Heart failure & cardiomyopathies

A novel monoclonal antibody targeting aggregated transthyretin facilitates its removal and functional recovery in an experimental model

Eur Heart JPublished Mechanistic study

Authors' conclusion

We developed a proprietary antibody targeting aggregated TTR that exhibits beneficial effects in a novel experimental wtATTR model and also possesses a potential diagnostic utility.

Study context

Population
Experimental model of wild-type ATTR (wtATTR) cardiac amyloidosis; sera and cardiac plaques of wtATTR patients

Main finding

As reported in the abstract

  • IgG1 monoclonal antibody against aggregated TTR immunoprecipitated the protein in wtATTR patients' sera and robustly stained patients' cardiac plaques
  • Antibody facilitated aggregated-TTR uptake by various myeloid cells and protected cardiomyocytes from TTR-inducible toxicity
  • In vivo wtATTR model: antibody enhanced disappearance of pyrophosphate signals (rapid amyloid deposit removal and degradation) and improved echocardiographic measures of cardiac performance
  • Antibody-based capture ELISA: higher aggregated TTR in sera of wtATTR amyloidosis patients vs control patients with HF

Original publication

A novel monoclonal antibody targeting aggregated transthyretin facilitates its removal and functional recovery in an experimental model. Eur Heart J. Published 22 December 2019. doi:10.1093/eurheartj/ehz695

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