Specific compositions of amyloid-β peptides as the determinant of toxic β-aggregation

Abstract Alzheimer's disease (AD) may be caused by toxic aggregates formed from amyloid-β (Aβ) peptides. By using Thioflavin T, a dye that specifically binds to β-sheet structures, we found that highly toxic forms of Aβ-aggregates were formed at the initial stage of fibrillogenesis, which is consistent with recent reports on Aβ oligomers. Formation of such aggregates depends on factors that affect both nucleation and elongation. As reported previously, addition of Aβ42 systematically accelerated the nucleation of Aβ40, most likely because of the extra hydrophobic residues at the C terminus of Aβ42. At Aβ42-increased specific ratio (Aβ40: Aβ42 = 10: 1), on the other hand, not only accelerated nucleation but also induced elongation were observed, suggesting pathogenesis of early-onset AD. Because a larger proportion of Aβ40 than Aβ42 was still required for this phenomenon, we assumed that elongation does not depend only on hydrophobic interactions. Without any change in the C-terminal hydrophobic nature, elongation was effectively induced by mixing wild type Aβ40 with Italian variant Aβ40 (E22K) or Dutch variant (E22Q). We suggest that Aβ peptides in specific compositions that balance hydrophilic and hydrophobic interactions promote the formation of toxic β-aggregates. These results may introduce a new therapeutic approach through the disruption of this balance.