Table 1

Summary of the common types of amyloid and most frequently affected organs1 14 16 36

Form of amyloidosisAcquired or hereditaryUnderlying diagnosisPrecursor proteinOrgan involvementTreatment
Peripheral nervous systemAutonomic nervous systemHeartKidneyLiverGITEyesTongue
ALAcquiredPlasma cell dyscrasiaMonoclonal immunoglobulin light chain+++++++++++++++++Chemotherapy/ ASCT
hATTRHereditaryMutations in TTR geneAbnormal TTR+++++++++/−++Liver transplant for younger patients with V30M-related ATTR, TTR stabilisers or genetic therapies
ATTRwtAcquiredWild-type TTR++++Supportive
AAAcquiredInflammatory disordersSAA+++/− (late)++++ (ate)++/−Suppression of inflammation
AFibHereditaryMutations in fibrinogen α-chain geneAbnormal fibrinogen+/−++++/−Supportive, organ transplant
AApoA1HereditaryMutations in apolipoprotein A1 geneAbnormal ApoA1++++++Supportive, organ transplant
ALysHereditaryMutations in lysozyme geneAbnormal lysozyme+/−+++++++Supportive, organ transplant
AGelHereditaryMutations in gelsolin geneAbnormal gelsolin++ (cranial)++Supportive
Aβ2MAcquired or hereditaryLong-term dialysisβ2M− (CTS)+/−+/−Supportive, renal transplant
  • +, less common; ++, common; +/−, rare; +++, very common; –, does not occur or not applicable; AA, amyloid A; AApoA1, apolipoprotein A1 amyloid; AFib, fibrinogen A α-chain; AGel, gelsolin amyloid; AL-amyloid, amyloid light chain; ALys, lysozyme amyloid; ASCT, autologous stem cell transplant; ATTR, amyloid transthyretin; CTS, Carpal tunnel syndrome; GIT, Gastrointestinal; β2M, β2-microglobulin-related; SAA, serum amyloid.