PMID- 34119687 OWN - NLM STAT- MEDLINE DCOM- 20210910 LR - 20210910 IS - 1872-9649 (Electronic) IS - 1568-1637 (Linking) VI - 70 DP - 2021 Sep TI - Living with the enemy: from protein-misfolding pathologies we know, to those we want to know. PG - 101391 LID - S1568-1637(21)00138-0 [pii] LID - 10.1016/j.arr.2021.101391 [doi] AB - Conformational diseases are caused by the aggregation of misfolded proteins. The risk for such pathologies develops years before clinical symptoms appear, and is higher in people with alpha-1 antitrypsin (AAT) polymorphisms. Thousands of people with alpha-1 antitrypsin deficiency (AATD) are underdiagnosed. Enemy-aggregating proteins may reside in these underdiagnosed AATD patients for many years before a pathology for AATD fully develops. In this perspective review, we hypothesize that the AAT protein could exert a new and previously unconsidered biological effect as an endogenous metal ion chelator that plays a significant role in essential metal ion homeostasis. In this respect, AAT polymorphism may cause an imbalance of metal ions, which could be correlated with the aggregation of amylin, tau, amyloid beta, and alpha synuclein proteins in type 2 diabetes mellitus (T2DM), Alzheimer's and Parkinson's diseases, respectively. CI - Copyright (c) 2021 The Author(s). Published by Elsevier B.V. All rights reserved. FAU - Emwas, Abdul-Hamid AU - Emwas AH AD - King Abdullah University of Science and Technology, Core Labs, Thuwal, 23955-6900, Saudi Arabia. FAU - Alghrably, Mawadda AU - Alghrably M AD - King Abdullah University of Science and Technology (KAUST), Biological and Environmental Sciences & Engineering Division (BESE), Thuwal, 23955-6900, Saudi Arabia. FAU - Dhahri, Manel AU - Dhahri M AD - Biology Department, Faculty of Science Yanbu, Taibah University, 46423, Yanbu El-Bahr, Saudi Arabia. FAU - Sharfalddin, Abeer AU - Sharfalddin A AD - Department of Chemistry, Faculty of Science, King Abdulaziz University, P.O. Box 80203, Jeddah, 21589, Saudi Arabia. FAU - Alsiary, Rawiah AU - Alsiary R AD - King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, Western Region-Hospital-MNGHA, Saudi Arabia. FAU - Jaremko, Mariusz AU - Jaremko M AD - King Abdullah University of Science and Technology (KAUST), Biological and Environmental Sciences & Engineering Division (BESE), Thuwal, 23955-6900, Saudi Arabia. Electronic address: Mariusz.jaremko@kaust.edu.sa. FAU - Faa, Gavino AU - Faa G AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Campagna, Marcello AU - Campagna M AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Congiu, Terenzio AU - Congiu T AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Piras, Monica AU - Piras M AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Piludu, Marco AU - Piludu M AD - Department of Biomedical Sciences, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Pichiri, Giuseppina AU - Pichiri G AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Coni, Pierpaolo AU - Coni P AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. FAU - Lachowicz, Joanna Izabela AU - Lachowicz JI AD - Department of Medical Sciences and Public Health, Universita di Cagliari, Cittadella Universitaria, 09042, Monserrato, Italy. Electronic address: lachowicz@unica.it. LA - eng PT - Journal Article PT - Review DEP - 20210611 PL - England TA - Ageing Res Rev JT - Ageing research reviews JID - 101128963 RN - 0 (Amyloid beta-Peptides) RN - 0 (Islet Amyloid Polypeptide) SB - IM MH - Amyloid beta-Peptides MH - *Diabetes Mellitus, Type 2 MH - Humans MH - Islet Amyloid Polypeptide MH - *Parkinson Disease MH - *alpha 1-Antitrypsin Deficiency OTO - NOTNLM OT - Tau protein (Tau) OT - alpha-1 antitrypsin (AAT) OT - alpha-synuclein (alpha-S) OT - amyloid beta (Abeta) OT - diabetes OT - human islet amyloid polypeptide (hIAPP) OT - metal binding OT - neurodegeneration EDAT- 2021/06/14 06:00 MHDA- 2021/09/11 06:00 CRDT- 2021/06/13 20:42 PHST- 2021/02/18 00:00 [received] PHST- 2021/04/19 00:00 [revised] PHST- 2021/06/09 00:00 [accepted] PHST- 2021/06/14 06:00 [pubmed] PHST- 2021/09/11 06:00 [medline] PHST- 2021/06/13 20:42 [entrez] AID - S1568-1637(21)00138-0 [pii] AID - 10.1016/j.arr.2021.101391 [doi] PST - ppublish SO - Ageing Res Rev. 2021 Sep;70:101391. doi: 10.1016/j.arr.2021.101391. Epub 2021 Jun 11.