AApoAIV amyloidosis

Last reviewed

🖨 Print for my doctorAdvocacy Hub →
ORPHA:439232E85.8
Who is this for?
Show terms as
8Treatment centers

Where are you in your journey?

UniteRare data is sourced from FDA.gov, ClinicalTrials.gov, Orphanet, OMIM, and NORD.
Report missing data

Overview

AApoAIV amyloidosis is an extremely rare form of amyloidosis caused by abnormal deposits of a protein called apolipoprotein A-IV (ApoA-IV) in body tissues. Amyloidosis is a group of diseases where misfolded proteins build up in organs and interfere with their normal function. In AApoAIV amyloidosis, the ApoA-IV protein forms insoluble fibrils that accumulate primarily in the kidneys, but can also affect the heart and other organs over time. The most common symptom is progressive kidney disease, which may eventually lead to kidney failure. Some patients also develop heart problems due to amyloid deposits in heart tissue. Because the disease progresses slowly, many people may not notice symptoms until significant organ damage has already occurred. Symptoms can include swelling in the legs, fatigue, shortness of breath, and changes in urine output. There is currently no cure for AApoAIV amyloidosis. Treatment focuses on managing symptoms and protecting organ function. This may include medications to control blood pressure and protect the kidneys, as well as treatments for heart complications if they arise. In advanced kidney disease, dialysis or kidney transplantation may be necessary. Because this condition is so rare, much of the medical understanding comes from small case series, and research is ongoing to better understand the disease and develop targeted therapies. The disease is also sometimes referred to as apolipoprotein A-IV amyloidosis.

Also known as:

Key symptoms:

Progressive kidney diseaseProtein in the urine (proteinuria)Swelling in the legs or anklesFatigue and low energyShortness of breathHeart problems or heart failureHigh blood pressureDecreased urine outputUnexplained weight gain from fluid retentionGeneral weakness

Clinical phenotype terms (30)— hover any for plain English
Abnormal renal medulla morphologyHP:0100957Renal amyloidosisHP:0001917Abnormal cardiac ventricular functionHP:0030872Renal interstitial amyloid depositsHP:0032613Glomerular sclerosisHP:0000096Coronary artery atherosclerosisHP:0001677Chronic pulmonary obstructionHP:0006510Left bundle branch blockHP:0011713Reduced left ventricular ejection fractionHP:0012664ParaproteinemiaHP:0031047
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Late onset

Begins later in life, typically after age 50

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for AApoAIV amyloidosis.

View clinical trials →

No actively recruiting trials found for AApoAIV amyloidosis at this time.

New trials open frequently. Follow this disease to get notified.

Search ClinicalTrials.gov ↗Join the AApoAIV amyloidosis community →

No specialists are currently listed for AApoAIV amyloidosis.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to AApoAIV amyloidosis.

Search all travel grants →NORD Financial Assistance ↗

Community

Open AApoAIV amyloidosisForum →

No community posts yet. Be the first to share your experience with AApoAIV amyloidosis.

Start the conversation →

Latest news about AApoAIV amyloidosis

No recent news articles for AApoAIV amyloidosis.

Follow this condition to be notified when news becomes available.

Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

Rare disease caregiving can be isolating. Connect with counseling and peer support.

Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How much has the amyloid affected my kidneys and are any other organs involved?,How often should I have blood and urine tests to monitor my kidney function?,Should I have genetic testing, and should my family members be tested too?,What dietary changes should I make to protect my kidneys?,Are there any clinical trials or new treatments being studied for this type of amyloidosis?,At what point would I need to consider dialysis or a kidney transplant?,Should I see a cardiologist to check for heart involvement?

Common questions about AApoAIV amyloidosis

What is AApoAIV amyloidosis?

AApoAIV amyloidosis is an extremely rare form of amyloidosis caused by abnormal deposits of a protein called apolipoprotein A-IV (ApoA-IV) in body tissues. Amyloidosis is a group of diseases where misfolded proteins build up in organs and interfere with their normal function. In AApoAIV amyloidosis, the ApoA-IV protein forms insoluble fibrils that accumulate primarily in the kidneys, but can also affect the heart and other organs over time. The most common symptom is progressive kidney disease, which may eventually lead to kidney failure. Some patients also develop heart problems due to amylo

How is AApoAIV amyloidosis inherited?

AApoAIV amyloidosis follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does AApoAIV amyloidosis typically begin?

Typical onset of AApoAIV amyloidosis is late onset. Age of onset can vary across affected individuals.