The mutation in the Z deficiency variant of alpha(1)-antitrypsin perturbs t
he structure of the protein to allow a unique intermolecular linkage. These
loop-sheet polymers are retained within the endoplasmic reticulum of hepat
ocytes to form inclusions that are associated with neonatal hepatitis, juve
nile cirrhosis, and hepatocellular carcinoma. The process of polymer format
ion has been investigated here by intrinsic: tryptophan fluorescence, fluor
escence polarization, circular dichroic spectra and extrinsic fluorescence
with 8-anilino-1-naphthalenesulfonic acid and tetramethylrhodamine-5-iodoac
etamide. These biophysical techniques have demonstrated that alpha(1)-antit
rypsin polymerization is a two-stage process and have allowed the calculati
on of rates for both of these steps. The initial fast phase is unimolecular
and likely to represent temperature-induced protein unfolding, while the s
low phase is bimolecular and associated with loop-sheet interaction and pol
ymer formation. The naturally occurring Z, S, and I variants and recombinan
t site-directed reactive loop and shutter domain mutants of alpha(1)-antitr
ypsin were used to demonstrate the close association between protein stabil
ity and rate of alpha(1)-antitrypsin polymerization, Taken together, these
data allow us to propose a kinetic mechanism for alpha(1)-antitrypsin polym
er formation that involves the generation of an unstable intermediate, whic
h can form polymers or generate latent protein.