The ability to form stable cross-beta fibrils is an intrinsic physicoc
hemical characteristic of the human beta-amyloid peptide (A beta), whi
ch forms the brain amyloid of Alzheimer's disease (AD). The high amylo
idogenicity and low solubility of this hydrophobic approximate to 40-m
er have been barriers to its study in the past, but the availability o
f synthetic peptide and new physical methods has enabled many novel ap
proaches in recent years. Model systems for A beta aggregation (releva
nt to initial nidus formation) and A beta deposition (relevant to plaq
ue growth and maturation) in vitro have allowed structure/activity rel
ationships and kinetics to be explored quantitatively, and established
that these processes are biochemically distinct. Different forms of t
ile peptide, with different physicochemical characteristics, are found
in vascular and parenchymal amyloid. Various spectroscopic methods ha
ve been used to explore the three-dimensional conformation of A beta b
oth in solution and in solid phase, and demonstrated that the peptide
adopts a different configuration in each state. A significant conforma
tional transition is essential to the transformation of A beta from so
lution to fibril. These observations suggest new therapeutic targets f
or the treatment of AD.