Table 1

Classification of the more common types of amyloid and amyloidosis

TypeFibril precursor proteinClinical syndrome
AASerum amyloid A proteinReactive systemic amyloidosis associated with hereditary or acquired chronic inflammatory disease
ALMonoclonal immunoglobulin light chains;
 Produced systemicallySystemic amyloidosis associated with monoclonal gammopathy, myeloma, etc.
 Produced locallyAmyloidosis localised to the urogenital tract, skin, eyes, respiratory tract, etc.
ATTRNormal plasma transthyretinSenile systemic amyloidosis with prominent cardiac involvement
Genetically variant transthyretinAutosomal dominant hereditary amyloidosis; familial amyloid polyneuropathy, often with significant cardiac and/or renal amyloidosis
2Mβ2-microglobulinSystemic amyloidosis with predominant periarticular involvement associated with renal failure and long term dialysis
(β-)amyloid precursor proteinCerebrovascular and intracerebral plaque amyloid associated with Alzheimer’s disease
AIAPPIslet amyloid polypeptideAmyloid in islets of Langerhans in type II diabetes mellitus