Target intelligence / Profile preview

Fibrillar amyloid beta aggregate (Aβ fibril (or Abeta fibril))

Target
Aβ fibril (or Abeta fibril)
Molecular classification
Other (pathological protein aggregate), Amyloid fibril, Protein aggregate
01

Overview

Fibrillar amyloid beta aggregate is a **complex, insoluble protein aggregate** formed by the self-assembly and stabilization of amyloid-β (Aβ) peptide monomers into fibrils with a characteristic cross-β-sheet structure[1][2][3][4][5]. These fibrils are the principal component of the **amyloid plaques** found in the brains of individuals with Alzheimer’s disease and related conditions[1][4][7]. Fibrils are generated by the ordered stacking of Aβ peptide β-sheets perpendicular to the fibril axis, resulting in a highly stable, pathologic aggregate[5][6]. Amyloid-β fibrils constitute a major biomarker and a therapeutic target in Alzheimer’s disease, with a range of disease-modifying agents in development or approved that aim to clear these aggregates by immune or small-molecule means[4][5][7]. The accumulation of amyloid-β fibrils is implicated in neurodegeneration, synapse loss, and cognitive decline in affected disorders, although the direct causative relationship between fibrillar load and clinical impairment remains under investigation[5][6][7].

Other names
Amyloid-β fibrilAmyloid-beta fibrilsAmyloid beta fibrillar aggregateFibrillar amyloid-βAβ aggregate
02

Mechanism of action

Antibody-mediated clearance of amyloid plaques (passive immunotherapy); Inhibition of Aβ aggregation; Disaggregation or stabilization of non-fibrillar forms; Promotion of Aβ phagocytosis by microglia

03

Biological functions

Protein aggregationAlters cellular homeostasisContributes to neurotoxicity
04

Disease associations

Neurodegenerative diseaseAlzheimer’s diseaseCerebral amyloid angiopathy
05

Safety considerations

Amyloid-related imaging abnormalities (ARIA, e.g. edema/hemorrhage) with immune therapiesLack of clear correlation between plaque removal and clinical benefitOff-target immune responses
06

Interacting drugs

Aducanumab

4 more in the full profile.

07

Biomarkers

Amyloid PET imaging (radiolabeled tracers binding amyloid fibrils)Decreased CSF Aβ42 concentrationAmyloid plaque load in brain tissue

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