Abstract
Leukocyte cell-derived chemotaxin 2 amyloidosis (ALECT2) represents the third most common form of renal amyloidosis and has been recently recognized as a frequent cause of hepatic amyloidosis in the USA. The disease shows a restricted geographical and ethnic distribution, and the amyloid deposition in the kidney and liver commonly presents with characteristic pathological features. Nevertheless, ALECT2 amyloidosis has a relatively indolent clinical course which makes the diagnosis difficult. Therefore, an accurate typing of amyloid deposits is required for the appropriate treatment of these patients. We address in this chapter some aspects regarding the pathogenesis of the disease as well as recent advances in the diagnosis of ALECT2 amyloidosis by immunohistochemistry (IHC) and mass spectrometry (MS)-based proteomic analysis.
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References
Benson MD, James S, Scott K, Liepnieks JJ, Kluve-Beckerman B. Leukocyte chemotactic factor 2: a novel renal amyloid protein. Kidney Int. 2008;74(2):218–22.
Murphy CL, Wang S, Kestler D, et al. Leukocyte chemotactic factor 2 (LECT2)-associated renal amyloidosis: a case series. Am J Kidney Dis. 2010;56(6):1100–7.
Larsen CP, Walker PD, Weiss DT, Solomon A. Prevalence and morphology of leukocyte chemotactic factor 2-associated amyloid in renal biopsies. Kidney Int. 2010;77(9):816–9.
Larsen CP, Kossmann RJ, Beggs ML, Solomon A, Walker PD. Clinical, morphologic and genetic features of renal leukocyte chemotactic factor 2 amyloidosis. Kidney Int. 2014;86(2):378–82.
Mereuta OM, Theis JD, Vrana JA, et al. Leukocyte cell-derived chemotaxin 2 (LECT2)-associated amyloidosis is a frequent cause of hepatic amyloidosis in the United States. Blood. 2014;123(10):1479–82.
Said SM, Sethi S, Valeri AM, et al. Renal amyloidosis: origin and clinicopathologic correlations of 474 recent cases. Clin J Am Soc Nephrol. 2013;8(9):1515–23.
Said SM, Sethi S, Valeri AM, et al. Characterization and outcomes of renal leukocyte chemotactic factor 2-associated amyloidosis. Kidney Int. 2014;86(2):370–7.
Hutton HL, DeMarco ML, Magil AB, Taylor P. Renal leukocyte chemotactic factor 2 (LECT2) amyloidosis in First Nations people in Northern British Columbia, Canada: a report of 4 cases. Am J Kidney Dis. 2014;64(5):790–2.
Vrana JA, Gamez JD, Madden BJ, Theis JD, Bergen 3rd HR, Dogan A. Classification of amyloidosis by laser microdissection and mass spectrometry-based proteomic analysis in clinical biopsy specimens. Blood. 2009;114(24):4957–9.
Sipe JD, Benson MD, Buxbaum JN, et al. Amyloid fibril protein nomenclature: 2010 recommendations from the nomenclature committee of the International Society of Amyloidosis. Amyloid. 2010;17:101–4.
Yamagoe S, Yamakawa Y, Matsuo Y, et al. Purification and primary amino acid sequence of a novel neutrophil chemotactic factor LECT2. Immunol Lett. 1996;52:9–13.
Hiraki Y, Inoue H, Kondo J, et al. A novel growthpromoting factor derived from fetal bovine cartilage, chondromodulin II. Purification and aminoacid sequence. J Biol Chem. 1996;271:22657–62.
Ovejero C, Cavard C, Périanin A, et al. Identification of the leukocyte cell-derived chemotaxin 2 as a direct target gene of β-catenin in the liver. Hepatology. 2004;40:167–76.
Segawa Y, Itokazu Y, Inoue N, Saito T, Suzuki K. Possible changes in expression of chemotaxin LECT2 mRNA in mouse liver after concanavalin A-induced hepatic injury. Biol Pharm Bull. 2001;24(4):425–8.
Yamagoe S, Mizuno S, Suzuki K. Molecular cloning of human and bovine LECT2 having a neutrophil chemotactic activity and its specific expression in the liver. Biochim Biophys Acta. 1998;1396(1):105–13.
Yamagoe S, Akasaka T, Uchida T, et al. Expression of a neutrophil chemotactic protein LECT2 in human hepatocytes revealed by immunochemical studies using polyclonal and monoclonal antibodies to a recombinant LECT2. Biochem Biophys Res Commun. 1997;237(1):116–20.
Nagai H, Hamada T, Uchida T, Yamagoe S, Suzuki K. Systemic expression of a newly recognized protein, LECT2, in the human body. Pathol Int. 1998;48(11):882–6.
Uchida T, Nagai H, Gotoh K, et al. Expression pattern of a newly recognized protein, LECT2, in hepatocellular carcinoma and its premalignant lesion. Pathol Int. 1999;49(2):147–51.
Benson MD. LECT2 amyloidosis. Kidney Int. 2010;77:757–9.
Sato Y, Watanabe H, Kameyama H, et al. Serum LECT2 level as a prognostic indicator in acute liver failure. Transplant Proc. 2004;36(8):2359–61.
Sato Y, Watanabe H, Kameyama H, et al. Changes in serum LECT 2 levels during the early period of liver regeneration after adult living related donor liver transplantation. Transplant Proc. 2004;36(8):2357–8.
Murphy C, Wang S, Kestler D, Larsen C, Benson D, Weiss D, Solomon A. Leukocyte chemotactic factor 2 (LECT2)-associated renal amyloidosis. Amyloid. 2011;18 Suppl 1:223–5.
Yamagoe S, Kameoka Y, Hashimoto K, Mizuno S, Suzuki K. Molecular cloning, structural characterization, and chromosomal mapping of the human LECT2 gene. Genomics. 1998;48(3):324–9.
Dogan A, Theis JD, Vrana JA, et al. Clinical and pathological phenotype of leukocyte cell-derived chemotaxin-2 (LECT2) amyloidosis (ALECT2) (abstract OP-058). Amyloid. 2010;17 Suppl 1:69–70.
Kameoka Y, Yamagoe S, Hatano Y, Kasama T, Suzuki K. Val58Ile polymorphism of the neutrophil chemoattractant LECT2 and rheumatoid arthritis in the Japanese population. Arthritis Rheum. 2000;43(6):1419–20.
Buck FS, Koss MN, Sherrod AE, Wu A, Takahashi M. Ethnic distribution of amyloidosis: an autopsy study. Mod Pathol. 1989;2(4):372–7.
Buck FS, Koss MN. Hepatic amyloidosis: morphologic differences between systemic AL and AA types. Hum Pathol. 1991;22:904–7.
Damlaj M, Amre R, Wong P, How J. Hepatic ALECT2-amyloidosis causing portal hypertension and recurrent variceal bleeding: a case report and review of the literature. Am J Clin Pathol. 2014;141(2):288–91.
Chandan VS, Shah SS, Lam-Himlin DM, et al. Globular hepatic amyloid is highly sensitive and specific for LECT2 amyloidosis. Am J Surg Pathol. 2015;39:558–64.
Kanel GC, Uchida T, Peters RL. Globular hepatic amyloid-an unusual morphologic presentation. Hepatology. 1981;1:647–52.
Agaram N, Shia J, Klimstra DS, et al. Globular hepatic amyloid: a diagnostic peculiarity that bears clinical significance. Hum Pathol. 2005;36:845–49.
Makhlouf HR, Goodman ZD. Globular hepatic amyloid: an early stage in the pathway of amyloid formation. A study of 20 new cases. Am J Surg Pathol. 2007;31(10):1615–21.
Pilgaard J, Fenger C, Schaffalitzky de Muckadell OB. Globular amyloid deposits in the liver. Histopathology. 1993;23(5):479–80.
Demirhan B, Bilezikci B, Kiyici H, Boyacioglu S. Globular amyloid deposits in the wall of the gastrointestinal tract: report of six cases. Amyloid. 2002;9(1):42–6.
Hemmer PR, Topazian MD, Gertz MA, Abraham SC. Globular amyloid deposits isolated to the small bowel: a rare association with AL Amyloidosis. Am J Surg Pathol. 2007;31:141–5.
Comenzo RL. LECT2 makes the amyloid list. Blood. 2014;123(10):1436–7.
Picken MM. Alect2 amyloidosis: primum non nocere (first, do not harm). Kidney Int. 2014;86:229–32.
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Mereuta, O.M., Larsen, C.P., Dogan, A. (2015). Leukocyte Cell-Derived Chemotaxin 2 Amyloidosis (ALECT2). In: Picken, M., Herrera, G., Dogan, A. (eds) Amyloid and Related Disorders. Current Clinical Pathology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-19294-9_4
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DOI: https://doi.org/10.1007/978-3-319-19294-9_4
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