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Toxic soluble amyloid-beta (Aβ) oligomers with an alpha-sheet conformation are transient, misfolded protein aggregates implicated as the primary neurotoxic agents in Alzheimer's disease (Shea et al., 2019). While mature amyloid plaques consist of beta-sheet fibrils, structural studies suggest that the most damaging species are soluble oligomers characterized by a unique alpha-sheet secondary structure, where the peptide backbone carbonyls and amides point in opposite directions (Daggett, 2006). These alpha-sheet oligomers are known to impair long-term potentiation (LTP), disrupt cell membranes, and trigger neuroinflammation and synaptic loss (Altman et al., 2022). Because they appear early in the disease progression, they are considered a high-priority therapeutic target for early intervention. Current research focuses on developing conformation-specific binders, such as synthetic alpha-sheet peptides, to neutralize these toxic species and prevent their downstream pathological effects. Additionally, the alpha-sheet conformation serves as a basis for novel diagnostic assays, such as the Synthetic Oligomer Binding Assay (SOBA), which aims to detect Alzheimer's disease before clinical symptoms manifest (Altman et al., 2022).
Conformation-specific binding and neutralization of soluble toxic oligomers to prevent synaptic damage and inhibit further aggregation into insoluble fibrils (Shea et al., 2019; Altman et al., 2022).
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