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        EINBLICKE
      
      
        9
      
      
        When Alois Alzheimer presented the case of a patient who
      
      
        had died in a mentally deranged state at the "37thMeeting of
      
      
        South-West German Psychiatrists" in Tübingen on November
      
      
        3, 1906,
      
      
        he could never have imagined that the dementia
      
      
        illness that was later named after him would become one of
      
      
        the pressing social problems of our ageing society. An esti-
      
      
        mated 1.2 million people suffer from diseases of the central
      
      
        nervous system in Germany today. Two-thirds of them are
      
      
        Alzheimer's patients. Each year approximately 200,000 new
      
      
        cases are diagnosed.
      
      
        When Alzheimer examined samples of brain tissue from the
      
      
        dead patient histologically he discovered numerous clumps
      
      
        of protein that had led to the degeneration of the nerve cells.
      
      
        Pathological protein deposits in the brain are also found in
      
      
        patients with Parkinson's disease and Huntington's disease,
      
      
        as well as in lesser known diseases such as corticobasal de-
      
      
        generation (CBD), progressive supranuclear palsy (PSP), Pick's
      
      
        disease and multiple system atrophy (MSA).
      
      
        All these neurodegenerative diseases are referred to as pro-
      
      
        teopathies and are to date incurable. Due to their specific
      
      
        composition, the protein aggregates also serve as diagnostic
      
      
        markers for characterising and differentiating the different
      
      
        diseases. While with Alzheimer's disease it is mainly the nerve
      
      
        cells (neurons) which transmit signals that are affected, with
      
      
        other diseases the supportive cells (glial cells) of the brain are
      
      
        also affected. For example in cases of MSA, typical half-moon
      
      
        shaped or triangular deposits can be found in the glial cells
      
      
        that cover the axons of nerve cells with an insulating protective
      
      
        layer, the so-called oligodendrocytes.
      
      
        In the "Molecular Neurobiology/Neurochemistry" research
      
      
        group at the Department of Biology and Environmental Sci-
      
      
        ences, we are examining the pathological changes in these
      
      
        cells and the molecular causes underlying these changes.
      
      
        MSA is a rapidly progressive neurodegenerative disease that
      
      
        affects multiple systems and exhibits symptoms similar to
      
      
        those in Parkinson's disease. Typical symptoms are slowed
      
      
        movements, difficulties with balance and swallowing, speech
      
      
        impairment and trembling. We are using rats andmice to stu-
      
      
        dy the dynamic origins of the aggregates and the molecular
      
      
        mechanisms. We make cell cultures from the brains of these
      
      
        animals, which are then kept in incubators over long periods
      
      
        of time and serve as model systems.
      
      
        In several projects funded by the German Research Founda-
      
      
        tion (DFG), we have collaborated intensely with researchers
      
      
        at the University of Pennsylvania (USA), Aarhus University in
      
      
        Denmark, the University of Göttingen and Klinikum Bremen.
      
      
        Our most recent research, the results of which we reported
      
      
        in several international science journals (e.g., PlosOne, Glia,
      
      
        Journal of Neurochemistry), demonstrated that impaired
      
      
        "
      
      
        quality control" in the nervous system and a malfunction of
      
      
        the systems involved in the degradation of proteins can con-
      
      
        tribute to pathological processes. In our current research we
      
      
        are examining the key question of whether the modulation
      
      
        of autophagy, a cellular self-cleaning process, can be used as
      
      
        a therapeutic measure to treat diseases of the brain and also
      
      
        to regulate ageing processes.
      
      
        In the course of evolution, cells have developed a strategy
      
      
        for breaking down intra-cellular proteins or entire organelles
      
      
        they no longer need into their individual components.
      
      
        They "self-digest", so to speak, to make the products of this
      
      
        decomposition available for metabolism again. This highly
      
      
        efficient recycling process is called "autophagy" (Greek: to
      
      
        eat oneself), or to be precise "macroautophagy". Autophagy
      
      
        serves to maintain the inner balance of cells. It is a kind of
      
      
        cleaning mechanism that removes and recycles defect or
      
      
        deformed proteins and ageing organelles, or in other words
      
      
        waste materials and cellular debris. Over-cleansing can lead
      
      
        to cell death. On the other hand a disruption or weakening
      
      
        of the autophagic mechanism can have fatal consequences
      
      
        and contribute to the development of diseases such as cancer,
      
      
        Parkinson's or Alzheimer's.
      
      
        The term "autophagy" was coined by the Belgian researcher
      
      
        Christian de Duve, who was awarded the Nobel Prize for
      
      
        Medicine in 1974 for his seminal research in the field of bio-
      
      
        Müllentsorgung durch Autophagie: Mitochondrien und andere
      
      
        Zellbestandteile werden von einer Membran (rot) umhüllt, das
      
      
        Autophagosom verschmilzt mit Lysosomen (Autolysosom) –
      
      
        und die lysosomalen Enzyme (blau) zerlegen den Inhalt des
      
      
        Autophagosoms.
      
      
        Waste disposal via autophagy: mitochondria and other cell
      
      
        components are enclosed in a membrane (red), the
      
      
        autophagosome fuses with lysosomes (autolysosome) –
      
      
        then the lysosomal enzymes (blue) break down the contents
      
      
        of the autophagosome.