
Smells Like Parkinson’s Disease
Parkinson's disease has always been primarily seen as a movement disorder resulting in symptoms of shaking, tremors, rigidity, and trouble walking. Interestingly, however, at least 90% of patients with Parkinson's experience either loss or decreases in the sense of smell. Studies have shown that problems with olfaction actually generally precede the onset of other motor symptoms. Most people are not personally aware of changes in their olfactory acuity, but the increasing range and prevalence of smell tests offer a quick, easy, cheap, and non-invasive diagnostic test, as well as a measure of disease progression. In addition, the shift of focus for researchers from Parkinson’s as a motor disorder to a more global neurodegenerative disorder allows consideration of new paradigms about the causes and disease progression.
Shifting Paradigms of White Matter Diseases
Oligodendrocytes, the cells that make “white matter” white play an important role in conducting signals through the brain and spinal cord. The breakdown and loss of oligodendrocytes has long been implicated in demyelinating disorders, most notably multiple sclerosis (MS). However, scientists increasingly understand that oligodendrocytes dysfunction may be to blame for neuropsychological disorders such as bipolar disorder and schizophrenia.
The Many Emerging Roles of Astrocytes
Astrocytes, the star-shaped glial cells in the brain, were long believed to play only supportive roles to the electrically active neurons involved in information processing in the brain. The past few decades, however, have seen an explosion of interest in and research on these cells. Scientists have unearthed an increasing number of functions for astrocytes in neural signalling. It has become clear that astrocytes were grossly underestimated in their size, capabilities, and complexity. Given this, is it possible that astrocytes not only support neural signalling, but themselves play a distinct and active role in the information processing of the brain?
The Brain’s Border Patrol – Blood Brain Barrier
The blood brain barrier (BBB) forms a tight security gateway between blood vessels and brain tissue. Blood flow throughout the brain is crucial to deliver the oxygen and nutrients required for the brain to function properly. Even though the brain comprises only about 2% of body mass, it is responsible for nearly a quarter of the body's oxygen consumption. Blood flow is so crucial to the brain that when blood flow stops, brain functions halt within seconds. At the same time the brain also requires a very specific environment in order to function properly. Miniscule changes in pH, chemical concentrations, and protein composition around brain cells can have drastic and detrimental effects to cellular signaling and thus, brain function. The BBB acts as the border control to the brain, selectively allowing the necessary molecules to pass through while denying entry to everything else flowing through the blood vessels.
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