Evidence map›Paper›PMID 41162370›Full record

ArticleNature communications2025

Structural characterization of atrial natriuretic peptide amyloid fibrils from patients with atrial fibrillation.

Luca Broggini, Marco Piccoli, Antonio Chaves-Sanjuan, Diane Marie Valérie Bonnet, Federica Cirillo, Cristina Visentin, Federica Sonzini, Paola Signorelli, Ivana Lavota, Melissa Milazzo and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Tau catalyzes amyloid-β aggregation and toxicity in a polymorph-dependent manner.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Review
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

16 authors.

Luca BrogginiInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.
Marco PiccoliInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.
Antonio Chaves-SanjuanDepartment of Biosciences, University of Milan, Via Celoria, Milan, Italy.ORCID http://orcid.org/0000-0003-3287-9024
Diane Marie Valérie BonnetUnitech NOLIMITS, Imaging facility, Università degli Studi di Milano, Milan, Italy.
Federica CirilloInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.ORCID http://orcid.org/0000-0002-0196-5977
Cristina VisentinDepartment of Biosciences, University of Milan, Via Celoria, Milan, Italy.ORCID http://orcid.org/0000-0003-2705-1417
Federica SonziniInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.
Paola Signorelli"Aldo Ravelli" Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan, Via Antonio di Rudinì, Milan, Italy.
Ivana LavotaInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.
Melissa MilazzoDepartment of Biosciences, University of Milan, Via Celoria, Milan, Italy.ORCID http://orcid.org/0009-0000-7726-8580
Simona NonnisDepartment of Veterinary Medicine and Animal Science (DIVAS), University of Milan, Via dell'Università, Lodi, Italy.ORCID http://orcid.org/0000-0002-3453-7282
Lorenzo MenicantiDepartment of Cardiac Surgery, Istituto di Ricovero e Cura a Carattere Scientifico Policlinico San Donato, Milan, Italy.
Giuseppe CiconteInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.
Carlo PapponeInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.ORCID http://orcid.org/0000-0002-0901-6135
Luigi AnastasiaInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy.ORCID http://orcid.org/0000-0002-0712-2161
Stefano RicagnoInstitute for Molecular and Translational Cardiology (IMTC), IRCCS Policlinico San Donato, Piazza Malan, Milan, San Donato Milanese, Italy. stefano.ricagno@unimi.it.ORCID http://orcid.org/0000-0001-6678-5873

Funding

Fondazione Cariplo (Cariplo Foundation) 2024-NAZ-0018
6 · The paper itself

Abstract

Isolated atrial amyloidosis (IAA) is a localized cardiac disorder characterized by atrial natriuretic peptide (ANP) amyloids deposition in the atria, linked to aging and atrial fibrillation (AF). While monomeric ANP regulates blood pressure, its dimeric form is associated with cardiovascular conditions, including AF. The mechanistic link between ANP aggregation, IAA, and AF remains unclear. Here, we present the first high-resolution structural characterization of ANP fibrils extracted from AF patients, revealing two distinct fibril polymorphs. Both present covalent ANP dimers as building blocks but diverge in their structural architecture: one features antiparallel dimers stabilized by a single disulfide bond, while the other consists of parallel dimers bridged by two interchain disulfide bonds. These fibril morphologies were conserved across patients, suggesting a common aggregation mechanism in IAA. Overall, our findings ascribe to dimeric ANP a critical role in amyloid formation, offering promising directions for earlier detection and treatment of IAA.

Indexed as

AmyloidAmyloidosisAtrial FibrillationAtrial Natriuretic FactorAgedFemaleHeart AtriaHumansMaleMiddle AgedProtein MultimerizationAmyloidAtrial Natriuretic Factor

Identifiers

PMID41162370
PMCPMC12572208

What OpenQuestion holds

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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.