Læknablaðið : fylgirit - 01.05.1978, Page 144

Læknablaðið : fylgirit - 01.05.1978, Page 144
Table I • The complete amino acid sequence of amyloid protein AA from the liver of a patient (T.H.) with JRA. 5 10 15 20 JRA NH^-Arg-Ser-Phe-Phe-Ser-Phe-Leu-Gly-Glu-Ala-Phe-Asp-Gly-Ala-Arg-Asp-Met-Trp-Arg-Ala 25 30 35 40 JRA Tyr-Ser-Asn-Met-Arg-Glu-Ala-Asn-Tyr-Ile-Gly-Ser-Asp-Lys-Tyr-Phe-His-Ala-Arg-Gly 45 50 55 60 JRA Asn-Tyr-Asp-Ala-Ala-Lys-Arg-Gly-Pro-Gly-Gly-Val-Trp-Ala-Ala-Glu-Ala-Ile-Ser-Asp 65 70 JRA Ala-Arg-Glu-Asn-Ile-Gln-Arg-Phe-Phe-Gly-His-Gly-Ala-Glu-Asn-Ser-COOH Eesults and discussion: Protein AA was obtained by gel filtration (8,9) from amyloid T.H. liver (JEA) with a yield of 41%, and from J.L. liver (AS) with a yield of 437o. The amino acid sequence analyses revealed that protein AA (TH, liver) consisted of 76 amino acid (16), 1 (Table I). Protein AA (J.L. liver) consisted of only 64 amino acids (17), otherwise the amino acid sequence was identical with that of protein AA (TH, liver). Another protein AA from rheumatoid arthritis reported by Ein et al. (5,6) consisted of only 45 amino acids (molecular weight 4,500), but the sequence of these 45 amino acids was identical with the 45 amino-terminal amino acids of protein AA from TH liver (JEA) and JL-liver (AS). These results indicate that protein AA is originated by proteolytic cleavage at different positions of a larger precursor pro- tein. Practically all patients with secondary amiloi- dosis and many patients with diseases often complicated by amyloidosis like rheumatoid ar- thritis have a serum protein SAA (for nomencla- ture see 2), which is larger (molecular weight 14.000) but otherwise closely related to the amyloid protein AA (1,10). Protein SAA may be the precursor of protein AA, alternatively both AA and SAA are possibly derived from a common, larger precursor protein. Protein SAA related material has been found in cultures of fibroblasts (13), thus SAA (and AA) may be a protein of connective tissue origin. No protein AA was detected by gel filtration or immuno- diffusion of normal tissue extracts. The void volume (VQ) material was eluted with a yield of 387o from amyloid T.H. liver and 2C% from amyloid J.L. liver. Practically all the protein material was eluted in the void volume when normal tissue extracts were gel filtered (Fig. 2). The amino-terminal amino acid of the V0-materials of both amyloid fibrils and normal tissues seemed to be blocked. The amino acid composition analyses revealed a high degree of similarity between V0-materials from different amyloid fibrils (of immunoglobulin and protein AA types) and between amyloid fibrils and the V0-material from normal organs. A representative example is shown in table H, 142
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