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Updated: Apr 20, 2026

Rapid Generation of Amyloid from Native Proteins In vitro
Published on: December 5, 2013
ATF6 activation reduces the secretion and extracellular aggregation of destabilized variants of an amyloidogenic
John J Chen1, Joseph C Genereux1, Song Qu1
1Department of Molecular and Experimental Medicine and Department of Chemical Physiology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Abstract:
Systemic amyloidoses result from the aberrant secretion of destabilized, amyloidogenic proteins to the serum where they aggregate into proteotoxic soluble aggregates and amyloid fibrils. Few therapeutic approaches exist to attenuate extracellular pathologic aggregation of amyloidogenic proteins, necessitating the development of new strategies to intervene in these devastating disorders. We show that stress-independent activation of the Unfolded Protein Response-associated transcription factor ATF6 increases ER quality control stringency for the amyloidogenic protein transthyretin (TTR), preferentially reducing secretion of disease-associated TTR variants to an extent corresponding to the variants' destabilization of the TTR tetramer. This decrease in destabilized TTR variant secretion attenuates extracellular, concentration-dependent aggregation of amyloidogenic TTRs into soluble aggregates commonly associated with proteotoxicity in disease. Collectively, our results indicate that increasing ER quality control stringency through ATF6 activation is a strategy to attenuate pathologic aggregation of a destabilized, amyloidogenic protein, revealing a potential approach to intervene in systemic amyloid disease pathology.
Insights
Activating the Unfolded Protein Response factor ATF6 enhances cellular protein quality control, reducing the secretion of disease-causing transthyretin variants and preventing toxic protein aggregation in systemic amyloid diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Cellular Biology
Background:
- Systemic amyloidoses involve the aggregation of misfolded proteins into toxic structures.
- Current therapies for extracellular protein aggregation are limited, highlighting the need for new strategies.
Purpose of the Study:
- To investigate the role of ATF6 in regulating the secretion of amyloidogenic transthyretin (TTR) variants.
- To explore ATF6 activation as a therapeutic strategy for systemic amyloid diseases.
Main Methods:
- Inducing stress-independent activation of the transcription factor ATF6.
- Assessing the impact of ATF6 activation on the secretion of TTR variants.
- Evaluating the reduction in extracellular TTR aggregation.
Main Results:
- ATF6 activation enhanced endoplasmic reticulum (ER) quality control stringency for TTR.
- Secretion of destabilized, disease-associated TTR variants was preferentially reduced.
- Extracellular aggregation of amyloidogenic TTRs into proteotoxic soluble aggregates was attenuated.
Conclusions:
- Increasing ER quality control stringency via ATF6 activation is a viable strategy to reduce pathologic protein aggregation.
- ATF6 activation offers a potential therapeutic approach for treating systemic amyloid diseases by targeting protein secretion and aggregation.
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