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TitleThe mechanism of pathogenic α-antitrypsin aggregation in the human liver.
Journal, issue, pagesProc Natl Acad Sci U S A, Vol. 122, Issue 46, Page e2507535122, Year 2025
Publish dateNov 18, 2025
AuthorsIbrahim Aldobiyan / Emma L K Elliston / Narinder Heyer-Chauhan / Stefan T Arold / Lingyun Zhao / Brandon Huntington / Sarah M Lowen / Elena V Orlova / James A Irving / David A Lomas /
PubMed AbstractOriginating 2 to 3 millennia ago in a Scandinavian population, the SERPINA1 Z allele (Glu342Lys) is present in up to 2.5% of populations of Northern European descent and accounts for 95% of severe α- ...Originating 2 to 3 millennia ago in a Scandinavian population, the SERPINA1 Z allele (Glu342Lys) is present in up to 2.5% of populations of Northern European descent and accounts for 95% of severe α-antitrypsin deficiency. The α-antitrypsin Z variant self-assembles into polymer chains that deposit within hepatocytes, predisposing to liver disease. Here, the 4.0Å subunit structure of polymers isolated directly from human liver tissue has been determined using cryoelectron microscopy. Challenges of flexibility, small subunit size, heterogeneous length, and preferred orientations were mitigated using antibody Fab domains and sample preparation strategies. This structure demonstrates that the formation of polymers in vivo involves self-incorporation of an exposed structural element (the reactive center loop) as an additional β-strand into the central β-sheet of α-antitrypsin and displacement of a C-terminal region from one subunit with incorporation into the next. Unlike amyloid aggregation, this well-folded structure partially recapitulates a conformation adopted during normal function of the protein. These perturbations to the constituent α-antitrypsin subunits of human tissue-derived polymers are consistent with a pronounced stability, their tendency toward long-chain forms, the ability of a subset to undergo canonical secretion, and the action of a class of small molecules that block polymerization in vivo.
External linksProc Natl Acad Sci U S A / PubMed:41231946 / PubMed Central
MethodsEM (single particle) / X-ray diffraction
Resolution2.2 - 3.98 Å
Structure data

EMDB-52659: A subunit of alpha-1 antitrypsin polymers isolated from ZZ explant liver tissue and decorated with conformationally nonselective Fab 9C5
Method: EM (single particle) / Resolution: 3.98 Å

PDB-9gjv:
Fab fragment of an antibody that recognises alpha-1 antitrypsin
Method: X-RAY DIFFRACTION / Resolution: 2.2 Å

PDB-9hud:
Alpha-1-antitrypsin in the cleaved conformation in complex with a conformationally nonselective Fab fragment
Method: X-RAY DIFFRACTION / Resolution: 2.42 Å

Chemicals

ChemComp-HOH:
WATER

ChemComp-EDO:
1,2-ETHANEDIOL

ChemComp-GLY:
GLYCINE

ChemComp-CL:
Unknown entry

ChemComp-NA:
Unknown entry

ChemComp-GOL:
GLYCEROL

ChemComp-LYS:
LYSINE

Source
  • homo sapiens (human)
  • mus musculus (house mouse)
KeywordsPROTEIN BINDING / Fab fragment / antitrypsin / serpin / antibody / Complex / Cleaved Alpha-1-antitrypsin / Alpha-1-antitrypsin / Fab / Fragment antigen-binding region / Antibody antigen complex / 9C5

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