Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0085632 (apathy)
 4,089 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We described an autopsy case of 79-year-old woman with clinically unclassified senile dementia. The patient developed forgetfulness at the age of 73, and later, persecution mania, apathy and episodic stupor, but no extrapyramidal symptoms. Neuropathological examination revealed severe neuronal loss and gliosis of substantia nigra, moderate neuronal loss and marked grumose degeneration of dentate nucleus, and mild astrocytosis of subthalamic nucleus. Abundant neurofibrillary tangles (NFT) were observed in subthalamic nucleus, globus pallidus, substantia nigra, locus ceruleus, tegmentum of brain stem, pontine nucleus, inferior olive, and dentate nucleus. Gallyas silver impregnation method showed a wide distribution of argyrophilic grains and threads in cerebrum, brain stem and cerebellum. Although absence of clinical and neuropathological hallmarks excluded the diagnosis of progressive supranuclear palsy (PSP), the distribution of NFT and argyrophilic grains in this patient resembled PSP.
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PMID:[Adult-onset dementia with abundant neurofibrillary tangles resembling progressive supranuclear palsy]. 795 13

Corruption has been cynically dismissed as a global phenomenon by some Asian leaders. This attitude becomes a plausible cloak for mala fide deeds. Worse, it becomes a veritable shield for the corrupt. But modern information and investigative systems can penetrate the meticulously built smoke screens and illuminate the murky shadows. Bailouts due to political-economic patronage are, however, routine and considered unworthy of protracted media pursuance, resulting in further cycles of brazen corruption. Public indifference towards the latter is a product of institutional, moral and cultural failures, resulting in corresponding cycles of cynicism. The overall consequence is near total despondence of any meaningful redemption, or overall improvement. In Asia, demographic pressures and/or socio-economic frailities, as also politico-religious bigotry add to the general public disillusion and indifference, and breeds an unending treadmill of further corruption and disgruntled cynicism without much hope for amelioration. The solution, and salvation, lies only in individual and collective (social) espousal of the ethical in every walk, and work, of life. Social, spiritual and cultural pressures enabling political activism in ostracizing both criminal intent and action in public life, maintenance of decorum and propriety in private life by public figures can rekindle hope and confidence, and banish sullen cynicism from the heart and mind of the lay public. In most of Asia this has become an imperative needing urgent attention and implementation, but hardly any silver clouds are yet discernible on any Asian horizon. A sea change in moral perspectives of whole communities only can redeem the situation, and pave the way to a renaissance of the Bioethical culture which, the author asserts, has been an underlying universal ingredient of the Asian psyche through the ages.
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PMID:The runaway corruption-cynicism syndrome in Asian cultures: its redemption and the future of bioethics. 1500 76

Since the discovery and mapping of the neuronal circuits of the brain by Golgi and Cajal neuroscientists have clearly spelled the fundamental questions which should be answered to delineate the arena for a scientific understanding of brain function: How neurons communicate with each other in a network? Is there some basic principle according to which brain networks are organised? Is it possible to map out brain regions specialised in carrying out some specific task? As far as the first point is concerned it is well known that Golgi and Cajal had opposite views on the interneuronal communication. Golgi suggested protoplasmic continuity and/or electrotonic spreading of currents between neurons. Cajal proposed the so-called "neuron doctrine", which maintained that neurons could communicate only via a specialised region of contiguity, namely the synapse. The present paper has the first and second points as main topics and last century progresses in these fields are viewed as developments of Golgi and Cajal's findings and above all, hypotheses. Thus, we will briefly discuss these topics moving from the transmitter based mapping, which brought neurochemistry into the Golgi-Cajal mapping of the brain with silver impregnation techniques. The mapping of transmitter-identified neurons in the brain represents one of the major foundations for neuropsychopharmacology and a reference frame for the biochemical and behavioural investigations of brain function. Biochemical techniques allowed giving evidence for multiple transmission lines in synapses interacting via receptor-receptor interactions postulated to be based on supramolecular aggregates, called receptor mosaics. Immunocytochemical and autoradiographic mapping techniques allowed the discovery of extra-synaptic receptors and of transmitter-receptor mismatches leading to the introduction of the volume transmission concept by Agnati-Fuxe teams. The Volume Transmission theory proposed the existence of a three-dimensional diffusion of e.g. transmitter and ion signals, released by any type of cell, in the extra-cellular space and the cerebrospinal fluid of the brain. Thus, a synthesis between Golgi and Cajal's views became possible, by considering two main modes of intercellular communication: volume transmission (VT) and wiring transmission (WT) (a prototype of the latter one is synaptic transmission) and two types of networks (cellular and molecular networks) in the central nervous system. This was the basis for the suggestion of two fundamental principles in brain morphological and functional organisation, the miniaturisation and hierarchic organisation. Finally, moving from Apathy's work, a new model of brain networks has recently been proposed. In fact, it has been proposed that a network of fibrils enmeshes the entire CNS forming a global molecular network (GMN) superimposed on the cellular networks.
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PMID:One century of progress in neuroscience founded on Golgi and Cajal's outstanding experimental and theoretical contributions. 1746 58

Spontaneous meningiomas are extremely rare tumors in small laboratory animals, except in some strains of rats and in the B6C3F1 mouse. We report the case of a male CD-1 mouse in poor health condition, with severe apathy and partial paresis of hindlegs. No macroscopic lesion was noticed at necropsy. Microscopic examination revealed the presence of a malignant meningioma (approximately 3mm in diameter) at the distal lumbar level of the spinal cord, invading the vertebral canal, and bilaterally the ventral and dorsal nerve roots and the dorsal root ganglia. The tumor displayed highly cellular sheets of polygonal cells with a well-delineated, abundant, eosinophilic cytoplasm and scarce fibrovascular stroma; epithelioid and sarcomatous areas were also present. The mitotic activity was moderate. Tumor cells expressed vimentin immunoreactivity and were negative for periodic acid-Schiff (PAS), silver impregnation for reticulin, chromogranin A, glial fibrillary acidic protein (GFAP), cytokeratin (CK) and S-100 protein. The diagnosis of malignant spinal meningioma was based on the morphologic features of the neoplasm, the evidence of local invasion and the immunohistochemical results.
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PMID:Malignant spinal meningioma in a CD-1 mouse. 1848 85

The early occurrence of brainstem-related symptoms, e.g. gait and balance impairment, apathy and depression in Alzheimer's disease patients suggests brainstem involvement in the initial pathogenesis. To address the question whether tau filament forming mice expressing mutated human tau mirror histopathological changes observed in Alzheimer brainstem, the degree and distribution of neurofibrillary lesions as well as the pattern of cholinergic and monoaminergic neurons were investigated. The expression of the human tau transgene was observed in multiple brainstem nuclei, particularly in the magnocellular reticular formation, vestibular nuclei, cranial nerve motor nuclei, sensory trigeminal nerve nuclei, inferior and superior colliculi, periaqueductal and pontine gray matter, and the red nucleus. Most of the human tau-immunoreactive cell groups also showed tau hyperphosphorylation at the epitopes Thr231/Ser235 and Ser202/Thr205, while abnormal tau phosphorylation at the epitope Ser422 or silver stained structures were almost totally lacking. We found no obvious differences in distribution and density of cholinergic and monoaminergic neurons between tau-transgenic and wild type mice. Although numerous brainstem nuclei in our model expressed human tau protein, the development of neurofibrillary tangles, neuropil threads and ghost tangles was rare and likewise its distribution differed largely from Alzheimer's disease pattern. The number of monoaminergic neurons remained unchanged in the transgenic mice, while monoaminergic nuclei in Alzheimer brainstem showed a distinct neuronal loss. However, the distribution of pretangle-affected neurons in the tau-transgenic mice partly resembled those seen in progressive supranuclear palsy, presenting these animals as a model to examine brainstem pathogenesis of progressive supranuclear palsy.
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PMID:Pattern of tau hyperphosphorylation and neurotransmitter markers in the brainstem of senescent tau filament forming transgenic mice. 2326 64

The cause of the death of a 16-month-old Brasileiro-de-Hipismo filly and a 3-year-old male Paint Horse with clinical manifestations of anemia and apathy from southern Brazil was investigated. These horses were maintained at the same stable; received hay as part of their diet and were submitted for routine necropsy evaluations. Significant gross findings included several nodules randomly distributed throughout the pulmonary lobes of both horses, and the kidneys, myocardium, and the frontal lobes of the cerebrum of the filly. Histopathological evaluation revealed pyogranulomatous bronchopneumonia in both horses; granulomatous interstitial nephritis, myocarditis, and encephalitis were observed in the filly. All lesions contained vasculitis and thrombosis associated with myriads of intralesional, branching, septate fungi consistent with Aspergillus spp.; intralesional fungi were more easily identified by the Grocott methenamine silver stain. Mycological culture of fresh pulmonary sections from both horses and the brain of the filly revealed pure growths of A. fumigatus. These findings confirmed the participation of A. fumigatus in the etiopathogenesis of the lesions observed in the lungs of both horses, and the cerebrum, myocardium and kidneys of the filly and might represent the first description of A. fumigatus-induced encephalitis in horses. Additionally, we believe that infection occurred during the ingestion of contaminated hay or by inhalation of spores within contaminated bedding that resulted in transient nasal mycosis, which progressed to pyogranulomatous bronchopneumonia in both horses with embolic encephalitic, myocardial, and renal dissemination of A. fumigatus occurring only in the filly.
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PMID:Equine pulmonary aspergillosis with encephalitic, myocardial, and renal dissemination. 2445 18

Introduction: Gait and balance disorders in Parkinson's disease (PD) represent a major therapeutic challenge as frequent falls and freezing of gait impair quality of life and predict mortality. Limited dopaminergic therapy responses implicate non-dopaminergic mechanisms calling for alternative therapies.Areas covered: The authors provide a review that encompasses pathophysiological changes involved in axial motor impairments in PD, pharmacological approaches, exercise, and physical therapy, improving physical activity levels, invasive and non-invasive neurostimulation, cueing interventions and wearable technology, and cognitive interventions.Expert opinion: There are many promising therapies available that, to a variable degree, affect gait and balance disorders in PD. However, not one therapy is the 'silver bullet' that provides full relief and ultimately meaningfully improves the patient's quality of life. Sedentariness, apathy, and emergence of frailty in advancing PD, especially in the setting of medical comorbidities, are perhaps the biggest threats to experience sustained benefits with any of the available therapeutic options and therefore need to be aggressively treated as early as possible. Multimodal or combination therapies may provide complementary benefits to manage axial motor features in PD, but selection of treatment modalities should be tailored to the individual patient's needs.
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PMID:Treatment options for postural instability and gait difficulties in Parkinson's disease. 3141 99