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342    Chapter  Nine

               appropriate when fibrils morphologically and structurally related to
               extracellular amyloid form inside the cell. 95
                   A list of known diseases that are associated with the formation of
               extracellular amyloid plaques or intracellular inclusions is given in
               Table 9.1, along with the specific proteins that in each case are the
               predominant components of the deposits. The diseases can be gener-
               ally grouped into neurodegenerative conditions, in which aggrega-
               tion occurs in the brain; peripheral localized amyloidoses, in which
               aggregation occurs in a single type of tissue other than the brain, and
               systemic amyloidoses, in which aggregation occurs in multiple tis-
               sues (Table 9.1). Some of these conditions are predominantly spo-
               radic, although hereditary forms from specific mutations are also
               quite common. In addition, spongiform encephalopathies (prion dis-
               eases) can be transmissible in humans as well as in other mammals.
               According to the protein-only hypothesis, the transmissible agent,
               denoted prion, is composed solely of PrP , an aggregated form of the
                                                 Sc


                 Disease                       Peptide/Protein
                 Alzheimer’s disease           Amyloid β peptide
                 Transmissible spongiform      Prion protein or fragments
                 encephalopathies (Prion diseases)  thereof
                 Parkinson’s disease           α-Synuclein
                 Amyotrophic lateral sclerosis (ALS)  Superoxide dismutase I
                 Huntington’s disease          Huntingtin
                 Familial British dementia     ABri
                 Familial Danish dementia      ADan
                 AL amyloidosis                Fragments of immunoglobulin
                                               light chains
                 AA amyloidosis                Fragments of serum amyloid A
                                               protein
                 Familial Mediterranean fever  Fragments of serum amyloid A
                                               protein
                 Senile systemic amyloidosis   Wild-type transthyretin
                 Familial amyloidotic          Mutants of transthyretin
                 polyneuropathy
                 Type II diabetes              Amylin (islet amyloid
                                               polypeptide, IAPP)
                 Inclusion body myositis       Amyloid β peptide

               TABLE 9.1  Human Diseases Associated with Formation of Extracellular
               Amyloid Deposits or Intracellular Inclusions with Amyloidlike Characteristics
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