🚨New paper:
Everything you actually need to know about Cerebral Amyloid Angiopathy (CAA) — in 10 clinical takeaways. 🧠💥
🙏 Grateful to @StrokeAHA_ASA for the invitation — and for the intellectual freedom to share my expert perspective.
🔗ahajournals.org/doi/10.1161/…
🧵 to follow soon
#NeuroTwitter #stroke #Neurology #neuropath #stroke #dementia #Alzheimers #biomarker #brain #MedStudentTwitter #AmyloidAngiopathy #CAA #cSVD
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This video is one of the first times I thought biology was “cool.”
It shows a neutrophil cell chasing a bacterium. Originally recorded in the 1950s by David Rogers at Vanderbilt University, the video gave me a deeper appreciation for life, even at the level of a single cell, because the neutrophil's movements seem so intentful, purposeful, aware.
It wasn’t until recently, though, that I actually tried to demystify the neutrophil’s movements and understand how they happen.
Here's what I learned:
1. The neutrophil's surface has thousands of protein receptors. Molecules secreted by the bacteria collide with these receptors. When that happens, the proteins change shape, slightly, and initiate a signaling cascade.
2. The neutrophil “knows” where to go because of a discrepancy in bound vs. unbound receptors. The side of the cell closest to the microbe will, probabilistically, have more "bound" receptors than the other side (because the molecules secreted by the microbe have a concentration gradient). This is how the neutrophil figures out which way to move.
3. Each bound receptor activates several G proteins located inside the cell membrane. Each G protein, in turn, switches on PI3K enzymes. In this way, the original signal is amplified; a single "activated" receptor might cause ~100 copies of PI3K to get switched on downstream.
4. The PI3K enzymes stick phosphates onto lipids in the cell membrane. The side of the neutrophil facing the bacterium now has more phosphates than the "back" side. Phosphate-binding proteins, such as GEF, accumulate and then recruit Rac, thus activating it. Rac, in turn, acts like a molecular switch, ultimately recruiting Arp2/3. (TL;DR: A bunch of proteins get activated, and the high phosphate concentration at the leading edge is the key signal for all this.)
5. At any given moment, the neutrophil has millions of actin molecules. These are the proteins used to build the cytoskeleton. Half of the actins are already “assembled” into filaments, but the other half are just floating around. Arp2/3 acts as a nucleator, grabbing onto actin and then starting a new cytoskeletal branch. More actin is assembled at the leading edge (where the Arp2/3 has accumulated), where they each push on the cell membrane with ~2 piconewtons of force. Hundreds of actin chains, pushing together, causes the cell to form protrusions.
6. The assembling actin chains push the cell at a speed of ~20 micrometers per minute (the length of about ten E. coli cells placed end-to-end.) As all of this is happening, another signaling cascade, nucleated at the back end of the cell, is dismantling actin filaments and recycling them. All this happens over a span of about 30 seconds.
Much of this process is invisible; what we see, instead, is "just" a cell chasing its prey. But that's the wonderful thing about biology: A singular observation is usually more than enough fodder for a lifetime of work. The well is deep. There is always more to learn.
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Another fascicular 3rd nerve palsy (Pupil sparing) mimicking a non-compressive 3rd nerve palsy- Due to the peculiar arrangement of fascicles in the midbrain, in this case with left 3rd nerve palsy and dysarthria, the medial-most Pupillary fascicles were spared.
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you enjoyed this, please:
Like, Bookmark and Repost the first tweet to your audience.
Follow @AriaWestcott for more like this.
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1/They say form follows function!
Brain MRI anatomy is best understood in terms of both form & function.
Here’s a short thread to help you to remember important functional brain anatomy--so you truly can clinically correlate!
Heart Failure in Dogs and Cats - Circulatory System - MSD Veterinary Manual msdvetmanual.com/circulatory…
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I had no idea how wild the story of human evolution was before chatting with the geneticist of ancient DNA David Reich.
Human history has been again and again a story of one group figuring ‘something’ out, and then basically wiping everyone else out.
From the tribe of 1k-10k modern humans 70,000 years ago who killed off all the other human species; to the Yamnaya horse nomads 5,000 years ago who killed off 90+% of (then) Europeans and also destroyed the Indus Valley Civilization.
So much of what we thought we knew about human history is turning out to be wrong, from the ‘Out of Africa’ theory to the evolution of language, and this is all thanks to the research from David Reich’s lab.
Extremely fascinating stuff.
Enjoy! Links below.
I will vote tactically at the coming general election to get the Tories out. Will you?
my.tactical.vote
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If you learn how MMs manipulate prices, you can make millions!
Time: 10 mins
Profit: 100x in 2024
Market Makers will hate me for sharing this, but I don't care (I'll delete this soon tho) 👇
Reinstate Sangita Myska to her Position at LBC - Sign the Petition! chng.it/ytG9wtrG via @UKChange
Reinstate Sangita Myska to her Position at LBC - Sign the Petition! chng.it/mMvrSKrh via @UKChange
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If you liked this thread, you can:
1) Follow me @_Borriss_ for more wild AI stuff.
2) Like/RT the first post, so that others can see it as well.
nitter.cf/_Borriss_/status/17074…