescence reflects a biological version of cells responding simultaneously to “pressing the gas pedal” (growth drive) and “getting on the brakes” at the same time (cell cycle blocks driven by DNA-damage sensing systems).

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Geriatric Neurology by Anil K. Nair, Marwan N. Sabbagh


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