Pathology · Cell Injury, Death and Adaptations (Apoptosis, Necrosis, Free Radicals)

Lipofuscin accumulates in aging or atrophic cells. It is BEST described as:

  • A Undigested lipid droplets from fatty change
  • B Hemosiderin from microhemorrhages
  • C Glycogen granules visible under electron microscopy
  • D Residual bodies from lysosomal peroxidation of membrane phospholipids
Correct answer: D. Residual bodies from lysosomal peroxidation of membrane phospholipids

Explanation

Lipofuscin ('wear-and-tear pigment') consists of lipid-protein complexes derived from free radical-mediated peroxidation of polyunsaturated lipids within autolysosomes that cannot be digested. It appears as golden-brown cytoplasmic granules that increase with aging and atrophy, particularly in cardiac myocytes and hepatocytes ('brown atrophy'). It is not derived from hemoglobin (hemosiderin) nor is it glycogen.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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