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Yıl:1991; Cilt: 1; Sayı: 2>> Özet
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Klinik Psikofarmakoloji Bülteni; 1991;1(2):53-64
Alzheimer Hastalığında İpliksi Proteinler: Moleküler Biyolojide Yeni Görüşler
WE Klunk, DJ Abraham (Çev. P Gökalp)
Pitssburgh University, USA
Alzheimer hastalannda (AH) tesbit edilen nörofibriler düğümler (NFD), nörit plakları (NP) ve serebrovasküler amiloidle ilgili son çalışmalar bu hastalığın moleküler biyolojisini anlamada yeni ufuklar açmıştır. Eşleşmiş helezoni lifler (EHL) başta gelen hücre içi ipliksi birikimlerdir. Bunlar normal hücre içi proteinlerden farklı görünmekle birlikte, ‘tau’ adı verilen bir mikrotubulus proteinin önemli bir komponentini de içerirler. Amiloid lifler AH’da hücre dışı ipliksi birikintileri meydana getirirler. Amiloid lifler, 43 amino asitten oluşan küçük bir proteinden meydana gelmiş­ tir. Bazı araştırıcılar, eşleşmiş helezoni liflerin (EHL) bu proteinden oluştuğunu öne sürmüşlerse de, bu konu halen tartışmalıdır. Moleküler genetik çalışmalarda "beta-amiloid proteinMin dizisine sahip daha büyük bir proteini kodlayan bir genin varlığından söz edilmiştir. İlginç olan, bu gen, familyal AH geninin de yerleşim yeri olan 21 kromozom üzerinde yerleşmiştir, fakat bu iki gen birbirinden faklıdır. Bu anormal birikintilerin kökeni ile ilgili birkaç varsayım mevcuttur ve bunlar nörol kökenli olduğu varsayımından, merkezi sinir sistemi dışında meydana gelip kan yoluyla nakledildikleri varsayımına kadar uzanmaktadır. Bu son ilerlemelerin sonuçlan oldukça önemlidir, çünkü AH ile ilgili kesin tanı olanaklarım ve bu ipliksi proteinlerin sentez, depolanma veya ortadan kaldırılmasının tedavi amacıyla düzenlenmesini (müdahalesini) gündeme getirmektedir

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