1. Hereditary systemic amyloidosis due to Asp76Asn variant β2-microglobulin
- Author
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Jean-Michel Goujon, Mathieu Boimard, Corinne Lacombe, Violaine Planté-Bordeneuve, Philip N. Hawkins, Monica Stoppini, Julie A. Vrana, Mark B. Pepys, Guy Touchard, Vittorio Bellotti, Riccardo Porcari, Thierry Maisonobe, Franck Bridoux, Sophie Valleix, Julian D. Gillmore, Ahmet Dogan, Martino Bolognesi, Jason D. Theis, Pierre Lozeron, Sofia Giorgetti, Marc Delpech, Catherine Lacroix, Stefano Ricagno, David H. Adams, Brigitte Nedelec, Palma Mangione, Laboratoire de Biochimie et Génétique Moléculaire, Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Paris Descartes - Paris 5 (UPD5), Contrôle de la Réponse Immune B et des Lymphoproliférations (CRIBL), Centre National de la Recherche Scientifique (CNRS)-Université de Limoges (UNILIM)-Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503), Service de néphrologie - hémodialyse et transplantation rénale, Centre hospitalier universitaire de Poitiers (CHU Poitiers), Laboratoire d'anatomopathologie, Université de Limoges (UNILIM)-Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503)-Centre National de la Recherche Scientifique (CNRS), Assistance publique - Hôpitaux de Paris (AP-HP)-Université Paris Descartes - Paris 5 ( UPD5 ), Contrôle de la Réponse Immune B et des Lymphoproliférations ( CRIBL ), Centre National de la Recherche Scientifique ( CNRS ) -Université de Limoges ( UNILIM ) -Génomique, Environnement, Immunité, Santé, Thérapeutique ( GEIST FR CNRS 3503 ), Université de Poitiers-Centre hospitalier universitaire de Poitiers ( CHU Poitiers ), Ischémie - Reperfusion en transplatation rénale, Université de Poitiers-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Centre hospitalier universitaire de Poitiers ( CHU Poitiers ), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)
- Subjects
Male ,MESH: Hydrogen-Ion Concentration ,Proteome ,MESH: Protein Structure, Quaternary ,MESH : beta 2-Microglobulin ,MESH : Diarrhea ,MESH: Monitoring, Physiologic ,0302 clinical medicine ,[ SDV.IMM ] Life Sciences [q-bio]/Immunology ,MESH : Female ,Genes, Dominant ,0303 health sciences ,MESH: Middle Aged ,biology ,Amyloidosis ,MESH: Infant, Newborn ,Fibrillogenesis ,MESH : Genes, Dominant ,General Medicine ,Middle Aged ,MESH : Amyloidosis, Familial ,Pedigree ,MESH: Glass ,MESH: Proteome ,MESH: Diarrhea ,Sjogren's Syndrome ,MESH : Glass ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,Female ,Protein folding ,MESH: beta 2-Microglobulin ,MESH : Scalp ,Amyloidosis, Familial ,Diarrhea ,medicine.medical_specialty ,Amyloid ,MESH: Pedigree ,MESH : Male ,MESH : Proteome ,MESH : Infant, Newborn ,Fibril ,MESH: Scalp ,03 medical and health sciences ,MESH : Hydrogen-Ion Concentration ,MESH : Protein Structure, Quaternary ,Internal medicine ,medicine ,Humans ,MESH : Middle Aged ,MESH: Fetal Blood ,Protein Structure, Quaternary ,030304 developmental biology ,MESH : Fetal Blood ,MESH: Humans ,Beta-2 microglobulin ,business.industry ,MESH : Humans ,MESH : Monitoring, Physiologic ,MESH: Electrodes ,medicine.disease ,MESH: Amyloidosis, Familial ,In vitro ,MESH: Male ,Transthyretin ,Endocrinology ,MESH: Sjogren's Syndrome ,MESH : Pedigree ,biology.protein ,MESH : Sjogren's Syndrome ,beta 2-Microglobulin ,business ,MESH: Genes, Dominant ,MESH: Female ,030217 neurology & neurosurgery ,MESH : Electrodes - Abstract
International audience; We describe a kindred with slowly progressive gastrointestinal symptoms and autonomic neuropathy caused by autosomal dominant, hereditary systemic amyloidosis. The amyloid consists of Asp76Asn variant β(2)-microglobulin. Unlike patients with dialysis-related amyloidosis caused by sustained high plasma concentrations of wild-type β(2)-microglobulin, the affected members of this kindred had normal renal function and normal circulating β(2)-microglobulin values. The Asp76Asn β(2)-microglobulin variant was thermodynamically unstable and remarkably fibrillogenic in vitro under physiological conditions. Previous studies of β(2)-microglobulin aggregation have not shown such amyloidogenicity for single-residue substitutions. Comprehensive biophysical characterization of the β(2)-microglobulin variant, including its 1.40-Å, three-dimensional structure, should allow further elucidation of fibrillogenesis and protein misfolding.
- Published
- 2012
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