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9ZLD

Cryo-EM structure of hepatic amyloid fibril from a variant ATTRV122delta, single filament morphology

Summary for 9ZLD
Entry DOI10.2210/pdb9zld/pdb
Related9BDM 9BDR
EMDB information44462 44466 44467 74399
DescriptorTransthyretin (1 entity in total)
Functional Keywordsattr, systemic amyloidosis, v122delta, amyloid, protein fibril
Biological sourceHomo sapiens (human)
Total number of polymer chains5
Total formula weight68391.14
Authors
Nguyen, B.A.,Ahmed, Y.,Saelices, L. (deposition date: 2025-12-08, release date: 2026-04-15, Last modification date: 2026-04-29)
Primary citationNguyen, B.A.,Fernandez-Ramirez, M.D.C.,Bassett, P.,Singh, V.,Singh, P.,Pekala, M.,Villalon, L.,Ahmed, Y.,Lemoff, A.,Evers, B.,Lopez, C.,Kluve-Beckerman, B.,Saelices, L.
Cryo-EM reveals structural variability of apolipoprotein A-I amyloid fibrils across organs, mutations, and clinical presentations.
Nat Commun, 2026
Cited by
PubMed Abstract: Hereditary apolipoprotein A-I (AApoA‑I) amyloidosis is a rare systemic disease caused by the deposition of amyloid fibrils formed by apolipoprotein A‑I in multiple organs, leading to severe clinical outcomes. With no available therapies or diagnostic tools, defining the structure of AApoA‑I fibrils is crucial to understanding disease mechanisms and guiding intervention. Here we use cryo-electron microscopy to analyze AApoA‑I fibrils from the heart, kidney, liver, and spleen of patients carrying G26R, L90P, and R173P mutations. G26R fibrils, regardless of organ, exhibits untwisted morphologies and cannot be resolved structurally. Conversely, L90P and R173P fibrils display a compact diabolo-shaped conformation in all organs analyzed. Their high-resolution maps enable visualization of cis-Proline 66, which may represent a potential conformational switch during fibril formation. Our findings suggest that mutation-driven polymorphism may influence organ tropism and clinical presentation. This work advances our understanding of AApoA‑I fibril assembly and provides insights toward developing targeted clinical tools.
PubMed: 41991931
DOI: 10.1038/s41467-026-72150-z
PDB entries with the same primary citation
Experimental method
ELECTRON MICROSCOPY (2.9 Å)
Structure validation

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PDB entries from 2026-05-27

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