A new procedure was developed for isolation and immunochemical identif
ication of amyloid proteins. This procedure involves extraction of amy
loid proteins from tissues with aqueous acidic acetonitrile, their pur
ification by HPLC and identification by ELISA. In this way the type of
amyloid proteins was defined in amyloid-containing tissues obtained f
rom 15 patients. The technique is simple, rapid and enables typing of
amyloid proteins using only milligram amounts of tissue. This is in co
ntrast to the conventional amyloid isolation and chemical identificati
on technique which is laborious, time consuming and requires gram amou
nts of tissues. The procedure may enable the identification of the typ
e of amyloid in biopsy specimens and thus help in evaluation of progno
sis and determination of the therapeutic policy.