Evidence map›Paper›PMID 33558536›Full record

ArticleNature communications2021

Cryo-EM reveals structural breaks in a patient-derived amyloid fibril from systemic AL amyloidosis.

Lynn Radamaker, Julian Baur, Stefanie Huhn, Christian Haupt, Ute Hegenbart, Stefan Schönland, Akanksha Bansal, Matthias Schmidt, Marcus Fändrich

Abstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
–field-weighted citation impact
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

68 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. TDP-43: [GU]-ardian of the transcriptome.Molecular neurodegeneration · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review

8 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.

Lynn RadamakerInstitute of Protein Biochemistry, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0002-6610-0907
Julian BaurInstitute of Protein Biochemistry, Ulm University, Ulm, Germany.
Stefanie HuhnMedical Department V, Section of Multiple Myeloma, Heidelberg University Hospital, Heidelberg, Germany.
Christian HauptInstitute of Protein Biochemistry, Ulm University, Ulm, Germany.
Ute HegenbartMedical Department V, Amyloidosis Center, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1917-6746
Stefan SchönlandMedical Department V, Amyloidosis Center, Heidelberg University Hospital, Heidelberg, Germany.
Akanksha BansalInstitute of Protein Biochemistry, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0002-4526-366X
Matthias SchmidtInstitute of Protein Biochemistry, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0002-9442-460X
Marcus FändrichInstitute of Protein Biochemistry, Ulm University, Ulm, Germany. marcus.faendrich@uni-ulm.de.ORCID http://orcid.org/0000-0003-2123-6816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic AL amyloidosis is a debilitating and potentially fatal disease that arises from the misfolding and fibrillation of immunoglobulin light chains (LCs). The disease is patient-specific with essentially each patient possessing a unique LC sequence. In this study, we present two ex vivo fibril structures of a λ3 LC. The fibrils were extracted from the explanted heart of a patient (FOR005) and consist of 115-residue fibril proteins, mainly from the LC variable domain. The fibril structures imply that a 180° rotation around the disulfide bond and a major unfolding step are necessary for fibrils to form. The two fibril structures show highly similar fibril protein folds, differing in only a 12-residue segment. Remarkably, the two structures do not represent separate fibril morphologies, as they can co-exist at different z-axial positions within the same fibril. Our data imply the presence of structural breaks at the interface of the two structural forms.

Indexed as

Cryoelectron MicroscopyAmino Acid SequenceAmyloidFemaleHumansImmunoglobulin Light-chain AmyloidosisImmunoglobulin Light ChainsMiddle AgedMutationProtein AggregatesProtein ConformationAmyloidImmunoglobulin Light ChainsProtein Aggregates

Identifiers

PMID33558536
PMCPMC7870857

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Registered trials

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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.