Amyloid protein fibril Overview
Amyloid protein fibrils are insoluble, β-sheet–rich aggregates formed by the misfolding and self-assembly of specific proteins, most notably amyloid β (Aβ), tau, and alpha-synuclein, within neural tissue[1][5]. These fibrils compose the characteristic plaques and tangles observed in neurodegenerative disorders such as Alzheimer’s disease and Parkinson’s disease[5]. Fibrils form through a hierarchical aggregation pathway involving soluble oligomers and protofibrils that mature into highly stable, often neurotoxic fibrillar structures[3][5]. Amyloid fibril formation is central to disease progression, and therapeutic strategies target the inhibition, clearance, or disruption of these aggregates through monoclonal antibodies or small molecules[1][4]. The presence of amyloid fibrils can be detected using imaging or cerebrospinal fluid biomarkers, and several drugs (e.g., Aducanumab, Lecanemab) directly target amyloid deposits to alter disease progression[4].
Mechanism of Action
Monoclonal antibody-mediated amyloid removal, Inhibition of amyloid aggregation, Fibril capping, Disruption of β-sheet structure
Biological Functions
Disease Associations
Safety Considerations
- Amyloid-related imaging abnormalities (ARIA)
- limited efficacy
- brain edema
- microhemorrhage
- off-target effects
Interacting Drugs
Associated Biomarkers
| Biomarker |
|---|
| Amyloid PET imaging |
| Cerebrospinal fluid amyloid-β levels |
Gosset