腎と骨代謝 Vol.14 No.1(1)


特集名 透析アミロイドーシス --update
題名 アミロイドーシス発症の分子機構
発刊年月 2001年 01月
著者 内木 宏延 福井医科大学病理学第二講座
著者 山口 格 福井医科大学病理学第二講座
著者 長谷川 一浩 福井医科大学病理学第二講座
【 要旨 】 アミロイド線維形成を説明する重合核依存性重合モデルは,前駆蛋白からの重合核形成過程,および線維伸長過程から構成される.透析アミロイド線維を含む種々のアミロイド線維伸長は,重合核あるいはすでに存在する線維断端に,前駆蛋白が立体構造を変化させながら次々に結合するという一次反応速度論モデルで説明できる.透析アミロイド線維の前駆蛋白であるβ2-ミクログロプリンは,伸長反応がもっともよく起こるpH2.5ではコンパクトな立体構造がほぐれ,線維断端の触媒反応により容易に重合反応を起こした.また,代表的アミロイド共存物質であるアポリポ蛋白Eは,透析アミロイド線維の中性域における脱重合反応を,濃度依存性に抑制した.
Theme Dialysis -- related amyloidosis -- update
Title Molecular mechanisms of amyloid fibril formation
Author Hironobu Naiki The Second Department of Pathology, Fukui Medical University
Author Itaru Yamaguchi The Second Department of Pathology, Fukui Medical University
Author Kazuhiro Hasegawa The Second Department of Pathology, Fukui Medical University
[ Summary ] We have proposed that a nucleation-dependent polymerization model could explain the mechanism of amyloid fibril formation in vitro, in various types of amyloidosis including (Abeta2M) amyloidosis. This model consists of two phases, i.e., nucleation and extension phases. Nucleus formation requires a series of association steps of monomers, which are thermodynamically unfavorable. Once the nucleus has been formed, further addition of monomers becomes thermodynamically favorable, resulting in rapid extension of amyloid fibrils. We have developed a first-order kinetic model of amyloid fibril extension in vitro, and confirmed that the extension of amyloid fibrils including Abeta2M amyloid fibrils proceeds via the consecutive association of monomeric precursor proteins onto the ends of existing fibrils. The extension rate of Abeta2M amyloid fibrils was maximum around pH 2.5 and Beta2-microglobulim (Beta2-m) at pH 2.5 has lost much of the secondary and tertiary structures observed at pH7.5. This indicates that partially unfolded amyloidogenic intermediates could readily change their conformation by the catalytic action of the ends of fibrils and polymerize onto the ends of fibrils. Abeta2M amyboid fibrils readily depolymerized into monomeric to oligomeric beta2-m at a neutral pH. Apolipoprotein E, a representative amyloid-associated protein, formed a stable complex with A amyloid fibrils and inhibited their depolymerization at a neutral pH.
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