Conformation-dependent antibodies target diseases of protein misfolding

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Many degenerative diseases are fundamentally associated with aging and the accumulation of misfolded proteins as amyloid fibrils. Although such diseases are associated with different proteins, they share several pathological features. These similarities might be due to underlying commonalities in the pathway of aggregation and the structures of the various aggregation products. Because protein misfolding is thought to be central to the pathological state, it is essential to be able to distinguish such pathological states from native and non-pathological states, especially in vivo or in complex mixtures. Conformation-dependent antibodies that specifically recognize misfolded proteins are proving to be useful tools for examining the mechanisms of amyloid formation and for clarifying the roles of various misfolded states in pathogenesis. The common structures and mechanisms hold promise for the development of broad-spectrum drugs and vaccines that will be effective for the treatment of many of these diseases.

Section snippets

A generic structural motif for amyloid fibrils

Early X-ray diffraction studies on fibrils indicated that amyloid fibrils have a ‘cross-β’ structure in which the backbone hydrogen bonding is parallel to the fibril axis 1, 2. There is increasing awareness that these aggregates are highly ordered β-sheet lattices that represent a generic quaternary motif of intermolecular hydrogen-bonded polypeptide chains that is not commonly encountered in native protein structures. Solid-state NMR, together with site-directed spin labeling and electron

Common pathways of amyloid aggregation

If misfolded proteins ultimately assemble into a common fibril structure, it is reasonable to suspect that their assembly pathways might be similar (Figure 2). The unfolded or misfolded protein acquires the ability to self-assemble into higher-order structures [12], including non-covalent dimers, trimers, tetramers and larger oligomers that can be observed by gel filtration, SDS gel electrophoresis and electron and atomic force microscopy. For Aβ, these soluble oligomers have the properties of

Antibodies that distinguish native and misfolded conformations

The variety of oligomer sizes and fibril structures, coupled with the implication that they might represent the prime suspects in degenerative disease, presents us with an opportunity to understand the mechanistic details underlying these diseases. It also presents us, however, with the challenge of determining the conformational status of misfolded proteins in vivo or under physiological conditions in a complex mixture of proteins. For a long time, the conformational status of a protein has

Conformation-dependent antibodies that recognize generic structural features

There is increasing evidence that amyloid fibrils and soluble oligomeric intermediates have a common structure and pathway of aggregation. Some of this evidence has come from the discovery of antibodies that recognize generic epitopes on all types of amyloid fibril [44] and soluble oligomer [45], independently of their specific amino acid sequences.

Concluding remarks

Conformation-dependent antibodies are an important tool for analyzing protein misfolding and aggregation, as well as for targeting degenerative diseases that are caused by protein misfolding. They provide a facile means of both dissecting different steps in the aggregation pathway and determining the mechanism of aggregation. They also provide a way in which to assess the role of amyloid conformers in the disease process that would be difficult or impossible to achieve by other means. The fact

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