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Massively parallel quantification of mutational impact on IAPP amyloid formation
Marta Badia1,2, Cristina Batlle1, Benedetta Bolognesi3
1Institute for Bioengineering of Catalonia (IBEC), The Barcelona Institute of Science and Technology, Barcelona, Spain.
Nature Communications
|March 18, 2026
Summary
Investigating islet amyloid polypeptide (IAPP) variants reveals a critical region (residues 15-32) sensitive to mutations that drive type 2 diabetes. Understanding these IAPP mutations offers insights into amyloid formation and pancreatic beta-cell health.
Area of Science:
- Biochemistry
- Molecular Biology
- Endocrinology
Background:
- Islet amyloid polypeptide (IAPP) aggregation causes pancreatic beta-cell damage, leading to type 2 diabetes.
- Genetic variations in IAPP influence its aggregation propensity and disease association.
Purpose of the Study:
- To comprehensively map mutations affecting IAPP's amyloid nucleation ability using deep mutational scanning.
- To identify specific IAPP regions critical for amyloid formation and beta-cell toxicity.
Main Methods:
- Deep mutational scanning of 1916 IAPP variants (substitutions, insertions, deletions, truncations).
- Assessing the ability of IAPP variants to nucleate amyloid fibrils in vitro.
- Comparative analysis with amyloid beta (Aβ) mutation effects.
Main Results:
- A continuous region (residues 15-32) of IAPP was identified as highly sensitive to mutations affecting amyloid nucleation.
- Mutations within residues 21-27 showed significant impacts, indicating constrained structural requirements.
- Nucleation-slowing mutations showed cross-correlations between IAPP and Aβ, but acceleration effects were not conserved.
Conclusions:
- The study delineates a critical mutational landscape for IAPP amyloidogenesis.
- Specific residues (21-27) are crucial for IAPP structural integrity during aggregation.
- While some general principles of amyloid nucleation may apply, IAPP and Aβ aggregation pathways exhibit distinct mutational sensitivities.

