Table 4.

Mutated amino acid residues in deduced amyloid light-chain proteins

VL subtypeGerm line donorMutated residueNo. casesReplacement(s)Amino acid features
VλI 1c (n = 8) Gln38 His Neutral to basic  
  Pro40 Ser Both neutral 
  Ser50 Thr, Iso All neutral 
    Arg Neutral to basic 
VλII 2a2 (n = 6) Gln38 His Neutral to basic  
  Glu50 Asp Both are acidic 
  Ser52 Asn (n = 2) All neutral 
    Thr (n = 2)  
  Ser94 Asn N-gly site 
VλIII 3r (n = 7) Lys31b Glu Basic to acidic  
   Tyr, Asn Basic to neutral 
     N-gly site  
  Pro40 Ala, Ser All neutral  
  Ser52 Thr (n = 3), All neutral  
     Asn (n = 2)  
    Asp Neutral to acidic 
  Ala90 Thr (n = 2), All neutral 
     Ser  
  Ser94 Gly (n = 2), Asn, All neutral  
     Arg Neutral to basic 
VλVI 6a (n = 18) Arg25 Gly Basic to neutral  
  Ser31a Ala, Gly, Val, All neutral  
     Asn (n = 2)  
    Asp Neutral to acidic 
  Asn31b Ser, Tyr (n = 2) All neutral 
    Asp Neutral to acidic 
  Pro40 Thr, Gly, Ser All neutral 
  Ser43 Ala (n = 8) All neutral 
  Asn52 Asp (n = 4) Neutral to acidic 
    Lys Neutral to basic  
    Ser (n = 3), Thr All neutral  
  Gln53 Val (n = 2) Both neutral  
    Glu (n = 2) Neutral to acidic 
    Lys Neutral to basic 
  Ser93 12 Asn (n = 4), Thr (n = 2), All neutral  
     Gly (n = 4)  
    Asp (n = 2) Neutral to acidic  
  Ser94 11 Asn (n = 9), Gly All neutral  
    Arg Neutral to basic 
VKI O18-O8 (n = 7) Ser30 Ala (n = 2), Thr, Asn All neutral 
  Asn31 Lys Neutral to basic 
  Tyr32 Phe (n = 2) Both neutral 
    His Neutral to basic 
  Glu55 Gln (n = 2) Neutral to acidic 
    Lys Acidic to basic 
  Asp70 Asn (n = 2) Acidic to neutral, 
     N-gly sites  
    His Acidic to basic  
  Thr72 Iso Both neutral 
    Asn Neutral to basic, 
     N-gly site 
  Leu96 Tyr, Pro, Thr, Phe All neutral 
 LFVK431 (n = 4) Gly28 Asp (n = 3) Neutral to acidic  
  Tyr32 Phe (n = 3) Both neutral  
  Ala50 Ser (n = 2) Both neutral  
  Lys61 Asn (n = 3) All neutral,  
     N-gly sites 
  Asp70 His Acidic to neutral 
    Asn Acidic to neutral, 
     N-gly site 
  Ser93 Asn Both neutral 
  Arg96 Tyr (n = 2), Pro Basic to neutral 
VL subtypeGerm line donorMutated residueNo. casesReplacement(s)Amino acid features
VλI 1c (n = 8) Gln38 His Neutral to basic  
  Pro40 Ser Both neutral 
  Ser50 Thr, Iso All neutral 
    Arg Neutral to basic 
VλII 2a2 (n = 6) Gln38 His Neutral to basic  
  Glu50 Asp Both are acidic 
  Ser52 Asn (n = 2) All neutral 
    Thr (n = 2)  
  Ser94 Asn N-gly site 
VλIII 3r (n = 7) Lys31b Glu Basic to acidic  
   Tyr, Asn Basic to neutral 
     N-gly site  
  Pro40 Ala, Ser All neutral  
  Ser52 Thr (n = 3), All neutral  
     Asn (n = 2)  
    Asp Neutral to acidic 
  Ala90 Thr (n = 2), All neutral 
     Ser  
  Ser94 Gly (n = 2), Asn, All neutral  
     Arg Neutral to basic 
VλVI 6a (n = 18) Arg25 Gly Basic to neutral  
  Ser31a Ala, Gly, Val, All neutral  
     Asn (n = 2)  
    Asp Neutral to acidic 
  Asn31b Ser, Tyr (n = 2) All neutral 
    Asp Neutral to acidic 
  Pro40 Thr, Gly, Ser All neutral 
  Ser43 Ala (n = 8) All neutral 
  Asn52 Asp (n = 4) Neutral to acidic 
    Lys Neutral to basic  
    Ser (n = 3), Thr All neutral  
  Gln53 Val (n = 2) Both neutral  
    Glu (n = 2) Neutral to acidic 
    Lys Neutral to basic 
  Ser93 12 Asn (n = 4), Thr (n = 2), All neutral  
     Gly (n = 4)  
    Asp (n = 2) Neutral to acidic  
  Ser94 11 Asn (n = 9), Gly All neutral  
    Arg Neutral to basic 
VKI O18-O8 (n = 7) Ser30 Ala (n = 2), Thr, Asn All neutral 
  Asn31 Lys Neutral to basic 
  Tyr32 Phe (n = 2) Both neutral 
    His Neutral to basic 
  Glu55 Gln (n = 2) Neutral to acidic 
    Lys Acidic to basic 
  Asp70 Asn (n = 2) Acidic to neutral, 
     N-gly sites  
    His Acidic to basic  
  Thr72 Iso Both neutral 
    Asn Neutral to basic, 
     N-gly site 
  Leu96 Tyr, Pro, Thr, Phe All neutral 
 LFVK431 (n = 4) Gly28 Asp (n = 3) Neutral to acidic  
  Tyr32 Phe (n = 3) Both neutral  
  Ala50 Ser (n = 2) Both neutral  
  Lys61 Asn (n = 3) All neutral,  
     N-gly sites 
  Asp70 His Acidic to neutral 
    Asn Acidic to neutral, 
     N-gly site 
  Ser93 Asn Both neutral 
  Arg96 Tyr (n = 2), Pro Basic to neutral 

These represent the most commonly mutated residues found in our sample with particular focus on amyloid-associated light-chain residues as described in references 8 and 30. Residues in bold are in complementarity-determining regions (CDR). N-gly site indicates the N-glycosylation site.

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