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Nature CommunicationsBiochemistryPeer-reviewed journal article

Structure of ATTRv-F64S fibrils isolated from skin tissue of a living patient

Jun YuiD, Xuefeng ZhangiD, Sandra PintoniD, Elena VacchiiD, Andrea CavalliiD, Matteo PecoraroiD, Giorgia MelliiD, Andreas BolandiD

PDFDOIPreprint

Abstract

Amyloid transthyretin-derived (ATTR) amyloidosis is a degenerative, systemic disease characterized by transthyretin fibril deposition in organs like the heart, kidneys, liver, and skin. We report the first cryo-EM structure of transthyretin fibrils isolated from skin tissue of a living patient carrying a rare genetic mutation (ATTRv F64S). The structure adopts a highly conserved fold previously observed in other ATTR fibrils from different tissues or genetic variants. Mass spectrometry was used to evaluate fibril content and identify post-translational modifications. The structural consistency between ATTR filaments validates non-invasive skin biopsy as a diagnostic tool.

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