Senile plaques composed of the peptide A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> contri
bute to the pathogenesis of Alzheimer'sdisease (AD), and mechanisms underlying their formation and growth may
be exploita
ble as therapeutictargets. To examine the process of amyloid plaque growth in human
brain, we have utilized size exclusionchromatography (SEC), translational diffusion measured
by NMR, and in vitro models of A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> amyloidgrowth to identify the oligomerization state of A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> that is competent to add onto an existing amyloiddeposit. SEC of radiola
beled and unla
beled A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> over a concentration range of 10
-10-10
-4 M demonstratedthat the freshly dissolved peptide eluted as a single low molecular weight species, consistent with monomeror dimer. This low molecular weight A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> species isolated
by SEC was competent to deposit onto preexistingamyloid in preparations of AD cortex, with first-order kinetic dependence on solu
ble A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> concentration,esta
blishing that solution-phase oligomerization is not rate limiting. Translational diffusion measurementsof the low molecular weight A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> fraction demonstrate that the form of the peptide active in plaque depositionis a monomer. In deli
berately aged (>6 weeks) A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> solutions, a high molecular weight (>100 000
Mr)species was detecta
ble in the SEC column void. In contrast to the active monomer, assem
bled A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> isolatedfrom the column showed little or no focal association with AD tissue. These studies esta
blish that, at leastin vitro, A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> exists as a monomer at physiological concentrations and that deposition of monomers, ratherthan of oligomeric A
![](/images/gifchars/<font color=)
beta2.gif" BORDER=0 ALIGN="middle"> assem
blies, mediates the growth of existing amyloid in human
brain preparations.