Physical Sciences and Mathematics Commons^™

Unfolded Protein Response Activation Reduces Secretion And Extracellular Aggregation Of Amyloidogenic Immunoglobulin Light Chain, Christina B. Cooley, L. M. Ryno, L. Plate, G. J. Morgan, J. D. Hulleman, J. W. Kelly, R. L. Wiseman

Christina B Cooley

Light-chain amyloidosis (AL) is a degenerative disease characterized by the extracellular aggregation of a destabilized amyloidogenic Ig light chain (LC) secreted from a clonally expanded plasma cell. Current treatments for AL revolve around ablating the cancer plasma cell population using chemotherapy regimens. Unfortunately, this approach is limited to the ∼70% of patients who do not exhibit significant organ proteotoxicity and can tolerate chemotherapy. Thus, identifying new therapeutic strategies to alleviate LC organ proteotoxicity should allow AL patients with significant cardiac and/or renal involvement to subsequently tolerate established chemotherapy treatments. Using a small-molecule screening approach, the unfolded protein response (UPR) was …