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Updated: Aug 26, 2026

Purification and Aggregation of the Amyloid Precursor Protein Intracellular Domain
Published on: August 28, 2012
Hepatic amyloidosis resulting from deposition of the apolipoprotein A-I variant Leu75Pro
Daniel Coriu1, Angela Dispenzieri, Fred J Stevens
1University of Medicine Carol Davila, Bucharest, Romania.
Abstract:
Apolipoprotein A-I amyloidosis (AApo A-I) is an inherited systemic disease that results from pathologic deposition in tissues of fibrils composed of Apo A-I-related molecules. This disorder has been linked to mutations occurring within the coding region of the Apo A-I gene and heretofore, nine such variants had been described. Recently, a tenth alteration was found in an Italian population where the substitution of proline for leucine at position 75 (Leu75Pro) was associated with amyloid deposits in the liver. We now report our studies on a patient of different ethnicity who has hepatic amyloidosis and a similar mutation in the amyloidogenic precursor protein, as evidenced from analyses of genomic Apo A-I-encoding DNA. Additionally, fibrils extracted from the liver and characterized chemically were found to be composed almost exclusively of a approximately 96 residue N-terminal Apo A-I fragment that contained the Leu75Pro substitution. RFLP analyses revealed that the patient was heterozygous for this mutation; however, < 10% of the plasma Apo A-I consisted of the aberrant protein while the remainder had the normal (wild-type) sequence. Our findings provide further evidence that the Leu75Pro variant is associated with a predominant hepatic phenotype and can occur in individuals of diverse ethnic backgrounds.
Insights
Apolipoprotein A-I amyloidosis (AApo A-I) is a genetic disorder. A specific mutation, Leu75Pro, causes liver amyloid deposits and affects diverse ethnicities.
Area of Science:
- Genetics
- Biochemistry
- Pathology
Background:
- Apolipoprotein A-I amyloidosis (AApo A-I) is an inherited systemic disease.
- It is caused by the deposition of Apo A-I-related protein fibrils in tissues.
- Nine genetic variants of the Apo A-I gene have been previously identified.
Observation:
- A tenth variant, Leu75Pro, was recently identified in an Italian population, linked to liver amyloidosis.
- This study investigates a patient of a different ethnicity with hepatic amyloidosis and the Leu75Pro mutation.
- Genomic DNA analysis confirmed the presence of the mutation in the Apo A-I gene.
Findings:
- Fibrils isolated from the patient's liver were primarily composed of an N-terminal Apo A-I fragment (approx. 96 residues) with the Leu75Pro substitution.
- The patient was heterozygous for the mutation.
- Less than 10% of plasma Apo A-I contained the aberrant protein; the rest was wild-type.
Implications:
- The Leu75Pro variant is associated with a predominant hepatic phenotype.
- This mutation can occur in individuals from diverse ethnic backgrounds.
- Further research into AApo A-I pathogenesis and genetic variations is warranted.
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