Molecular Classification
Other (Pathological protein aggregate)
Other Names
Amyloid fibril, Amyloid β protein fibril, Tau protein fibril, Alpha-synuclein fibril
Disease Roles
Neurodegenerative diseaseAlzheimer’s diseaseParkinson’s disease

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

Protein aggregation
Neurotoxicity

Disease Associations

Neurodegenerative disease
Alzheimer’s disease
Parkinson’s disease
Amyloidosis

Safety Considerations

  • Amyloid-related imaging abnormalities (ARIA)
  • limited efficacy
  • brain edema
  • microhemorrhage
  • off-target effects

Interacting Drugs

Aducanumab
Lecanemab
Donanemab
mAb158
N-methyl peptide inhibitors

Associated Biomarkers

Biomarker
Amyloid PET imaging
Cerebrospinal fluid amyloid-β levels