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Human Growth and Development / Unit 15   HGD 2146 worked example, 60 to 90 seconds

Alzheimer's Disease: Pathology

Captions available

The idea

Alzheimer's disease is the most common dementia: progressive and fatal, affecting memory first, then other cognition, then motor skills. Most people live about six to ten years after noticeable symptoms. Its hallmarks are amyloid plaques, fragments of beta-amyloid protein gathering between neurons, and neurofibrillary tangles, twisted tau protein inside neurons, with tissue death especially in the hippocampus. Age is the biggest risk factor, and APOE4 is the best-known risk gene.

In practice

A brain scan showing a shrunken hippocampus, and under the microscope, plaques between cells and tangles within them.

Where people slip

Plaques and tangles increase with age in most people; beyond the normative range they mark mild cognitive impairment and Alzheimer's. Exam items often ask where each lies: plaques outside neurons, tangles inside.

Your place on the trail

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