Interaction of the Anthracycline 4'-Iodo-4'-Deoxydoxorubicin with Amyloid Fibrils: Inhibition of Amyloidogenesis

All types of amyloidosis are structurally characterized by the cross β-pleated sheet conformation of the fibrils, irrespective of their biochemical composition. The clinical observation that the anthracycline 4'-iodo-4'-deoxydoxorubicin (IDOX) can induce amyloid resorption in patients with...

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Veröffentlicht in:Proceedings of the National Academy of Sciences - PNAS 1995-03, Vol.92 (7), p.2959-2963
Hauptverfasser: Merlini, Giampaolo, Ascari, Edoardo, Amboldi, Nadia, Bellotti, Vittorio, Arbustini, Eloisa, Perfetti, Vittorio, Ferrari, Mario, Zorzoli, Irene, Marinone, Maria G., Garini, Pietro, Diegoli, Marta, Trizio, Domenico, Ballinari, Dario
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container_title Proceedings of the National Academy of Sciences - PNAS
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creator Merlini, Giampaolo
Ascari, Edoardo
Amboldi, Nadia
Bellotti, Vittorio
Arbustini, Eloisa
Perfetti, Vittorio
Ferrari, Mario
Zorzoli, Irene
Marinone, Maria G.
Garini, Pietro
Diegoli, Marta
Trizio, Domenico
Ballinari, Dario
description All types of amyloidosis are structurally characterized by the cross β-pleated sheet conformation of the fibrils, irrespective of their biochemical composition. The clinical observation that the anthracycline 4'-iodo-4'-deoxydoxorubicin (IDOX) can induce amyloid resorption in patients with immunoglobulin light chain amyloidosis was the starting point for this investigation of its possible mechanism of action. IDOX binds strongly to all five types of natural amyloid fibrils tested: immunoglobulin light chains, amyloid A, transthyretin (methionine-30 variant), β-protein (Alzheimer), and β2-microglobulin. Quantitative binding studies showed that IDOX, but not doxorubicin, binds strongly to amyloid fibrils. This binding is saturable and involves two apparently distinct binding sites with Kdvalues of 5.9 * 10-11M and 3.4 * 10-9M. IDOX inhibited in vitro insulin amyloid fibrillogenesis. In vivo studies using the experimental amyloid murine model confirmed the specific targeting of IDOX to amyloid deposits. Preincubation of amyloid enhancing factor with IDOX significantly reduced the formation of amyloid deposits. It is hypothesized that IDOX exerts its beneficial effects through the inhibition of fibril growth, thus increasing the solubility of existing amyloid deposits and facilitating their clearance. IDOX may represent the progenitor of a class of amyloid-binding agents that could have both diagnostic and therapeutic potential in all types of amyloidoses.
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The clinical observation that the anthracycline 4'-iodo-4'-deoxydoxorubicin (IDOX) can induce amyloid resorption in patients with immunoglobulin light chain amyloidosis was the starting point for this investigation of its possible mechanism of action. IDOX binds strongly to all five types of natural amyloid fibrils tested: immunoglobulin light chains, amyloid A, transthyretin (methionine-30 variant), β-protein (Alzheimer), and β2-microglobulin. Quantitative binding studies showed that IDOX, but not doxorubicin, binds strongly to amyloid fibrils. This binding is saturable and involves two apparently distinct binding sites with Kdvalues of 5.9 * 10-11M and 3.4 * 10-9M. IDOX inhibited in vitro insulin amyloid fibrillogenesis. In vivo studies using the experimental amyloid murine model confirmed the specific targeting of IDOX to amyloid deposits. Preincubation of amyloid enhancing factor with IDOX significantly reduced the formation of amyloid deposits. 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subjects Amyloid - chemistry
Amyloid - drug effects
Amyloid - metabolism
Amyloid plaque
Amyloidosis
Amyloidosis - prevention & control
Amyloids
Animals
Anthracyclines
Biochemistry
Doxorubicin - analogs & derivatives
Doxorubicin - metabolism
Doxorubicin - pharmacology
Doxorubicin - therapeutic use
Female
Fluorescence
Glycoproteins
Immunoglobulin Light Chains - chemistry
Immunoglobulin Light Chains - drug effects
Immunoglobulin Light Chains - metabolism
Insulin
Insulin - chemistry
Insulin - metabolism
Mice
Mice, Inbred Strains
Prealbumin - chemistry
Prealbumin - drug effects
Prealbumin - metabolism
Protein Structure, Secondary
Proteins
Serum Amyloid A Protein - analysis
Solar fibrils
Spleen
Spleen - drug effects
Spleen - pathology
title Interaction of the Anthracycline 4'-Iodo-4'-Deoxydoxorubicin with Amyloid Fibrils: Inhibition of Amyloidogenesis
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