RT Journal Article SR Electronic T1 Cryo-EM structure of an amyloid fibril from systemic amyloidosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 357129 DO 10.1101/357129 A1 Falk Liberta A1 Sarah Loerch A1 Matthies Rennegarbe A1 Angelika Schierhorn A1 Per Westermark A1 Gunilla T. Westermark A1 Nikolaus Grigorieff A1 Marcus Fändrich A1 Matthias Schmidt YR 2018 UL http://biorxiv.org/content/early/2018/06/29/357129.abstract AB Systemic AA amyloidosis is a worldwide occurring disease of humans and animals that arises from the misfolding of serum amyloid A protein. To provide insights into the molecular basis of this disease we used electron cryo-microscopy and determined the structure of an ex vivo amyloid fibril purified from AA amyloidotic mice at 3.0 Å resolution. The fibril consists of C-terminally truncated serum amyloid A protein arranged into a compactly folded all-β conformation. The structure identifies the protein N-terminus as central for the assembly of this fibril and provides a mechanism for its prion-like replication. Our data further explain how amino acid substitutions within the tightly packed fibril core can lead to amyloid resistance in vivo.