The most common form of systemic amyloidosis originates
from antibody light chains. The large number of amino acid
variations that distinguish amyloidogenic from nonamyloidogenic
light chain proteins has impeded our understanding of the
structural basis of light-chain fibril formation. Moreover,
even among the subset of human light chains that are amyloidogenic,
many primary structure differences are found. We compared
the thermodynamic stabilities of two recombinant κ4
light-chain variable domains (VLs)
derived from amyloidogenic light chains with a VL
from a benign light chain. The amyloidogenic VLs
were significantly less stable than the benign VL.
Furthermore, only the amyloidogenic VLs
formed fibrils under native conditions in an in vitro fibril
formation assay. We used site-directed mutagenesis to examine
the consequences of individual amino acid substitutions
found in the amyloidogenic VLs on stability
and fibril formation capability. Both stabilizing and destabilizing
mutations were found; however, only destabilizing mutations
induced fibril formation in vitro. We found that fibril
formation by the benign VL could be
induced by low concentrations of a denaturant. This indicates
that there are no structural or sequence-specific features
of the benign VL that are incompatible
with fibril formation, other than its greater stability.
These studies demonstrate that the VL
β-domain structure is vulnerable to destabilizing mutations
at a number of sites, including complementarity determining
regions (CDRs), and that loss of variable domain stability
is a major driving force in fibril formation.