Target intelligence / Profile preview

Amyloid-beta fibrillar aggregate (Aβ fibril)

Target
Aβ fibril
Molecular classification
Protein aggregate, Amyloid fibril, Pathological aggregate, Other (structural motif: cross-beta sheet)
01

Overview

Amyloid-beta fibrillar aggregates are highly ordered, insoluble protein deposits formed by self-assembly of amyloid-beta peptides (typically Aβ40 and Aβ42) into elongated fibrils. These fibrils feature a characteristic cross-beta sheet structure wherein β-strands run perpendicular to the fibril axis, stabilized by hydrogen bonds parallel to the axis. The formation of such fibrils is a nucleation-dependent process, often initiated by critical aggregation nuclei and propagating by recruitment of monomeric Aβ, affecting cellular functions and leading to neuronal toxicity. Aβ fibrils are polymorphic in nature (exhibiting distinct molecular conformations and packing arrangements), and their accumulation in brain tissue is a pathological hallmark of Alzheimer’s disease. The fibril surface can catalyze secondary nucleation, producing toxic Aβ oligomers implicated in neurodegeneration. Therapies targeting these aggregates aim to inhibit their formation, promote clearance, and monitor their presence for disease diagnosis and progression.

Other names
Amyloid-beta fibrilAβ fibrilAmyloid-beta aggregateAβ aggregateAmyloid-beta plaque (when in tissue context)Fibrillar Aβ
02

Mechanism of action

Antibodies: bind fibrillar or aggregated Aβ to promote immune clearance, block growth, or disrupt aggregate structure. Small molecules: stabilize or destabilize fibril structure; inhibit aggregation kinetics. Imaging agents: bind the cross-beta motif for visualization of amyloid deposits

03

Biological functions

Aggregation and deposition in neural tissuesInduction of neurotoxicity and cell deathSeed for secondary nucleation producing toxic oligomersInterference with cellular homeostasis
04

Disease associations

Neurodegenerative diseaseAlzheimer’s disease (primary role)Other amyloidoses (secondary/rare roles)
05

Safety considerations

Amyloid-related imaging abnormalities (ARIA, e.g., edema or microhemorrhage) in antibody therapy.ImmunogenicityPotential worsening of disease if immune clearance induces inflammation
06

Interacting drugs

Aducanumab (anti-Aβ antibody)

5 more in the full profile.

07

Biomarkers

PET imaging (e.g., Pittsburg compound B)CSF Aβ (free and aggregated forms)Amyloid PET scan positivity (for selection/monitoring)Thioflavin T fluorescence (laboratory marker)

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