Kidney and Metabolic Bone Diseases Vol.14 No.1(4)

Theme Dialysis -- related amyloidosis -- update
Title Effect of AGE-modified Beta2-m on A Beta2-m amyloid fibril extension in vitro
Publish Date 2001/01
Author Norikazu Hashimoto Department of Clinical and Laboraroty Medicine, Fukui Medical University
Author Hironobu Naiki Department of Pathology, Fukui Medical University
Author Haruyoshi Yoshida Department of Clinical and Laboraroty Medicine, Fukui Medical University
Author Fumitake Gejyo Department of Medicine (II), Niigata University School of Medicine
[ Summary ] Beta2-microglobulin (beta2-m) is a major constituent of amyloid fibrils (fAbeta2-m) deposited in patients with A amyloidosis. Lately, several advanced glycation end products (AGE) structures of and fAbeta2-m have been suggested to play an important role in the pathogenesis of Abeta2-m amyloidosis. Actually, immunohistochemical studies of amyloid-deposited tissue have revealed a patchy distribution of the AGE-modified area in the amyloid deposits. Then we modified native beta2-m with D-glucose and investigated the effect of these modification on fAbeta2-m extension in vitro, using the recently established first-order kinetic model of fA extension in vitro. Western blot analysis with a monoclonal anti-AGE antibody showed that these glucose-modified beta2-m contained AGE (AGE-beta2-m). During the incubation of fAbeta2-m with native beta2-m atb37 centigrade, the fluorescence of thioflavin T increased withoutba lag phase and proceeded to equilibrium. By contrast, very poor increase in fluorescence was observed during the incubation of fAbeta2-m with AGE-beta2-m. Be sides, AGE-beta2-m exhibited a dose-dependent inhibitory effect on the extension reaction of fAbeta2-m with native beta2-m. These results may suggest that the modification of beta2-m with AGE would be a secondary event of fAbeta2-m deposition in vivo, thus would not play a promoting role in the formation of fAbeta2-m in vivo.
back