Tissue deposition of normally soluble proteins, or their fragments, as inso
luble amyloid fibrils causes the usually fatal, acquired and hereditary sys
temic amyloidoses and is associated with the pathology of Alzheimer's disea
se, type 2 diabetes and the transmissible spongiform encephalopathies. Alth
ough each type of amyloidosis is characterised by a specific amyloid fibril
protein, the deposits share pathognomonic histochemical properties and the
structural morphology of all amyloid fibrils is very similar. We have prev
iously demonstrated that transthyretin amyloid fibrils contain four constit
uent protofilaments packed in a square array. Here, we have used cross-corr
elation techniques to average electron microscopy images of multiple cross-
sections in order to reconstruct the sub-structure of ex vivo amyloid fibri
ls composed of amyloid A protein, monoclonal immunoglobulin lambda light ch
ain, Leu60Arg variant apolipoprotein Al, and Asp67His variant lysozyme, as
well as synthetic fibrils derived from a ten-residue peptide corresponding
to the A-strand of transthyretin. All the fibrils had an electron-lucent co
re but the packing arrangement comprised five or six protofilaments rather
than four. The structural similarity that defines amyloid fibres thus exist
s principally at the level of beta-sheet folding of the polypeptides within
the protofilament, while the different types vary in the supramolecular as
sembly of their protofilaments. (C) 2000 Academic Press.