{"title":"Significance of aberrant nerve conduction in hereditary transthyretin amyloidosis.","authors":"Toshihiro Ide, Masaaki Yoshikawa, Kohei Suzuyama, Satoru Yagi, Soma Furukawa, Yuki Fukami, Masahisa Katsuno, Haruki Koike","doi":"10.1080/13506129.2026.2613126","DOIUrl":"10.1080/13506129.2026.2613126","url":null,"abstract":"<p><strong>Background: </strong>In hereditary transthyretin (ATTRv) amyloidosis, axonal neuropathy is the main pathologic basis of polyneuropathy. However, whether nerve conduction slowing resembling chronic inflammatory demyelinating polyneuropathy (CIDP), observed in some patients, reflects primary demyelination or secondary changes related to axonal damage remains unclear.</p><p><strong>Methods: </strong>Electrophysiologic findings were compared between 96 patients with V30M ATTRv amyloidosis from nonendemic areas and 175 patients with nutritional or alcoholic axonal neuropathies. Myelinated fiber density was assessed in sural nerve biopsy specimens from 66 and 133 patients, respectively.</p><p><strong>Results: </strong>Motor nerve conduction velocity (MCV) was reduced and distal motor latency (DML) was prolonged in both groups compared with normal controls, with more marked changes in ATTRv amyloidosis. Compound muscle action potential (CMAP) amplitude and myelinated fiber density were significantly lower in ATTRv amyloidosis than in nutritional/alcoholic neuropathies (<i>p</i> < 0.001). Conduction slowing fulfilling EAN/PNS CIDP criteria was observed only in patients with severe axonal loss. After adjusting for age, disease duration, and CMAP amplitude, only MCV slowing and DML prolongation in median nerve remained more pronounced in ATTRv amyloidosis.</p><p><strong>Conclusions: </strong>CIDP-like conduction slowing in ATTRv amyloidosis largely represents secondary changes caused by axonal degeneration, although additional mechanisms may contribute to slowing in the median nerve.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"196-204"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953734","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}
Fabian Aus dem Siepen, Frank Staub, Florian Andre, Ute Hegenbart, Stefan O Schönland, Norbert Frey, Christoph Röcken, Arnt V Kristen
{"title":"The CATCH-ATTR study: CArpal Tunnel ligament amyloid-the Clue for early identification of Hereditary or wildtype systemic ATTR amyloidosis?","authors":"Fabian Aus dem Siepen, Frank Staub, Florian Andre, Ute Hegenbart, Stefan O Schönland, Norbert Frey, Christoph Röcken, Arnt V Kristen","doi":"10.1080/13506129.2025.2611255","DOIUrl":"10.1080/13506129.2025.2611255","url":null,"abstract":"<p><strong>Aims: </strong>We sought to investigate the prevalence of Transthyretin amyloid (ATTR) deposits in the carpal ligament of patients undergoing surgery for carpal tunnel syndrome (CTS) and the frequency of concomitant ATTR-cardiomyopathy (CM) in a prospective study with long-term follow-up.</p><p><strong>Methods and results: </strong>Our prospective exploratory study enrolled 551 patients treated for CTS. All resection specimens of carpal ligament underwent histopathological evaluation. Patients with confirmed amyloid deposits were referred to cardiac evaluation, including cardiac MRI (CMR) scans, as well as follow-up examinations. Amyloid deposits were found in 52 (9%) specimens (1 light chain amyloid, 51 ATTR). Among patients with positive biopsy ATTR-CM was diagnosed in 4 (8%) patients, 1 patient was diagnosed at initial evaluation, and 3 patients were diagnosed during the follow-up. All patients had ATTRwt at an early stage of disease. Extracellular volume (ECV) measured by CMR was significantly higher in amyloid-positive CTS patients compared to healthy controls (30 ± 2 <i>vs.</i> 24 ± 1%, <i>p</i> < .01).</p><p><strong>Conclusion: </strong>Histopathological evaluation of resected carpal ligament should be considered in patients at least older than 70 years. Even though absolute numbers were low, cardiac screening of patients with evidence of amyloid deposits in in carpal tunnel tissues might facilitate early diagnosis of ATTR-CM in some patients.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"180-188"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935997","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":"Assessing hemorrhagic risk in transthyretin cardiac amyloidosis. The haemorrhagic-embolic conundrum.","authors":"Silvia Vilches","doi":"10.1080/13506129.2026.2683425","DOIUrl":"10.1080/13506129.2026.2683425","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"121-124"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201172","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}
Lucía Moreno De Redrojo Cortés, Rocío Eiros Bachiller, Eduardo Villacorta Argüelles, José Cañadas Salazar, Pablo Pérez Sánchez, Luis Miguel Rincón, Mónica García Monsalvo, Armando Oterino Manzanas, Elena Alejo Alonso, Daniel Bracho Bracchitta, María Jesús Andrés Salinas, María de la Soledad García García, Ignacio Cruz González, Pedro Luis Sánchez Fernández, María Gallego Delgado
{"title":"Haemorrhagic events in patients with transthyretin cardiac amyloidosis.","authors":"Lucía Moreno De Redrojo Cortés, Rocío Eiros Bachiller, Eduardo Villacorta Argüelles, José Cañadas Salazar, Pablo Pérez Sánchez, Luis Miguel Rincón, Mónica García Monsalvo, Armando Oterino Manzanas, Elena Alejo Alonso, Daniel Bracho Bracchitta, María Jesús Andrés Salinas, María de la Soledad García García, Ignacio Cruz González, Pedro Luis Sánchez Fernández, María Gallego Delgado","doi":"10.1080/13506129.2025.2612282","DOIUrl":"10.1080/13506129.2025.2612282","url":null,"abstract":"<p><strong>Background: </strong>transthyretin cardiac amyloidosis (ATTR-CA) is an infiltrative disease associated with several comorbidities such as Bleeding. The aim of this study was to evaluate the incidence of bleeding in patients with ATTR-CA and the underlying risk factors that promote bleeding.</p><p><strong>Methods: </strong>retrospective observational study of a cohort of patients with ATTR-CA diagnosed from 1st April 2016 to 31st December 2023. Bleeding risk was calculated according to HAS-BLED score and bleeding events at follow-up were analysed.</p><p><strong>Results: </strong>184 patients were diagnosed with a median age of 84 years [IQR 79-88], 154 (84%) males. 118 patients (64%) were on anticoagulant therapy (AC). 91 patients (50%) had a bleeding event, with a total of 189 events recorded and a median time to bleeding of 23 months [IQR 10-68]. 26 patients (29%) had severe haemorrhages and 3 patients died of haemorrhagic causes. The incidence rate was 50 bleeds per 100 patient-years and 57 per 100 patient-years in AC patients. AC resulted in a 2.5-fold raise in bleeding (95% CI 1.4-4.8; <i>p</i> = .003) and a score ≥2 on HAS-BLED scale in a 5.4-fold increase (95%CI 2.6-11; <i>p</i> < .001).</p><p><strong>Conclusion: </strong>bleeding is a frequent complication in ATTR-CA, with a higher risk in those individuals with a HAS-BLED score ≥2 and/or on AC. These findings could be considered in risk stratification and therapeutic decision-making.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"135-145"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054848","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}
Tiphaine Bollon, Antoine Jobbe Duval, Simon Leboube, Nathan Mewton, Laurent Sebbag, Kevin Gardey, Eric Bonnefoy-Cudraz, Paul Charles, Mathieu Montoy, Michaël Serraille, Brahim Harbaoui, Pierre Lantelme, Pierre-Yves Courand
{"title":"A clinical and ECG based score to predict incident atrial fibrillation in cardiac amyloidosis: the Amy-Lyon AF score.","authors":"Tiphaine Bollon, Antoine Jobbe Duval, Simon Leboube, Nathan Mewton, Laurent Sebbag, Kevin Gardey, Eric Bonnefoy-Cudraz, Paul Charles, Mathieu Montoy, Michaël Serraille, Brahim Harbaoui, Pierre Lantelme, Pierre-Yves Courand","doi":"10.1080/13506129.2025.2612567","DOIUrl":"10.1080/13506129.2025.2612567","url":null,"abstract":"<p><strong>Background: </strong>Atrial fibrillation (AF) is common and poorly tolerated in cardiac amyloidosis (CA) patients. No current tool assesses AF risk in this population.</p><p><strong>Methods: </strong>We enrolled patients with light chain (AL) or transthyretin (ATTR) CA, with no prior history of AF at diagnosis between January 2015 and September 2023 across three university hospitals. Clinical, biochemical and electrocardiographic parameters were retrospectively collected and their predictive value for AF was assessed.</p><p><strong>Results: </strong>A total of 169 patients were included (56.2% wild-type (wt) ATTR, 35.5% AL and 8.3% variant (v) ATTR). Over a median follow-up of 21 months, 55 patients (33%) presented a first episode of AF. Five independent predictors for AF were identified using multivariate logistic regression model: obstructive sleep apnea, hypertension, CA subtype, P wave duration ≥120 ms, 1st degree atrioventricular (AV) block. Based on these variables, the Amy-Lyon AF score (range 0-46) was developed to estimate AF risk (area under the receiver operating characteristic (ROC) curve (AUC) 0.768 [0.685-0.852], <i>p</i> < .001). At two years of follow-up, the incidence of AF reached 82.7% in patients with a score >28. In 80 patients, the AUC of the Amy-Lyon AF score was higher than that of left atrial strain.</p><p><strong>Conclusions: </strong>Five simple and readily available predictors may stratify the risk of AF in CA.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"205-215"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145994679","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}
Luca Broggini, Diane Marie Valérie Bonnet, Karolina W Swiderska, Sebastien Bender, Gilles R Codo, Alessio Lampis, Gemma Martinez-Rivas, Pauline Duchatelet, Aurore Danigo, Antonio Chaves-Sanjuan, Christophe Sirac, Stefano Ricagno
{"title":"Untwisted amyloid fibrils from a transgenic mouse model of AL amyloidosis.","authors":"Luca Broggini, Diane Marie Valérie Bonnet, Karolina W Swiderska, Sebastien Bender, Gilles R Codo, Alessio Lampis, Gemma Martinez-Rivas, Pauline Duchatelet, Aurore Danigo, Antonio Chaves-Sanjuan, Christophe Sirac, Stefano Ricagno","doi":"10.1080/13506129.2025.2605332","DOIUrl":"10.1080/13506129.2025.2605332","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"224-227"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806369","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}
Shuang Wang, Dan-Yang Li, Dan Liu, Xu Zhang, Yue-Yue Zhu, Hui Wang, Xiao-Juan Yu, Fu-de Zhou, Gang Liu, Li Yang, Ming-Hui Zhao, Su-Xia Wang
{"title":"Clarifying the immunoglobulin light chain variable gene usage in Chinese patients with renal AL amyloidosis.","authors":"Shuang Wang, Dan-Yang Li, Dan Liu, Xu Zhang, Yue-Yue Zhu, Hui Wang, Xiao-Juan Yu, Fu-de Zhou, Gang Liu, Li Yang, Ming-Hui Zhao, Su-Xia Wang","doi":"10.1080/13506129.2026.2619419","DOIUrl":"10.1080/13506129.2026.2619419","url":null,"abstract":"<p><strong>Background: </strong>The association between immunoglobulin light chain variable (<i>IGVL</i>) gene usage and clinicopathological features in renal AL amyloidosis requires further research. This study analyzed <i>IGVL</i> genes and their associations with clinicopathological characteristics, organ involvement and survival outcomes in a Chinese cohort.</p><p><strong>Methods: </strong>We retrospectively enrolled 273 renal AL amyloidosis patients. Amyloid deposits were microdissected and subjected to mass spectrometry (MS)-based proteomics to identify <i>IGVL</i> genes. Clinicopathological features, organ involvement and survival data were systematically analyzed.</p><p><strong>Results: </strong><i>IGVL</i> genes were successfully identified in 250 patients (92%). <i>IGLV6-57</i> (32%) was predominant, <i>IGKV1</i> family (12%) was the most prevalent in AL-κ cases. <i>IGLV6-57</i> was associated with a higher rate of full nephrotic syndrome, while was linked to milder vascular amyloid deposition and total amyloid deposition. <i>IGKV1</i> was associated with heavier amyloid burden, severe interstitial inflammation and a higher rate of hepatic involvement, <i>IGLV6-57</i> was correlated with reduced hepatic involvement. <i>IGLV1-51</i> potentially predicted rapid renal progression and dialysis risk.</p><p><strong>Conclusion: </strong>The <i>IGVL</i> gene usage is associated with distinct clinicopathological features in renal AL amyloidosis, <i>IGLV6-57</i> is linked to a higher frequency of full nephrotic syndrome, <i>IGKV1</i> is associated with severe kidney structural damage and hepatic tropism, and <i>IGLV1-51</i> potentially predicts poor renal survival.</p>","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":" ","pages":"168-179"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054779","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":"In memoriam: Shukuro Araki, MD, PhD (1927-2025) pioneer of Japanese neurology and a global leader in familial amyloid polyneuropathy.","authors":"Mitsuharu Ueda, Yohei Misumi, Yukio Ando","doi":"10.1080/13506129.2026.2622971","DOIUrl":"10.1080/13506129.2026.2622971","url":null,"abstract":"","PeriodicalId":50964,"journal":{"name":"Amyloid-Journal of Protein Folding Disorders","volume":"33 2","pages":"117-118"},"PeriodicalIF":5.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347281","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}