Cryo-electron microscopy studies are presented on amyloid fibrils isolated
from amyloidotic organs of two patients with different forms of hereditary
non-neuropathic systemic amyloidosis, caused, respectively, by Leu60Arg apo
lipoprotein Al and Asp67His lysozyme. Although ex vivo amyloid fibrils were
thought to be more uniform in structure than those assembled in vitro, our
findings show that these fibrils are also quite variable in structure. Str
uctural disorder and variability of the fibrils have precluded three-dimens
ional reconstruction, but averaged cryo-electron microscopy images suggest
models for protofilament packing in the lysozyme fibrils. We conclude that
ex vivo amyloid fibrils, although variable, assemble as characteristic stru
ctures according to the identity of the precursor protein. (C) 2001 Academi
c Press.