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Untitled - D Ank Unlimited

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amphiregulin 38 amyloid P component<br />

nervous system disease characterized by progressive muscle<br />

rigidity and painful spasms. Amphiphysin is a 125- to<br />

128-kDa cytoplasmic, synaptic, vesicle-associated protein<br />

expressed in neurons, certain types of endocrine cells, and<br />

spermatocytes. Its biological function may involve synaptic<br />

vesicle endocytosis. Autoantibodies to glutamic acid decarboxylase<br />

(GAD) are detected in 60% of SMS. Amphiphysin<br />

autoantibodies are present in SMS patients negative for<br />

GAD autoantibody, all of whom are female breast cancer<br />

patients. The amphiphysin autoepitope is present in the C<br />

terminal region of the protein. Small-cell lung carcinoma<br />

patients who present with paraneoplastic encephalomyelitis<br />

have been reported to manifest immunoglobulin G (IgG)<br />

autoantibodies against amphiphysin.<br />

amphiregulin<br />

A glycoprotein member of the epidermal growth factor<br />

(EGF) family of proteins. The carboxyl terminal amino<br />

acid residues of amphiregulin positions 46 to 84 share much<br />

sequence homology with the EGF family. The actions of<br />

amphiregulin are wide ranging and include the stimulation<br />

of proliferation of certain tumor cell lines, fibroblasts,<br />

and various other normal cells. These actions are mediated<br />

by binding to EGF receptors possessing intrinsic tyrosine<br />

kinase activity.<br />

Amyloid<br />

Medullary carcinoma of thyroid with amyloid deposits.<br />

Amyloid fibril<br />

composed of<br />

paired pilaments<br />

β-Pleated sheet<br />

Amyloid.<br />

Binding sites for<br />

Congo red dye<br />

amyloid<br />

An extracellular, homogeneous eosinophilic material deposited<br />

in various tissues in disease states designated as primary<br />

and secondary amyloidosis. It is composed chiefly of protein<br />

and shows a green birefringence when stained with Congo<br />

red and observed by polarizing light microscopy. By electron<br />

microscopy, the fibrillary appearance is characteristic.<br />

Neoplastic cells<br />

X-ray crystallography reveals a β-pleated sheet structure<br />

arranged in an antiparallel fashion that gives the protein its<br />

optical and staining properties. The amino termini of the<br />

individual chains face opposite directions, and the chains are<br />

bound by hydroxyl bonds. Amyloid consists of two principal<br />

and several minor biochemical varieties. Pathogenetic<br />

mechanisms for its deposition differ, although the deposited<br />

protein appears similar from one form to another. Amyloid is<br />

composed of nonbranching fibrils 7.5 to 10 nm wide and of<br />

indefinite length. It also has a P component that is nonfibrillary,<br />

is pentagonal in structure, and constitutes a minor<br />

component. Chemically, amyloid falls into two principal<br />

classes: AL, consisting of amyloid light chains, and AA<br />

(amyloid-associated), comprising a nonimmunoglobulin protein<br />

called AA. These molecules are antigenically different<br />

and have dissimilar deposition patterns based on the clinical<br />

situation. AL amyloid is comprised of whole immunoglobulin<br />

light chains, their N terminal fragments, or a combination<br />

of the two. Λ Light chains rather than κ are usually found in<br />

AL. Proliferating immunoglobulin-producing B cells, as in<br />

B cell dyscrasias, produce AL amyloid protein. AA amyloid<br />

fibroprotein is not an immunoglobulin and has a molecular<br />

weight of 8.5 kDa. Serum amyloid-associated (SAA) protein<br />

is the serum precursor of AA amyloid. It constitutes the<br />

protein constituent of a high density lipoprotein and acts<br />

as an acute phase reactant. Thus, its level rises remarkably<br />

within hours of an acute inflammatory response. AA protein<br />

is the principal type of amyloid deposited in the tissues during<br />

chronic inflammatory diseases. Several other distinct<br />

amyloid proteins also exist.<br />

amyloid fibrillosis<br />

Every amyloid has a β-pleated sheet structure that accounts<br />

for the ability of Congo red to stain it and the ability of<br />

proteolytic enzymes to digest it. Refer also to amyloid and<br />

amyloidosis.<br />

amyloid P component<br />

The P component has a molecular weight of 180 kDa. It<br />

migrates in electrophoresis with the α globulin fraction,<br />

and by electron microscopy reveals a pentagonal shape,<br />

suggesting that it consists of subunits linked by hydrogen<br />

bonds. It is a minor component of all amyloid deposits and<br />

is nonfibrillar. It is a normal a 1 glycoprotein and has close<br />

structural homology with the C-reactive protein. It has an<br />

affinity for amyloid fibrils and accounts for their PAS positive<br />

staining quality.<br />

Amyloidosis: amyloid fibrils.

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