Living with the enemy: from protein-misfolding pathologies we know, to those we want to know

Abdul-Hamid Emwas, Mawadda Alghrably, Manel Dhahri, Abeer Sharfalddin, Rawiah Alsiary, Mariusz Jaremko, Gavino Faa, Marcello Campagna, Terenzio Congiu, Monica Piras, Marco Piludu, Giuseppina Pichiri, Pierpaolo Coni, joanna izabela lachowicz

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


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.
Original languageEnglish (US)
Pages (from-to)101391
JournalAgeing Research Reviews
StatePublished - Jun 11 2021

Bibliographical note

KAUST Repository Item: Exported on 2021-06-15

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology
  • Aging
  • Biotechnology
  • Neurology


Dive into the research topics of 'Living with the enemy: from protein-misfolding pathologies we know, to those we want to know'. Together they form a unique fingerprint.

Cite this