Evidence map›Paper›PMID 30894526›Full record

ArticleNature communications2019

Cryo-EM structure of a light chain-derived amyloid fibril from a patient with systemic AL amyloidosis.

Lynn Radamaker, Yin-Hsi Lin, Karthikeyan Annamalai, Stefanie Huhn, Ute Hegenbart, Stefan O Schönland, Günter Fritz, Matthias Schmidt, Marcus Fändrich

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
8.7field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 191 citations in OpenAlex.

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  6. Biopsy-resolved cryo-EM structures of amyloid fibrils provide molecular insights into AL amyloidosis.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  11. Review
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  16. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
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  18. Article
  19. Review
  20. Article

37 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 1 country.

Lynn RadamakerInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Yin-Hsi LinInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Karthikeyan AnnamalaiInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Stefanie HuhnMedical Department V, Section of Multiple Myeloma, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Ute HegenbartMedical Department V, Amyloidosis Center, Heidelberg University Hospital, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1917-6746
Stefan O SchönlandMedical Department V, Amyloidosis Center, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Günter FritzInstitute of Microbiology, University of Hohenheim, 70599, Stuttgart, Germany.ORCID http://orcid.org/0000-0002-4571-8812
Matthias SchmidtInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Marcus FändrichInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany. marcus.faendrich@uni-ulm.de.
Universität Ulm · DEHeidelberg University · DEUniversity of Hohenheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Amyloid fibrils derived from antibody light chains are key pathogenic agents in systemic AL amyloidosis. They can be deposited in multiple organs but cardiac amyloid is the major risk factor of mortality. Here we report the structure of a λ1 AL amyloid fibril from an explanted human heart at a resolution of 3.3 Å which we determined using cryo-electron microscopy. The fibril core consists of a 91-residue segment presenting an all-beta fold with ten mutagenic changes compared to the germ line. The conformation differs substantially from natively folded light chains: a rotational switch around the intramolecular disulphide bond being the crucial structural rearrangement underlying fibril formation. Our structure provides insight into the mechanism of protein misfolding and the role of patient-specific mutations in pathogenicity.

Indexed as

Amino Acid SequenceAmyloidCryoelectron MicroscopyHumansImmunoglobulin Light-chain AmyloidosisImmunoglobulin Light ChainsModels, MolecularMutationMyocardiumProtein ConformationProtein FoldingAmyloidamyloid protein ALImmunoglobulin Light Chains

Identifiers

PMID30894526
PMCPMC6427026
OpenAlexW2923360879

What OpenQuestion holds

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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.