Primary structure of an amyloid prealbumin variant in familial polyneuropathy of Jewish origin

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Insights

Researchers identified a prealbumin variant and its fragments as amyloid fibrils in familial polyneuropathic amyloidosis. This genetic condition, linked to a specific amino acid substitution, causes dominant inheritance of the disease.

Area of Science:

  • Biochemistry
  • Genetics
  • Neurology

Background:

  • Familial amyloidosis syndromes are inherited disorders characterized by the deposition of amyloid fibrils in various tissues.
  • Amyloid deposition can lead to progressive organ dysfunction and severe clinical manifestations, such as polyneuropathy.

Purpose of the Study:

  • To determine the complete amino acid sequence of amyloid proteins found in a patient with a variant of familial polyneuropathic amyloidosis.
  • To elucidate the molecular basis of amyloid fibril formation in this specific heredofamilial amyloidosis syndrome.

Main Methods:

  • Amino acid sequencing of amyloid proteins isolated from patient tissues.
  • Analysis of protein structure and identification of amino acid substitutions.
  • Enzymatic cleavage to characterize protein fragments.

Main Results:

  • Three related amyloid proteins (Mr 14,000, 10,000, and 5,000) were identified.
  • The primary protein (127 residues) is identical to a human serum prealbumin subunit with a glycine for threonine substitution at position 49.
  • Enzymatic cleavage at position 49 yielded fragments corresponding to the amino and carboxyl termini.

Conclusions:

  • A prealbumin variant, characterized by a specific amino acid substitution, is the constituent of amyloid fibrils in this familial amyloidosis.
  • The findings indicate that this prealbumin variant and its fragments are responsible for the amyloidosis observed in this dominant inheritance syndrome.

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