National Institutes of Health/Eunice Kennedy Shriver National Institute of Child Health & Human Development (NIH/NICHD)
1DP2HL163810-01
United States
American Heart Association
847236
United States
Citation
Journal: Structure / Year: 2026 Title: A shared amyloid fold in cardiac fibrils from three neuropathy-associated ATTR variants. Authors: Maria Del Carmen Fernandez-Ramirez / Shumaila Afrin / Binh An Nguyen / Virender Singh / Maja Pękala / Preeti Singh / Yasmin Ahmed / Rose Pedretti / Andrew Lemoff / Barbara Kluve-Beckerman / ...Authors: Maria Del Carmen Fernandez-Ramirez / Shumaila Afrin / Binh An Nguyen / Virender Singh / Maja Pękala / Preeti Singh / Yasmin Ahmed / Rose Pedretti / Andrew Lemoff / Barbara Kluve-Beckerman / Farzeen Chhapra / David Eisenberg / Lorena Saelices / Abstract: ATTR amyloidosis results from the systemic accumulation of wild-type (ATTRwt) or mutant (ATTRv) transthyretin amyloids, leading to multi-organ dysfunction and death. The disease exhibits variable ...ATTR amyloidosis results from the systemic accumulation of wild-type (ATTRwt) or mutant (ATTRv) transthyretin amyloids, leading to multi-organ dysfunction and death. The disease exhibits variable pathology and penetrance, and its relationship with the amyloid structure remains unclear. Patients carrying the neuropathy-associated variants ATTRvI84S and ATTRv-V122Δ present polymorphic ATTR fibrils, in contrast to the consistent morphology reported for most ATTR fibrils to date. Here, we aim to elucidate a potential link between neuropathic symptomatology, distinct mutations, and amyloid structural diversity, using cryo-EM. We determined the ex vivo fibril structures from the variants ATTRv-P24S, ATTRv-A25S, and ATTRv-D38A, whose patients presented variable clinical manifestations, including neuropathy. Our findings revealed that, despite differences in mutations and diverse clinical phenotypes, these variants share a common amyloid core previously identified in ATTRwt and most cardiac ATTRv. This structural consistency is significant for the development of structure-guided diagnostic tools capable of addressing the diverse spectrum of ATTR amyloidosis.
Model: Quantifoil R1.2/1.3 / Material: COPPER / Mesh: 300 / Support film - Material: CARBON / Support film - topology: HOLEY / Support film - Film thickness: 12
Vitrification
Cryogen name: ETHANE / Chamber humidity: 100 % / Chamber temperature: 295.15 K / Instrument: FEI VITROBOT MARK IV
-
Electron microscopy
Microscope
FEI TITAN KRIOS
Image recording
Film or detector model: GATAN K3 (6k x 4k) / Average electron dose: 40.0 e/Å2
Electron beam
Acceleration voltage: 300 kV / Electron source: FIELD EMISSION GUN
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