Light Chain Amyloid Fibrils Cause Metabolic Dysfunction in Human Cardiomyocytes

Light chain (AL) amyloidosis is the most common form of systemic amyloid disease, and cardiomyopathy is a dire consequence, resulting in an extremely poor prognosis. AL is characterized by the production of monoclonal free light chains that deposit as amyloid fibrils principally in the heart, liver,...

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Veröffentlicht in:PloS one 2015-09, Vol.10 (9), p.e0137716-e0137716
Hauptverfasser: McWilliams-Koeppen, Helen P, Foster, James S, Hackenbrack, Nicole, Ramirez-Alvarado, Marina, Donohoe, Dallas, Williams, Angela, Macy, Sallie, Wooliver, Craig, Wortham, Dale, Morrell-Falvey, Jennifer, Foster, Carmen M, Kennel, Stephen J, Wall, Jonathan S
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container_issue 9
container_start_page e0137716
container_title PloS one
container_volume 10
creator McWilliams-Koeppen, Helen P
Foster, James S
Hackenbrack, Nicole
Ramirez-Alvarado, Marina
Donohoe, Dallas
Williams, Angela
Macy, Sallie
Wooliver, Craig
Wortham, Dale
Morrell-Falvey, Jennifer
Foster, Carmen M
Kennel, Stephen J
Wall, Jonathan S
description Light chain (AL) amyloidosis is the most common form of systemic amyloid disease, and cardiomyopathy is a dire consequence, resulting in an extremely poor prognosis. AL is characterized by the production of monoclonal free light chains that deposit as amyloid fibrils principally in the heart, liver, and kidneys causing organ dysfunction. We have studied the effects of amyloid fibrils, produced from recombinant λ6 light chain variable domains, on metabolic activity of human cardiomyocytes. The data indicate that fibrils at 0.1 μM, but not monomer, significantly decrease the enzymatic activity of cellular NAD(P)H-dependent oxidoreductase, without causing significant cell death. The presence of amyloid fibrils did not affect ATP levels; however, oxygen consumption was increased and reactive oxygen species were detected. Confocal fluorescence microscopy showed that fibrils bound to and remained at the cell surface with little fibril internalization. These data indicate that AL amyloid fibrils severely impair cardiomyocyte metabolism in a dose dependent manner. These data suggest that effective therapeutic intervention for these patients should include methods for removing potentially toxic amyloid fibrils.
doi_str_mv 10.1371/journal.pone.0137716
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subjects Adenosine Triphosphate - metabolism
Alzheimer's disease
Alzheimers disease
Amyloid
Amyloid - chemistry
Amyloid - genetics
Amyloid - metabolism
Amyloidosis
BASIC BIOLOGICAL SCIENCES
Cardiomyocytes
Cardiomyopathy
Cell death
Cell Line
Cell surface
Cell Survival
Chains
Cytotoxicity
Enzymatic activity
Enzymes
Extreme values
Fibrils
Fluorescence
Fluorescence microscopy
Heart
Heart cells
Heparan sulfate
Humans
Internalization
Kidneys
Laboratories
Light
Light chains
Liver
Medicine
Metabolism
Microscopy, Confocal
Microscopy, Fluorescence
Molecular structure
Mutation
Myocytes, Cardiac - enzymology
Myocytes, Cardiac - metabolism
NAD
NADPH Dehydrogenase - metabolism
Oxidative stress
Oxidoreductase
Oxygen
Oxygen - metabolism
Oxygen consumption
Physiology
Prognosis
Proteins
Reactive oxygen species
Reactive Oxygen Species - metabolism
Spinal cord
Type 2 diabetes
title Light Chain Amyloid Fibrils Cause Metabolic Dysfunction in Human Cardiomyocytes
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