Amyloid is an in vivo fibrillar substance containing a fibril protein and several additional molecules. Presently, 25 proteins have been reported as main fibril components. Why just a few proteins form amyloid in vivo is still insufficiently understood. Many fibril proteins appear as fragments of larger precursors and for some types it is not clear whether fragmentation comes before or after fibrillation. The self-assembly by amyloid proteins can be speeded up by seeding with preformed fibrils. See Alzheimer's disease for information on natural ways to treat or prevent this condition. Beta-amyloid also causes nerve cell damage in the eye from blindness-inducing glaucoma.
Amyloid, diet and nutrition
It is my opinion that amyloid formation can be influenced by diet and the types
of foods we eat. A healthy diet with many fresh vegetables and herbs - which
contain many flavoinds - is less likely to
lead to amyloid formation than a high sugar high trans fat diet.
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amyloid research and amyloid plaque prevention, and
their practical interpretation by Ray Sahelian, M.D.
Natural Herbs and Amyloid Plaque
prevention
Many herbal compounds and flavonoids probably block amyloid formation.
Here are some examples:
Hypericum perforatum, known as St. John's wort. In a microglial cell line pretreated with St. John's wort extract, the cell death evoked by treatment with amyloid-beta was attenuated significantly in a dose-dependent manner.
Myricetin inhibits beta-amyloid fibril formation, a key problem with Alzheimer's disease.
Uncaria rhynchophylla can prevent beta amyloid formation.
Amyloid disease
Amyloid disease is a disease due to the deposition of amyloid in organs and
tissues. Amyloid disease variants share common mechanisms which lead to protein
fibril formation and deposition. Primary amyloidosis, while the most common form
of amyloidosis, is a sporadic disease. Secondary (reactive) amyloidosis occurs
in those with chronic inflammatory disease or cancer. Alzheimer disease, while
very common in the aged population, is unpredictable except for those rare forms
of familial Alzheimer disease with characterized mutations in specific genes.
Amyloid fibrils
The formation of amyloid fibrils is associated with
various human medical disorders of unrelated origin. Recent research indicates
that self-assembled amyloid fibrils are also involved in physiological processes
in several micro-organisms. Yet, the molecular basis for the recognition and
self-assembly processes mediating the formation of such structures from their
soluble protein precursors is not fully understood. Short peptide models have
provided novel insight into the mechanistic issues of amyloid formation,
revealing that very short peptides (as short as a tetrapeptide) contain all the
necessary molecular information for forming typical amyloid fibrils. A careful
analysis of short peptides has not only facilitated the identification of
molecular recognition modules that promote the interaction and self-assembly of
fibrils but also revealed that aromatic interactions are important in many cases
of amyloid formation. The realization of the role of aromatic moieties in fibril
formation is currently being used to develop novel inhibitors that can serve as
therapeutic agents to treat amyloid-associated disorders.
Beta amyloid protein
The principal component of amyloid is the beta-amyloid protein (A beta),
a 39-43 amino acid peptide composed of a portion of the transmembrane domain and
the extracellular domain of the amyloid precursor protein.
Amyloid eprodisate treatment
Treatment with eprodisate can slow the decline in renal function that
usually occurs with amyloid A (AA) amyloidosis involving the kidneys. Eprodisate
belongs to a new class of drugs that blocks amyloid build-up in various tissues
by inhibiting the interactions of amyloidogenic proteins and glycosaminoglycans.
The Eprodisate for amyloid A Amyloidosis Trial (EFAAT) involved 183 patients who
were randomized to receive eprodisate or placebo for 24 months. The main outcome
measure was disease worsening, defined as a doubling of serum creatinine levels,
a fall in creatinine clearance by 50% or more, progression to end-stage kidney
disease, or death. At 24 months, disease worsening was noted in 40% of control
patients compared with 27% of those given eprodisate. Treatment with eprodisate
was generally well tolerated with no increase in adverse events relative to
placebo. Eprodisate works by directly targeting AA amyloid formation. EFAAT was
funded, in part, by drugmaker Neurochem, which is planning to market eprodisate
as Kiacta. N Engl J Med 2007;356:2349-2360,2413-2415.
Comments: Would certain natural supplements work better? Too bad
the research funding is not there for us to find out.