Review Article

Mechanistic Contributions of Biological Cofactors in Islet Amyloid Polypeptide Amyloidogenesis

Figure 3

Roles of sulfated GAGs in IAPP amyloidogenesis. (a) Representative structure of heparin or heparan sulfate composed of glucuronic acid (GlcA) linked to glucosamine (GlcN) disaccharide repeating subunit. R1 could be –H or – whereas could be –H, –, or –COCH3. (b) Schematic representation of the postulated mechanism by which sulfated GAGs might promote IAPP amyloid formation. The positively charged N-terminal domain of IAPP binds to the sulfate moieties of GAGs by means of electrostatic interactions. This binding event triggers the formation of a α-helix (represented as a cylinder). This generates a high local concentration of peptide on the GAG scaffold that drives the association of IAPP amyloidogenic C-terminal segment, which has a high propensity to adopt a β-sheet (represented as an arrow). This drastically accelerates the formation of β-sheet rich assemblies.
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