Evidence map›Paper›PMID 34741031›Full record

ArticleNature communications2021

Role of mutations and post-translational modifications in systemic AL amyloidosis studied by cryo-EM.

Lynn Radamaker, Sara Karimi-Farsijani, Giada Andreotti, Julian Baur, Matthias Neumann, Sarah Schreiner, Natalie Berghaus, Raoul Motika, Christian Haupt, Paul Walther and 8 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 96 citations in OpenAlex.

  1. Article
  2. Article
  3. Helical reconstruction of amyloids in cryoSPARC.Acta crystallographica. Section F, Structural biology communications · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Biopsy-resolved cryo-EM structures of amyloid fibrils provide molecular insights into AL amyloidosis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. The molecular landscape of AL amyloidosis.British journal of haematology · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 1 country.

Lynn RadamakerInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0002-6610-0907
Sara Karimi-FarsijaniInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Giada AndreottiInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Julian BaurInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Matthias NeumannInstitute of Stochastics, Ulm University, 89081, Ulm, Germany.
Sarah SchreinerMedical Department V, Section of Multiple Myeloma, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Natalie BerghausMedical Department V, Section of Multiple Myeloma, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Raoul MotikaDepartment of Asia-Africa-Studies, Middle Eastern History and Culture, University of Hamburg, 20148, Hamburg, Germany.
Christian HauptInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.
Paul WaltherCentral Facility for Electron Microscopy, Ulm University, 89081, Ulm, Germany.
Volker SchmidtInstitute of Stochastics, Ulm University, 89081, Ulm, Germany.
Stefanie HuhnMedical Department V, Section of Multiple Myeloma, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Ute HegenbartMedical Department V, Amyloidosis Center, Heidelberg University Hospital, 69120, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-1917-6746
Stefan O SchönlandMedical Department V, Amyloidosis Center, Heidelberg University Hospital, 69120, Heidelberg, Germany.
Sebastian WieseCore Unit Mass Spectrometry and Proteomics, Medical Faculty, Ulm University, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0001-5697-2608
Clarissa ReadCentral Facility for Electron Microscopy, Ulm University, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0002-4632-2684
Matthias SchmidtInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany.ORCID http://orcid.org/0000-0002-9442-460X
Marcus FändrichInstitute of Protein Biochemistry, Ulm University, 89081, Ulm, Germany. marcus.faendrich@uni-ulm.de.ORCID http://orcid.org/0000-0003-2123-6816
Universität Ulm · DEHeidelberg University · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic AL amyloidosis is a rare disease that is caused by the misfolding of immunoglobulin light chains (LCs). Potential drivers of amyloid formation in this disease are post-translational modifications (PTMs) and the mutational changes that are inserted into the LCs by somatic hypermutation. Here we present the cryo electron microscopy (cryo-EM) structure of an ex vivo λ1-AL amyloid fibril whose deposits disrupt the ordered cardiomyocyte structure in the heart. The fibril protein contains six mutational changes compared to the germ line and three PTMs (disulfide bond, N-glycosylation and pyroglutamylation). Our data imply that the disulfide bond, glycosylation and mutational changes contribute to determining the fibril protein fold and help to generate a fibril morphology that is able to withstand proteolytic degradation inside the body.

Indexed as

Cryoelectron MicroscopyGlycosylationImmunoglobulin Light-chain AmyloidosisMutationProtein ConformationProtein Folding

Identifiers

PMID34741031
PMCPMC8571268
OpenAlexW3208325682

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.