National Institutes of Health/National Heart, Lung, and Blood Institute (NIH/NHLBI)
DP2-HL163810
United States
American Heart Association
847236
United States
Welch Foundation
I-2121-20220331
United States
Citation
Journal: Commun Biol / Year: 2026 Title: Amyloid fibril polymorphism in the heart and liver of a patient with polyneuropathic ATTRv-V122Δ amyloidosis. Authors: Yasmin Ahmed / Binh An Nguyen / Candace Kelly / Shumaila Afrin / Virender Singh / Bret M Evers / John M Shelton / Christian Lopez Escobar / Preeti Singh / Rose Pedretti / Lanie Wang / Parker ...Authors: Yasmin Ahmed / Binh An Nguyen / Candace Kelly / Shumaila Afrin / Virender Singh / Bret M Evers / John M Shelton / Christian Lopez Escobar / Preeti Singh / Rose Pedretti / Lanie Wang / Parker Bassett / Maria Del Carmen Fernandez-Ramirez / Maja Pekala / Andrew Lemoff / Barbara Kluve-Beckerman / Lorena Saelices / Abstract: ATTR amyloidosis is a phenotypically heterogeneous disease characterized by the pathological deposition of transthyretin in the form of amyloid fibrils into various organs. ATTR amyloidosis may ...ATTR amyloidosis is a phenotypically heterogeneous disease characterized by the pathological deposition of transthyretin in the form of amyloid fibrils into various organs. ATTR amyloidosis may result from mutations in variant (ATTRv) amyloidosis, or aging in wild-type (ATTRwt) amyloidosis. ATTRwt generally manifests as cardiomyopathy, whereas ATTRv may present as polyneuropathy, cardiomyopathy, or mixed, in combination with many other symptoms deriving from multisystem organ involvement. Over 220 different mutational variants of transthyretin have been identified, many of them being linked to specific disease symptoms. Yet, the role of these mutations in explaining differential disease manifestations remains unclear. Using cryo-electron microscopy, here we structurally characterized fibrils from the heart and the liver of an ATTRv patient carrying the V122∆ mutation, which is predominantly associated with polyneuropathy. Our results show that these fibrils are polymorphic, presenting as both single and double filaments. Our study alludes to a structural connection contributing to phenotypic variation in ATTR amyloidosis, as polymorphism in ATTR fibrils may manifest in patients with predominantly polyneuropathic phenotypes.
Model: Quantifoil R1.2/1.3 / Material: COPPER / Mesh: 300 / Support film - Material: CARBON / Support film - topology: HOLEY / Pretreatment - Type: GLOW DISCHARGE / Pretreatment - Time: 30 sec. / Pretreatment - Atmosphere: AIR
Vitrification
Cryogen name: ETHANE / Chamber humidity: 100 % / Chamber temperature: 298 K / Instrument: FEI VITROBOT MARK IV
Details
fibrils were extracted from cardiac tissue using a water-based extraction method.
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Electron microscopy
Microscope
TFS KRIOS
Image recording
Film or detector model: FEI FALCON IV (4k x 4k) / Number grids imaged: 1 / Number real images: 4366 / Average exposure time: 2.06 sec. / Average electron dose: 50.0 e/Å2
Electron beam
Acceleration voltage: 300 kV / Electron source: FIELD EMISSION GUN
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