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9NON

Cryo-EM structure of amyloid fibril isolated from the kidney of a variant Alect2-I40V amyloidosis patient

Summary for 9NON
Entry DOI10.2210/pdb9non/pdb
EMDB information49601
DescriptorLeukocyte cell-derived chemotaxin-2 (1 entity in total)
Functional Keywordsleukocyte cell-derived chemotaxin-2, lect2, systemic amyloidosis, alect2, systemic, amyloid, kidney., protein fibril
Biological sourceHomo sapiens (human)
Total number of polymer chains5
Total formula weight72968.63
Authors
Nguyen, B.,Saelices, L. (deposition date: 2025-03-10, release date: 2026-02-11, Last modification date: 2026-04-29)
Primary citationAfrin, S.,Nguyen, B.A.,Singh, V.,Singh, P.,Bassett, P.,Pekala, M.,Evers, B.,Lopez, C.,Ahmed, Y.,Li, L.,Kallem, R.R.,Lemoff, A.,Argyropoulos, C.,Kluve-Beckerman, B.,Saelices, L.
Structural polymorphism of ex-vivo ALECT2 amyloid fibrils revealed by cryo-EM.
Nat Commun, 2026
Cited by
PubMed Abstract: ALECT2 amyloidosis is a rare systemic disease characterized by the pathological deposition of leukocyte cell-derived chemotaxin-2 (LECT2) as amyloid fibrils, primarily affecting the kidneys and liver. The molecular mechanisms underlying LECT2 aggregation remain poorly defined, hindering diagnostic and therapeutic development. Here, we present cryo-electron microscopy structures of ex-vivo ALECT2 fibrils extracted from a patient's kidney. We identified three fibril polymorphs: a predominant single-protofilament morphology and two minor double-protofilament morphologies. The dominant single-protofilament morphology comprises the full-length 133-residue LECT2 protein and retains all three native disulfide bonds. Low-resolution reconstructions of double-protofilament morphologies suggest they adopt a similar fold to the single protofilament morphology, but form paired assemblies with different inter-filament interfaces. Mass spectrometry also reveals acetylation within the fibrils. These findings offer critical insights into the structural basis of ALECT2 amyloid formation and identify molecular features that could inform future diagnostic and therapeutic approaches.
PubMed: 41965342
DOI: 10.1038/s41467-026-71223-3
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (2.4 Å)
Structure validation

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