11-05-2007, 02:16 AM
3. An 80-year-old woman dies after a long history of progressive memory loss, apraxia, and recurrent episodes of
confusion. In the last months of life she was bedridden and unable to recognize familiar faces and objects. The
pathologist identifies numerous flame-shaped intracytoplasmic inclusions in neurons of the neocortex and
hippocampus. These consist of paired helical filaments (PHFs) on electron microscopy. Which of the following
biochemical changes most likely accounts for the development of PHFs in this condition?
A. Abnormal degradation of amyloid precursor protein (APP)
B. Abnormal phosphorylation of tau
C. Accumulation of advanced glycosylation end (AGE) products
D. Increased expression of APP
E. Precipitation of insoluble a-tubuli
confusion. In the last months of life she was bedridden and unable to recognize familiar faces and objects. The
pathologist identifies numerous flame-shaped intracytoplasmic inclusions in neurons of the neocortex and
hippocampus. These consist of paired helical filaments (PHFs) on electron microscopy. Which of the following
biochemical changes most likely accounts for the development of PHFs in this condition?
A. Abnormal degradation of amyloid precursor protein (APP)
B. Abnormal phosphorylation of tau
C. Accumulation of advanced glycosylation end (AGE) products
D. Increased expression of APP
E. Precipitation of insoluble a-tubuli