Amyloid Proteins and Amyloidoses: Complexity Updated
作者:
CoffinY.A.,
期刊:
Acta Clinica Belgica
(Taylor Available online 1989)
卷期:
Volume 44,
issue 1
页码: 37-51
ISSN:1784-3286
年代: 1989
DOI:10.1080/17843286.1989.11717984
出版商: Taylor&Francis
数据来源: Taylor
摘要:
SummaryAmyloid is a beta-pleated fibrillar protein principally constituted of light chains of immunoglobulins (fi or ft) in primary or myeloma-associated amyloidosis, of AA proteins in secondary amyloidosis and familial Mediterranean ever, and of variants of prealbumin—now called transthyretin—in senile amyloidosis and familial polyneuropathies. Other identified amyloidogenic proteins involve APUD protein derivatives (calcitonin), fi2microglobulin in chronic hemodialysis-related amyloidosis and B Protein in Alzheimer disease.After a short review of experimental findings and theories concerning the pathogenesis of amyloid deposition, the clinical aspects of amyloidosis are discussed stressing their great diversity.The diagnostic approach is also examined, with Particular emphasis on rectal and kidney biopsy and subcutaneous adipose tissue aspirates.Finally, some comments on the treatment of amyloidosis (role of colchicine and DMSO) are made.
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