Evidence map›Paper›PMID 34073489›Full record

ArticleInternational journal of molecular sciences2021

The Importance of N186 in the Alpha-1-Antitrypsin Shutter Region Is Revealed by the Novel Bologna Deficiency Variant.

Riccardo Ronzoni, Ilaria Ferrarotti, Emanuela D'Acunto, Alice M Balderacchi, Stefania Ottaviani, David A Lomas, James A Irving, Elena Miranda, Annamaria Fra

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 37% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  3. Genetic analysis ofZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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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 5 institutions in 2 countries.

Riccardo RonzoniUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, London WC1E 6JF, UK.
Ilaria FerrarottiPneumology Unit, Centre for Diagnosis of Inherited Alpha-1 Antitrypsin Deficiency, Department of Internal Medicine and Therapeutics, IRCCS San Matteo Hospital Foundation, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-4892-4192
Emanuela D'AcuntoDepartment of Biology and Biotechnologies 'Charles Darwin', Sapienza University of Rome, 00185 Rome, Italy.
Alice M BalderacchiPneumology Unit, Centre for Diagnosis of Inherited Alpha-1 Antitrypsin Deficiency, Department of Internal Medicine and Therapeutics, IRCCS San Matteo Hospital Foundation, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0003-0714-1087
Stefania OttavianiPneumology Unit, Centre for Diagnosis of Inherited Alpha-1 Antitrypsin Deficiency, Department of Internal Medicine and Therapeutics, IRCCS San Matteo Hospital Foundation, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-2039-230X
David A LomasUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, London WC1E 6JF, UK.ORCID 0000-0003-2339-6979
James A IrvingUCL Respiratory and the Institute of Structural and Molecular Biology, University College London, London WC1E 6JF, UK.ORCID 0000-0003-3204-6356
Elena MirandaDepartment of Biology and Biotechnologies 'Charles Darwin', Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-0586-8795
Annamaria FraDepartment of Molecular and Translational Medicine, University of Brescia, viale Europa 11, 25123 Brescia, Italy.
Institute of Structural and Molecular Biology · GBUniversity of Pavia · ITIstituto Pasteur · ITSapienza University of Rome · ITUniversity of Brescia · IT

Funding

Medical Research Council MR/N024842/1Medical Research Council MR/V034243/1
6 · The paper itself

Abstract

Alpha-1-antitrypsin (AAT) deficiency causes pulmonary disease due to decreased levels of circulating AAT and consequently unbalanced protease activity in the lungs. Deposition of specific AAT variants, such as the common Z AAT, within hepatocytes may also result in liver disease. These deposits are comprised of ordered polymers of AAT formed by an inter-molecular domain swap. The discovery and characterization of rare variants of AAT and other serpins have historically played a crucial role in the dissection of the structural mechanisms leading to AAT polymer formation. Here, we report a severely deficient shutter region variant, Bologna AAT (N186Y), which was identified in five unrelated subjects with different geographical origins. We characterized the new variant by expression in cellular models in comparison with known polymerogenic AAT variants. Bologna AAT showed secretion deficiency and intracellular accumulation as detergent-insoluble polymers. Extracellular polymers were detected in both the culture media of cells expressing Bologna AAT and in the plasma of a patient homozygous for this variant. Structural modelling revealed that the mutation disrupts the hydrogen bonding network in the AAT shutter region. These data support a crucial coordinating role for asparagine 186 and the importance of this network in promoting formation of the native structure.

Indexed as

alpha 1-AntitrypsinMutation, Missensealpha 1-Antitrypsin DeficiencyAmino Acid SubstitutionHEK293 CellsHumansProtein Domainsalpha 1-AntitrypsinSERPINA1 protein, humanalpha-1-antitrypsin deficiencyendoplasmic reticulumliver storage diseaseprotein aggregationSERPINA1 allelesserpinopathies

Identifiers

PMID34073489
PMCPMC8198886
OpenAlexW3165539457

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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.