Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure

Atrial natriuretic peptide (ANP), whose amyloid is responsible of isolated atrial amyloidosis (IAA), is known to play an important role in the pathophysiology of congestive heart failure (CHF). We provide here the microscopic examination of atrial biopsies from 36 young (mean 40 years) CHF patients...

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Main Authors: Lia Millucci, Lorenzo Ghezzi, Giulia Bernardini, Daniela Braconi, Piero Tanganelli, Annalisa Santucci
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/293863
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author Lia Millucci
Lorenzo Ghezzi
Giulia Bernardini
Daniela Braconi
Piero Tanganelli
Annalisa Santucci
author_facet Lia Millucci
Lorenzo Ghezzi
Giulia Bernardini
Daniela Braconi
Piero Tanganelli
Annalisa Santucci
author_sort Lia Millucci
collection DOAJ
description Atrial natriuretic peptide (ANP), whose amyloid is responsible of isolated atrial amyloidosis (IAA), is known to play an important role in the pathophysiology of congestive heart failure (CHF). We provide here the microscopic examination of atrial biopsies from 36 young (mean 40 years) CHF patients distinguished in idiopathic dilated cardiomyopathy (DC) affected and hypertrophic Cardiomyopathy (HC) affected, endorsing the presumptive association of early CHF with IAA. We utilized a multiple method, using Congo red (CR) staining, CR fluorescence (CRF), and immunohistochemistry to assess the presence of IAA in CHF. Immunostaining showed a moderate deposition of IAA in the atrium surrounding working myocardium with small intracellular deposits. Our findings suggest a monitoring of young CHF cases for the development of IAA. Our study also demonstrated how the concurrent use of immunohistochemistry, CR, and CRF may greatly enhance the detection of low-grade amyloid deposits.
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publishDate 2012-01-01
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spelling doaj-art-d6c8f3f187bd4ab7ac952377330d0b072025-02-03T01:02:07ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/293863293863Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart FailureLia Millucci0Lorenzo Ghezzi1Giulia Bernardini2Daniela Braconi3Piero Tanganelli4Annalisa Santucci5Dipartimento di Biotecnologie, Università degli Studi di Siena, Via Fiorentina 1, 53100 Siena, ItalyDipartimento di Biotecnologie, Università degli Studi di Siena, Via Fiorentina 1, 53100 Siena, ItalyDipartimento di Biotecnologie, Università degli Studi di Siena, Via Fiorentina 1, 53100 Siena, ItalyDipartimento di Biotecnologie, Università degli Studi di Siena, Via Fiorentina 1, 53100 Siena, ItalyDepartimento di Patologia Umana e Oncologia, Università degli Studi di Siena, 53100 Siena, ItalyDipartimento di Biotecnologie, Università degli Studi di Siena, Via Fiorentina 1, 53100 Siena, ItalyAtrial natriuretic peptide (ANP), whose amyloid is responsible of isolated atrial amyloidosis (IAA), is known to play an important role in the pathophysiology of congestive heart failure (CHF). We provide here the microscopic examination of atrial biopsies from 36 young (mean 40 years) CHF patients distinguished in idiopathic dilated cardiomyopathy (DC) affected and hypertrophic Cardiomyopathy (HC) affected, endorsing the presumptive association of early CHF with IAA. We utilized a multiple method, using Congo red (CR) staining, CR fluorescence (CRF), and immunohistochemistry to assess the presence of IAA in CHF. Immunostaining showed a moderate deposition of IAA in the atrium surrounding working myocardium with small intracellular deposits. Our findings suggest a monitoring of young CHF cases for the development of IAA. Our study also demonstrated how the concurrent use of immunohistochemistry, CR, and CRF may greatly enhance the detection of low-grade amyloid deposits.http://dx.doi.org/10.1100/2012/293863
spellingShingle Lia Millucci
Lorenzo Ghezzi
Giulia Bernardini
Daniela Braconi
Piero Tanganelli
Annalisa Santucci
Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
The Scientific World Journal
title Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
title_full Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
title_fullStr Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
title_full_unstemmed Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
title_short Prevalence of Isolated Atrial Amyloidosis in Young Patients Affected by Congestive Heart Failure
title_sort prevalence of isolated atrial amyloidosis in young patients affected by congestive heart failure
url http://dx.doi.org/10.1100/2012/293863
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