Evidence map›Paper›PMID 39069558›Full record

ArticleNature communications2024

Helical superstructures between amyloid and collagen in cardiac fibrils from a patient with AL amyloidosis.

Tim Schulte, Antonio Chaves-Sanjuan, Valentina Speranzini, Kevin Sicking, Melissa Milazzo, Giulia Mazzini, Paola Rognoni, Serena Caminito, Paolo Milani, Chiara Marabelli and 11 more

Abstract readCase Reports
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

21 authors.

Tim Schulte *Institute of Molecular and Translational Cardiology, IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese, Italy.
Antonio Chaves-Sanjuan *Department of Biosciences, Università degli Studi di Milano, Milan, 20133, Italy.ORCID 0000-0003-3287-9024
Valentina Speranzini *Department of Biosciences, Università degli Studi di Milano, Milan, 20133, Italy.
Kevin SickingUniversity Medical Center Göttingen, Institute for Neuropathology, Göttinge, 37077, Germany.
Melissa MilazzoDepartment of Biosciences, Università degli Studi di Milano, Milan, 20133, Italy.ORCID 0009-0000-7726-8580
Giulia MazziniAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0001-7695-2938
Paola RognoniAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0001-6350-1919
Serena CaminitoAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0003-2381-1829
Paolo MilaniAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0002-2268-9422
Chiara MarabelliDepartment of Biosciences, Università degli Studi di Milano, Milan, 20133, Italy.ORCID 0000-0002-6613-4306
Alessandro CorbelliDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via M. Negri 2, Milano, 20156, Italy.
Luisa DiomedeDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via M. Negri 2, Milano, 20156, Italy.ORCID 0000-0002-2258-0531
Fabio FiordalisoDepartment of Molecular Biochemistry and Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via M. Negri 2, Milano, 20156, Italy.ORCID 0000-0002-0172-4030
Luigi AnastasiaInstitute of Molecular and Translational Cardiology, IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese, Italy.ORCID 0000-0002-0712-2161
Carlo PapponeInstitute of Molecular and Translational Cardiology, IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese, Italy.ORCID 0000-0002-0901-6135
Giampaolo MerliniAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0001-7680-3254
Martino BolognesiDepartment of Biosciences, Università degli Studi di Milano, Milan, 20133, Italy.ORCID 0000-0002-9253-5170
Mario NuvoloneAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.ORCID 0000-0001-8334-1684
Rubén Fernández-BusnadiegoUniversity Medical Center Göttingen, Institute for Neuropathology, Göttinge, 37077, Germany.ORCID 0000-0002-8366-7622
Giovanni PalladiniAmyloidosis Treatment and Research Center, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi di Pavia, Pavia, 27100, Italy.
Stefano RicagnoInstitute of Molecular and Translational Cardiology, IRCCS Policlinico San Donato, Piazza Malan 2, 20097, San Donato Milanese, Italy. stefano.ricagno@unimi.it.ORCID 0000-0001-6678-5873

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic light chain (LC) amyloidosis (AL) is a disease where organs are damaged by an overload of a misfolded patient-specific antibody-derived LC, secreted by an abnormal B cell clone. The high LC concentration in the blood leads to amyloid deposition at organ sites. Indeed, cryogenic electron microscopy (cryo-EM) has revealed unique amyloid folds for heart-derived fibrils taken from different patients. Here, we present the cryo-EM structure of heart-derived AL amyloid (AL59) from another patient with severe cardiac involvement. The double-layered structure displays a u-shaped core that is closed by a β-arc lid and extended by a straight tail. Noteworthy, the fibril harbours an extended constant domain fragment, thus ruling out the variable domain as sole amyloid building block. Surprisingly, the fibrils were abundantly concatenated with a proteinaceous polymer, here identified as collagen VI (COLVI) by immuno-electron microscopy (IEM) and mass-spectrometry. Cryogenic electron tomography (cryo-ET) showed how COLVI wraps around the amyloid forming a helical superstructure, likely stabilizing and protecting the fibrils from clearance. Thus, here we report structural evidence of interactions between amyloid and collagen, potentially signifying a distinct pathophysiological mechanism of amyloid deposits.

Indexed as

AmyloidCryoelectron MicroscopyImmunoglobulin Light-chain AmyloidosisMyocardiumAmyloidosisCollagenHumansAmyloidCollagen

Identifiers

PMID39069558
PMCPMC11284220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.