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1 Light Chain Deposition Disease


From the Department of Pathology,*
New York University
School of Medicine, New York, New York; the Facultad de
Química,
Universidad de la República Oriental del
Uruguay, Montevideo, Uruguay; and the Biosciences
Division,
Argonne National Laboratory,
Argonne, Illinois
Light chain deposition disease (LCDD) and light chain amyloidosis
(AL) are disorders of monoclonal immunoglobulin deposition in which
normally soluble serum precursors form insoluble deposits in tissues. A
common feature in both is the clonal proliferation of B-cells that
produce pathogenic light chains. However, the deposits in LCDD
differ from those in AL in that they are ultrastructurally granular
rather than fibrillar and do not bind Congo red or colocalize with
amyloid P component or apolipoprotein E. The reason(s) for their
differences are unknown but are likely multifactorial and related to
their protein conformation and their interaction with other molecules
and tissue factors in the microenvironment. Knowledge of the primary
structure of the light chains in LCDD is very limited. In the present
study two new
1 light chains from patients with LCDD are
described and compared to seven other reported
-LCDD proteins. The
N-terminal amino acid sequences of light chain GLA extracted from the
renal biopsy and light chain CHO from myocardial tissue were each
identical to the respective light chains isolated from the urines and
to the V-region amino acid sequences translated from the cloned cDNAs
obtained from bone marrow cells. The germline V-region
sequences, determined from the genomic DNA in both and in
MCM, a previously reported
1 LCDD light
chain, were identical and related to the L12a germline gene.
The expressed light chains in all three exhibit amino acid
substitutions that arise from somatic mutation and result in increased
hydrophobicity with the potential for protein destabilization and
disordered conformation.
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H. T. Blumenthal Amyloidosis: A Universal Disease of Aging? J. Gerontol. A Biol. Sci. Med. Sci., April 1, 2004; 59(4): M361 - M369. [Full Text] [PDF] |
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