The formation, growth, and maturation of brain amyloid ''senile'' plaq
ues are essential pathological processes in Alzheimer's disease (AD) a
nd key targets for therapeutic intervention, The process of in vitro d
eposition of A beta at physiological concentrations onto plaques in AD
brain preparations has been well characterized, but is cumbersome for
drug discovery. We describe here a high-throughput screen for inhibit
ors of A beta deposition onto a synthetic template (synthaloid) of fib
rillar A beta immobilized in a polymer matrix. Synthaloid is indisting
uishable from plaques in AD brain (the natural template) in deposition
kinetics, pH profile, and structure-activity relationships for both A
beta analogs and inhibitors, Synthaloid, in contrast to current A bet
a aggregation screens, accurately predicted inhibitor potency for A be
ta deposition onto AD cortex preparations, validating its use in searc
hing for agents that can slow the progression of AD and exposing a pre
viously inaccessible target for drug discovery.