Table 1.
Systemic amyloidosis subtypes
Amyloid type | Acquired or hereditary | Precursor protein | Underlying disorder | Heart | Kidney liver | Liver | PN/AN | ST |
---|---|---|---|---|---|---|---|---|
AL | Acquired | Monoclonal immunoglobulin light chain | Plasma cell dyscrasia | +++ | +++ | ++ | + | ++ |
hATTR | Hereditary | Abnormal TTR | Mutated TTR gene | +++ | - | - | +++ | - |
wtATTR | Acquired | Normal TTR | - | +++ | - | - | - | + |
AA | Acquired | SAA | Inflammatory disorders | + late | +++ | + late | + | - |
ALECT2 | Acquired | LECT2 | Uncertain | - | +++ | ++ | - | - |
AGel | Hereditary | Abnormal gelsolin | Mutation in gelsolin gene | - | + | - | ++ cranial | - |
AB2M | Acquired or hereditary | AB2M | Long term dialysis | - | - | - | + | + |
AApoA1 | Hereditary | Abnormal ApoA1 | Mutations in apolipoprotein A1 Gene | + | ++ | ++ | + | + testis |
AL, light chain amyloidosis; hATTR, hereditary transthyretin amyloidosis; wtATTR, wild-type transthyretin amyloidosis; AA, secondary amyloidosis; ALECT2: leukocyte chemotactic factor 2 amyloidosis; AB2M, beta-2-microglobulin amyloidosis; AApoA1, apolipoprotein A1 amyloidosis; PN, peripheral neuropathy; AN, autonomic neuropathy; ST, soft tissue; +++, very common; ++, common; +, less common; -, not reported