The formation and growth of insoluble amyloid deposits composed primarily o
f the human beta-amyloid peptide (A beta) in brain is an essentially invari
ant feature of Alzheimer's disease (AD) and is widely believed to contribut
e to the progressive neurodegeneration of the disorder. To probe the specif
icity of amyloid formation and growth, we synthesized and examined the self
-assembly of D- and L-stereoisomers of A beta in vitro. While both enantiom
ers formed insoluble aggregates at similar rates with amyloid-like fibrilla
r morphology, deposition of soluble A beta peptide onto preexisting A beta
aggregates was stereospecific. Although the L-peptide deposited readily ont
o immobilized L-A beta aggregates with first-order kinetic dependence on so
luble peptide concentration. essentially no association between the D-pepti
de and L-template was observed. Similarly, the D-peptide deposited with fir
st-order kinetics onto a D-A beta aggregate template but did not deposit on
to a Similar template composed of aggregates of the L-enantiomer. Furthermo
re, although the L-np isomer deposited onto authentic AD amyloid in prepara
tions of unfixed AD brain, no focal association benz een the D-peptide and
brain amyloid was detected These results establish that deposition of solub
le A beta onto preexisting amyloid temperature is stereospecific, likely in
volving direct docking interactions between peptide backbone and/or side ch
ains rather than simple hydrophobic association. (C) 1998 John Wiley & Sons
, Inc.