Transthyretin mutagenesis: impact on amyloidogenesis and disease.

Transthyretin (TTR), a homotetrameric protein found in plasma, cerebrospinal fluid, and the eye, plays a pivotal role in the onset of several amyloid diseases with high morbidity and mortality. Protein aggregation and fibril formation by wild-type TTR and its natural more amyloidogenic variants are...

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Publicado en:Critical Reviews in Clinical Laboratory Sciences Vol. 61; no. 7; pp. 616 - 641
Autores principales: Almeida, Zaida L., Vaz, Daniela C., Brito, Rui M. M.
Formato: pictorial review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10408363.2024.2350379
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        atl: Transthyretin mutagenesis: impact on amyloidogenesis and disease.
      aug:
        au:
          Almeida, Zaida L.
          Vaz, Daniela C.
          Brito, Rui M. M.
        affil: Chemistry Department and Coimbra Chemistry Centre - Institute of Molecular Sciences (CQC-IMS), University of Coimbra, Coimbra, Portugal
      sug:
        subj:
          Amyloidosis Familial and Genetic
          Proteins Metabolism
          Amino Acids Metabolism
          Mutation
          Myocardial Diseases
          Carpal Tunnel Syndrome
          Arachnoid Cysts
          Aspartic Acid
          Tryptophan
          Amyloidosis Symptoms
          Serum Albumin Metabolism
          Cell Death
      ab: Transthyretin (TTR), a homotetrameric protein found in plasma, cerebrospinal fluid, and the eye, plays a pivotal role in the onset of several amyloid diseases with high morbidity and mortality. Protein aggregation and fibril formation by wild-type TTR and its natural more amyloidogenic variants are hallmarks of ATTRwt and ATTRv amyloidosis, respectively. The formation of soluble amyloid aggregates and the accumulation of insoluble amyloid fibrils and deposits in multiple tissues can lead to organ dysfunction and cell death. The most frequent manifestations of ATTR are polyneuropathies and cardiomyopathies. However, clinical manifestations such as carpal tunnel syndrome, leptomeningeal, and ocular amyloidosis, among several others may also occur. This review provides an up-to-date listing of all single amino-acid mutations in TTR known to date. Of approximately 220 single-point mutations, 93% are considered pathogenic. Aspartic acid is the residue mutated with the highest frequency, whereas tryptophan is highly conserved. "Hot spot" mutation regions are mainly assigned to β-strands B, C, and D. This manuscript also reviews the protein aggregation models that have been proposed for TTR amyloid fibril formation and the transient conformational states that convert native TTR into aggregation-prone molecular species. Finally, it compiles the various in vitro TTR aggregation protocols currently in use for research and drug development purposes. In short, this article reviews and discusses TTR mutagenesis and amyloidogenesis, and their implications in disease onset.
      pubtype: Academic Journal
      doctype:
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        tables/charts
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      ougenre: Article
    language: English
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