Plaques are deposits of a protein fragment
called beta-amyloid that build up in the spaces between
nerve cells. Tangles are twisted fibers of another protein called
tau that build up inside cells. Though
autopsy studies show that most people develop some plaques and
tangles as they age, those with
Alzheimer's tend to develop far more. Plaques and tangles tend
to develop in predictable patterns,
beginning in the areas of the brain most important for memory
before spreading to other regions.
Scien- tists do not know exactly what role plaques and tangles
play in Alzheimer's,
though most believe that they are somehow critical in blocking
communication among nerve cells
and disrupting processes the cells need to survive. It's the
destruction and death of nerve cells
that causethe memory failure, personality changes, problems in
carrying out daily activities
and other symptoms of Alzheimer's disease.
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