Abstract

Antibody light chain amyloidosis is a rare disease caused by fibril formation of secreted immunoglobulin light chains (LCs). The huge variety of antibody sequences puts a serious challenge to drug discovery. The green tea polyphenol epigallocatechin-3-gallate (EGCG) is known to interfere with fibril formation in general. Here we present solution- and solid-state NMR studies as well as MD simulations to characterise the interaction of EGCG with LC variable domains. We identified two distinct EGCG binding sites, both of which include a proline as an important recognition element. The binding sites were confirmed by site-directed mutagenesis and solid-state NMR analysis. The EGCG-induced protein complexes are unstructured. We propose a general mechanistic model for EGCG binding to a conserved site in LCs. We find that EGCG reacts selectively with amyloidogenic mutants. This makes this compound a promising lead structure, that can handle the immense sequence variability of antibody LCs.

Highlights

  • Antibody light chain amyloidosis is a rare disease caused by fibril formation of secreted immunoglobulin light chains (LCs)

  • Systemic antibody light chain amyloidosis (AL amyloidosis) is a systemic disease caused by amyloid fibril formation of free immunoglobulin light chains (LCs) in the serum[1]

  • We used the S20N mutant for initial experiments to study the interaction with EGCG (Fig. 1a), because its fibril formation can be controlled by experimental settings

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Summary

Introduction

Antibody light chain amyloidosis is a rare disease caused by fibril formation of secreted immunoglobulin light chains (LCs). We find that EGCG reacts selectively with amyloidogenic mutants This makes this compound a promising lead structure, that can handle the immense sequence variability of antibody LCs. Systemic antibody light chain amyloidosis (AL amyloidosis) is a systemic disease caused by amyloid fibril formation of free immunoglobulin light chains (LCs) in the serum[1]. Unstable sequences have higher propensity to aggregate, but too low stability can prevent fibrillogenesis[17], indicating that partially unfolded states are involved in the pathway to fibril formation. These intermediates might be populated in vitro at acidic or otherwise destabilising conditions[18,19,20,21]. Methylene blue and sulfasalazine have been suggested to prevent fibril formation of immunoglobulin LCs by stabilising the more stable LC dimer[29]

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