Misfolding & Disease

Protein Misfolding and Aggregation

Summary

Protein misfolding occurs when a polypeptide chain fails to adopt its functional native 3D conformation. Misfolded proteins expose hydrophobic residues, driving aggregation. The most pathological form is the amyloid fibril, characterized by a cross-β spine structure.

Key Points

  • 1Misfolding exposes normally buried hydrophobic residues
  • 2Amyloid fibrils have characteristic cross-β spine structure
  • 3Aggregation follows nucleation-dependent kinetics
  • 4Soluble oligomers often more toxic than mature fibrils

Protein misfolding and aggregation represent a fundamental failure of the protein folding process with severe pathological consequences.

Mechanisms of Misfolding

Proteins can misfold due to:

- Mutations: Altering the amino acid sequence and destabilizing the native state

- Environmental stress: Heat, oxidative stress, pH changes

- Marginal stability: The native state is only slightly more stable than misfolded states

- Overwhelmed proteostasis: When chaperones and degradation systems are saturated

The Aggregation Pathway

Misfolded proteins characteristically expose hydrophobic residues that would normally be buried. This drives:

1. Oligomer formation: Small, often toxic assemblies

2. Protofibril formation: Extended, β-sheet-rich structures

3. Mature fibril formation: Highly stable amyloid structures

Amyloid Fibrils

The most stable and pathological aggregate form is the amyloid fibril:

Cross-β Spine Structure

- β-strands run perpendicular to the fibril axis

- Backbone hydrogen bonds run parallel to the axis

  • Creates an exceptionally stable "steric zipper" interface
  • Characteristic Properties

  • Resistance to proteolysis
  • Binding of dyes (Thioflavin T, Congo Red)
  • Characteristic X-ray diffraction pattern
  • Nucleation-Dependent Kinetics

    Aggregation typically follows a sigmoidal kinetic profile:

    1. Lag phase: Slow, unfavorable nucleus formation (primary nucleation)

    2. Growth phase: Rapid elongation once nuclei form

    3. Plateau: Monomer depletion

    The Proteostasis Network

    Cells combat misfolding through the proteostasis network:

    - Chaperones: Hsp70, Hsp90, chaperonins

    - Ubiquitin-Proteasome System (UPS): Degradation of misfolded monomers

    - Autophagy: Clearance of larger aggregates

    Proteinopathies

    Failure of proteostasis leads to diseases including:

    - Alzheimer's disease: Aβ plaques and tau tangles

    - Parkinson's disease: α-synuclein Lewy bodies

    - Huntington's disease: polyQ aggregates

    - Prion diseases: PrP^Sc amyloid