Evidence map›Paper›PMID 28504839›Full record

ArticleThe FEBS journal2017

The pathological Trento variant of alpha-1-antitrypsin (E75V) shows nonclassical behaviour during polymerization.

Elena Miranda, Ilaria Ferrarotti, Romina Berardelli, Mattia Laffranchi, Marta Cerea, Fabrizio Gangemi, Imran Haq, Stefania Ottaviani, David A Lomas, James A Irving and 1 more

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The FEBS journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.2field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Scaling Concepts in Serpin Polymer Physics.Materials (Basel, Switzerland) · 2021
    Article
  14. Article
  15. Article
  16. Post-Translational Modifications of Circulating Alpha-1-Antitrypsin Protein.International journal of molecular sciences · 2020
    Review
  17. The structural basis for Z αScience advances · 2020
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Elena MirandaDepartment of Biology and Biotechnologies 'Charles Darwin', Sapienza University of Rome, Italy.ORCID 0000-0002-0586-8795
Ilaria FerrarottiDepartment of Internal Medicine and Therapeutics, Pneumology Unit, University of Pavia, Italy.
Romina BerardelliDepartment of Molecular and Translational Medicine, University of Brescia, Italy.
Mattia LaffranchiDepartment of Molecular and Translational Medicine, University of Brescia, Italy.
Marta CereaDepartment of Biology and Biotechnologies 'Charles Darwin', Sapienza University of Rome, Italy.
Fabrizio GangemiDepartment of Molecular and Translational Medicine, University of Brescia, Italy.
Imran HaqUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, UK.
Stefania OttavianiCenter for Diagnosis of Inherited Alpha 1-Antitrypsin Deficiency, Pneumology Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
David A LomasUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, UK.
James A IrvingUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, UK.ORCID 0000-0003-3204-6356
Annamaria FraDepartment of Molecular and Translational Medicine, University of Brescia, Italy.ORCID 0000-0002-4327-3004
University of Brescia · ITInstitute of Structural and Molecular Biology · GBPoliclinico San Matteo Fondazione · ITSapienza University of Rome · ITUniversity of Pavia · IT

Funding

Department of HealthMedical Research Council MR/N024842/1
6 · The paper itself

Abstract

Severe alpha-1-antitrypsin deficiency (AATD) is most frequently associated with the alpha-1-antitrypsin (AAT) Z variant (E342K). ZZ homozygotes exhibit accumulation of AAT as polymers in the endoplasmic reticulum of hepatocytes. This protein deposition can lead to liver disease, with the resulting low circulating levels of AAT predisposing to early-onset emphysema due to dysregulation of elastinolytic activity in the lungs. An increasing number of rare AAT alleles have been identified in patients with severe AATD, typically in combination with the Z allele. Here we report a new mutation (E75V) in a patient with severe plasma deficiency, which we designate Trento. In contrast to the Z mutant, Trento AAT was secreted efficiently when expressed in cellular models but showed compromised conformational stability. Polyacrylamide gel electrophoresis (PAGE) and ELISA-based analyses of the secreted protein revealed the presence of oligomeric species with electrophoretic and immunorecognition profiles different from those of Z and S (E264V) AAT polymers, including reduced recognition by conformational monoclonal antibodies 2C1 and 4B12. This altered recognition was not due to direct effects on the epitope of the 2C1 monoclonal antibody which we localized between helices E and F. Structural analyses indicate the likely basis for polymer formation is the loss of a highly conserved stabilizing interaction between helix C and the posthelix I loop. These results highlight this region as important for maintaining native state stability and, when compromised, results in the formation of pathological polymers that are different from those produced by Z and S AAT.

Indexed as

Mutationalpha 1-Antitrypsinalpha 1-Antitrypsin DeficiencyElectrophoresis, Polyacrylamide GelEnzyme-Linked Immunosorbent AssayGenetic Predisposition to DiseaseHumansMaleMiddle AgedMolecular Dynamics SimulationPolymerizationProtein Conformationalpha 1-AntitrypsinSERPINA1 protein, humanalpha-1-antitrypsin deficiencyemphysemamisfolding diseasesserpin polymersserpins

Identifiers

PMID28504839
PMCPMC5518210
OpenAlexW2614796967

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.