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| Title | Structures of dye-bound transthyretin amyloid fibrils from abdominal fat biopsies. |
|---|---|
| Journal, issue, pages | Nat Commun, Vol. 17, Issue 1, Year 2026 |
| Publish date | Apr 24, 2026 |
Authors | Boyuan Ma / Yuxuan Yao / Qingping Wang / Qinyue Zhao / Kaien Liu / Feiyang Chen / Hui Cheng / Ruxu Zhang / Cong Liu / Dan Li / ![]() |
| PubMed Abstract | Transthyretin (TTR) amyloidosis is a protein misfolding disease characterized by amyloid fibril deposition in vital organs, leading to cardiomyopathy (ATTR-CM). Early diagnosis of ATTR-CM remains ...Transthyretin (TTR) amyloidosis is a protein misfolding disease characterized by amyloid fibril deposition in vital organs, leading to cardiomyopathy (ATTR-CM). Early diagnosis of ATTR-CM remains challenging due to lack of sensitive, rapid screening methods. Here, we report cryo-EM structures of TTR amyloid fibrils extracted from minimally invasive abdominal fat-pad biopsies of three living Ala97Ser ATTR-CM patients. The adipose-derived fibril structures closely mirror those from diseased post-mortem cardiac tissues, validating the use of fat-pad biopsies to investigate the atomic structure of TTR fibrils in living patients. Furthermore, we determined cryo-EM structures of TTR fibrils in complex with two amyloid-binding dyes, Congo Red (CR) and Thioflavin S (ThS), which are widely used in the clinical diagnosis of ATTR-CM. Both CR and ThS predominantly bind to a specific surface arginine site on the TTR fibril via electrostatic interactions. These findings provide structural insights into how small-molecule dyes bind TTR fibrils, offering a molecular foundation for the rational design of TTR-specific tracers to enable early and accurate diagnosis of TTR amyloidosis. |
External links | Nat Commun / PubMed:42026093 / PubMed Central |
| Methods | EM (helical sym.) |
| Resolution | 3.0 - 3.3 Å |
| Structure data | EMDB-65344, PDB-9vtw: EMDB-65345, PDB-9vtx: EMDB-65346, PDB-9vty: EMDB-67024, PDB-9xmg: EMDB-67025, PDB-9xmi: |
| Chemicals | ![]() ChemComp-CGO: ![]() PDB-1etv: |
| Source |
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Keywords | PROTEIN FIBRIL / amyloid / protein fibril. |
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homo sapiens (human)
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