Inheritance of apoE4 is a strong risk factor for the development of late-onset sporadicAlzheimer's disease (AD). Several lines of evidence suggest that apoE4 binds to the Alzheimer A
proteinand, under certain experimental conditions, promotes formation of
-sheet structures and amyloid fibrils.Deposition of amyloid fibrils is a critical step in the development of AD. We report here that addition ofmelatonin to A
in the presence of apoE resulted in a potent isoform-specific inhibition of fibril formation,the extent of which was far greater than that of the inhibition produced by melatonin alone. This effectwas structure-dependent and unrelated to the antioxidant properties of melatonin, since it could bereproduced neither with the structurally related indole
N-acetyl-5-hydroxytryptamine nor with theantioxidants ascorbate,
-tocophenol, and PBN. The enhanced inhibitory effects of melatonin and apoEwere lost when bovine serum albumin was substituted for apoE. In addition, A
in combination withapoE was highly neurotoxic (apoE4 > apoE3) to neuronal cells in culture, and this activity was alsoprevented by melatonin. These findings suggest that reductions in brain melatonin, which occur duringaging, may contribute to a proamyloidogenic microenvironment in the aging brain.