Proteolytic cleavage of Ser52Pro variant transthyretin triggers its amyloid fibrillogenesis

  • P. Patrizia Mangione
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Riccardo Porcari
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Julian D. Gillmore
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Piero Pucci
    Department of Chemical Sciences and
  • Maria Monti
    Department of Chemical Sciences and
  • Mattia Porcari
    Department of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, Italy;
  • Sofia Giorgetti
    Department of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, Italy;
  • Loredana Marchese
    Department of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, Italy;
  • Sara Raimondi
    Department of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, Italy;
  • Louise C. Serpell
    School of Life Sciences, University of Sussex, Falmer BN1 9QG, United Kingdom;
  • Wenjie Chen
    Laboratory of Protein Crystallography, Centre for Amyloidosis and Acute Phase Proteins, and
  • Annalisa Relini
    Department of Physics, University of Genoa, 16146 Genoa, Italy; and
  • Julien Marcoux
    Department of Chemistry, University of Oxford, Oxford OX1 3TA, United Kingdom
  • Innes R. Clatworthy
    Electron Microscopy Unit, University College London, London NW3 2PF, United Kingdom;
  • Graham W. Taylor
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Glenys A. Tennent
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Carol V. Robinson
    Department of Chemistry, University of Oxford, Oxford OX1 3TA, United Kingdom
  • Philip N. Hawkins
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Monica Stoppini
    Department of Molecular Medicine, Institute of Biochemistry, University of Pavia, 27100 Pavia, Italy;
  • Stephen P. Wood
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Mark B. Pepys
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,
  • Vittorio Bellotti
    Wolfson Drug Discovery Unit, Centre for Amyloidosis and Acute Phase Proteins, Division of Medicine,

説明

<jats:title>Significance</jats:title><jats:p>Transthyretin, a normal circulating plasma protein, is inherently amyloidogenic. It forms abnormal, insoluble, extracellular amyloid fibrils in the elderly, sometimes causing structural and functional damage leading to disease, senile amyloidosis. More than 100 different point mutations in the transthyretin gene cause earlier adult-onset, autosomal-dominant, fatal, hereditary amyloidosis. The transthyretin variant Ser52Pro is responsible for the most aggressive known clinical phenotype. Here we identify the crucial pathogenic role of specific proteolytic cleavage at residue 48 in triggering fibril formation by this variant. Genuine amyloid fibril formation in vitro is much more extensive than previously reported for wild-type transthyretin or any other transthyretin variant. Characterization of the fibrillogenic effect of this cleavage powerfully informs drug design and targeting for transthyretin amyloidosis.</jats:p>

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