{"title":"Clinical profile and outcome of AA amyloidosis associated kidney disease in India.","authors":"Bhavik Bansal, Akash Sarkar, Adarsh Barwad, Geetika Singh, Arunkumar Subbiah, Raj Kanwar Yadav, Sandeep Mahajan, Dipankar Bhowmik, Sanjay Kumar Agarwal, Soumita Bagchi","doi":"10.1080/13506129.2025.2573233","DOIUrl":"10.1080/13506129.2025.2573233","url":null,"abstract":"<p><strong>Background: </strong>AA amyloidosis is a rare but significant cause of chronic kidney disease (CKD). We aimed to characterize the clinical profile of patients with AA amyloidosis affecting the kidneys in the Indian subcontinent.</p><p><strong>Methodology: </strong>In this retrospective cohort study, we evaluated patients with kidney biopsy-confirmed AA amyloidosis and compared them with a control group of patients with diabetic kidney disease (DKD). Primary outcome was defined as a composite of ≥50% decline in estimated glomerular filtration rate (eGFR) and/or progression to end-stage kidney disease (ESKD).</p><p><strong>Results: </strong>AA amyloidosis (<i>n</i> = 91) accounted for 1.9% of all kidney biopsies. The median age was 45 years, and 75.8% were male. Chronic infections or inflammatory diseases were reported in 58.2%, tuberculosis being most common (35.2%). Baseline median eGFR was 66.0 mL/min/1.73 m<sup>2</sup> and urine protein creatinine ratio was 4.9 g/g. During median follow-up of 5.58 years, 38.6% experienced worsening kidney outcomes. Adjusted analyses showed significantly better kidney survival than DKD (0.29 (95% CI: 0.14-0.66, <i>p</i> = 0.002).</p><p><strong>Conclusion: </strong>AA amyloidosis is an uncommon but important cause of CKD. Tuberculosis is the leading predisposing factor in Indian patients. These patients exhibit slower eGFR decline compared to DKD despite progressive proteinuria, suggesting distinct pathophysiology.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"15-24"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145472422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yan Zhou, Weining Lu, Eric Burks, Joel M Henderson, Chris Andry, Vaishali Sanchorawala, Zahra Sheikh, Tatiana B Prokaeva, Hui A Chen
{"title":"Optimized methods for efficient application of immunogold electron microscopy to amyloid fibrils typing.","authors":"Yan Zhou, Weining Lu, Eric Burks, Joel M Henderson, Chris Andry, Vaishali Sanchorawala, Zahra Sheikh, Tatiana B Prokaeva, Hui A Chen","doi":"10.1080/13506129.2025.2589892","DOIUrl":"10.1080/13506129.2025.2589892","url":null,"abstract":"<p><strong>Objective: </strong>Amyloidosis is a group of disorders characterized by aggregation of abnormal amyloid protein in various tissues, often leading to organ dysfunction and failure. We optimized the immunogold electron microscopy (IEM) technique to enable efficient amyloid typing in 4% paraformaldehyde-fixed (PFA) and formalin-fixed paraffin-embedded (FFPE) tissues.</p><p><strong>Methods: </strong>The optimized IEM technique was applied to 151 Congo-red positive specimens from various tissues representing different amyloidosis types; 117 were fixed in 4% PFA and 34 were FFPE samples. Specimens were embedded in Lowicryl/K4M and stained with modified Richardson's blue solution to differentiate amyloid (lavender-plum coloration stained) from non-amyloid (blue stained) areas under light microscopy. Antibodies against kappa and lambda light chains, transthyretin and amyloid A were used for amyloid typing by IEM.</p><p><strong>Results: </strong>The optimized IEM technique enabled precise localization of amyloid deposits and rapid identification of target area under light microscopy for thin-section placement on nickel grids for immunogold staining. Of 151 specimens, 147 (97.4%) were classified as kappa or lambda light chains, transthyretin or amyloid A. Lambda light chain predominated in fat pad aspirates (56.8%), while transthyretin was most common in heart tissues (71.7%).</p><p><strong>Conclusion: </strong>This optimized IEM technique enhances the accuracy and efficiency of amyloid typing, especially in samples with trace amyloid deposit. It offers significant advantages over traditional epoxy embedding with toluidine blue staining, supporting timely clinical diagnosis and therapeutic decision-making.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"47-58"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Limited diagnostic utility of systematic Congo red staining in bone marrow biopsies.","authors":"Jens Haugbølle Bjerre","doi":"10.1080/13506129.2025.2593512","DOIUrl":"10.1080/13506129.2025.2593512","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"98-100"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simone Rossi, Luca Spinardi, Pietro Guaraldi, Andrea Mastrangelo, Mattia Riefolo, Alessandro Vaisfeld, Flavia Palombo, Simone Longhi, Rita Rinaldi, Alfredo Conti, Maria Pia Foschini, Maria Guarino
{"title":"Clinical and radiological stabilization following vutrisiran treatment in transthyretin leptomeningeal amyloidosis: a case report.","authors":"Simone Rossi, Luca Spinardi, Pietro Guaraldi, Andrea Mastrangelo, Mattia Riefolo, Alessandro Vaisfeld, Flavia Palombo, Simone Longhi, Rita Rinaldi, Alfredo Conti, Maria Pia Foschini, Maria Guarino","doi":"10.1080/13506129.2025.2579652","DOIUrl":"10.1080/13506129.2025.2579652","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"90-93"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interactions between amyloid fibril proteins.","authors":"Per Westermark","doi":"10.1080/13506129.2025.2594130","DOIUrl":"10.1080/13506129.2025.2594130","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"1-2"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicolai Bjødstrup Palstrøm, Caroline Alqvist Lindegaard, Aleksandra Rojek, Amanda Jessica Campbell, Charlotte Toftmann Hansen, Hanne E H Møller, Niels Abildgaard, Hans Christian Beck
{"title":"An Accelerated Sonication-Assisted Preparation method for mass spectrometry-based identification of subtype specific amyloidogenic proteins in fat aspirates.","authors":"Nicolai Bjødstrup Palstrøm, Caroline Alqvist Lindegaard, Aleksandra Rojek, Amanda Jessica Campbell, Charlotte Toftmann Hansen, Hanne E H Møller, Niels Abildgaard, Hans Christian Beck","doi":"10.1080/13506129.2025.2585277","DOIUrl":"10.1080/13506129.2025.2585277","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"94-97"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adam Devine, Anja Selland, Jose Arriola-Montenegro, Valmiki Maharaj
{"title":"Failure to screen for monoclonal proteins in patients who undergo bone scintigraphy for suspected cardiac amyloidosis.","authors":"Adam Devine, Anja Selland, Jose Arriola-Montenegro, Valmiki Maharaj","doi":"10.1080/13506129.2025.2573235","DOIUrl":"10.1080/13506129.2025.2573235","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"82-84"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lark Steafo, Ujala Zubair, Julie George, Joel Skaistis
{"title":"Tafamidis treatment and neuropsychiatric dysfunction in patients with cardiac aTTR: a post-hoc analysis of the ATTRACT trial.","authors":"Lark Steafo, Ujala Zubair, Julie George, Joel Skaistis","doi":"10.1080/13506129.2025.2564232","DOIUrl":"10.1080/13506129.2025.2564232","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"72-74"},"PeriodicalIF":7.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}