Evidence map›Paper›PMID 39641756›Full record

ArticleAmyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis2025

An updated AL-base reveals ranked enrichment of immunoglobulin light chain variable genes in AL amyloidosis.

Gareth J Morgan, Allison N Nau, Sherry Wong, Brian H Spencer, Yun Shen, Axin Hua, Matthew J Bullard, Vaishali Sanchorawala, Tatiana Prokaeva

Abstract read
In one paragraph

Article in Amyloid : the international journal of experimental and clinical investigation : the official journal of the International Society of Amyloidosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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  8. 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
  9. Article
  10. Review
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  13. Serum and Tissue Light-Chains as Disease Biomarkers in AL Amyloidosis.International journal of molecular sciences · 2025
    Review
  14. Article
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Gareth J MorganBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Allison N NauBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Sherry WongBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Brian H SpencerBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Yun ShenBoston University Research Computing Services, Boston, MA, USA.
Axin HuaBiostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA, USA.
Matthew J BullardBiostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA, USA.
Vaishali SanchorawalaBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Tatiana ProkaevaBoston University Amyloidosis Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Tissue response to amyloidogenic light chainsP01HL068705 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI SELDIN, DAVID C · 2002 to 2006
$7.8M
NCATS NIH HHS UL1 TR001430NHLBI NIH HHS P01 HL068705
6 · The paper itself

Abstract

backgroundEach monoclonal antibody light chain associated with AL amyloidosis has a unique sequence. Defining how these sequences drive amyloid deposition could facilitate faster diagnosis and lead to new treatments.

methodsLight chain sequences are collected in the AL-Base repository. Monoclonal sequences from AL amyloidosis, multiple myeloma and the healthy polyclonal immune repertoire were compared to identify differences in precursor gene use, mutation frequency and physicochemical properties.

resultsAL-Base now contains 2,200 monoclonal light chain sequences from AL amyloidosis and other plasma cell dyscrasias. Sixteen germline precursor genes were enriched in AL amyloidosis, relative to multiple myeloma and the polyclonal repertoire. Two genes,

conclusionsRarely-observed light chain variable genes may carry a high risk of AL amyloidosis. New approaches are needed to define sequence-associated risk factors for AL amyloidosis. AL-Base is a foundational resource for such studies.

Indexed as

Immunoglobulin Light-chain AmyloidosisImmunoglobulin Light ChainsImmunoglobulin Variable RegionHumansMultiple MyelomaMutationImmunoglobulin Light ChainsImmunoglobulin Variable RegionaggregationamyloidogenicityAntibody light chain amyloidosisimmunoglobulin germline precursor genesprotein misfoldingrare diseasesequence analysis

Identifiers

PMID39641756
PMCPMC12068999

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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.