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[Transthyretin-its function and pathogenesis].

Yukio Ando1

  • 1Department of Diagnostic Medicine, Graduate School of Medical Sciences, Kumamoto University, Kuma-moto 860-0811.

Rinsho Byori. the Japanese Journal of Clinical Pathology
|June 23, 2006
PubMed
Summary
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Transthyretin (TTR) is a key transport protein that can become amyloidogenic. Instability and misfolding of TTR lead to amyloid formation in diseases like senile systemic amyloidosis and familial amyloidotic polyneuropathy.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Pathology

Context:

  • Transthyretin (TTR) is a vital transport protein for thyroxin and retinol-binding protein.
  • Its rapid turnover and presence of four tryptophans make it a useful nutrition assessment marker.
  • However, TTR also serves as a precursor for amyloid fibrils in specific diseases.

Purpose:

  • To explore the role of TTR instability and misfolding in amyloid formation.
  • To understand the mechanisms leading to amyloidosis in senile systemic amyloidosis (SSA) and familial amyloidotic polyneuropathy (FAP).

Summary:

  • TTR's tetrameric structure can become unstable due to mutations and post-translational modifications.
  • This instability triggers misfolding and subsequent amyloid fibril formation in tissues.

Related Experiment Videos

  • The process is implicated in the pathogenesis of SSA and FAP.
  • Impact:

    • Identifies TTR instability and misfolding as central to SSA and FAP pathogenesis.
    • Provides a basis for ongoing therapeutic strategies targeting TTR amyloidosis.
    • Highlights the dual role of TTR in normal physiology and disease states.