Evidence map›Paper›PMID 39843982›Full record

ArticleNature structural & molecular biology2025

The conformational landscape of human transthyretin revealed by cryo-EM.

Benjamin Basanta, Karina Nugroho, Nicholas L Yan, Gabriel M Kline, Evan T Powers, Felix J Tsai, Mengyu Wu, Althea Hansel-Harris, Jason S Chen, Stefano Forli and 2 more

Abstract read
In one paragraph

Article in Nature structural & molecular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
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  7. Mass spectrometry footprinting reveals how kinetic stabilizers counteract transthyretin dynamics altered by pathogenic mutations.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  18. Structure and Stabilities of Solution and Gas Phase Protein Complexes.Journal of the American Society for Mass Spectrometry · 2024
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Benjamin BasantaDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA.
Karina NugrohoDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.
Nicholas L YanDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.
Gabriel M KlineDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.
Evan T PowersDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-8185-8487
Felix J TsaiDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.
Mengyu WuDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA.
Althea Hansel-HarrisDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-7064-1119
Jason S ChenAutomated Synthesis Facility, Scripps Research, La Jolla, CA, USA.
Stefano ForliDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-5964-7111
Jeffrey W KellyDepartment of Chemistry, Scripps Research, La Jolla, CA, USA.ORCID http://orcid.org/0000-0001-8943-3395
Gabriel C LanderDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA. glander@scripps.edu.ORCID http://orcid.org/0000-0003-4921-1135

Funding

User Training and OutreachP30GM124169 · NIGMS · UNIVERSITY OF CALIF-LAWRENC BERKELEY LAB · PI PAUL David ADAMS, Gregory L Hura · 2017 to 2026
$28.6M
AutoDock Suite: Next Generation Environment for Drug DesignR01GM069832 · NIGMS · SCRIPPS RESEARCH INSTITUTE, THE · PI FORLI, STEFANO · 2004 to 2025
$10.9M
Probing the Biochemical Mechanisms of Amyloid DiseaseR01DK046335 · NIDDK · SCRIPPS RESEARCH INSTITUTE, THE · PI KELLY, JEFFERY W · 1998 to 2025
$8.8M
Probing the biochemical mechanism of amyloid diseaseR37DK046335 · NIDDK · SCRIPPS RESEARCH INSTITUTE, THE · PI KELLY, JEFFERY W · 2006 to 2015
$5.9M
UC San Diego Medical Scientist Training ProgramT32GM154642 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Neil C Chi, Mary Kathleen Lewinski · 2025 to 2026
$2.9M
Extending the limits of cryo-EM to better understand TTR misfolding and aggregationR21AG067594 · NIA · SCRIPPS RESEARCH INSTITUTE, THE · PI LANDER, GABRIEL C · 2020 to 2021
$488k
Development of a pipeline for parallel elucidation of protein structuresR21GM142196 · NIGMS · SCRIPPS RESEARCH INSTITUTE, THE · PI LANDER, GABRIEL C · 2021 to 2022
$488k
NIA NIH HHS R21 AG067594NIDDK NIH HHS R01 DK046335NIDDK NIH HHS R37 DK046335NIGMS NIH HHS P30 GM124169NIGMS NIH HHS R01 GM069832NIGMS NIH HHS R21 GM142196NIGMS NIH HHS T32 GM154642
6 · The paper itself

Abstract

Transthyretin (TTR) is a natively tetrameric thyroxine transporter in blood and cerebrospinal fluid whose misfolding and aggregation causes TTR amyloidosis. A rational drug design campaign identified the small molecule tafamidis (Vyndamax) as a stabilizer of the native TTR fold, and this aggregation inhibitor is regulatory agency approved for the treatment of TTR amyloidosis. Here we used cryo-EM to investigate the conformational landscape of this 55 kDa tetramer in the absence and presence of one or two ligands, revealing inherent asymmetries in the tetrameric architecture and previously unobserved conformational states. These findings provide critical mechanistic insights into negatively cooperative ligand binding and the structural pathways responsible for TTR amyloidogenesis, underscoring the capacity of cryo-EM to identify pharmacological targets suppressed by the confines of the crystal lattice, opening uncharted territory in structure-based drug design.

Indexed as

PrealbuminBenzoxazolesCryoelectron MicroscopyHumansLigandsModels, MolecularProtein BindingProtein ConformationBenzoxazolesLigandsPrealbumintafamidisTTR protein, human

Identifiers

PMID39843982
PMCPMC12086048

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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.