NATIONAL QUALIFICATIONS CURRICULUM SUPPORT Human Biology Case Study on Alzheimer’s Disease Teacher’s Notes [HIGHER] The Scottish Qualifications Authority regularly reviews the arrangements for National Qualifications. Users of all NQ support materials, whether published by Learning and Teaching Scotland or others, are reminded that it is their responsibility to check that the support materials correspond to the requirements of the current arrangements. Acknowledgement Learning and Teaching Scotland gratefully acknowledges this contribution to the National Qualifications support programme for Human Biology. The publisher gratefully acknowledges permission to use the following sources: image of Morris water maze test from www.iop.kcl.ac.uk/departments/?locator=622&context=872 © Institute of Psychiatry, King's College London; 2 diagrams from p. 2860 of Visual Deprivation Alters the Development of Cortical Multisensory Integration by William Vaughan, Barry E. Stein and Mark T. Wallace, Brian N. Carriere, David W. Royal, Thomas J. Perrault, Stephen P. Morrison, J., J Neurophysiology 98:2858-2867, 2007. First published 29 August 2007; doi:10.1152/jn.00587.2007 http://jn.physiology.org/content/98/5/2858.full.pdf+html © Visual Deprivation Alters the Development of Cortical Multisensory Integration by William Vaughan, Barry E. Stein and Mark T. Wallace, Brian N. Carriere, David W. Royal, Thomas J. Perrault, Stephen P. Morrison, J.2007, Am Physiol Soc, used with permission Every effort has been made to trace all the copyright holders but if any have been inadvertently overlooked, the publishers will be pleased to make the necessary arrangements at the first opportunity. © Learning and Teaching Scotland 2011 This resource may be reproduced in whole or in part for educational purposes by educational establishments in Scotland provided that no profit accrues at any stage. 2 ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 Contents Activity 1: Alzheimer’s disease 4 Activity 2: An introduction to research in behavioural neuroscience 6 Activity 3: Memory-enhancing drugs 8 Activity 4: The effects of sensory deprivation on brain development ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 10 3 TEACHER’S NOTES Teacher’s notes Activity 1: Alzheimer’s disease Access to YouTube required. The first video, ‘What is Alzheimer’s disease?’ should be shown first as it is easier. The second video, ‘Inside the Brain: Unravelling the Mystery of Alzheimer's Disease [HQ]’ has more detail on the causes of the disease and is the focus for the following questions. The second video was made by major accredited organisations in the USA. Students may need to watch the videos more than once . Alternatively, the video can be stopped at the appropriate points to give students time to answer the questions. Answers to questions 1. Beta-amyloid plaques and neurofibrillary tangles . 2. Beta-secretase and gamma-secretase. 3. The fragments clump together and become toxic, i nterfering with neuron function, and eventually form beta-amyloid plaques. 4. When the tau protein is modified it separates from microtubules (critical for the cell’s internal transport system) in the neuron, causing them to fall apart. The tau protein then forms tangles in the neuron, disabling the transport system of nutrients and destroying the cell. 5. Unable to form new memories, confusion, aggression, long -term memory loss, mood swings, inability to speak properly. The disease requires considerable management and is currently incurable. Social, economic, psychological and physical pressures mean it can be tough on relatives of Alzheimer’s patients. 4 ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 TEACHER’S NOTES 6. Students are encouraged to do their own research into current treatments. An accurate summary can be found on the Alzheimer’s Wikipedia page. Potential treatment approaches include reduction of beta-amyloid levels, drugs such as methylthioninium chloride , which inhibits tau aggregation, antiviral medication. Questions 5 and 6 could be set as homework if there is not enough time in class. Approximate duration of activity: 90 minutes. ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 5 TEACHER’S NOTES Activity 2: An introduction to research in behavioural neuroscience This activity introduces the Morris water maze , a paradigm that was invented in Scotland and is now used all over the world. Answers to questions 1. In video 1 the rat takes longer to find the platform than the rat in video 2. This is because video 1 shows the first trial (so the rat has never been in the water maze before) and the second video shows the eighth trial – by then the rat has learned and remembered where the hidden platform is. 2. By using the time taken to find the platform. 3. (a) (b) See table below. Accept. Trial 1 2 3 4 5 6 7 8 9 10 11 Rat Rat Rat Rat Rat Rat Rat Rat 90 85 86 102 96 108 94 107 68 65 70 85 81 80 72 75 44 48 46 51 52 48 47 56 32 35 48 56 57 71 45 36 25 30 21 24 27 26 27 22 21 19 21 20 20 23 18 21 22 18 15 23 26 14 12 11 8 24 21 25 18 14 13 10 12 15 20 11 15 18 10 5 11 5 9 14 8 7 10 16 12 10 5 9 14 6 12 8 96 74.5 49 47.5 25.3 20.4 17.6 16.6 13.3 10 9.5 1 2 3 4 5 6 7 8 Mean 6 ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 TEACHER’S NOTES 4. There are many applications for the Morris water maze. There are several options here and this task is designed to get students to think about applications of this experimental equipment and design experiments of their own. Some example hypotheses are: 1. The longer the memory interval (or time between learning and testing), the longer it will take for rats to find the platform. 2. Rats with a lesion in the hippocampus (the area in the brain responsible for learning and memory) will not be able to remember the way to the platform. 3. Treatment with a drug that blocks N-Methyl-D-aspartate (NMDA) receptors will impair learning. 4. Age affects learning. Approximate duration of activity: 60 minutes. ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 7 TEACHER’S NOTES Activity 3: Memory-enhancing drugs Answers to questions 1. To create the graph above students can use Microsoft Excel (scatterplot graph) or draw their own. 2. Positive control. 3. Negative control. 4. As methylphenidate dosage increases dopamine levels increase in a dose-dependent manner. 5. Initial burst of dopamine levels, then a peak, then the graph tails off over time as the drug is used up. 8 ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 TEACHER’S NOTES A research paper and an article have been provided for further reading . Both are freely available for download via: Google scholar: http://scholar.google.co.uk/schhp?hl=en&tab=ws or PubMed: http://www.ncbi.nlm.nih.gov/PubMed Approximate duration of activity: 90 minutes. ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 9 TEACHER’S NOTES Activity 4: The effects of sensory deprivation on brain development Answers to questions 1. The somatosensory system is a diverse sensory system comprising the receptors and processing centres to produce the sensory modalities such as touch, temperature, proprioception and nociception (pain). (Students should be encouraged to look this up themselves .) 2. List 1: Unisensory neurons visual auditory somatosensory List 2: Multisensory neurons auditorysomatosensory (AS) visual-auditory (VA) visual-auditory-somatosensory (VAS) visual-somatosensory (VS) 3. Visual Auditory Somatosensory AS VA VAS VS Total: Visual system Normal DR 17 12 13 >1 3 18 1 3 33 33 Auditory system Normal DR 29 39 4 13 >1 5 18 1 46 63 Somatosensory Normal DR 23 4 13 5 >1 3 1 3 30 22 4. Sensory deprived animals show a higher percentage of auditory responsive neurons and a lower percentage of somatosensory neurons than normally reared animals. 5. These results illustrate the importance of sensory experience (specifically visual experience) for the development of mature multisensory cortical circuits. Dark-rearing had a significant effect on the development of the modality representations. M ore unisensory 10 ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 TEACHER’S NOTES neurons are tuned to the auditory system in DR cats to compensate for the loss of sight. Approximate duration of activity: 60 minutes. ALZHEIMER’S DISEASE CASE STUDY (H, HUMAN BIOLOGY) © Learning and Teaching Scotland 2011 11