Protein class | Precursor protein (abbreviation) | Amyloid type | Clinical type |
Apolipoproteins | Serum amyloid A (SAA) protein | AA | Associated with amyloid complicating chronic infections or inflammatory diseases as well as some heredofamilial periodic fever syndromes such as familial Mediterranean fever (FMF). |
Apolipoprotein A-I (ApoAI) | AApoAI | Age-related amyloid occurring in the aortic intima as well as some hereditary neuropathic or cardiopathic amyloidoses.[1,2] May deposit in heart, liver, or kidney; C-terminal variants deposit in larynx and skin. | |
Apolipoprotein A-II (ApoAII) | AApoAII | Some hereditary nephropathic amyloidoses.[3] | |
Apolipoprotein A-IV (ApoAIV) | AApoAIV | Renal (medullary) and cardiac amyloidosis.[4,5] | |
Apolipoprotein C-II (ApoCII) | AApoCII | Some hereditary nephropathic amyloidoses.[6] | |
Apolipoprotein C-III (ApoCIII) | AApoCIII | Severe renal amyloidosis.[7] | |
Immunoglobulin (Ig) gene superfamily | Ig L chain/Ig H chains (IgL/IgH) | AL/AH | Primary and myeloma-associated amyloidosis. May be systemic or localized. |
Beta-2 microglobulin | Abeta2m | Dialysis amyloidosis. Variant molecule has been described in a family affected by gastrointestinal disease, autonomic neuropathy, and sicca syndrome.[8] | |
Neuroendocrine | (Pro)Calcitonin | ACal | Amyloid complicating C-cell thyroid tumors and renal amyloidosis.[9] |
Islet amyloid Amylin | AIAPP | Islet cell amyloid in insulinomas, type II diabetes mellitus, and aging.[10] | |
Atrial natriuretic peptide | AANP | Isolated atrial amyloidosis of aging.[9] | |
Prolactin | APro | Prolactinomas, aging.[9] | |
Insulin | Alns | Localized amyloid complicating use of the insulin pump.[9] | |
Parathyroid hormone | APTH | Parathyroid tumors and aging.[9] | |
Glucagon-like peptide analog | AGLP1 | Localized amyloid complicating injections.[9] | |
Glucagon | AGluc | Glucagonomas.[9] | |
(Pro)somatostatin | ASom | Somatostatinomas.[9] | |
Cytoskeleton related | Gelsolin | AGel | Hereditary neuropathic amyloid associated with corneal lattice dystrophy and cutis laxa (Meretoja syndrome).[11] |
Keratin type I Cytoskeletal 5 | Nomenclature to be revised | Lichen amyloidosis. Macular amyloidosis. | |
Keratoepithelin | AKer | Hereditary granular, lattice, and Avellino corneal dystrophies.[12] | |
Transport protein | Transthyretin (TTR); also known as Prealbumin | ATTR | Hereditary neuropathic and/or cardiopathic amyloids; vitreous amyloidosis; leptomeningeal or renal amyloidosis in some kindreds; senile systemic amyloidosis.[13] |
Cerebrovascular/ neurodegeneration | Amyloid precursor protein (APP) | Abeta | Hereditary and sporadic Alzheimer disease; congophilic cerebral angiopathy.[14,15] |
Prion protein (PRP) | APrPsc | Hereditary and sporadic spongiform encephalopathies.[16] | |
BRI gene product | ABri/ADan | Hereditary dementias (British and Danish types).[17,18] | |
Cystatin C | ACys | Hereditary cerebrovascular hemorrhage with amyloidosis (Icelandic type).[19] | |
Transmembrane 106B (TMEM106B) | ATMEM106B | Frontotemporal lobar degeneration diseases.[9] | |
Coagulation protein | Fibrinogen A alpha chain | AFib | Hereditary nephropathic amyloidosis.[20] |
Enzyme | Lysozyme | ALys | Hereditary nephropathic amyloidosis; may have marked hepatic, splenic, and gastrointestinal amyloid deposits.[20] |
Lung surfactant protein | Lung surfactant protein | ASPC | Interstitial lung disease.[21] |
Other | Kerato-epithelin | Aker | Various familial corneal dystrophies.[12] |
Lactoferrin | ALac | Corneal amyloidosis associated with trichiasis. | |
Odontogenic ameloblast-associated protein | AOAAP | Calcifying epithelial odontogenic tumors (CEOTs). | |
Semenogelin 1 | ASem1 | Senile seminal vesicle amyloid. | |
Lactadherin | AMed | Senile aortic amyloid; media deposition. | |
Leukocyte chemotactic factor 2 | ALect2 | Nephropathic or hepatic amyloid. | |
Corneodesmosin | ACor | Localized amyloid involving cornified epithelia, hair follicles. | |
Enfuvirtide | AEnf | Localized amyloid occurring at the injection site of an HIV therapeutic.[22] | |
Cathepsin K | ACatK | Tumor associated.[23] | |
Epithelial growth factor (EGF)-containing fibulin-like extracellular matrix protein 1 (EFEMP1) | AEFEMP1 | Portal veins; age associated.[24] | |
Muscle specific | Dysferlin | DYSF | Limb girdle muscular dystrophy.[25] |
Anoctamin5 | ANO5 | Limb girdle muscular dystrophy.[26] | |
Human heterogeneous ribonucleoprotein D-like (hnRNPDL) | LGMD D3 | hnRNPDL limb girdle muscular dystrophy.[27] | |
Iatrogenic | Interleukin 1 receptor antagonist protein | AIL1KA | Localized at sites of injection.[9] |
Adapted from: Benson MD, Buxbaum JN, Eisenberg DS, et al. Amyloid nomenclature 2020: Update and recommendations by the International Society of Amyloidosis (ISA) nomenclature committee. Amyloid 2020; 27:217.
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