Target intelligence / Profile preview

Amyloid Fibril (Transthyretin)

Molecular classification
Protein aggregate, Amyloid
01

Overview

Amyloid fibrils formed from transthyretin (TTR) are highly ordered, elongated protein aggregates characterized by a cross-β-sheet structure. These fibrils result from the misfolding and aggregation of TTR, a normally soluble transport protein for thyroxine (T4) and retinol-binding protein. Destabilization of the native tetrameric structure leads to dissociation into monomers or dimers, which misfold and self-associate into amyloidogenic intermediates that aggregate into amyloid fibrils. This process underlies diseases such as wild-type transthyretin amyloidosis (wtATTR), familial amyloid polyneuropathy, senile systemic amyloidosis, and cardiac amyloidosis. Therapeutic strategies focus on stabilizing the TTR tetramer to prevent fibril formation.

Other names
TTR AmyloidTransthyretin Amyloid Fibrils
02

Mechanism of action

Stabilization of TTR tetramer to prevent dissociation and subsequent amyloid fibril formation.

03

Biological functions

Protein aggregationExtracellular deposition
04

Disease associations

AmyloidosisWild-type transthyretin amyloidosis (wtATTR)Familial amyloid polyneuropathySenile systemic amyloidosisCardiac amyloidosis
05

Safety considerations

Drug resistanceOff-target effects of TTR stabilizersIncomplete reversal of existing amyloid deposits
06

Interacting drugs

Thyroxine

2 more in the full profile.

07

Biomarkers

Serum TTR levelsCardiac biomarkers (e.g., BNP, troponin)

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