AL amyloidosis is a disease process characterized by the pathologic deposit
ion of monoclonal light chains in tissue. To date, only limited information
has been obtained on the molecular features that render such light chains
amyloidogenic. Although protein products of the major human V-kappa and V-l
ambda gene families have been identified in AL deposits, one particular sub
group - lambda 6 - has been found to be preferentially associated with this
disease. Notably, the variable region of lambda 6 proteins (V(lambda)6) ha
s distinctive primary structural features including the presence in the thi
rd framework region (FR3) of two additional amino acid residues that distin
guish members of this subgroup from other types of light chains. However, t
he structural consequences of these alterations have not been elucidated. T
o determine if lambda 6 proteins possess unique tertiary structural feature
s, as compared to light chains of other V-lambda subgroups, we have obtaine
d x-ray diffraction data on crystals prepared from two recombinant V(lambda
)6 molecules. These components, isolated from a bacterial expression system
, were generated from lambda 6-related cDNAs cloned from bone marrow-derive
d plasma cells from a patient (Wil) who had documented AL amyloidosis and a
nother (Jto) with multiple myeloma and tubular cast nephropathy, but no evi
dent fibrillar deposits. The xray crystallographic analyses revealed that t
he two-residue insertion located between positions 68 and 69 (not between 6
6 and 67 as previously surmised) extended an existing loop region that effe
ctively increased the surface area adjacent to the first complementarity de
termining region (CDR1). Further, an unusual interaction between the Arg 25
and Phe 2 residues commonly found in lambda 6 molecules was noted. However
, the structures of V(lambda)6 Wil and Jto also differed from each other, a
s evidenced by the presence in the latter of certain ionic and hydrophobic
interactions that we posit increased protein stability and thus prevented a
myloid formation.