Amyloidosis is a pathological process in which normally soluble protei
ns polymerize to form insoluble fibrils (amyloid), Amyloid formation i
s found in a number of diseases, including Alzheimer's disease, adult-
onset diabetes, and light-chain-associated amyloidosis. No pharmaceuti
cal methods currently exist to prevent this process or to remove the f
ibrils from tissue. The search for treatment and prevention methods is
hampered by a limited understanding of the biophysical basis of amylo
id formation. Glycosaminoglycans (GAGs) are long, unbranched heteropol
ysaccharides composed of repeating disaccharide subunits and are known
to associate with amyloid fibrils. The interaction of amyloid-associa
ted free light chains with GAGs was tested by both size-exclusion high
-performance liquid chromatography and sodium dodecyl sulfate-polyacry
lamide gel electrophoresis experiments, The results indicated that hep
arin 16 000 and chondroitin sulfate B and C precipitated both human in
tact light chains and recombinant light chain variable domains. Althou
gh all light chains interacted with heparin, the strongest interaction
s were obtained with proteins that had formed amyloid. Molecular model
ing indicated the possibility of interaction between heparin and the c
onserved saddlelike surface of the light chain dimer opposite the comp
lementarity-determining segments that form part of the antigen-binding
site of a functional antibody. This suggestion might offer a new path
to block the aggregation of amyloid-associated light chain proteins,
by design of antagonists based on properties of GAG binding. A hexasac
charide was modeled as the basis for a possible antagonist.