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Amyloid - Wikipedia

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class="vector-toc-text"> <span class="vector-toc-numb">2</span> <span>Proteins forming amyloids in diseases</span> </div> </a> <ul id="toc-Proteins_forming_amyloids_in_diseases-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Non-disease_and_functional_amyloids" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Non-disease_and_functional_amyloids"> <div class="vector-toc-text"> <span class="vector-toc-numb">3</span> <span>Non-disease and functional amyloids</span> </div> </a> <ul id="toc-Non-disease_and_functional_amyloids-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Structure" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Structure"> <div class="vector-toc-text"> <span class="vector-toc-numb">4</span> <span>Structure</span> </div> </a> <ul id="toc-Structure-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Formation" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Formation"> <div class="vector-toc-text"> <span class="vector-toc-numb">5</span> <span>Formation</span> </div> </a> <ul id="toc-Formation-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Amino_acid_sequence_and_amyloid_formation" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Amino_acid_sequence_and_amyloid_formation"> <div class="vector-toc-text"> <span class="vector-toc-numb">6</span> <span>Amino acid sequence and amyloid formation</span> </div> </a> <ul id="toc-Amino_acid_sequence_and_amyloid_formation-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Amyloid_toxicity" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Amyloid_toxicity"> <div class="vector-toc-text"> <span class="vector-toc-numb">7</span> <span>Amyloid toxicity</span> </div> </a> <ul id="toc-Amyloid_toxicity-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-Histological_staining" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#Histological_staining"> <div class="vector-toc-text"> <span class="vector-toc-numb">8</span> <span>Histological staining</span> </div> </a> <ul id="toc-Histological_staining-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-See_also" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#See_also"> <div class="vector-toc-text"> <span class="vector-toc-numb">9</span> <span>See also</span> </div> </a> <ul id="toc-See_also-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-References" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#References"> <div class="vector-toc-text"> <span class="vector-toc-numb">10</span> <span>References</span> </div> </a> <ul id="toc-References-sublist" class="vector-toc-list"> </ul> </li> <li id="toc-External_links" class="vector-toc-list-item vector-toc-level-1 vector-toc-list-item-expanded"> <a class="vector-toc-link" href="#External_links"> <div class="vector-toc-text"> <span class="vector-toc-numb">11</span> <span>External links</span> </div> </a> <ul id="toc-External_links-sublist" class="vector-toc-list"> </ul> </li> </ul> </div> </div> </nav> </div> </div> <div class="mw-content-container"> <main id="content" class="mw-body"> <header class="mw-body-header vector-page-titlebar"> <nav aria-label="Contents" class="vector-toc-landmark"> <div id="vector-page-titlebar-toc" class="vector-dropdown vector-page-titlebar-toc vector-button-flush-left" title="Table of Contents" > <input type="checkbox" id="vector-page-titlebar-toc-checkbox" role="button" aria-haspopup="true" data-event-name="ui.dropdown-vector-page-titlebar-toc" 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Available in 18 languages" > <label id="p-lang-btn-label" for="p-lang-btn-checkbox" class="vector-dropdown-label cdx-button cdx-button--fake-button cdx-button--fake-button--enabled cdx-button--weight-quiet cdx-button--action-progressive mw-portlet-lang-heading-18" aria-hidden="true" ><span class="vector-icon mw-ui-icon-language-progressive mw-ui-icon-wikimedia-language-progressive"></span> <span class="vector-dropdown-label-text">18 languages</span> </label> <div class="vector-dropdown-content"> <div class="vector-menu-content"> <ul class="vector-menu-content-list"> <li class="interlanguage-link interwiki-ar mw-list-item"><a href="https://ar.wikipedia.org/wiki/%D9%86%D8%B4%D9%88%D8%A7%D9%86%D9%8A" title="نشواني – Arabic" lang="ar" hreflang="ar" data-title="نشواني" data-language-autonym="العربية" data-language-local-name="Arabic" class="interlanguage-link-target"><span>العربية</span></a></li><li class="interlanguage-link interwiki-bs mw-list-item"><a href="https://bs.wikipedia.org/wiki/Amiloid" title="Amiloid – Bosnian" lang="bs" hreflang="bs" data-title="Amiloid" data-language-autonym="Bosanski" data-language-local-name="Bosnian" class="interlanguage-link-target"><span>Bosanski</span></a></li><li class="interlanguage-link interwiki-ca mw-list-item"><a href="https://ca.wikipedia.org/wiki/Amiloide" title="Amiloide – Catalan" lang="ca" hreflang="ca" data-title="Amiloide" data-language-autonym="Català" data-language-local-name="Catalan" class="interlanguage-link-target"><span>Català</span></a></li><li class="interlanguage-link interwiki-cs mw-list-item"><a href="https://cs.wikipedia.org/wiki/Amyloid" title="Amyloid – Czech" lang="cs" hreflang="cs" data-title="Amyloid" data-language-autonym="Čeština" data-language-local-name="Czech" class="interlanguage-link-target"><span>Čeština</span></a></li><li class="interlanguage-link interwiki-eu mw-list-item"><a href="https://eu.wikipedia.org/wiki/Amiloide" title="Amiloide – Basque" lang="eu" hreflang="eu" data-title="Amiloide" data-language-autonym="Euskara" data-language-local-name="Basque" class="interlanguage-link-target"><span>Euskara</span></a></li><li class="interlanguage-link interwiki-fr mw-list-item"><a href="https://fr.wikipedia.org/wiki/Substance_amylo%C3%AFde" title="Substance amyloïde – French" lang="fr" hreflang="fr" data-title="Substance amyloïde" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-gl mw-list-item"><a href="https://gl.wikipedia.org/wiki/Amiloide" title="Amiloide – Galician" lang="gl" hreflang="gl" data-title="Amiloide" data-language-autonym="Galego" data-language-local-name="Galician" class="interlanguage-link-target"><span>Galego</span></a></li><li class="interlanguage-link interwiki-he mw-list-item"><a href="https://he.wikipedia.org/wiki/%D7%A2%D7%9E%D7%99%D7%9C%D7%95%D7%90%D7%99%D7%93" title="עמילואיד – Hebrew" lang="he" hreflang="he" data-title="עמילואיד" data-language-autonym="עברית" data-language-local-name="Hebrew" class="interlanguage-link-target"><span>עברית</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%82%A2%E3%83%9F%E3%83%AD%E3%82%A4%E3%83%89" title="アミロイド – Japanese" lang="ja" hreflang="ja" data-title="アミロイド" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-pl mw-list-item"><a href="https://pl.wikipedia.org/wiki/Amyloid" title="Amyloid – Polish" lang="pl" hreflang="pl" data-title="Amyloid" data-language-autonym="Polski" data-language-local-name="Polish" class="interlanguage-link-target"><span>Polski</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Amiloide" title="Amiloide – Portuguese" lang="pt" hreflang="pt" data-title="Amiloide" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li><li class="interlanguage-link interwiki-sr mw-list-item"><a href="https://sr.wikipedia.org/wiki/Amiloid" title="Amiloid – Serbian" lang="sr" hreflang="sr" data-title="Amiloid" data-language-autonym="Српски / srpski" data-language-local-name="Serbian" class="interlanguage-link-target"><span>Српски / srpski</span></a></li><li class="interlanguage-link interwiki-sh mw-list-item"><a href="https://sh.wikipedia.org/wiki/Amiloid" title="Amiloid – Serbo-Croatian" lang="sh" hreflang="sh" data-title="Amiloid" data-language-autonym="Srpskohrvatski / српскохрватски" data-language-local-name="Serbo-Croatian" class="interlanguage-link-target"><span>Srpskohrvatski / српскохрватски</span></a></li><li class="interlanguage-link interwiki-fi mw-list-item"><a href="https://fi.wikipedia.org/wiki/Amyloidi" title="Amyloidi – Finnish" lang="fi" hreflang="fi" data-title="Amyloidi" data-language-autonym="Suomi" data-language-local-name="Finnish" class="interlanguage-link-target"><span>Suomi</span></a></li><li class="interlanguage-link interwiki-sv mw-list-item"><a href="https://sv.wikipedia.org/wiki/Amyloid" title="Amyloid – Swedish" lang="sv" hreflang="sv" data-title="Amyloid" data-language-autonym="Svenska" data-language-local-name="Swedish" class="interlanguage-link-target"><span>Svenska</span></a></li><li class="interlanguage-link interwiki-th mw-list-item"><a href="https://th.wikipedia.org/wiki/%E0%B9%81%E0%B8%AD%E0%B8%A1%E0%B8%B5%E0%B8%A5%E0%B8%AD%E0%B8%A2%E0%B8%94%E0%B9%8C" title="แอมีลอยด์ – Thai" lang="th" hreflang="th" data-title="แอมีลอยด์" data-language-autonym="ไทย" data-language-local-name="Thai" class="interlanguage-link-target"><span>ไทย</span></a></li><li class="interlanguage-link interwiki-uk mw-list-item"><a href="https://uk.wikipedia.org/wiki/%D0%90%D0%BC%D1%96%D0%BB%D0%BE%D1%97%D0%B4" title="Амілоїд – Ukrainian" 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</div> </div> <div id="bodyContent" class="vector-body" aria-labelledby="firstHeading" data-mw-ve-target-container> <div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Insoluble protein aggregate with a fibrillar morphology</div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">For other uses, see <a href="/wiki/Amyloid_(disambiguation)" class="mw-disambig" title="Amyloid (disambiguation)">Amyloid (disambiguation)</a>.</div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Small_bowel_duodenum_with_amyloid_deposition_20X.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/6/6f/Small_bowel_duodenum_with_amyloid_deposition_20X.jpg/220px-Small_bowel_duodenum_with_amyloid_deposition_20X.jpg" decoding="async" width="220" height="205" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/6/6f/Small_bowel_duodenum_with_amyloid_deposition_20X.jpg/330px-Small_bowel_duodenum_with_amyloid_deposition_20X.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/6/6f/Small_bowel_duodenum_with_amyloid_deposition_20X.jpg/440px-Small_bowel_duodenum_with_amyloid_deposition_20X.jpg 2x" data-file-width="1200" data-file-height="1118" /></a><figcaption><a href="/wiki/Micrograph" title="Micrograph">Micrograph</a> showing amyloid deposits (pink) in <a href="/wiki/Small_bowel" class="mw-redirect" title="Small bowel">small bowel</a>. Duodenum with amyloid deposition in lamina propria. Amyloid shows up as homogeneous pink material in lamina propria and around blood vessels. 20× magnification. </figcaption></figure> <p><b>Amyloids</b> are aggregates of <a href="/wiki/Protein" title="Protein">proteins</a> characterised by a <a href="/wiki/Fibril" title="Fibril">fibrillar</a> morphology of typically 7–13 <a href="/wiki/Nanometer" class="mw-redirect" title="Nanometer">nm</a> in <a href="/wiki/Diameter" title="Diameter">diameter</a>, a <a href="/wiki/Beta_sheet" title="Beta sheet">β-sheet</a> <a href="/wiki/Secondary_structure_of_proteins" class="mw-redirect" title="Secondary structure of proteins">secondary structure</a> (known as cross-β) and ability to be <a href="/wiki/Staining" title="Staining">stained</a> by particular dyes, such as <a href="/wiki/Congo_red" title="Congo red">Congo red</a>.<sup id="cite_ref-pmid9356260_1-0" class="reference"><a href="#cite_note-pmid9356260-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> In the <a href="/wiki/Human_body" title="Human body">human body</a>, amyloids have been linked to the development of various <a href="/wiki/Disease" title="Disease">diseases</a>.<sup id="cite_ref-pmid28498720_2-0" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> Pathogenic amyloids form when previously healthy proteins lose their normal <a href="/wiki/Protein_structure" title="Protein structure">structure</a> and <a href="/wiki/Physiology" title="Physiology">physiological</a> functions (<a href="/wiki/Protein_misfolding" class="mw-redirect" title="Protein misfolding">misfolding</a>) and form fibrous deposits within and around cells. These protein misfolding and deposition processes disrupt the healthy function of tissues and organs. </p><p>Such amyloids have been associated with (but not necessarily as the cause of) more than 50<sup id="cite_ref-pmid28498720_2-1" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid30614283_3-0" class="reference"><a href="#cite_note-pmid30614283-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> human diseases, known as <a href="/wiki/Amyloidosis" title="Amyloidosis">amyloidosis</a>, and may play a role in some <a href="/wiki/Neurodegenerative_diseases" class="mw-redirect" title="Neurodegenerative diseases">neurodegenerative diseases</a>.<sup id="cite_ref-pmid28498720_2-2" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> Some of these diseases are mainly sporadic and only a few cases are <a href="/wiki/Genetic_disorder" title="Genetic disorder">familial</a>. Others are only <a href="/wiki/Genetic_disorder" title="Genetic disorder">familial</a>. Some <a href="/wiki/Iatrogenic" class="mw-redirect" title="Iatrogenic">result from medical treatment</a>. <a href="/wiki/Prion" title="Prion">Prions</a> are an <a href="/wiki/Infectious" class="mw-redirect" title="Infectious">infectious</a> form of amyloids that can act as a template to convert other non-infectious forms.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> Amyloids may also have normal biological functions; for example, in the formation of <a href="/wiki/Fimbria_(bacteriology)" class="mw-redirect" title="Fimbria (bacteriology)">fimbriae</a> in some <a href="/wiki/Genus" title="Genus">genera</a> of <a href="/wiki/Bacteria" title="Bacteria">bacteria</a>, transmission of epigenetic traits in fungi, as well as pigment deposition and hormone release in humans.<sup id="cite_ref-ann_rev_biochem_2011_6-0" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p><p>Amyloids have been known to arise from many different proteins.<sup id="cite_ref-pmid28498720_2-3" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> These polypeptide chains generally form <a href="/wiki/Beta_sheet" title="Beta sheet">β-sheet</a> structures that aggregate into long fibers; however, identical polypeptides can fold into multiple distinct amyloid conformations.<sup id="cite_ref-pm11076514_8-0" class="reference"><a href="#cite_note-pm11076514-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> The diversity of the conformations may have led to different forms of the <a href="/wiki/Prion" title="Prion">prion</a> diseases.<sup id="cite_ref-ann_rev_biochem_2011_6-1" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p><p>An unusual secondary structure named <a href="/wiki/Alpha_sheet" title="Alpha sheet">α sheet</a> has been proposed as the toxic constituent of amyloid precursor proteins,<sup id="cite_ref-alphasheet_9-0" class="reference"><a href="#cite_note-alphasheet-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup> but this idea is not widely accepted at present. </p> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:2rnm.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/4/45/2rnm.jpg/240px-2rnm.jpg" decoding="async" width="240" height="192" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/4/45/2rnm.jpg/360px-2rnm.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/4/45/2rnm.jpg/480px-2rnm.jpg 2x" data-file-width="1000" data-file-height="800" /></a><figcaption>Amyloid of HET-s(218-289) prion pentamer, <i>Podospora anserina</i> (<span class="plainlinks"><a href="/wiki/Protein_Data_Bank" title="Protein Data Bank">PDB</a>: <a rel="nofollow" class="external text" href="https://www.rcsb.org/structure/2rnm">2rnm</a></span>&#8203;)</figcaption></figure> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Definition">Definition</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=1" title="Edit section: Definition"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The name <i>amyloid</i> comes from the early mistaken identification by <a href="/wiki/Rudolf_Virchow" title="Rudolf Virchow">Rudolf Virchow</a> of the substance as <a href="/wiki/Starch" title="Starch">starch</a> (<span title="Latin-language text"><i lang="la">amylum</i></span> in <a href="/wiki/Latin" title="Latin">Latin</a>, from <a href="/wiki/Ancient_Greek_language" class="mw-redirect" title="Ancient Greek language">Ancient Greek</a>: <span lang="grc">ἄμυλον</span>, <small><a href="/wiki/Romanization_of_Ancient_Greek" class="mw-redirect" title="Romanization of Ancient Greek">romanized</a>:&#160;</small><span title="Ancient Greek-language romanization"><i lang="grc-Latn">amylon</i></span>), based on crude <a href="/wiki/Iodine-staining" class="mw-redirect" title="Iodine-staining">iodine-staining</a> techniques. For a period, the scientific community debated whether or not amyloid deposits are <a href="/wiki/Lipid" title="Lipid">fatty</a> deposits or <a href="/wiki/Carbohydrate" title="Carbohydrate">carbohydrate</a> deposits until it was finally found (in 1859) that they are, in fact, deposits of <a href="/wiki/Albumin" title="Albumin">albumoid</a> proteinaceous material.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>The classical, <a href="/wiki/Histopathology" title="Histopathology">histopathological</a> definition of amyloid is an extracellular, proteinaceous <a href="/wiki/Fibrillar" class="mw-redirect" title="Fibrillar">fibrillar</a> deposit exhibiting <a href="/wiki/%CE%92-sheet" class="mw-redirect" title="Β-sheet">β-sheet</a> <a href="/wiki/Secondary_structure_of_proteins" class="mw-redirect" title="Secondary structure of proteins">secondary structure</a> and identified by apple-green <a href="/wiki/Birefringence" title="Birefringence">birefringence</a> when stained with <a href="/wiki/Congo_red" title="Congo red">congo red</a> under <a href="/wiki/Polarization_(waves)" title="Polarization (waves)">polarized light</a>. These deposits often recruit various sugars and other components such as <a href="/wiki/Serum_amyloid_P_component" title="Serum amyloid P component">serum amyloid P component</a>, resulting in complex, and sometimes inhomogeneous structures.<sup id="cite_ref-11" class="reference"><a href="#cite_note-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> Recently this definition has come into question as some classic, amyloid species have been observed in distinctly intracellular locations.<sup id="cite_ref-pmid17353506_12-0" class="reference"><a href="#cite_note-pmid17353506-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup></li> <li>A more recent, <a href="/wiki/Biophysics" title="Biophysics"><i>biophysical</i></a> definition is broader, including any polypeptide that polymerizes to form a cross-β structure, <i>in vivo</i> or <i>in vitro</i>, inside or outside <a href="/wiki/Cell_(biology)" title="Cell (biology)">cells</a>. <a href="/wiki/Microbiologists" class="mw-redirect" title="Microbiologists">Microbiologists</a>, <a href="/wiki/Biochemists" class="mw-redirect" title="Biochemists">biochemists</a>, <a href="/wiki/Biophysicists" class="mw-redirect" title="Biophysicists">biophysicists</a>, <a href="/wiki/Chemists" class="mw-redirect" title="Chemists">chemists</a> and <a href="/wiki/Physicists" class="mw-redirect" title="Physicists">physicists</a> have largely adopted this definition,<sup id="cite_ref-pmid15283924_13-0" class="reference"><a href="#cite_note-pmid15283924-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid17530168_14-0" class="reference"><a href="#cite_note-pmid17530168-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> leading to some conflict in the biological community over an <a href="/wiki/Linguistic_prescription" title="Linguistic prescription">issue of language</a>.</li></ul> <div class="mw-heading mw-heading2"><h2 id="Proteins_forming_amyloids_in_diseases">Proteins forming amyloids in diseases</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=2" title="Edit section: Proteins forming amyloids in diseases"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>To date, 37 human <a href="/wiki/Proteins" class="mw-redirect" title="Proteins">proteins</a> have been found to form amyloid in <a href="/wiki/Pathology" title="Pathology">pathology</a> and be associated with well-defined <a href="/wiki/Diseases" class="mw-redirect" title="Diseases">diseases</a>.<sup id="cite_ref-pmid28498720_2-4" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> The International Society of Amyloidosis classifies amyloid fibrils and their associated diseases based upon associated proteins (for example ATTR is the group of diseases and associated fibrils formed by <a href="/wiki/Transthyretin" title="Transthyretin">TTR</a>).<sup id="cite_ref-pmid30614283_3-1" class="reference"><a href="#cite_note-pmid30614283-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> A table is included below. </p> <table class="sortable wikitable"> <tbody><tr> <th>Protein </th> <th>Diseases </th> <th>Official abbreviation </th></tr> <tr> <td><a href="/wiki/%CE%92_amyloid" class="mw-redirect" title="Β amyloid">β amyloid peptide</a> (<a href="/wiki/Beta_amyloid" class="mw-redirect" title="Beta amyloid">Aβ</a>) from <a href="/wiki/Amyloid_precursor_protein" class="mw-redirect" title="Amyloid precursor protein">Amyloid precursor protein</a><sup id="cite_ref-pmid18781964_15-0" class="reference"><a href="#cite_note-pmid18781964-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid18368143_16-0" class="reference"><a href="#cite_note-pmid18368143-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid17505973_17-0" class="reference"><a href="#cite_note-pmid17505973-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid22813427_18-0" class="reference"><a href="#cite_note-pmid22813427-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Alzheimer%27s_disease" title="Alzheimer&#39;s disease">Alzheimer's disease</a>, <a href="/wiki/Hereditary_cystatin_C_amyloid_angiopathy" title="Hereditary cystatin C amyloid angiopathy">Hereditary cerebral haemorrhage with amyloidosis</a> </td> <td>Aβ </td></tr> <tr> <td><a href="/wiki/%CE%91-synuclein" class="mw-redirect" title="Α-synuclein">α-synuclein</a><sup id="cite_ref-pmid18368143_16-1" class="reference"><a href="#cite_note-pmid18368143-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Parkinson%27s_disease" title="Parkinson&#39;s disease">Parkinson's disease</a>, <a href="/wiki/Parkinson%27s_disease_dementia" title="Parkinson&#39;s disease dementia">Parkinson's disease dementia</a>, <a href="/wiki/Dementia_with_Lewy_bodies" title="Dementia with Lewy bodies">Dementia with Lewy bodies</a>, <a href="/wiki/Multiple_system_atrophy" title="Multiple system atrophy">Multiple system atrophy</a> </td> <td>AαSyn </td></tr> <tr> <td><a href="/wiki/Prion" title="Prion">PrP<sup>Sc</sup></a><sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Transmissible_spongiform_encephalopathy" title="Transmissible spongiform encephalopathy">Transmissible spongiform encephalopathy</a> (e.g. <a href="/wiki/Fatal_familial_insomnia" class="mw-redirect" title="Fatal familial insomnia">Fatal familial insomnia</a>, <a href="/wiki/Gerstmann-Str%C3%A4ussler-Scheinker_disease" class="mw-redirect" title="Gerstmann-Sträussler-Scheinker disease">Gerstmann-Sträussler-Scheinker disease</a>, <a href="/wiki/Creutzfeldt%E2%80%93Jakob_disease" title="Creutzfeldt–Jakob disease">Creutzfeldt–Jakob disease</a>, <a href="/wiki/New_variant_Creutzfeldt-Jakob_disease" class="mw-redirect" title="New variant Creutzfeldt-Jakob disease">New variant Creutzfeldt–Jakob disease</a>) </td> <td>APrP </td></tr> <tr> <td><a href="/wiki/Microtubule-associated_protein_tau" class="mw-redirect" title="Microtubule-associated protein tau">Microtubule-associated protein tau</a> </td> <td>Various forms of <a href="/wiki/Tauopathies" class="mw-redirect" title="Tauopathies">tauopathies</a> (e.g. <a href="/wiki/Pick%27s_disease" class="mw-redirect" title="Pick&#39;s disease">Pick's disease</a>, <a href="/wiki/Progressive_supranuclear_palsy" title="Progressive supranuclear palsy">Progressive supranuclear palsy</a>, <a href="/wiki/Corticobasal_degeneration" title="Corticobasal degeneration">Corticobasal degeneration</a>, <a href="/wiki/Frontotemporal_dementia_with_parkinsonism" class="mw-redirect" title="Frontotemporal dementia with parkinsonism">Frontotemporal dementia with parkinsonism linked to chromosome 17</a>, <a href="/wiki/Argyrophilic_grain_disease" class="mw-redirect" title="Argyrophilic grain disease">Argyrophilic grain disease</a>) </td> <td>ATau </td></tr> <tr> <td><a href="/wiki/Huntingtin" title="Huntingtin">Huntingtin exon 1</a><sup id="cite_ref-pmid18637947_20-0" class="reference"><a href="#cite_note-pmid18637947-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid16848688_21-0" class="reference"><a href="#cite_note-pmid16848688-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Huntington%27s_disease" title="Huntington&#39;s disease">Huntington's disease</a> </td> <td>HTTex1 </td></tr> <tr> <td><a href="/wiki/ITM2B" title="ITM2B">ABri peptide</a> </td> <td><a href="/wiki/Familial_British_dementia" title="Familial British dementia">Familial British dementia</a> </td> <td>ABri </td></tr> <tr> <td><a href="/wiki/ITM2B" title="ITM2B">ADan peptide</a> </td> <td><a href="/wiki/Familial_Danish_dementia" title="Familial Danish dementia">Familial Danish dementia</a> </td> <td>ADan </td></tr> <tr> <td>Fragments of <a href="/wiki/Immunoglobulin_light_chains" class="mw-redirect" title="Immunoglobulin light chains">immunoglobulin light chains</a><sup id="cite_ref-emedicine.medscape.com_22-0" class="reference"><a href="#cite_note-emedicine.medscape.com-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Primary_systemic_amyloidosis" class="mw-redirect" title="Primary systemic amyloidosis">Light chain amyloidosis</a> </td> <td>AL </td></tr> <tr> <td>Fragments of <a href="/wiki/Immunoglobulin_heavy_chains" class="mw-redirect" title="Immunoglobulin heavy chains">immunoglobulin heavy chains</a><sup id="cite_ref-emedicine.medscape.com_22-1" class="reference"><a href="#cite_note-emedicine.medscape.com-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </td> <td>Heavy chain amyloidosis </td> <td>AH </td></tr> <tr> <td>full length of N-terminal fragments of <a href="/wiki/Serum_amyloid_A_protein" class="mw-redirect" title="Serum amyloid A protein">Serum amyloid A protein</a> </td> <td><a href="/wiki/AA_amyloidosis" title="AA amyloidosis">AA amyloidosis</a> </td> <td>AA </td></tr> <tr> <td><a href="/wiki/Transthyretin" title="Transthyretin">Transthyretin</a> </td> <td><a href="/wiki/Senile_systemic_amyloidosis" class="mw-redirect" title="Senile systemic amyloidosis">Senile systemic amyloidosis</a>, <a href="/wiki/Familial_amyloid_polyneuropathy" title="Familial amyloid polyneuropathy">Familial amyloid polyneuropathy</a>, <a href="/wiki/Familial_amyloid_cardiomyopathy" title="Familial amyloid cardiomyopathy">Familial amyloid cardiomyopathy</a>, <a href="/wiki/Leptomeningeal_amyloidosis" class="mw-redirect" title="Leptomeningeal amyloidosis">Leptomeningeal amyloidosis</a> </td> <td>ATTR </td></tr> <tr> <td><a href="/wiki/Beta-2_microglobulin" title="Beta-2 microglobulin">β-2 microglobulin</a> </td> <td><a href="/wiki/Dialysis_related_amyloidosis" class="mw-redirect" title="Dialysis related amyloidosis">Dialysis related amyloidosis</a>, <a href="/wiki/Familial_visceral_amyloidosis" class="mw-redirect" title="Familial visceral amyloidosis">Hereditary visceral amyloidosis</a> (familial) </td> <td>Aβ2M </td></tr> <tr> <td>N-terminal fragments of <a href="/wiki/Apolipoprotein_AI" title="Apolipoprotein AI">Apolipoprotein AI</a> </td> <td>ApoAI amyloidosis </td> <td>AApoAI </td></tr> <tr> <td>C-terminally extended <a href="/wiki/Apolipoprotein_A2" class="mw-redirect" title="Apolipoprotein A2">Apolipoprotein AII</a> </td> <td>ApoAII amyloidosis </td> <td>AApoAII </td></tr> <tr> <td>N-terminal fragments of <a href="/w/index.php?title=Apolipoprotein_A4&amp;action=edit&amp;redlink=1" class="new" title="Apolipoprotein A4 (page does not exist)">Apolipoprotein AIV</a> </td> <td>ApoAIV amyloidosis </td> <td>AApoAIV </td></tr> <tr> <td><a href="/wiki/Apolipoprotein_C2" class="mw-redirect" title="Apolipoprotein C2">Apolipoprotein C-II</a> </td> <td>ApoCII amyloidosis </td> <td>AApoCII </td></tr> <tr> <td><a href="/wiki/Apolipoprotein_C3" class="mw-redirect" title="Apolipoprotein C3">Apolipoprotein C-III</a> </td> <td>ApoCIII amyloidosis </td> <td>AApoCIII </td></tr> <tr> <td>fragments of <a href="/wiki/Gelsolin" title="Gelsolin">Gelsolin</a> </td> <td><a href="/wiki/Finnish_type_amyloidosis" class="mw-redirect" title="Finnish type amyloidosis">Familial amyloidosis, Finnish type</a> </td> <td>AGel </td></tr> <tr> <td><a href="/wiki/Lysozyme" title="Lysozyme">Lysozyme</a> </td> <td><a href="/wiki/Hereditary_non-neuropathic_systemic_amyloidosis" class="mw-redirect" title="Hereditary non-neuropathic systemic amyloidosis">Hereditary non-neuropathic systemic amyloidosis</a> </td> <td>ALys </td></tr> <tr> <td>fragments of <a href="/w/index.php?title=Fibrinogen_%CE%B1_chain&amp;action=edit&amp;redlink=1" class="new" title="Fibrinogen α chain (page does not exist)">Fibrinogen α chain</a> </td> <td>Fibrinogen amyloidosis </td> <td>AFib </td></tr> <tr> <td>N-terminally truncated <a href="/wiki/Cystatin_C" title="Cystatin C">Cystatin C</a> </td> <td>Hereditary cerebral hemorrhage with amyloidosis, Icelandic type </td> <td>ACys </td></tr> <tr> <td><a href="/wiki/Amylin" title="Amylin">IAPP (Amylin)</a><sup id="cite_ref-pmid18314421_23-0" class="reference"><a href="#cite_note-pmid18314421-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid10933741_24-0" class="reference"><a href="#cite_note-pmid10933741-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Diabetes_mellitus_type_2" class="mw-redirect" title="Diabetes mellitus type 2">Diabetes mellitus type 2</a>, Insulinoma </td> <td>AIAPP </td></tr> <tr> <td><a href="/wiki/Calcitonin" title="Calcitonin">Calcitonin</a><sup id="cite_ref-emedicine.medscape.com_22-2" class="reference"><a href="#cite_note-emedicine.medscape.com-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </td> <td><a href="/wiki/Medullary_thyroid_cancer" title="Medullary thyroid cancer">Medullary carcinoma of the thyroid</a> </td> <td>ACal </td></tr> <tr> <td><a href="/wiki/Atrial_natriuretic_factor" class="mw-redirect" title="Atrial natriuretic factor">Atrial natriuretic factor</a> </td> <td><a href="/wiki/Cardiac_arrhythmias" class="mw-redirect" title="Cardiac arrhythmias">Cardiac arrhythmias</a>, <a href="/wiki/Isolated_atrial_amyloidosis" title="Isolated atrial amyloidosis">Isolated atrial amyloidosis</a> </td> <td>AANF </td></tr> <tr> <td><a href="/wiki/Prolactin" title="Prolactin">Prolactin</a> </td> <td><a href="/wiki/Prolactinoma" title="Prolactinoma">Pituitary prolactinoma</a> </td> <td>APro </td></tr> <tr> <td><a href="/wiki/Insulin" title="Insulin">Insulin</a> </td> <td>Injection-localized amyloidosis </td> <td>AIns </td></tr> <tr> <td><a href="/wiki/Lactadherin" class="mw-redirect" title="Lactadherin">Lactadherin</a> / <a href="/wiki/Lactadherin" class="mw-redirect" title="Lactadherin">Medin</a> </td> <td><a href="/w/index.php?title=Aortic_medial_amyloidosis&amp;action=edit&amp;redlink=1" class="new" title="Aortic medial amyloidosis (page does not exist)">Aortic medial amyloidosis</a> </td> <td>AMed </td></tr> <tr> <td><a href="/wiki/Lactotransferrin" class="mw-redirect" title="Lactotransferrin">Lactotransferrin</a> / <a href="/wiki/Lactoferrin" title="Lactoferrin">Lactoferrin</a> </td> <td><a href="/wiki/Gelatinous_drop-like_corneal_dystrophy" title="Gelatinous drop-like corneal dystrophy">Gelatinous drop-like corneal dystrophy</a> </td> <td>ALac </td></tr> <tr> <td>Odontogenic ameloblast-associated protein </td> <td>Calcifying epithelial odontogenic tumors </td> <td>AOAAP </td></tr> <tr> <td><a href="/wiki/Pulmonary_surfactant-associated_protein_C" class="mw-redirect" title="Pulmonary surfactant-associated protein C">Pulmonary surfactant-associated protein C</a> (SP-C) </td> <td><a href="/wiki/Pulmonary_alveolar_proteinosis" title="Pulmonary alveolar proteinosis">Pulmonary alveolar proteinosis</a> </td> <td>ASPC </td></tr> <tr> <td><a href="/wiki/LECT2" title="LECT2">Leukocyte cell-derived chemotaxin-2</a> (<a href="/wiki/LECT2" title="LECT2">LECT-2</a>) </td> <td><a href="/wiki/LECT2_amyloidosis" title="LECT2 amyloidosis">Renal LECT2 amyloidosis</a> </td> <td>ALECT2 </td></tr> <tr> <td><a href="/wiki/Galectin-7" title="Galectin-7">Galectin-7</a> </td> <td><a href="/wiki/Lichen_amyloidosis" class="mw-redirect" title="Lichen amyloidosis">Lichen amyloidosis</a>, <a href="/wiki/Macular_amyloidosis" class="mw-redirect" title="Macular amyloidosis">Macular amyloidosis</a> </td> <td>AGal7 </td></tr> <tr> <td><a href="/wiki/Corneodesmosin" title="Corneodesmosin">Corneodesmosin</a> </td> <td><a href="/w/index.php?title=Hypotrichosis_simplex_of_the_scalp&amp;action=edit&amp;redlink=1" class="new" title="Hypotrichosis simplex of the scalp (page does not exist)">Hypotrichosis simplex of the scalp</a> </td> <td>ACor </td></tr> <tr> <td>C-terminal fragments of <a href="/wiki/TGFBI" title="TGFBI">TGFBI</a>/<a href="/wiki/Keratoepithelin" class="mw-redirect" title="Keratoepithelin">Keratoepithelin</a> </td> <td><a href="/wiki/Lattice_corneal_dystrophy_type_I" class="mw-redirect" title="Lattice corneal dystrophy type I">Lattice corneal dystrophy type I</a>, Lattice corneal dystrophy type 3A, Lattice corneal dystrophy Avellino type </td> <td>AKer </td></tr> <tr> <td><a href="/wiki/Semenogelin_I" title="Semenogelin I">Semenogelin-1</a> (SGI) </td> <td>Seminal vesicle amyloidosis </td> <td>ASem1 </td></tr> <tr> <td><a href="/wiki/S100_protein" title="S100 protein">Proteins S100A8/A9</a> </td> <td><a href="/wiki/Prostate_cancer" title="Prostate cancer">Prostate cancer</a> </td> <td>none </td></tr> <tr> <td><a href="/wiki/Enfuvirtide" title="Enfuvirtide">Enfuvirtide</a> </td> <td>Injection-localized amyloidosis </td> <td>AEnf </td></tr> </tbody></table> <div class="mw-heading mw-heading2"><h2 id="Non-disease_and_functional_amyloids">Non-disease and functional amyloids</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=3" title="Edit section: Non-disease and functional amyloids"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Many examples of non-pathological amyloid with a well-defined physiological role have been identified in various organisms, including <a href="/wiki/Homo_sapiens" class="mw-redirect" title="Homo sapiens">human</a>. These may be termed as functional or physiological or native amyloid.<sup id="cite_ref-pmid18487849_25-0" class="reference"><a href="#cite_note-pmid18487849-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid17412596_26-0" class="reference"><a href="#cite_note-pmid17412596-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid28498720_2-5" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p> <ul><li>Functional amyloid in <a href="/wiki/Homo_sapiens" class="mw-redirect" title="Homo sapiens">Homo sapiens</a>: <ul><li>Intralumenal domain of melanocyte protein <a href="/wiki/PMEL_(gene)" title="PMEL (gene)">PMEL</a><sup id="cite_ref-pmid16300414_27-0" class="reference"><a href="#cite_note-pmid16300414-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup></li> <li>Peptide/protein hormones stored as amyloids within endocrine secretory granules<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup></li> <li>Receptor-interacting serine/threonine-protein kinase 1/3 (<a href="/w/index.php?title=RIP1_(protein)&amp;action=edit&amp;redlink=1" class="new" title="RIP1 (protein) (page does not exist)">RIP1</a>/<a href="/w/index.php?title=RIP3&amp;action=edit&amp;redlink=1" class="new" title="RIP3 (page does not exist)">RIP3</a>)<sup id="cite_ref-pmid22817896_29-0" class="reference"><a href="#cite_note-pmid22817896-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup></li> <li>Fragments of <a href="/wiki/Prostatic_acid_phosphatase" title="Prostatic acid phosphatase">prostatic acid phosphatase</a> and <a href="/wiki/Semenogelin" title="Semenogelin">semenogelins</a><sup id="cite_ref-pmid24691351_30-0" class="reference"><a href="#cite_note-pmid24691351-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup></li></ul></li> <li>Functional amyloid in other organisms: <ul><li><a href="/wiki/Pilus#Curli" title="Pilus">Curli</a> <a href="/wiki/Fimbria_(bacteriology)" class="mw-redirect" title="Fimbria (bacteriology)">fibrils</a> produced by <i><a href="/wiki/E._coli" class="mw-redirect" title="E. coli">E. coli</a>,</i> <i><a href="/wiki/Salmonella" title="Salmonella">Salmonella</a>, </i>and a few other members of the <a href="/wiki/Enterobacteriales" class="mw-redirect" title="Enterobacteriales">Enterobacteriales</a> (Csg). The genetic elements (<a href="/wiki/Operons" class="mw-redirect" title="Operons">operons</a>) encoding the curli system are phylogenetic widespread and can be found in at least four bacterial phyla.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup> This suggest that many more bacteria may express curli fibrils.</li> <li>GvpA, forming the walls of particular <a href="/wiki/Gas_vesicle" title="Gas vesicle">Gas vesicles</a>, i.e. the buoyancy organelles of aquatic archaea and eubacteria<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup></li> <li>Fap fibrils in various species of <i><a href="/wiki/Pseudomonas" title="Pseudomonas">Pseudomonas</a></i><sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-34" class="reference"><a href="#cite_note-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup></li> <li>Chaplins from <i><a href="/wiki/Streptomyces_coelicolor" class="mw-redirect" title="Streptomyces coelicolor">Streptomyces coelicolor</a></i><sup id="cite_ref-pmid12832396_35-0" class="reference"><a href="#cite_note-pmid12832396-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup></li> <li><a href="/wiki/Spidroin" title="Spidroin">Spidroin</a> from <i><a href="/wiki/Trichonephila_edulis" title="Trichonephila edulis">Trichonephila edulis</a></i> (<a href="/wiki/Spider" title="Spider">spider</a>) (<a href="/wiki/Spider_silk" title="Spider silk">Spider silk</a>)<sup id="cite_ref-pmid12180993_36-0" class="reference"><a href="#cite_note-pmid12180993-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup></li> <li><a href="/wiki/Hydrophobin" title="Hydrophobin">Hydrophobins</a> from <a href="/wiki/Neurospora_crassa" title="Neurospora crassa">Neurospora crassa</a> and other fungi<sup id="cite_ref-pmid11250193_37-0" class="reference"><a href="#cite_note-pmid11250193-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup></li> <li>Fungal cell adhesion proteins forming cell surface amyloid regions with greatly increased binding strength<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">&#91;</span>39<span class="cite-bracket">&#93;</span></a></sup></li> <li>Environmental <a href="/wiki/Biofilm" title="Biofilm">biofilms</a> according to staining with amyloid specific dyes and antibodies.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">&#91;</span>40<span class="cite-bracket">&#93;</span></a></sup></li> <li>Tubular sheaths encasing <a href="/wiki/Methanosaeta" title="Methanosaeta">Methanosaeta</a> thermophila filaments<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">&#91;</span>41<span class="cite-bracket">&#93;</span></a></sup></li></ul></li> <li>Functional amyloid acting as prions <ul><li>Several <a href="/wiki/Yeast_prions" class="mw-redirect" title="Yeast prions">yeast prions</a> are based on an infectious amyloid, e.g. [PSI+] (<a href="/wiki/Sup35p" title="Sup35p">Sup35p</a>); [URE3] (<a href="/wiki/Ure2p" title="Ure2p">Ure2p</a>); [PIN+] or [RNQ+] (Rnq1p); [SWI1+] (Swi1p) and [OCT8+] (Cyc8p)</li> <li>Prion HET-s from <i><a href="/wiki/Podospora_anserina" title="Podospora anserina">Podospora anserina</a></i><sup id="cite_ref-pmid9275200_42-0" class="reference"><a href="#cite_note-pmid9275200-42"><span class="cite-bracket">&#91;</span>42<span class="cite-bracket">&#93;</span></a></sup></li> <li>Neuron-specific isoform of CPEB from <i><a href="/wiki/Aplysia_californica" class="mw-redirect" title="Aplysia californica">Aplysia californica</a></i> (marine snail)<sup id="cite_ref-pmid14697205_43-0" class="reference"><a href="#cite_note-pmid14697205-43"><span class="cite-bracket">&#91;</span>43<span class="cite-bracket">&#93;</span></a></sup></li></ul></li></ul> <div class="mw-heading mw-heading2"><h2 id="Structure">Structure</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=4" title="Edit section: Structure"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Protofilament_of_Beta_Amyloid.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/7/76/Protofilament_of_Beta_Amyloid.jpg/220px-Protofilament_of_Beta_Amyloid.jpg" decoding="async" width="220" height="209" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/7/76/Protofilament_of_Beta_Amyloid.jpg/330px-Protofilament_of_Beta_Amyloid.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/7/76/Protofilament_of_Beta_Amyloid.jpg/440px-Protofilament_of_Beta_Amyloid.jpg 2x" data-file-width="964" data-file-height="916" /></a><figcaption>Structure of a fibril, consisting of one single protofilament, of the amyloid β peptide viewed down the long axis of the fibril (<span class="plainlinks"><a href="/wiki/Protein_Data_Bank" title="Protein Data Bank">PDB</a>: <a rel="nofollow" class="external text" href="https://www.rcsb.org/structure/2mlq">2mlq</a></span>&#8203;)<sup id="cite_ref-pmid19015532_44-0" class="reference"><a href="#cite_note-pmid19015532-44"><span class="cite-bracket">&#91;</span>44<span class="cite-bracket">&#93;</span></a></sup></figcaption></figure> <p>Amyloids are formed of long unbranched fibers that are characterized by an extended <a href="/wiki/%CE%92_sheet" class="mw-redirect" title="Β sheet">β-sheet secondary structure</a> in which individual <a href="/wiki/Beta_strand" class="mw-redirect" title="Beta strand">β strands</a> (β-strands) (coloured arrows in the adjacent figure) are arranged in an orientation perpendicular to the long axis of the fiber. Such a structure is known as cross-β structure. Each individual fiber may be 7–13 <a href="/wiki/Nanometre" title="Nanometre">nanometres</a> in width and a few <a href="/wiki/Micrometre" title="Micrometre">micrometres</a> in length.<sup id="cite_ref-ann_rev_biochem_2011_6-2" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid28498720_2-6" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> The main hallmarks recognised by different disciplines to classify protein aggregates as amyloid is the presence of a fibrillar morphology with the expected diameter, detected using <a href="/wiki/Transmission_electron_microscopy" title="Transmission electron microscopy">transmission electron microscopy</a> (TEM) or <a href="/wiki/Atomic_force_microscopy" title="Atomic force microscopy">atomic force microscopy</a> (AFM), the presence of a cross-β secondary structure, determined with <a href="/wiki/Circular_dichroism" title="Circular dichroism">circular dichroism</a>, <a href="/wiki/Fourier_transform_infrared_spectroscopy" class="mw-redirect" title="Fourier transform infrared spectroscopy">FTIR</a>, <a href="/wiki/Solid-state_nuclear_magnetic_resonance" title="Solid-state nuclear magnetic resonance">solid-state nuclear magnetic resonance</a> (ssNMR), <a href="/wiki/X-ray_crystallography" title="X-ray crystallography">X-ray crystallography</a>, or <a href="/wiki/X-ray_diffraction" title="X-ray diffraction">X-ray fiber diffraction</a> (often considered the "gold-standard" test to see whether a structure contains cross-β fibres), and an ability to stain with specific dyes, such as <a href="/wiki/Congo_red" title="Congo red">Congo red</a>, <a href="/wiki/Thioflavin_T" class="mw-redirect" title="Thioflavin T">thioflavin T</a> or <a href="/wiki/Thioflavin_S" class="mw-redirect" title="Thioflavin S">thioflavin S</a>.<sup id="cite_ref-pmid28498720_2-7" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>The term "cross-β" was based on the observation of two sets of diffraction lines, one longitudinal and one transverse, that form a characteristic "cross" pattern.<sup id="cite_ref-45" class="reference"><a href="#cite_note-45"><span class="cite-bracket">&#91;</span>45<span class="cite-bracket">&#93;</span></a></sup> There are two characteristic scattering diffraction signals produced at 4.7 and 10 <a href="/wiki/%C3%85ngstrom" class="mw-redirect" title="Ångstrom">Å</a> (0.47&#160;nm and 1.0&#160;nm), corresponding to the interstrand and stacking distances in β sheets.<sup id="cite_ref-pmid9356260_1-1" class="reference"><a href="#cite_note-pmid9356260-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> The "stacks" of β sheet are short and traverse the breadth of the amyloid fibril; the length of the amyloid fibril is built by aligned β-strands. The cross-β pattern is considered a diagnostic hallmark of amyloid structure.<sup id="cite_ref-ann_rev_biochem_2011_6-3" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> </p><p>Amyloid fibrils are generally composed of 1–8 protofilaments (one protofilament also corresponding to a fibril is shown in the figure), each 2–7&#160;nm in diameter, that interact laterally as flat ribbons that maintain the height of 2–7&#160;nm (that of a single protofilament) and are up to 30&#160;nm wide; more often protofilaments twist around each other to form the typically 7–13 nm wide fibrils.<sup id="cite_ref-pmid28498720_2-8" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> Each protofilament possesses the typical cross-β structure and may be formed by 1–6 β-sheets (six are shown in the figure) stacked on each other. Each individual protein molecule can contribute one to several β-strands in each protofilament and the strands can be arranged in antiparallel β-sheets, but more often in parallel β-sheets. Only a fraction of the polypeptide chain is in a β-strand conformation in the fibrils, the remainder forms structured or unstructured loops or tails. </p><p>For a long time our knowledge of the atomic-level structure of amyloid fibrils was limited by the fact that they are unsuitable for the most traditional methods for studying protein structures. Recent years have seen progress in experimental methods, including <a href="/wiki/Solid-state_NMR" class="mw-redirect" title="Solid-state NMR">solid-state NMR</a> spectroscopy and <a href="/wiki/Cryo-electron_microscopy" class="mw-redirect" title="Cryo-electron microscopy">cryo-electron microscopy</a>. Combined, these methods have provided 3D atomic structures of amyloid fibrils formed by amyloid β peptides, α-synuclein, tau, and the FUS protein, associated with various neurodegenerative diseases.<sup id="cite_ref-46" class="reference"><a href="#cite_note-46"><span class="cite-bracket">&#91;</span>46<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-47" class="reference"><a href="#cite_note-47"><span class="cite-bracket">&#91;</span>47<span class="cite-bracket">&#93;</span></a></sup> </p><p><a href="/wiki/X-ray_crystallography" title="X-ray crystallography">X-ray diffraction studies of microcrystals</a> revealed <a href="/wiki/Atomistics" class="mw-redirect" title="Atomistics">atomistic</a> details of core region of amyloid, although only for simplified peptides having a length remarkably shorter than that of peptides or proteins involved in disease.<sup id="cite_ref-Nelson2005_48-0" class="reference"><a href="#cite_note-Nelson2005-48"><span class="cite-bracket">&#91;</span>48<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-Sawaya2007_49-0" class="reference"><a href="#cite_note-Sawaya2007-49"><span class="cite-bracket">&#91;</span>49<span class="cite-bracket">&#93;</span></a></sup> The crystallographic structures show that short stretches from amyloid-prone regions of amyloidogenic proteins run perpendicular to the filament axis, consistent with the "cross-β" feature of amyloid structure. They also reveal a number of characteristics of amyloid structures – neighboring β-sheets are tightly packed together via an interface devoid of water (therefore referred to as dry interface), with the opposing β-strands slightly offset from each other such that their side-chains interdigitate. This compact dehydrated interface created was termed a steric-zipper interface.<sup id="cite_ref-ann_rev_biochem_2011_6-4" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> There are eight theoretical classes of steric-zipper interfaces, dictated by the directionality of the β-sheets (parallel and anti-parallel) and symmetry between adjacent β-sheets. A limitation of X-ray crystallography for solving amyloid structure is represented by the need to form microcrystals, which can be achieved only with peptides shorter than those associated with disease. </p><p>Although bona fide amyloid structures always are based on intermolecular β-sheets, different types of "higher order" tertiary folds have been observed or proposed. The β-sheets may form a <a href="/wiki/Beta-sandwich" title="Beta-sandwich">β-sandwich</a>, or a β-solenoid which may be either <a href="/wiki/Beta_helix" title="Beta helix">β-helix</a> or β-roll. Native-like amyloid fibrils in which native β-sheet containing proteins maintain their native-like structure in the fibrils have also been proposed.<sup id="cite_ref-&#80;MID12219081_50-0" class="reference"><a href="#cite_note-PMID12219081-50"><span class="cite-bracket">&#91;</span>50<span class="cite-bracket">&#93;</span></a></sup> There are few developed ideas on how the complex backbone topologies of disulfide-constrained proteins, which are prone to form amyloid fibrils (such as insulin and lysozyme), adopt the amyloid β-sheet motif. The presence of multiple constraints significantly reduces the accessible conformational space, making computational simulations of amyloid structures more feasible.<sup id="cite_ref-51" class="reference"><a href="#cite_note-51"><span class="cite-bracket">&#91;</span>51<span class="cite-bracket">&#93;</span></a></sup> </p><p>One complicating factor in studies of amyloidogenic polypeptides is that identical polypeptides can fold into multiple distinct amyloid conformations.<sup id="cite_ref-ann_rev_biochem_2011_6-5" class="reference"><a href="#cite_note-ann_rev_biochem_2011-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> This phenomenon is typically described as <i>amyloid polymorphism</i>.<sup id="cite_ref-pm11076514_8-1" class="reference"><a href="#cite_note-pm11076514-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pm17056725_52-0" class="reference"><a href="#cite_note-pm17056725-52"><span class="cite-bracket">&#91;</span>52<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pm12023906_53-0" class="reference"><a href="#cite_note-pm12023906-53"><span class="cite-bracket">&#91;</span>53<span class="cite-bracket">&#93;</span></a></sup> It has notable biological consequences given that it is thought to explain the <a href="/wiki/Prion" title="Prion">prion</a> strain phenomenon. </p> <div class="mw-heading mw-heading2"><h2 id="Formation">Formation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=5" title="Edit section: Formation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Three_phases_of_amyloid_fibril_formation.tif" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Three_phases_of_amyloid_fibril_formation.tif/lossless-page1-300px-Three_phases_of_amyloid_fibril_formation.tif.png" decoding="async" width="300" height="213" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Three_phases_of_amyloid_fibril_formation.tif/lossless-page1-450px-Three_phases_of_amyloid_fibril_formation.tif.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/c/cd/Three_phases_of_amyloid_fibril_formation.tif/lossless-page1-600px-Three_phases_of_amyloid_fibril_formation.tif.png 2x" data-file-width="1356" data-file-height="964" /></a><figcaption>Three phases of amyloid fibril formation: <a href="/wiki/Incubation_period" title="Incubation period">lag phase</a>, <a href="/wiki/Exponential_function" title="Exponential function">exponential phase</a> and <a href="/wiki/Plateau_effect" title="Plateau effect">plateau phase</a></figcaption></figure> <p>Amyloid is formed through the <a href="/wiki/Polymerization" title="Polymerization">polymerization</a> of hundreds to thousands of monomeric <a href="/wiki/Peptides" class="mw-redirect" title="Peptides">peptides</a> or <a href="/wiki/Proteins" class="mw-redirect" title="Proteins">proteins</a> into long fibers. Amyloid formation involves a <i><a href="/wiki/Incubation_period" title="Incubation period">lag</a> phase</i> (also called <i><a href="/wiki/Nucleation" title="Nucleation">nucleation</a> phase</i>), an <i><a href="/wiki/Exponential_growth" title="Exponential growth">exponential</a> phase</i> (also called <i>growth phase</i>) and a <i><a href="/wiki/Plateau_effect" title="Plateau effect">plateau</a> phase</i> (also called <i>saturation phase</i>), as shown in the figure.<sup id="cite_ref-pmid8490014_54-0" class="reference"><a href="#cite_note-pmid8490014-54"><span class="cite-bracket">&#91;</span>54<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid10507029_55-0" class="reference"><a href="#cite_note-pmid10507029-55"><span class="cite-bracket">&#91;</span>55<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid19071235_56-0" class="reference"><a href="#cite_note-pmid19071235-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid20007899_57-0" class="reference"><a href="#cite_note-pmid20007899-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup> Indeed, when the quantity of fibrils is plotted versus time, a <a href="/wiki/Sigmoid_function" title="Sigmoid function">sigmoidal</a> time course is observed reflecting the three distinct phases. </p><p>In the simplest model of 'nucleated polymerization' (marked by red arrows in the figure below), individual unfolded or partially unfolded <a href="/wiki/Polypeptide_chains" class="mw-redirect" title="Polypeptide chains">polypeptide chains</a> (monomers) convert into a <a href="/wiki/Cell_nucleus" title="Cell nucleus">nucleus</a> (<a href="/wiki/Monomer" title="Monomer">monomer</a> or <a href="/wiki/Oligomer" title="Oligomer">oligomer</a>) via a <a href="/wiki/Thermodynamics" title="Thermodynamics">thermodynamically</a> unfavourable process that occurs early in the lag phase.<sup id="cite_ref-pmid19071235_56-1" class="reference"><a href="#cite_note-pmid19071235-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup> Fibrils grow subsequently from these <a href="/wiki/Nucleation" title="Nucleation">nuclei</a> through the addition of <a href="/wiki/Monomer" title="Monomer">monomers</a> in the exponential phase.<sup id="cite_ref-pmid19071235_56-2" class="reference"><a href="#cite_note-pmid19071235-56"><span class="cite-bracket">&#91;</span>56<span class="cite-bracket">&#93;</span></a></sup> </p><p>A different model, called 'nucleated conformational conversion' and marked by blue arrows in the figure below, was introduced later on to fit some experimental observations: monomers have often been found to convert rapidly into misfolded and highly disorganized oligomers distinct from nuclei.<sup id="cite_ref-pmid10958771_58-0" class="reference"><a href="#cite_note-pmid10958771-58"><span class="cite-bracket">&#91;</span>58<span class="cite-bracket">&#93;</span></a></sup> Only later on, will these aggregates reorganise structurally into nuclei, on which other disorganised oligomers will add and reorganise through a templating or induced-fit mechanism (this 'nucleated conformational conversion' model), eventually forming fibrils.<sup id="cite_ref-pmid10958771_58-1" class="reference"><a href="#cite_note-pmid10958771-58"><span class="cite-bracket">&#91;</span>58<span class="cite-bracket">&#93;</span></a></sup> </p><p>Normally <a href="/wiki/Folded_proteins" class="mw-redirect" title="Folded proteins">folded proteins</a> have to unfold partially before aggregation can take place through one of these mechanisms.<sup id="cite_ref-pmid19088715_59-0" class="reference"><a href="#cite_note-pmid19088715-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup> In some cases, however, folded proteins can aggregate without crossing the major <a href="/wiki/Energy_barrier" class="mw-redirect" title="Energy barrier">energy barrier</a> for unfolding, by populating native-like conformations as a consequence of <a href="/wiki/Thermal_fluctuations" title="Thermal fluctuations">thermal fluctuations</a>, ligand release or local unfolding occurring in particular circumstances.<sup id="cite_ref-pmid19088715_59-1" class="reference"><a href="#cite_note-pmid19088715-59"><span class="cite-bracket">&#91;</span>59<span class="cite-bracket">&#93;</span></a></sup> In these native-like conformations, segments that are normally buried or structured in the fully folded and possessing a high propensity to aggregate become exposed to the solvent or flexible, allowing the formation of native-like aggregates, which convert subsequently into nuclei and fibrils. This process is called 'native-like aggregation' (green arrows in the figure) and is similar to the 'nucleated conformational conversion' model. </p><p>A more recent, modern and thorough model of amyloid fibril formation involves the intervention of secondary events, such as 'fragmentation', in which a fibril breaks into two or more shorter fibrils, and 'secondary nucleation', in which fibril surfaces (not fibril ends) catalyze the formation of new nuclei.<sup id="cite_ref-pmid20007899_57-1" class="reference"><a href="#cite_note-pmid20007899-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup> Both secondary events increase the number of fibril ends able to recruit new monomers or oligomers, therefore accelerating fibril formation through a positive feedback mechanism. These events add to the well recognised steps of primary nucleation (formation of the nucleus from the monomers through one of models described above), fibril elongation (addition of monomers or oligomers to growing fibril ends) and dissociation (opposite process). </p><p>Such a new model is described in the figure on the right and involves the utilization of a <a href="/wiki/Master_equation" title="Master equation">master equation</a> that includes all steps of amyloid fibril formation, i.e. primary nucleation, fibril elongation, secondary nucleation and fibril fragmentation.<sup id="cite_ref-pmid20007899_57-2" class="reference"><a href="#cite_note-pmid20007899-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-:0_60-0" class="reference"><a href="#cite_note-:0-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup> The <a href="/wiki/Rate_constant" class="mw-redirect" title="Rate constant">rate constants</a> of the various steps can be determined from a global fit of a number of time courses of aggregation (for example <a href="/wiki/Thioflavin" title="Thioflavin">ThT fluorescence</a> emission versus time) recorded at different protein concentrations.<sup id="cite_ref-pmid20007899_57-3" class="reference"><a href="#cite_note-pmid20007899-57"><span class="cite-bracket">&#91;</span>57<span class="cite-bracket">&#93;</span></a></sup> The general master equation approach to amyloid fibril formation with secondary pathways has been developed by <a href="/wiki/Tuomas_Knowles" title="Tuomas Knowles">Knowles</a>, <a href="/wiki/Michele_Vendruscolo" title="Michele Vendruscolo">Vendruscolo</a>, Cohen, Michaels and coworkers and considers the time evolution of the concentration <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle f(t,j)}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle f(t,j)}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/343e635092c0903da01d3a4d04ec54c5d06d9e04" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.838ex; width:5.92ex; height:2.843ex;" alt="{\displaystyle f(t,j)}" /></span> of fibrils of length <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle j}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <mi>j</mi> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle j}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/2f461e54f5c093e92a55547b9764291390f0b5d0" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.671ex; margin-left: -0.027ex; width:0.985ex; height:2.509ex;" alt="{\displaystyle j}" /></span> (here <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle j}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <mi>j</mi> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle j}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/2f461e54f5c093e92a55547b9764291390f0b5d0" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.671ex; margin-left: -0.027ex; width:0.985ex; height:2.509ex;" alt="{\displaystyle j}" /></span> represents the number of monomers in an aggregate).<sup id="cite_ref-:0_60-1" class="reference"><a href="#cite_note-:0-60"><span class="cite-bracket">&#91;</span>60<span class="cite-bracket">&#93;</span></a></sup> <span class="mwe-math-element"><span class="mwe-math-mathml-display mwe-math-mathml-a11y" style="display: none;"><math display="block" xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle {\begin{aligned}{\frac {\partial f(t,j)}{\partial t}}&amp;=2k_{+}m(t)f(t,j-1)-2k_{+}m(t)f(t,j)\\&amp;+2k_{\rm {off}}f(t,j+1)-2k_{\rm {off}}f(t,j)\\&amp;+k_{-}\sum _{i=j+1}^{\infty }f(t,i)-k_{-}(j-1)f(t,j)\\&amp;+k_{1}m(t)^{n_{1}}\delta _{j,n_{1}}+k_{2}m(t)^{n_{2}}M(t)\delta _{j,n_{2}}\\\\\end{aligned}}}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <mrow class="MJX-TeXAtom-ORD"> <mtable columnalign="right left right left right left right left right left right left" rowspacing="3pt" columnspacing="0em 2em 0em 2em 0em 2em 0em 2em 0em 2em 0em" displaystyle="true"> <mtr> <mtd> <mrow class="MJX-TeXAtom-ORD"> <mfrac> <mrow> <mi mathvariant="normal">&#x2202;<!-- ∂ --></mi> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mrow> <mrow> <mi mathvariant="normal">&#x2202;<!-- ∂ --></mi> <mi>t</mi> </mrow> </mfrac> </mrow> </mtd> <mtd> <mi></mi> <mo>=</mo> <mn>2</mn> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>+</mo> </mrow> </msub> <mi>m</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo stretchy="false">)</mo> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo>&#x2212;<!-- − --></mo> <mn>1</mn> <mo stretchy="false">)</mo> <mo>&#x2212;<!-- − --></mo> <mn>2</mn> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>+</mo> </mrow> </msub> <mi>m</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo stretchy="false">)</mo> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mtd> </mtr> <mtr> <mtd></mtd> <mtd> <mi></mi> <mo>+</mo> <mn>2</mn> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mrow class="MJX-TeXAtom-ORD"> <mi mathvariant="normal">o</mi> <mi mathvariant="normal">f</mi> <mi mathvariant="normal">f</mi> </mrow> </mrow> </msub> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo>+</mo> <mn>1</mn> <mo stretchy="false">)</mo> <mo>&#x2212;<!-- − --></mo> <mn>2</mn> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mrow class="MJX-TeXAtom-ORD"> <mi mathvariant="normal">o</mi> <mi mathvariant="normal">f</mi> <mi mathvariant="normal">f</mi> </mrow> </mrow> </msub> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mtd> </mtr> <mtr> <mtd></mtd> <mtd> <mi></mi> <mo>+</mo> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>&#x2212;<!-- − --></mo> </mrow> </msub> <munderover> <mo>&#x2211;<!-- ∑ --></mo> <mrow class="MJX-TeXAtom-ORD"> <mi>i</mi> <mo>=</mo> <mi>j</mi> <mo>+</mo> <mn>1</mn> </mrow> <mrow class="MJX-TeXAtom-ORD"> <mi mathvariant="normal">&#x221e;<!-- ∞ --></mi> </mrow> </munderover> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>i</mi> <mo stretchy="false">)</mo> <mo>&#x2212;<!-- − --></mo> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>&#x2212;<!-- − --></mo> </mrow> </msub> <mo stretchy="false">(</mo> <mi>j</mi> <mo>&#x2212;<!-- − --></mo> <mn>1</mn> <mo stretchy="false">)</mo> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mtd> </mtr> <mtr> <mtd></mtd> <mtd> <mi></mi> <mo>+</mo> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>1</mn> </mrow> </msub> <mi>m</mi> <mo stretchy="false">(</mo> <mi>t</mi> <msup> <mo stretchy="false">)</mo> <mrow class="MJX-TeXAtom-ORD"> <msub> <mi>n</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>1</mn> </mrow> </msub> </mrow> </msup> <msub> <mi>&#x3b4;<!-- δ --></mi> <mrow class="MJX-TeXAtom-ORD"> <mi>j</mi> <mo>,</mo> <msub> <mi>n</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>1</mn> </mrow> </msub> </mrow> </msub> <mo>+</mo> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>2</mn> </mrow> </msub> <mi>m</mi> <mo stretchy="false">(</mo> <mi>t</mi> <msup> <mo stretchy="false">)</mo> <mrow class="MJX-TeXAtom-ORD"> <msub> <mi>n</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>2</mn> </mrow> </msub> </mrow> </msup> <mi>M</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo stretchy="false">)</mo> <msub> <mi>&#x3b4;<!-- δ --></mi> <mrow class="MJX-TeXAtom-ORD"> <mi>j</mi> <mo>,</mo> <msub> <mi>n</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>2</mn> </mrow> </msub> </mrow> </msub> </mtd> </mtr> <mtr> <mtd></mtd> </mtr> </mtable> </mrow> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle {\begin{aligned}{\frac {\partial f(t,j)}{\partial t}}&amp;=2k_{+}m(t)f(t,j-1)-2k_{+}m(t)f(t,j)\\&amp;+2k_{\rm {off}}f(t,j+1)-2k_{\rm {off}}f(t,j)\\&amp;+k_{-}\sum _{i=j+1}^{\infty }f(t,i)-k_{-}(j-1)f(t,j)\\&amp;+k_{1}m(t)^{n_{1}}\delta _{j,n_{1}}+k_{2}m(t)^{n_{2}}M(t)\delta _{j,n_{2}}\\\\\end{aligned}}}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/0c6834f840a81fd14c02c7ffbd621f08588a8f23" class="mwe-math-fallback-image-display mw-invert skin-invert" aria-hidden="true" style="vertical-align: -10.671ex; width:47.753ex; height:22.509ex;" alt="{\displaystyle {\begin{aligned}{\frac {\partial f(t,j)}{\partial t}}&amp;=2k_{+}m(t)f(t,j-1)-2k_{+}m(t)f(t,j)\\&amp;+2k_{\rm {off}}f(t,j+1)-2k_{\rm {off}}f(t,j)\\&amp;+k_{-}\sum _{i=j+1}^{\infty }f(t,i)-k_{-}(j-1)f(t,j)\\&amp;+k_{1}m(t)^{n_{1}}\delta _{j,n_{1}}+k_{2}m(t)^{n_{2}}M(t)\delta _{j,n_{2}}\\\\\end{aligned}}}" /></span>where <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle \delta _{i,j}}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <msub> <mi>&#x3b4;<!-- δ --></mi> <mrow class="MJX-TeXAtom-ORD"> <mi>i</mi> <mo>,</mo> <mi>j</mi> </mrow> </msub> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle \delta _{i,j}}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/40e421f3ef0893f646c999fcc309a25ad6bad1f5" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -1.005ex; width:2.967ex; height:3.009ex;" alt="{\displaystyle \delta _{i,j}}" /></span> denotes the <a href="/wiki/Kronecker_delta" title="Kronecker delta">Kronecker delta</a>. The physical interpretation of the various terms in the above master equation is straight forward: the terms on the first line describe the growth of fibrils via monomer addition with rate constant <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle k_{+}}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>+</mo> </mrow> </msub> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle k_{+}}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/101dd91e4318a4dfb09d3701fe87fc5ad31e13e2" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.671ex; width:2.722ex; height:2.509ex;" alt="{\displaystyle k_{+}}" /></span> (elongation). The terms on the second line describe monomer dissociation, i.e. the inverse process of elongation. <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle k_{\rm {off}}}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mrow class="MJX-TeXAtom-ORD"> <mi mathvariant="normal">o</mi> <mi mathvariant="normal">f</mi> <mi mathvariant="normal">f</mi> </mrow> </mrow> </msub> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle k_{\rm {off}}}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/aa9f6d7a8ffd70e800a12e736a82690b0598c02e" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.671ex; width:3.489ex; height:2.509ex;" alt="{\displaystyle k_{\rm {off}}}" /></span> is the rate constant of monomer dissociation. The terms on the third line describe the effect of fragmentation, which is assumed to occur homogeneously along fibrils with rate constant <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle k_{-}}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <msub> <mi>k</mi> <mrow class="MJX-TeXAtom-ORD"> <mo>&#x2212;<!-- − --></mo> </mrow> </msub> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle k_{-}}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/f58e4fd8179e5a65b9754737155e05c1a8077baf" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -0.671ex; width:2.722ex; height:2.509ex;" alt="{\displaystyle k_{-}}" /></span>. Finally, the terms on the last line describe primary and secondary nucleation respectively. Note that the rate of secondary nucleation is proportional to the mass of aggregates, defined as <span class="mwe-math-element"><span class="mwe-math-mathml-inline mwe-math-mathml-a11y" style="display: none;"><math xmlns="http://www.w3.org/1998/Math/MathML" alttext="{\displaystyle M(t)=\sum _{j=n_{1}}^{\infty }jf(t,j)}"> <semantics> <mrow class="MJX-TeXAtom-ORD"> <mstyle displaystyle="true" scriptlevel="0"> <mi>M</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo stretchy="false">)</mo> <mo>=</mo> <munderover> <mo>&#x2211;<!-- ∑ --></mo> <mrow class="MJX-TeXAtom-ORD"> <mi>j</mi> <mo>=</mo> <msub> <mi>n</mi> <mrow class="MJX-TeXAtom-ORD"> <mn>1</mn> </mrow> </msub> </mrow> <mrow class="MJX-TeXAtom-ORD"> <mi mathvariant="normal">&#x221e;<!-- ∞ --></mi> </mrow> </munderover> <mi>j</mi> <mi>f</mi> <mo stretchy="false">(</mo> <mi>t</mi> <mo>,</mo> <mi>j</mi> <mo stretchy="false">)</mo> </mstyle> </mrow> <annotation encoding="application/x-tex">{\displaystyle M(t)=\sum _{j=n_{1}}^{\infty }jf(t,j)}</annotation> </semantics> </math></span><img src="https://wikimedia.org/api/rest_v1/media/math/render/svg/4831e3d325af10aff1060148d2e07bc582b3bcda" class="mwe-math-fallback-image-inline mw-invert skin-invert" aria-hidden="true" style="vertical-align: -3.338ex; width:19.228ex; height:7.176ex;" alt="{\displaystyle M(t)=\sum _{j=n_{1}}^{\infty }jf(t,j)}" /></span>. </p><p>Following this analytical approach, it has become apparent that the lag phase does not correspond necessarily to only nucleus formation, but rather results from a combination of various steps. Similarly, the exponential phase is not only fibril elongation, but results from a combination of various steps, involving primary nucleation, fibril elongation, but also secondary events. A significant quantity of fibrils resulting from primary nucleation and fibril elongation may be formed during the lag phase and secondary steps, rather than only fibril elongation, can be the dominant processes contributing to fibril growth during the exponential phase. With this new model, any perturbing agents of amyloid fibril formation, such as putative <a href="/wiki/Drugs" class="mw-redirect" title="Drugs">drugs</a>, <a href="/wiki/Metabolites" class="mw-redirect" title="Metabolites">metabolites</a>, <a href="/wiki/Amino_acid_replacement" title="Amino acid replacement">mutations</a>, <a href="/wiki/Molecular_chaperones" class="mw-redirect" title="Molecular chaperones">chaperones</a>, etc., can be assigned to a specific step of fibril formation. </p> <div class="mw-heading mw-heading2"><h2 id="Amino_acid_sequence_and_amyloid_formation">Amino acid sequence and amyloid formation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=6" title="Edit section: Amino acid sequence and amyloid formation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In general, amyloid <a href="/wiki/Polymer" title="Polymer">polymerization</a> (aggregation or non-covalent polymerization) is sequence-sensitive, that is mutations in the sequence can induce or prevent self-assembly.<sup id="cite_ref-pmid12917692_61-0" class="reference"><a href="#cite_note-pmid12917692-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-62" class="reference"><a href="#cite_note-62"><span class="cite-bracket">&#91;</span>62<span class="cite-bracket">&#93;</span></a></sup> For example, humans produce <a href="/wiki/Amylin" title="Amylin">amylin</a>, an amyloidogenic peptide associated with type II diabetes, but in rats and mice prolines are substituted in critical locations and amyloidogenesis does not occur.<sup id="cite_ref-63" class="reference"><a href="#cite_note-63"><span class="cite-bracket">&#91;</span>63<span class="cite-bracket">&#93;</span></a></sup> Studies comparing synthetic to recombinant <a href="/wiki/%CE%92_amyloid" class="mw-redirect" title="Β amyloid">β amyloid peptide</a> in assays measuring rate of fibrillation, fibril homogeneity, and cellular toxicity showed that recombinant β amyloid peptide has a faster fibrillation rate and greater toxicity than synthetic β amyloid peptide.<sup id="cite_ref-64" class="reference"><a href="#cite_note-64"><span class="cite-bracket">&#91;</span>64<span class="cite-bracket">&#93;</span></a></sup> </p><p>There are multiple classes of amyloid-forming polypeptide sequences.<sup id="cite_ref-pm11076514_8-2" class="reference"><a href="#cite_note-pm11076514-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pm17056725_52-1" class="reference"><a href="#cite_note-pm17056725-52"><span class="cite-bracket">&#91;</span>52<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pm12023906_53-1" class="reference"><a href="#cite_note-pm12023906-53"><span class="cite-bracket">&#91;</span>53<span class="cite-bracket">&#93;</span></a></sup> Glutamine-rich polypeptides are important in the amyloidogenesis of Yeast and mammalian <a href="/wiki/Prions" class="mw-redirect" title="Prions">prions</a>, as well as <a href="/wiki/Trinucleotide_repeat_disorders" class="mw-redirect" title="Trinucleotide repeat disorders">trinucleotide repeat disorders</a> including <a href="/wiki/Huntington%27s_disease" title="Huntington&#39;s disease">Huntington's disease</a>. When glutamine-rich polypeptides are in a β-sheet conformation, glutamines can brace the structure by forming inter-strand hydrogen bonding between its amide carbonyls and nitrogens of both the backbone and side chains. The onset age for Huntington's disease shows an inverse correlation with the length of the <a href="/wiki/Polyglutamine_tract" title="Polyglutamine tract">polyglutamine sequence</a>, with analogous findings in a <i><a href="/wiki/Caenorhabditis_elegans" title="Caenorhabditis elegans">C. elegans</a></i> model system with engineered polyglutamine peptides.<sup id="cite_ref-65" class="reference"><a href="#cite_note-65"><span class="cite-bracket">&#91;</span>65<span class="cite-bracket">&#93;</span></a></sup> </p><p>Other polypeptides and proteins such as <a href="/wiki/Amylin" title="Amylin">amylin</a> and the β amyloid peptide do not have a simple consensus sequence and are thought to aggregate through the sequence segments enriched with hydrophobic residues, or residues with high propensity to form β-sheet structure.<sup id="cite_ref-pmid12917692_61-1" class="reference"><a href="#cite_note-pmid12917692-61"><span class="cite-bracket">&#91;</span>61<span class="cite-bracket">&#93;</span></a></sup> Among the hydrophobic residues, aromatic amino-acids are found to have the highest amyloidogenic propensity.<sup id="cite_ref-66" class="reference"><a href="#cite_note-66"><span class="cite-bracket">&#91;</span>66<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-&#80;MID15925383_67-0" class="reference"><a href="#cite_note-PMID15925383-67"><span class="cite-bracket">&#91;</span>67<span class="cite-bracket">&#93;</span></a></sup> </p><p>Cross-polymerization (fibrils of one polypeptide sequence causing other fibrils of another sequence to form) is observed in vitro and possibly in vivo. This phenomenon is important, since it would explain interspecies <a href="/wiki/Prion" title="Prion">prion</a> propagation and differential rates of prion propagation, as well as a statistical link between Alzheimer's and type 2 diabetes.<sup id="cite_ref-pmid23794448_68-0" class="reference"><a href="#cite_note-pmid23794448-68"><span class="cite-bracket">&#91;</span>68<span class="cite-bracket">&#93;</span></a></sup> In general, the more similar the peptide sequence the more efficient cross-polymerization is, though entirely dissimilar sequences can cross-polymerize and highly similar sequences can even be "blockers" that prevent polymerization.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (November 2008)">citation needed</span></a></i>&#93;</sup> </p> <div class="mw-heading mw-heading2"><h2 id="Amyloid_toxicity">Amyloid toxicity</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=7" title="Edit section: Amyloid toxicity"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The reasons why amyloid cause diseases are unclear. In some cases, the deposits physically disrupt tissue architecture, suggesting disruption of function by some bulk process. An emerging consensus implicates prefibrillar intermediates, rather than mature amyloid fibers, in causing cell death, particularly in neurodegenerative diseases.<sup id="cite_ref-pmid17505973_17-1" class="reference"><a href="#cite_note-pmid17505973-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-69" class="reference"><a href="#cite_note-69"><span class="cite-bracket">&#91;</span>69<span class="cite-bracket">&#93;</span></a></sup> The fibrils are, however, far from innocuous, as they keep the protein homeostasis network engaged, release oligomers, cause the formation of toxic oligomers via secondary nucleation, grow indefinitely spreading from district to district<sup id="cite_ref-pmid28498720_2-9" class="reference"><a href="#cite_note-pmid28498720-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> and, in some cases, may be toxic themselves.<sup id="cite_ref-70" class="reference"><a href="#cite_note-70"><span class="cite-bracket">&#91;</span>70<span class="cite-bracket">&#93;</span></a></sup> </p><p>Calcium dysregulation has been observed to occur early in cells exposed to protein oligomers. These small aggregates can form ion channels through lipid bilayer membranes and activate NMDA and AMPA receptors. Channel formation has been hypothesized to account for calcium dysregulation and mitochondrial dysfunction by allowing indiscriminate leakage of ions across cell membranes.<sup id="cite_ref-71" class="reference"><a href="#cite_note-71"><span class="cite-bracket">&#91;</span>71<span class="cite-bracket">&#93;</span></a></sup> Studies have shown that amyloid deposition is associated with mitochondrial dysfunction and a resulting generation of <a href="/wiki/Reactive_oxygen_species" title="Reactive oxygen species">reactive oxygen species</a> (ROS), which can initiate a signalling pathway leading to <a href="/wiki/Apoptosis" title="Apoptosis">apoptosis</a>.<sup id="cite_ref-72" class="reference"><a href="#cite_note-72"><span class="cite-bracket">&#91;</span>72<span class="cite-bracket">&#93;</span></a></sup> There are reports that indicate amyloid polymers (such as those of huntingtin, associated with Huntington's disease) can induce the polymerization of essential amyloidogenic proteins, which should be deleterious to cells. Also, interaction partners of these essential proteins can also be sequestered.<sup id="cite_ref-73" class="reference"><a href="#cite_note-73"><span class="cite-bracket">&#91;</span>73<span class="cite-bracket">&#93;</span></a></sup> </p><p>All these mechanisms of toxicity are likely to play a role. In fact, the aggregation of a protein generates a variety of aggregates, all of which are likely to be toxic to some degree. A wide variety of biochemical, physiological and cytological perturbations has been identified following the exposure of cells and animals to such species, independently of their identity. The oligomers have also been reported to interact with a variety of molecular targets. Hence, it is unlikely that there is a unique mechanism of toxicity or a unique cascade of cellular events. The misfolded nature of protein aggregates causes a multitude of aberrant interactions with a multitude of cellular components, including membranes, protein receptors, soluble proteins, RNAs, small metabolites, etc. </p> <div class="mw-heading mw-heading2"><h2 id="Histological_staining">Histological staining</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=8" title="Edit section: Histological staining"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In the clinical setting, amyloid diseases are typically identified by a change in the spectroscopic properties of planar <a href="/wiki/Aromatic" class="mw-redirect" title="Aromatic">aromatic</a> <a href="/wiki/Dye" title="Dye">dyes</a> such as <a href="/wiki/Thioflavin_T" class="mw-redirect" title="Thioflavin T">thioflavin T</a>, <a href="/wiki/Congo_red" title="Congo red">congo red</a> or NIAD-4.<sup id="cite_ref-74" class="reference"><a href="#cite_note-74"><span class="cite-bracket">&#91;</span>74<span class="cite-bracket">&#93;</span></a></sup> In general, this is attributed to the environmental change, as these dyes <a href="/wiki/Intercalation_(biochemistry)" title="Intercalation (biochemistry)">intercalate</a> between β-strands to confine their structure.<sup id="cite_ref-75" class="reference"><a href="#cite_note-75"><span class="cite-bracket">&#91;</span>75<span class="cite-bracket">&#93;</span></a></sup> </p><p>Congo Red positivity remains the gold standard for diagnosis of <a href="/wiki/Amyloidosis" title="Amyloidosis">amyloidosis</a>. In general, binding of Congo Red to amyloid plaques produces a typical apple-green <a href="/wiki/Birefringence" title="Birefringence">birefringence</a> when viewed under cross-polarized light. Recently, significant enhancement of fluorescence quantum yield of NIAD-4 was exploited to <a href="/wiki/Super-resolution" class="mw-redirect" title="Super-resolution">super-resolution</a> fluorescence imaging of amyloid fibrils<sup id="cite_ref-76" class="reference"><a href="#cite_note-76"><span class="cite-bracket">&#91;</span>76<span class="cite-bracket">&#93;</span></a></sup> and oligomers.<sup id="cite_ref-77" class="reference"><a href="#cite_note-77"><span class="cite-bracket">&#91;</span>77<span class="cite-bracket">&#93;</span></a></sup> To avoid nonspecific staining, other <a href="/wiki/Histology" title="Histology">histology</a> stains, such as the <a href="/wiki/H%26E_stain" title="H&amp;E stain">hematoxylin and eosin</a> stain, are used to quench the dyes' activity in other places such as the nucleus, where the dye might bind. Modern antibody technology and <a href="/wiki/Immunohistochemistry" title="Immunohistochemistry">immunohistochemistry</a> has made specific staining easier, but often this can cause trouble because epitopes can be concealed in the amyloid fold; in general, an amyloid protein structure is a different conformation from the one that the antibody recognizes. </p> <div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=9" title="Edit section: See also"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a href="/wiki/JUNQ_and_IPOD" title="JUNQ and IPOD">JUNQ and IPOD</a></li> <li><a href="/wiki/Proteopathy" class="mw-redirect" title="Proteopathy">Proteopathy</a></li> <li><a href="/wiki/Protein_aggregation_predictors" title="Protein aggregation predictors">Protein aggregation predictors</a></li> <li><a href="/wiki/Alzheimer%27s_disease" title="Alzheimer&#39;s disease">Alzheimer's disease</a></li> <li><a href="/wiki/Amyloid_plaque" class="mw-redirect" title="Amyloid plaque">Amyloid plaque</a></li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Amyloid&amp;action=edit&amp;section=10" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width" style="column-width: 30em;"> <ol class="references"> <li id="cite_note-pmid9356260-1"><span class="mw-cite-backlink">^ <a href="#cite_ref-pmid9356260_1-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-pmid9356260_1-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output 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(July 2013). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3715833">"Superresolution imaging of amyloid fibrils with binding-activated probes"</a>. <i>ACS Chemical Neuroscience</i>. <b>4</b> (7): <span class="nowrap">1057–</span>61. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1021%2Fcn400091m">10.1021/cn400091m</a>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3715833">3715833</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/23594172">23594172</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=ACS+Chemical+Neuroscience&amp;rft.atitle=Superresolution+imaging+of+amyloid+fibrils+with+binding-activated+probes&amp;rft.volume=4&amp;rft.issue=7&amp;rft.pages=%3Cspan+class%3D%22nowrap%22%3E1057-%3C%2Fspan%3E61&amp;rft.date=2013-07&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3715833%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F23594172&amp;rft_id=info%3Adoi%2F10.1021%2Fcn400091m&amp;rft.aulast=Ries&amp;rft.aufirst=J&amp;rft.au=Udayar%2C+V&amp;rft.au=Soragni%2C+A&amp;rft.au=Hornemann%2C+S&amp;rft.au=Nilsson%2C+KP&amp;rft.au=Riek%2C+R&amp;rft.au=Hock%2C+C&amp;rft.au=Ewers%2C+H&amp;rft.au=Aguzzi%2C+AA&amp;rft.au=Rajendran%2C+L&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC3715833&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AAmyloid" class="Z3988"></span></span> </li> <li id="cite_note-77"><span class="mw-cite-backlink"><b><a href="#cite_ref-77">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222" /><cite id="CITEREFHuhLeeKimHohng2017" class="citation journal cs1">Huh H, Lee J, Kim HJ, Hohng S, Kim SK (2017). "Morphological analysis of oligomeric vs. fibrillar forms of α-synuclein aggregates with super-resolution BALM imaging". <i>Chemical Physics Letters</i>. <b>690</b>: <span class="nowrap">62–</span>67. <a href="/wiki/Bibcode_(identifier)" class="mw-redirect" title="Bibcode (identifier)">Bibcode</a>:<a rel="nofollow" class="external text" href="https://ui.adsabs.harvard.edu/abs/2017CPL...690...62H">2017CPL...690...62H</a>. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.cplett.2017.10.034">10.1016/j.cplett.2017.10.034</a>.</cite><span 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href="/wiki/Calcitonin" title="Calcitonin">ACal</a></li> <li><a href="/wiki/Prolactin" title="Prolactin">APro</a></li> <li><a href="/wiki/Atrial_natriuretic_peptide" title="Atrial natriuretic peptide">AANF</a></li> <li><a href="/wiki/Cystatin_C" title="Cystatin C">ACys</a></li> <li><a href="/wiki/ITM2B" title="ITM2B">ABri</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Systemic amyloidosis</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/AL_amyloidosis" title="AL amyloidosis">AL amyloidosis</a></li> <li><a href="/wiki/AA_amyloidosis" title="AA amyloidosis">AA amyloidosis</a></li> <li><a href="/wiki/Haemodialysis-associated_amyloidosis" title="Haemodialysis-associated amyloidosis">Aβ2M/Haemodialysis-associated</a></li> <li><a href="/wiki/Finnish_type_amyloidosis" class="mw-redirect" title="Finnish type amyloidosis">AGel/Finnish type</a></li> <li><a href="/wiki/Familial_Mediterranean_fever" title="Familial Mediterranean fever">AA/Familial Mediterranean fever</a></li> <li><a href="/wiki/Transthyretin-related_hereditary_amyloidosis" class="mw-redirect" title="Transthyretin-related hereditary amyloidosis">ATTR/Transthyretin-related hereditary</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Organ-limited_amyloidosis" title="Organ-limited amyloidosis">Organ-limited amyloidosis</a></th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Human_heart" class="mw-redirect" title="Human heart">Heart</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"><a 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cancer">ACal/Medullary thyroid cancer</a></dd></dl> <dl><dt><a href="/wiki/Pituitary_gland" title="Pituitary gland">Pituitary</a></dt> <dd><a href="/wiki/Prolactinoma" title="Prolactinoma">APro/Prolactinoma</a></dd></dl> <dl><dt><a href="/wiki/Pancreas" title="Pancreas">Pancreas</a></dt> <dd><a href="/wiki/Insulinoma" title="Insulinoma">AIAPP/Insulinoma</a></dd> <dd><a href="/wiki/Type_2_diabetes" title="Type 2 diabetes">Type 2 diabetes</a></dd></dl> </div></td></tr></tbody></table><div></div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐web.codfw.main‐684955989f‐2t95p Cached time: 20250331175133 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 0.803 seconds Real time usage: 0.970 seconds Preprocessor visited node count: 4877/1000000 Post‐expand include size: 238001/2097152 bytes Template argument size: 1541/2097152 bytes Highest expansion depth: 13/100 Expensive parser function count: 4/500 Unstrip 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