Audio Qbank – Q263 – A 68F receives a novel agent

 

A 68-year-old woman with back pain, renal amyloidosis, and hypercalcemia is commenced on bortezomib. Molecular studies indicate that this agent inhibits the 26S proteasome and causes downregulation of a cellular structure. An illustration of bortezomib bound to a proteasome core is shown.

Which of the following combinations of patient diagnosis and downregulated structure is most accurate?