Numerous diseases are characterized by the formation of insoluble,amyloid protein fibrils. Intensive investi
gations are be
ginnin
g tounravel the detailed molecular and structural principles thatunderlie the spontaneous formation of these fibrils. The amyloidprotein transthyretin serves as an excellent system for dissectin
gthe conformational chan
ges and ensuin
g subunit-subunit associations that lead to amyloid. One workin
g model for tranthyretinamyloid involves the exposure of an "unprotected" ed
ge
![](/ima<font color=)
ges/
gifchars/beta2.
gif" BORDER=0 ALIGN="middle"> strand,followed by symmetric assembly of subunits to
give head-to-headand tail-to-tail protofibrils. The models and principles emer
gin
gfrom studies on transthyretin lead to connections to other amyloidsystems.