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EM shows the fibrils to be straight, unbranching, 70–120 A˚ in diameter and of indeterminate Keywords Alzheimer’s disease; b-helix; cross-b structure; electron microscopy; mature amyloid

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Structures for amyloid fibrils

O Sumner Makin and Louise C Serpell

Department of Biochemistry, John Maynard Smith Building, School of Life Sciences, University of Sussex, Falmer, East Sussex, UK

Amyloidoses comprise over 20 diseases, including

Alz-heimer’s disease, Creutzfeldt–Jakob Disease and type

II diabetes [1–5] Although amyloid is known to be

toxic [2,6], there is considerable discussion as to its role

in disease It is suggested that the oligomeric

precur-sors to amyloid may be substantially more toxic than

amyloid itself [7,8] Even if this is the case, fibrils are

likely to play an important role, either as reservoirs or

sinks of toxic oligomers In some amyloidoses, no such

doubt exists because the mass of amyloid may exceed

that of the undiseased organ [9,10] Once the amyloid

structure has been determined, the rational design of

new drugs may be possible (e.g peptide mimetics)

[11,12] Amyloid in disease is generally defined to be

extracellular, although intracellular structures sharing

the same core structure are also observed (e.g

a-synuc-lein in Lewy bodies in Parkinson’s disease) [13] As

amyloid-like fibrils can also be formed in vitro from

protein unconnected to the amyloidoses, the distinction

between amyloid and amyloid-like fibrils is blurred [14]

It has been suggested that nearly all proteins have the ability to form amyloid under certain conditions, which has implications for the understanding of pro-tein folding [8] Amyloid precursor propro-teins do not share a common size, sequence or secondary structure, yet the mature fibrils appear to share similar highly organized multimolecular morphology and mechanisms

of toxicity [15]

Amyloid is defined in terms of empirical observa-tions from X-ray fibre diffraction, electron microscopy (EM) and specific chemical staining (Fig 1) The cross-b diffraction pattern has two characteristic sig-nals, a sharp reflection at 4.7 A˚ along the same direc-tion as the fibre and a more diffuse reflecdirec-tion at between 10 and 11 A˚ perpendicular to the fibre direc-tion (Fig 1B) [16] EM shows the fibrils to be straight, unbranching, 70–120 A˚ in diameter and of indeterminate

Keywords

Alzheimer’s disease; b-helix; cross-b

structure; electron microscopy; mature

amyloid fibril; model; solid state nuclear

magnetic resonance; X-ray fibre diffraction

Correspondence

L C Serpell, Department of Biochemistry,

John Maynard Smith Building, School of Life

Sciences, University of Sussex, Falmer,

East Sussex BN1 9QG, UK

Fax: +44 1273678433

Tel: +44 1273877363

E-mail: L.C.Serpell@sussex.ac.uk

(Received 24 June 2005, accepted

7 October 2005)

doi:10.1111/j.1742-4658.2005.05025.x

Alzheimer’s disease and Creutzfeldt–Jakob disease are the best-known examples of a group of diseases known as the amyloidoses They are char-acterized by the extracellular deposition of toxic, insoluble amyloid fibrils Knowledge of the structure of these fibrils is essential for understanding the process of pathology of the amyloidoses and for the rational design of drugs to inhibit or reverse amyloid formation Structural models have been built using information from a wide variety of techniques, including X-ray diffraction, electron microscopy, solid state NMR and EPR Recent advan-ces have been made in understanding the architecture of the amyloid fibril Here, we describe and compare postulated structural models for the mature amyloid fibril and discuss how the ordered structure of amyloid contributes

to its stability

Abbreviations

Ab, amyloid b-peptide; EM, electron microscopy; EPR, electron-paramagnetic resonance; FTIR, Fourier transform infra red; IAPP, islet amyloid polypeptide; PrP, prion protein; TTR, transthyretin; STEM, scanning transmission electron microscopy; ssNMR, solid state NMR.

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length (Fig 1A) [17] An apple-green colour is

observed in the light microscope through

cross-polaris-ers after staining with Congo red dye [18,19] A shift

in fluorescence after staining with Thioflavine T is also

observed [20] Both CD and Fourier transform infra

red (FTIR) spectroscopy support a high b-sheet

con-tent for amyloid fibrils

Structural studies have led to a better understanding

of the mechanisms by which normally soluble proteins

undergo a conformational change, associated with

aggregation, to form amyloid Amyloid may have

bio-nanotechnology applications [21,22] These include

roles in catalysis, in electronics, as a plastic, for

sup-porting cells or as a therapy for treating animals and

humans [23] It is only by understanding the detailed

structure of fibrils that their properties can be

improved and further applications developed

Much of the high-resolution, detailed structural data

has been obtained from nonphysiological amyloid-like

fibrils assembled from short peptides (either

homolog-ous to regions of disease-related peptides or designed)

These assemblies have been found to be extremely

valuable for yielding high-quality data enabling

detailed structures to be solved (see ‘Recent Advances’

below) These assemblies can serve as model systems

that give greater insight into the internal arrangements

within amyloid fibrils and are likely to be highly

rele-vant to the amyloid core structure

Debate on the structure of the toxic oligomer (or

protofibril) and structural intermediates on the fibril

formation pathway are outside the scope of this review Therefore, we limit our discussion to the struc-ture of the mastruc-ture amyloid fibril

Macromolecular structure of amyloid: protofilaments

EM and atomic-force microscopy have revealed much about the macromolecular structure of amyloid Proto-filaments are fibrillar subunits comprising amyloid fibrils and are clearly visible in micrographs, even before image processing [17,24–26] Type II diabetes-related amyloid fibrils composed of islet amyloid polypeptide (IAPP) are able to form different morpho-logies, depending on the in vitro conditions Transmis-sion EM and atomic force microscopy were used to study fibril formation and showed that the predomin-ant fibrillar structure was composed of two 5 nm diameter protofilaments wound in a left-handed direction [24,27] Cross-sections of ex vivo amyloid fibrils taken from many sources and analysed by single-particle methods resulted in averaged images showing several protofilaments [25] Improved images

of the protofilaments have been revealed by single par-ticle averaging of clearly helical fibrils by the Saibil group [28–30] (Fig 2) The SH3 domain of phosphoti-dylinositol-3¢-kinase forms twisted fibrils in which four protofilaments twist slowly around one another [28] Differing numbers and arrangements of protofilaments may be present under the same experimental

condi-100 nm

4.7 Å

~10 Å

Fibre axis

Fig 1 The characteristics of amyloid fibrils include their appearance in the electron microscope and the cross-b diffraction pattern (A) Elec-tron microscopy (EM) of negatively stained amyloid fibrils formed by islet amyloid polypeptide (IAPP), showing long, unbranching fibrils of

 100 A˚ in diameter (B) X-ray fibre diffraction pattern from aligned IAPP amyloid fibrils, showing the positions of the 4.7 A˚ meridional and

 10 A˚ equatorial reflections in a cross-b pattern.

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tions [26,28] For example, the 3D reconstruction of

insulin fibrils revealed fibrils formed with two, four

(Fig 2) and six protofilaments [29], although the size

and shape of the individual protofilaments was the

same Cryo-EM images of ex vivo amyloid fibrils of

Asp67His variant lysozyme showed wavy fibrils, and

image analysis indicated the presence of six

protofila-ments [30]

Internal structure of amyloid

protofilaments

Cross-b structure models for amyloid

The cross-b pattern was first observed by X-ray

dif-fraction from the egg-stalk of the lacewing Chrysopa

[31] The protein chains run orthogonal to the fibril

direction and are hydrogen-bonded, 4.7 A˚ apart, to

form a b-sheet A pseudo-repeat of 6.9 A˚ is evident

along the pleated b-chain (i.e with an axial advance

per peptide unit of 3.4 A˚ arranged with a twofold

heli-cal repeat) The spacing between the b-sheets depends

on the size of the side-chain groups [32,33] An early

model of the protofilament structure arose from

ana-lysis of X-ray fibre diffraction patterns from ex vivo

transthyretin (TTR) Met30 variant amyloid fibrils [34]

in which the b-strands were hydrogen bonded to form

a continuous b-sheet structure In this model, four

b-sheets twisted around a central axis X-ray fibre

dif-fraction from a gallery of ex vivo and synthetic

amy-loid fibrils suggested that they may share this generic

cross-b structure [3,35]

X-ray diffraction studies have commonly examined

amyloid formed by peptides corresponding to

frag-ments of amyloid b-peptide (Ab) [36–43] These serve

as valuable model systems that give information about

the core amyloid structure X-ray diffractograms from

magnetically aligned Ab(11–25) amyloid fibrils were

recorded for three mutually orthogonal beam

direc-tions [43] These showed three different patterns,

indi-cating that the structure was highly ordered with a

preferred orientation A structure was built in which

the 15mer formed an extended b-strand associating to

form cross-b ribbons These sheets were 10.6 A˚ apart,

associated via side-chain contacts The high order of

the fibrils assembled from the short, central peptide of

Ab enabled the collection of high-quality data and led

to a detailed structural model [43] Solid state NMR (ssNMR) studies of Ab(11–25) fibrils at two pH values resulted in models illustrating that the b-strands are able to slip within the protofilament structure, depend-ing on the fibril formation conditions [44] X-ray dif-fraction data from full-length Ab is less detailed than that of Ab(11–25) fibrils A model for Ab(1–40) amy-loid fibrils comprised five or six cross-b cylinders, 28 A˚ wide, and spaced 55 A˚ apart [42] Cross-b models also appeared to fit data collected from synthetic amyloid fibrils formed by other short, disease-related peptides These peptides included the first predicted a-helical region, residues (109–122) of cellular prion protein (PrPc) (H1) [41]; short PrP fragments [45]; 11-residue N-termini of the apoSAA family [46] and IAPP [26] Recent advances in ssNMR have led to the creation

of amyloid structural models [47] This allows the measurement of distances between 13C labels up to

6 A˚ apart, with standard error values of 0.1–0.2 A˚ Additional information is revealed about torsion angles, orientations relative to the applied magnetic field and the amount of order in the structure [48] Recent ssNMR and EPR experiments on synthetic amyloid fibrils formed by full-length Ab have found the b-strands to be parallel and in-register [49–53] A parallel, in-register structure was also found for Ab(10–35) fibrils [50,54–58], whilst studies on other peptides found antiparallel arrangements of b-strands [44,59–63] A recent study, incorporating acylation with octanoic acid into fibrils of Ab(6–22), showed that the amphilicity of a peptide may be associated with the preference to form parallel or antiparallel b-sheet structures [64]

Information derived from ssNMR can be comple-mented by information from scanning transmission

EM (STEM), which allows the determination of mass per unit length of a fibril by comparison with a stand-ard, such as the tobacco mosaic virus [65] ssNMR and STEM measurements for Ab(1–40) amyloid fibrils were consistent with a structure in which the Ab(1–40) peptide is folded once and then these units stacked to form two b-sheets [58] (Fig 3C) The b-sheets are in contact via side-chains This model is consistent with

Fig 2 Helical image reconstruction using single particle analysis of amyloid fibrils composed of insulin shows four individual protofilaments that twist around one another Adapted from [29] The image was generated using PYMOL (http://www.pymol.org) It shows a high-density contour of the four protofilaments in solid white and a lower threshold contour of the fibril as a transparent blue surface.

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B

C

Fig 3 Structures showing the arrangement of polypeptide chains within amyloid-like fibrils, solved from X-ray or solid state NMR (ssNMR) data Amyloid fibril structures viewed down the fibre axis (A) A 15Q peptide [75] constructed from X-ray fibre diffraction data The structure shows interdigitation of the glutamine side-chains allowing very close packing of the b-sheets (B) KFFEAAAKKFFE [101] constructed from X-ray and electron diffraction data One pair of antiparallel b-strands is shown (two layers, one above the other, into the page) The structure shows interactions between the phenylalanine residues between the b-sheets and also between b-strands within a b-sheet (C) Amyloid b-peptide (Ab) 1-40 molecule [Ab(1–40)] constructed from ssNMR data [58] The structure shows the Ab(1–40) molecule folding into two b-strands and joined by a turn Many molecules stack to form a pair of parallel b-sheets (D) GNNQQNY [103] solved by X-ray crystallography The crystal structure shows two pairs of sheets interacting via interdigitating side-chains with water excluded The adjacent sheets interact via water molecules and a single interaction between the tyrosine side-chain (E) A schematic, side-on view of the b-sheets, showing b-strands that are hydrogen bonded over the length of the fibre This scheme shows parallel b-sheets, although the sheets can also be com-posed of antiparallel b-sheets (as in the models shown in panels A and B) The figure was prepared using Pymol (http://www.pymol.org).

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protofilament width measurements from electron

micrographs of Ab(1–40) amyloid fibrils

The b-structure within a single fibril has been

visu-alized using cryo-EM of Ab(11–25) fibrils, showing a

strong meridional signal at 4.7 A˚ in the Fourier

transform and striations 4.7 A˚ apart in the image

[66] This clearly indicates that the b-strands run

per-pendicular to the fibre axis The observation of

stria-tions within the image suggests an in-register

arrangement of more than one b-sheet and highlights

the stability of the amyloid fibril A strong reflection

at 4.7 A˚ was also observed in Fourier transforms of

cryo-EM images of full-length IAPP fibrils in ice [26],

supporting the view that this is common to amyloid

fibrils

Modelling studies have suggested that Ure2p [67]

and IAPP [68] amyloid fibrils can be modelled as

‘par-allel superpleated beta’ structures, in which the protein

or peptide folds into ‘serpentines’ linking b-strands

between adjacent b-sheets These units then stack to

form a several b-sheets that gradually twist

Alternative models to the cross-b

structure

b-helix and nanotube

A b-helical or nanotube structure has been suggested

as a possible generic structure for the amyloid fibril In

these models, one or more extended b-sheets wrap

around a hollow core in a helical manner This leads

to an rise of the helix-per-turn The first b-helical

model was a cylindrical antiparallel b-helix with a

radius of 10 A˚, suggested as a model for amyloid

formed from the peptide with sequence

KLKLKLE-LELELG [69] The model was based on X-ray

diffrac-tion, EM and, particularly, the CD spectrum analyzed

by comparing it with that of pectate lyase E [70] A

later study on this peptide using FTIR concluded that

the structure might be an extended b-strand [71]

Anti-parallel b-helix models have also been inferred for

amyloid formed from TTR, Ab and immunoglobulin

light chain [72]

A water-filled nanotube b-helical model was

pro-posed from analysis of data collected from fibrils

assembled by a polyglutamine peptide [73] Twenty

res-idues per turn formed a hollow tube with internal and

external radii of 6 and 16 A˚, respectively [74] This

model was based on the absence of a 10–11 A˚ spacing

on the equator of X-ray diffraction patterns The

apparent similarities between such a structure and that

of carbon nanotubes suggest an underlying elegance,

simplicity and perhaps an understanding of the generic

nature of amyloid However, re-evaluation of the dif-fraction data showed that it was actually consistent with a cross-b arrangement of antiparallel b-hairpins [75] The diffraction data showed an 8.3 A˚ diffraction signal, which was shown to be consistent with closely packed b-sheets involving hydrogen bonding of the glutamine side-chains (Fig 3A) This model shows interdigitation of side-chains as well as hydrogen bond-ing between the glutamines along the fibre axis, result-ing in a highly stable, rigid structure

Some b-helical models are based on the b-helical fold of globular proteins with a triangular rather than

a circular projection along the fibre axis [76,77] These structures show a rise-per-turn consistent with a helix The b-helical protein family includes the pectate lyases, P22 tailspike protein and UDP-N-acetylglucosamine acyltransferase [78–81] Electron crystallography of 2D crystals of scrapie prion fragment used image analysis

to yield low-resolution projection maps [82] The resulting average was compared with calculated projec-tion maps of trimers of left-handed parallel b-helices [83]

Studies based on hydrogen–deuterium exchange and

a proline scan on full-length Ab also proposed ‘b-heli-cal models’ [77,84–87] Exchange protection resulting from hydrogen bonding was present along substantial lengths of the peptide; this differs from the pattern for most globular proteins, which generally have regions several residues long that are exchange-protected and interspersed with shorter unprotected regions This implies either a close-to-ideal b-helix or a very wide b-sheet

Further evidence for b-helical models comes from the suggestion that the predicted intersheet distance signal (usually at 10–11 A˚) may be a dehydration artefact illustrated in X-ray diffraction experiments involving Sup35 fibrils [88] However, this may also

be explained by the reduced quality of diffraction data from fibrils in solution These fibrils will be dis-persed in solution (and not packed as in a dried sample), leading to a low coherence length This, coupled with water scatter, will probably lead to the intersheet reflection being very weak and therefore unobserved

NMR data are inconclusive on this length scale (more than 6 A˚) and unable to clearly differentiate between in-register parallel b-helix (although this does not show a rise-per-turn) and an in-register parallel cross-b structure However, the collapse of such a

‘b-helix’ structure would result in a conformation very similar to the cross-b structure [58] 3D reconstructions

of SH3 fibrils revealed protofilaments with flat cross-sections, inconsistent with a three-sided b-helix [28]

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Amyloid models retaining native structure

Models composed largely of native structure (i.e

retaining structure that is present in the monomeric,

native form) have been proposed for filaments of the

yeast prion, Ure2p Biochemical evidence suggested

that Ure2p retained much of its native structure with

the filaments and that they may be composed of

asso-ciated monomers [89] An opposing model concludes

that the fibrils have a cross-b core [90,91] In the case

of Ure2p filaments, the experimental conditions are

extremely important because a cross-b structure is

evi-dent after heating [92] It remains unclear whether

Ure2p filaments fit the criteria for amyloid

X-ray fibre diffraction data of TTR fibrils led to the

construction of a model composed of axially arrayed

monomers [93] The crystal structure of a highly

amy-loidogenic TTR triple mutant has been solved and

shows a three-residue slip in one of the b-strands [94]

From this data, a model was constructed in which the

b-slip allows the construction of an infinite b-sheet in

which existing b-strands, present in the native

struc-ture, align The resulting structure is a double helical

arrangement of monomers [94] There is an overlap

repeat of 114.5 A˚, close to the meridional repeat

dis-tance, 115.5 A˚, calculated from fibre diffraction [95]

The diameter of model is 120 A˚, which is close to

130 A˚, measured using EM [96] However, TTR

mono-mers have a pair of b-sheets at an angle to one

another In the largely native TTR fibril model, the

b-strands stack in a more complicated manner than

purely along the fibre axis This is not consistent with

the cross-b model or with X-ray diffraction data A

29 A˚ meridional reflection might be expected from

stacked monomers, but is not observed [93,95]

Prox-imity information from site-directed spin labelling of

TTR fibrils permitted the building of a head-to-head

and tail-to-tail model [97], where the edge-strands of

the TTR monomer are displaced However, although

the interfaces in one sheet were revealed, the

arrange-ment of the second sheet could not be visualized

Therefore, it may be that the TTR conformation is

altered in the fibrils

Recent advances in amyloid structure

As described in the introduction, amyloid has long

been known to be composed of a ladder of b-strands

in a hydrogen-bonded b-sheet It is clear that many

proteins (involved both in disease and in vitro) are able

to access this rather simple and repetitive structure,

indicating that perhaps primary sequence plays a

minor role However, it has become increasingly clear

that primary sequence is important from fibril forma-tion experiments using very short peptides [98] and lar-ger proteins [99] Recent advances in the elucidation of structure of amyloid have enabled a better understand-ing of why this might be

Examination of sequences in disease-related, amy-loidogenic proteins revealed a preponderance of aro-matic groups [100], and suggested the importance of phenyalanine side-chains in p–p stacking This was highlighted in a subsequent structural study in which b-sheets were zipped together via p-stacking and salt bridges [101] A 12mer peptide containing two KFFE motifs separated by an AAAK motif (AAAK) formed amyloid nanocrystals that yielded high-resolution X-ray and electron diffraction data These data were indexed to a unit cell and space group, revealing the symmetry arrangements of the monomeric molecules The peptide associates to form antiparallel b-sheets, and the sheets are associated via a staggered arrange-ment allowing contacts between the side-chains (Fig 3B) Modelling revealed that very few arrange-ments of the phenylalanine residues were possible within the tightly constrained cell, and the structure showed p–p stacking of the phenylalanine residues both between the b-sheets and also between hydrogen-bonded strands The peptide is almost palindromic and has almost identical faces, meaning that the structure was propagated in both the hydrogen bonding and sheet directions [101] This structure presented a key step in understanding the nature of the intersheet association in amyloid fibrils and revealed how side-chains might enable the sheets to zip together, exclu-ding water (Fig 3B)

Similarly, fibrous crystals were grown from an amy-loid fibril forming peptide from Sup35, GNNQQNY [102,103] Electron diffraction and X-ray fibre diffrac-tion from nanocrystals yielded high-resoludiffrac-tion data [102] Subsquent growth of microcrystals allowed col-lection of X-ray crystallography data at the synchro-tron, enabling the structure of this amyloid-like assembly to be solved [103] In contrast to ‘AAAK’, this peptide has different faces and stacks into pairs of parallel b-sheets The crystal structure showed very close packing between two sheets involving interdigi-tated side-chains that exclude water, termed a ‘steric zipper’ (Fig 3D) The other face of the sheet was packed against another sheet with water molecules, and contacts occurred only via a pairing of the tyro-sine side-chain in an edge-to-face arrangement (similar

to the arrangement of Phe in the ‘AAAK’ peptide) ssNMR of fibrils formed by another peptide corres-ponding to a fragment of a yeast prion, HET-s, has supported a two-sheet structure [104] Modelling

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suggested that the peptide formed four b-strands,

forming two b-strand⁄ turn ⁄ b-strand structural motifs

Importantly, infectivity of the prion was seen to

corre-late with the ability to form the b-sheet structure This

ability was examined by substituting residues within

the predicted b-strand with Pro, which would be

expected to disrupt the b-strand structure Some of

these Pro mutants were unable to form large

aggre-gates and this correlated with their inability to infect

Again, this highlights the importance of the constituent

side-chains for fibril formation

Structural studies have begun to explain the existence

of strains that are particularly relevant to the prion

diseases These are self-perpetuating conformations that

may underlie different phenotypes (e.g the age of

onset, disease progression, ability for cross-species

infectivity) in the absence of primary sequence changes

ssNMR and STEM measurements of amyloid fibrils

formed by Ab(1–40) showed that different

morpholo-gies had different molecular structures [44,105]

Differ-ent morphologies can be influenced by fibril growth

conditions, and these conditions (and different

struc-tures) can yield samples with significantly different

toxi-cities All the fibrils, grown in quiescent or agitating

conditions, contained the cross-b motif; however, they

differed in the number of molecular layers and in the participation of particular residues in the b-strands [105] These different ‘strains’ could be shown to per-petuate themselves in seeding experiments A study involving the yeast prion, Sup35, from two different yeast species, showed that different fibril growth condi-tions could produce different ‘strains’ of fibrils with different abilities to cross the species barrier [106] Structural examination of these different strains using FTIR and EPR suggested that they differed in the resi-dues which participated in the b-strand structure Atomic force microscopy showed that PrP from differ-ent species form particular morphologies [107] that can cross-species seed and maintain their morphology Biophysical studies using fluorescently labelled vari-ants of the NM region of Sup35 have revealed specific interactions between residues within the amyloid core [108] Variations in length of the amyloid and nature

of intermolecular interactions within it have been sug-gested to underlie different ‘strains’ of prion A model structure was suggested, based on the b-helical struc-ture for a protofilament However, the accumulated data for amyloid, described in this review, seems to support a two-sheet b-helix that would show all the structural features of the cross-b fold

Table 1 Summary of the major proposed structures for amyloid fibrils.

electron diffraction

Twisted protofilaments, cross-b

[24,27]

(four sheets, twisted)

[34]

Double helical arrangement

of axially arrayed monomers

[93,94]

Ure2p and IAPP EM, X-ray diffraction, electron

diffraction, modelling

Polyglutamine peptide

(D 2 Q 15 K 2 )

Cross-b arrangement of antiparallel b-hairpins

[75] KFFEAAAKKFFE X-ray and electron diffraction Staggered, antiparallel cross-b

sheets associated via p–p stacking

of Phe groups

[101]

‘steric zipper’

[103]

Ab, amyloid b-peptide; AFM, atomic-force microscopy; EM, electron microscopy; IAPP, islet amyloid polypeptide; ssNMR, solid state NMR; TTR, transthyretin.

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In the section describing models of b-helices, it is

clear that a b-helix should have a rise-per-turn

consis-tent with a helix (as suggested for the Perutz model for

polyQ) [73] The accumulated structural data presented

here show rather a stacking of b-turn units, where the

repeat distance of the ‘helix’ is no larger than the

hydro-gen bonding distance (i.e the helical pitch is zero)

Conclusions

Recent advances have highlighted the importance of

residue composition and sequence on amyloid fibril

formation It is clear that certain simple primary

sequence motifs have the ability to fit together in a

complementary way, yielding highly ordered aggregates

and thus crystalline arrangements [101,103] In the

prion diseases, it is postulated that this is responsible

for the species barrier [103,105–108] In disease, some

peptides or proteins may have an enhanced ability to

fit together in a complementary way, packing the

side-chains to form highly stable structures This is a

prop-erty of a particular primary sequence However,

several studies [105–108] have now highlighted that

dif-ferent fibril growth conditions can affect the internal

architecture of the fibril, favouring different side-chain

packing arrangements and allowing different parts of

the sequence to participate in the b-structure This can

yield fibrils with outwardly different morphologies and

with differing growth rates, stabilities and the ability

to seed other, related, peptides (strains)

High-resolu-tion structural studies have given some insight into the

incredibly ordered arrangements of side-chains that

could underlie this phenomenon [101,103]

Many models for amyloid structure have been

pos-tulated, including cross-b, b-helix and predominantly

native structures (summarized in Table 1) The cross-b

structure has considerable support, including highly

detailed structures for amyloid fibrils formed from

cer-tain peptides [43,75,101,103] (Fig 3) The evidence for

these structures appears to clearly exclude other

mod-els It may be that some fibrils, which have been

referred to as amyloid-like, are in fact not amyloid but

simply have a sufficiently high b-sheet content to fall

within an over-broad definition It is only by

combi-ning data from many sources, such as X-ray

diffrac-tion, ssNMR and EM, for a wide range of peptides,

that an improved understanding of amyloid structure

can be developed

Acknowledgements

LCS is supported by a Wellcome Trust Research

Career Development fellowship OSM is funded

by BBSRC The authors would like to thank Prof

H Saibil for providing Fig 2, Dr P Sikorski for providing coordinates for the Poly Q structure for Fig 3A and Dr R Tycko for coordinates for Ab(9–40) for Fig 3C

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