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Amyloid Fibrils03:03

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Amyloid fibrils are aggregates of misfolded proteins.  Under most circumstances, misfolded proteins are either refolded by chaperone proteins or degraded by the proteasome. However, in the case of a mutation or a disease, these proteins can accumulate to form large clusters and often further assemble to form elongated fibers, called fibrils. 
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Pulmonary Amyloidosis.

Stefano Levra1,2, Marcel Opitz3, Francesco Bonella4

  • 1Department of Clinical and Biological Sciences, University of Turin, Turin, Italy.

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|October 14, 2025
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Amyloidosis involves protein buildup in tissues, with lung involvement being common but often mild. This review covers recent molecular insights, classifications, lung amyloidosis types, and treatments, stressing the need for awareness and specialized centers.

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Area of Science:

  • Pulmonary Medicine
  • Rare Diseases
  • Molecular Biology

Background:

  • Amyloidosis comprises rare diseases from misfolded protein deposition.
  • Lung involvement is frequent but typically mild, though severe forms exist.
  • Understanding molecular mechanisms and classification is evolving.

Purpose of the Study:

  • To review recent advances in amyloidosis molecular mechanisms and classification.
  • To describe various forms of lung amyloidosis.
  • To outline current treatment strategies for lung amyloidosis.

Main Methods:

  • Literature review of recent scientific advances.
  • Synthesis of information on molecular mechanisms.
  • Compilation of data on classification and clinical presentation.
  • Summary of therapeutic options.

Main Results:

  • Recent progress in understanding amyloidosis molecular pathways.
  • Updated classification systems for amyloidosis.
  • Description of diverse lung amyloidosis manifestations.
  • Overview of available and emerging treatments.

Conclusions:

  • Increased medical awareness of amyloidosis is crucial.
  • Establishing networks of referral centers is vital for patient management.
  • Timely diagnosis and access to specialized care improve outcomes for lung amyloidosis.